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School of Public Health
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Christian D. Helfrich

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Research Associate Professor, Health Services

Research Investigator
Veterans Administration Puget Sound Health Care System


Education

PhD   University of North Carolina, 2005   (Health Services)
MPH   University of Washington, 2000   (Health Services)
BA   Gonzaga University, 1998

Contact Info

email:   helfrich@uw.edu

email:   christian.helfrich@va.gov
web site:   http://www.linkedin.com/in/christianhelfrich

address:
1100 Olive Way, Suite 1400
Seattle, WA 98101

campus box:   Mailstop S-152
voice:   206-277-1655
fax:   206-764-2935

About

Christian Helfrich has been a member of the research faculty since 2009.  He can be found on Twitter (@helfrich_c)


Dissemination and implementation research; implementation science; organizational change; change management; de-implementation of ineffective and harmful practice


Helfrich CD, Simonetti JA, Clinton WL, Wood GB, Taylor L, Schectman G, Stark R, Rubenstein LV, Fihn SD, Nelson KM. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. J Gen Intern Med. 2017 Feb 23. doi: 10.1007/s11606-017-4011-4. [Epub ahead of print]  PMID: 28233221    PMCID: PMC5481228
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Winchester DE, Schmalfuss C, Helfrich CD, Beyth RJ. A specialty-specific, multimodality educational quality improvement initiative to deimplement rarely appropriate myocardial perfusion imaging. Open Heart. 2017 May 16;4(1):e000589. doi: 10.1136/openhrt-2017-000589. eCollection 2017.  PMID: 28674630    PMCID: PMC5471866
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Rose AJ, Park A, Gillespie C, Van Deusen Lukas C, Ozonoff A, Petrakis BA, Reisman JI, Borzecki AM, Benedict AJ, Lukesh WN, Schmoke TJ, Jones EA, Morreale AP, Ourth HL, Schlosser JE, Mayo-Smith MF, Allen AL, Witt DM, Helfrich CD, McCullough MB. Results of a Regional Effort to Improve Warfarin Management. Ann Pharmacother. 2017 May;51(5):373-379. doi: 10.1177/1060028016681030. Epub 2016 Dec 17.  PMID: 28367699
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Sayre GG, Haverhals LM, Ball S, Stevenson L, Battaglia C, Aron DC, Kirsh S, Helfrich CD, Au D. Adopting SCAN-ECHO: The providers' experiences. Healthc (Amst). 2017 Mar;5(1-2):29-33. doi: 10.1016/j.hjdsi.2016.04.006. Epub 2016 May 18.  PMID: 28668200
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Hannon PA, Helfrich CD, Chan KG, Allen CL, Hammerback K, Kohn MJ, Parrish AT, Weiner BJ, Harris JR. Development and Pilot Test of the Workplace Readiness Questionnaire, a Theory-Based Instrument to Measure Small Workplaces' Readiness to Implement Wellness Programs. Am J Health Promot. 2015 Sep 21. [Epub ahead of print]  PMID: 26389975    PMCID: PMC4805519
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ORCID ID: 0000000298274768

Google Scholar: 2Vg4gDkAAAAJ

Scopus ID: 13407517300

2017
Member, thesis committee for Jon Allison
Health Care Disparities in African American Veterans based on Rank at Retirement

2017
Member, dissertation committee for Sarah Fishleder
Development and evaluation of community-clinical linkages between physical therapy clinics and EnhanceFitness, an evidence-based physical activity program for older adults.

2017
Chair, thesis committee for Edward Stapleton
Association of workplace readiness and HealthLinks implrementation for evidence-based health promotion

2015
Chair, capstone for Kayla Down
Synthesis of the Patient Aligned Care Team (PACT) initiative for the United States Department of Veterans Affairs, Veterans Integrated Service Networks (VISN)

2013
Chair, thesis committee for Lauren Lawler
Medical home components associated with self-reported improvements in delivery of patient-centered care in VA primary care

Increasing Implementation of Evidence-Based Interventions at Low-Wage Worksites
National Institutes of Health (NIH)
PI:   Hannon           Dates:    5/1/2016 - 4/30/2017

Increasing Implementation of Evidence-Based Interventions at Low-Wage Worksites
National Institutes of Health (NIH)
PI:   Hannon           Dates:    5/1/2015 - 4/30/2016

Increasing Implementation of Evidence-Based Interventions at Low-Wage Worksites
National Institutes of Health (NIH)
PI:   Hannon           Dates:    5/1/2014 - 4/30/2015

Improving Safety and Quality through Evidence-Based De-Implementation of Ineffective Diagnostics and Therapeutics

Dr. Helfrich serves as Co-PI of a five-year QUERI program studying de-implementation strategies of harmful and ineffective clinical practices across multiple settings. The program incorporates extensive data on organizational context and stakeholder needs, and includes close partnerships with both national clinical leaders and local clinical champions.

http://www.queri.research.va.gov/programs/safety_quality.cfm


The Organizational Readiness to Change Assessment (ORCA)

The ORCA is a structured self-report survey tool to assess the collective readiness of a clinical team or unit to implement a specific evidence-based clinical practice change, such as introducing hepatitis C screening and treatment in substance-use disorder clinics, or use of an evidence-based dosing algorithm for titrating warfarin in anti-coagulation clinics. Dr. Helfrich led a multi-site psychometric study of the ORCA and currently serves as co-investigator on three multi-site implementation trials that are using the ORCA, or have adapted the ORCA as part of implementation support activities.

http://www.nccmt.ca/resources/search/187


Evaluations of Veterans Health Administration Transformational Initiatives

Dr. Helfrich has helped evaluate four VA initiatives to improve specialty care access and care coordination through the use of alternative consultation modalities, such as electronic specialty consults (via the electronic health record), and to expand the capabilities of primary care providers to manage specialty conditions.


Evaluating Implementation of the VA Patient-Aligned Care Team (PACT) initiative

In 2010, the VA began national implementation of a patient-centered medical home model emphasizing team-based care, alternative modalities for communicating with patients, such as secure messaging, and population-based, proactive health care. Dr. Helfrich was part of the national PACT evaluation, chairing a working group of researchers and consultants to design and field a national primary care employee survey, with particular attention to assessing team-based care, barriers to effective team functioning and employee burnout. Many presentations of the findings from this work are available as video seminars: