Status:
COMPLETED
Evaluating Evidence-Based Quality Improvement of Comprehensive Women's Health Care Implementation in Low-Performing VAs
Lead Sponsor:
VA Office of Research and Development
Conditions:
Comprehensive Care
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Gaps in delivery of gender-sensitive comprehensive care have resulted in disparities in quality and patient experience among women seen in VA. VA policy action providing guidance on delivery of compre...
Detailed Description
Gaps in delivery of gender-sensitive comprehensive care have resulted in disparities in quality and patient experience among women seen in VA. VA policy action providing guidance on delivery of compre...
Eligibility Criteria
Inclusion
- Unit of randomization: VA healthcare facilities (VA medical center or community-based outpatient clinic)
- Subset of VA healthcare facilities identified as low-performing on the basis of composites of access/wait times, gender disparities in quality, e.g.:
- depression screening
- diabetic blood sugar control
- Presence/absence of VA-required structural facets of care, e.g.:
- designated women's health providers
- mammography coordinator
- gynecology access
- Women Veteran Program Manager (WVPM)
- 3:1 staffing ratio for PACT teamlets
- Key Stakeholder Inclusion Criteria (qualitative interviews):
- Veteran Integrated Service Network (VISN) level leader (Director or Chief Medical Officer)
- VISN level WVPM Lead, VISN level primary care director, VISN level QI/system redesign lead)
- VA facility leader (Director or other member of senior leadership)
- Chief of Staff
- primary care director
- women's health medical director
- WVPM
- local EBQI champion
- other key personnel
- Provider/Staff Survey
- Primary care providers (medical doctor \[MD\], doctor of osteopathy \[DO\], nurse practitioner \[NP\], physician assistant \[PA\]) delivering primary care in general primary care and/or women's health clinics
- PACT teamlet members (registered nurse \[RN\] care managers, licensed vocational nurse/licensed practical nurse \[LVN/LPN\]/health technicians, and clerks)
- larger PACT team members, e.g.:
- social workers
- dieticians
- health coaches
- integrated mental health
Exclusion
- Facility-level exclusion: Facilities not identified in the initial sample of VA facilities (sample not renewed over time).
Key Trial Info
Start Date :
January 9 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 30 2020
Estimated Enrollment :
21 Patients enrolled
Trial Details
Trial ID
NCT03238417
Start Date
January 9 2017
End Date
November 30 2020
Last Update
July 27 2023
Active Locations (25)
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1
Central Alabama Veterans Health Care System West Campus, Montgomery, AL
Montgomery, Alabama, United States, 36109
2
Northern Arizona VA Health Care System, Prescott, AZ
Prescott, Arizona, United States, 86313
3
VA Northern California Health Care System, Mather, CA
Sacramento, California, United States, 95655
4
VA Greater Los Angeles Healthcare System, Sepulveda, CA
Sepulveda, California, United States, 91343