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QUERI – Quality Enhancement Research Initiative

Health Care Policy

Making national programs and policies work at the clinic level

QUERI supports VA’s implementation of the Foundations for Evidence-based Policymaking Act of 2018 (US Public Law 115-435), which requires federal agencies to justify budgets using evidence, by conducting rigorous evaluations addressing VA strategic and legislative priorities and enhancing enterprise-wide approaches to evaluation.

Guided by the Learning Health System framework and the QUERI Implementation Roadmap, QUERI is deploying a systematic approach to implement national priorities at the frontline level:

  1. Engaging VA leaders to nominate and rank-order priorities
  2. Funding evaluations and quality improvement initiatives to address identified priorities
  3. Evaluating the impact of these initiatives on VA policy and Veteran health using the QUERI Impact Framework

QUERI circular process

QUERI Evidence-based Policy Evaluation Centers

This national network of evaluation centers are applying novel methods to address complex policy and program questions that cut across multiple clinical program offices, service lines, and regions and are supporting development of VA annual evaluation plans, learning agendas, and capacity assessments.

Partnered Evidence-based Policy Resource Center (PEPReC)

Partnered Evidence-based Policy Resource Center (PEPReC)

Led by Austin Frakt, Melissa Garrido, Steve Pizer

Provide rigorous data analysis to support the development and sustainment of policy, planning, and management initiatives and coordinate VA’s response to the Evidence Act, including reviewing legislative proposals and developing

annual evaluation plans, learning agendas, and capacity assessments. Learn more.

Center for Policy Evaluation (CPE)

Center for Policy Evaluation (CPE)

Led by Todd Wagner, David Chan, Anita Vashi

Support operational decision-making by leveraging causal inference methods with administrative data, paired with qualitative methods, to provide unbiased estimates of the effects of implementing VA policies and programs. Learn more.

Leading Evaluations to Advance VA’s Response to National Priorities (LEARN)

Leading Evaluations to Advance VA’s Response to National Priorities (LEARN)

Led by Kristina Cordasco, Sonya Gabrielian, Tanya Olmos-Ochoa

Support VA’s transformation to a Learning Health System and VA evidence-based continual improvement efforts by utilizing multi-disciplinary theories and mixed-method approaches in conducting partnered evaluations that address VA and legislative priorities. Learn more.