Expanding and Enhancing Implementation Learning
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QUERI Implementation Learning Hubs Provide Opportunities across VA to Help Improve Healthcare

QUERI is a pioneer in implementation science and, as such, has developed Learning Hubs to give stakeholders the opportunity to learn how to deploy effective practices using implementation and quality improvement science methods. QUERI's learning hubs provide a unique opportunity for leaders, providers, and researchers across VA to gain practical experience and skills needed to lead care improvements at their sites. They also provide a unique opportunity for HSR&D and QUERI investigators to learn how to deploy rigorously designed implementation strategies in their own studies.

Each Hub follows the general framework of the QUERI Implementation Roadmap, but also teaches strong implementation strategies for different settings. The following is a brief description of the current Learning Hubs and what they can offer. Please also see interviews in this issue of QUERI News that feature two QUERI investigators who lead Learning Hubs: Dr. JoAnn Kirchner and Dr. Kyler Godwin.

Led by Mary Whooley, MD, the Adaptation Learning Hub teaches trainees how to tailor implementation efforts using iterative stakeholder engagement, workflow mapping, and adaptive problem solving (i.e., people, process, and problems). Read more about this Hub here.

Led by Catherine Battaglia, PhD, RN, the Design for Dissemination & Implementation (D4D&I) Learning Hub provides training on the core components of the D4D&I implementation strategy (pre-implementation assessment, stakeholder engagement, intervention adaptation, and implementation evaluation) to increase the adoption, implementation, and  sustained use of evidence-based interventions for care coordination  programs. Read more about this Hub here.

Led by Alison Hamilton, PhD, MPH, and Elizabeth Yano, PhD, MSPH, the Evidence-Based Quality Improvement Learning Hub supports individuals and teams of leaders, providers, and staff in identifying, addressing, and solving problems using an evidence-based, multi-level, stakeholder-driven approach to quality improvement. Read more about this Hub here.

Led by JoAnn Kirchner, MD, the Implementation Facilitation (IF) Learning Hub uses a participatory approach comprised of preparatory work that includes instruction on key IF roles, interactive role-plays, and group exercises to train participants in applying an evidence-based strategy involving interactive problem-solving. Read more about this Hub here and in the featured interview with Dr. Kirchner.

Led by Kyler Godwin, PhD, MPH, the Leading Healthcare Improvement (LHI) Learning Hub employs interactive learning activities to train frontline providers and leaders in leadership principles and improvement strategies. Read more about this Hub here and in the featured interview with Dr. Godwin.

Led by Laura Damschroder, MPH, MS, the Learn. Engage. Act. Process. (LEAP) Learning Hub delivers hands-on virtual learning in quality improvement methods to clinical teams, packaging multiple implementation strategies into a single, structured program. Read more about this Hub here.

Led by Christine Hartmann, PhD, the Teamwork Learning Hub trains participants on the fundamentals of a unique, evidence-based implementation framework known as LOCK (Learn from the bright spots, Observe, Collaborate in huddles, and Keep it bite-size) and its effective implementation (including rapid cycle quality improvement). Read more about this Hub here.

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