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Sponsor study identifier
Secondary identifiers
OTHER_GRANT · QUERI Program
interventional
21
1 country
25
Study Start
January 9, 2017
Actual (reported)Primary Completion
September 30, 2020
Actual (reported)Study Completion
November 30, 2020
Actual (reported)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 comprehensive healthcare services for women Veterans was disseminated nationally in 2010, followed by annual assessments and site visits evaluating local VA efforts. While substantial inroads have been made, policy implementation, even when leveraged by field-based women's health leaders, has not been uniformly successful in achieving delivery of comprehensive care by designated providers in gender-sensitive care environments that ensure women's privacy, dignity and safety, all tenets of the original guidance and the updated directive (2017). Building on prior effectiveness of an evidence-based quality improvement (EBQI) approach to tailoring VA's medical home model -- Patient Aligned Care Teams (PACT) -- to the needs of women Veterans, VA leaders in women's health adopted EBQI to help low-performing VAs systematically improve services. The objectives of the resulting Partnered Evaluation Initiative (PEI) funded by VA's Quality Enhancement Research Initiative and VA Office of Women's Health were:
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
November 30, 2020
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 9, 2017
Actual (reported)July 25, 2017
Actual (reported)August 3, 2017
Actual (reported)September 30, 2020
Actual (reported)November 30, 2020
Actual (reported)August 3, 2021
Actual (reported)Gender-sensitive Care Environment
Multi-item scale score reflecting survey items (from The Women's Assessment Tool for Comprehensive Health (WATCH)) on availability of same-gender providers, availability of same-gender staff, privacy of physical layout, availability of privacy curtains, level of implementation of local culture campaign that values and treats Women Veterans with respect. The score ranges from 0 to 7, with a higher score reflecting greater gender-sensitive care environment.
12-month change in gender-sensitive care environment
Gender-sensitive Care Environment
Multi-item scale score reflecting survey items (from The Women's Assessment Tool for Comprehensive Health (WATCH)) on availability of same-gender providers, availability of same-gender staff, privacy of physical layout, availability of privacy curtains, level of implementation of local culture campaign that values and treats Women Veterans with respect. The score ranges from 0 to 7, with a higher score reflecting greater gender-sensitive care environment.
24-month change in gender-sensitive care environment
Gender Awareness
A 12-item score reflecting primary care and women's health providers' and staff's awareness and knowledge of women Veterans' military background and healthcare needs. The score ranges from 1 to 5 with higher scores reflecting greater gender awareness.
12-month change in gender awareness among VA primary care and women's health providers and staff.
Gender Awareness
A 12-item score reflecting primary care and women's health providers' and staff's awareness and knowledge of women Veterans' military roles and healthcare needs . The score ranges from 1 to 5 with higher scores reflecting greater gender awareness.
Gender-specific Preventive Care Delivery
12-month change
Gender-specific Preventive Care Delivery
24-month change in gender-specific preventive care delivery
Accessibility of Care
12-month change in accessibility
Accessibility of Care
24-month change in accessibility
Coordination of Care
12-month change
EBQI represents a multilevel stakeholder engaged top-down/bottom-up research-clinical partnership approach to systematically improving the design and implementation of local innovations adapted to local contexts. The EBQI contractor will (1) convene facility-level stakeholder meetings, (2) facilitate local facility-level QI team design meetings, (3) provide external practice facilitation through within and across facility QI collaboration calls, (4) provide formative QI data feedback and (5) provide QI training/education to local teams.
Waitlist controls will continue naturalistic routine care implementation of VHA directives and other guidance related to comprehensive women's health care.
Multilevel research-clinical partnership approach to supporting local strategic planning, priority setting, skill building and engagement in addressing targeted healthcare delivery problems. Launched at participating VA facilities through advance key stakeholder interviews, in-person site visits, data review (e.g., structure and environment of care, gender disparities in quality and patient experience), QI education/training, technical support (e.g., QI project and measures development), additional formative feedback from the evaluation (e.g., provider/survey measure summaries), external and internal practice facilitation, and across-EBQI site collaboration calls. Local leadership, EBQI champions and QI teams develop and implement innovation projects aimed at improving prioritized quality targets related to women Veterans' health and healthcare needs as well as facility-level structural changes needed to improve compliance with VA guidelines.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Central Alabama Veterans Health Care System West Campus, Montgomery, AL
Montgomery, Alabama, 36109, United States
Northern Arizona VA Health Care System, Prescott, AZ
Prescott, Arizona, 86313, United States
VA Northern California Health Care System, Mather, CA
Sacramento, California, 95655, United States
VA Greater Los Angeles Healthcare System, Sepulveda, CA
Sepulveda, California, 91343, United States
VA Eastern Colorado Health Care System, Denver, CO
Denver, Colorado, 80220, United States
North Florida/South Georgia Veterans Health System, Gainesville, FL
Gainesville, Florida, 32608, United States
Hamilton AB, Olmos-Ochoa TT, Canelo I, Rose D, Hoggatt KJ, Than C, Yano EM. Dynamic waitlisted design for evaluating a randomized trial of evidence-based quality improvement of comprehensive women's health care implementation in low-performing VA facilities. Implement Sci Commun. 2020 Jun 30;1:59. doi: 10.1186/s43058-020-00038-0. eCollection 2020.
Elizabeth M Yano, PhD MSPH
VA Greater Los Angeles Healthcare System, Sepulveda, CA
Alison B Hamilton, PhD MPH
VA Greater Los Angeles Healthcare System, West Los Angeles, CA
21 participants (actual enrollment reported by the registry).
First Submitted
July 25, 2017
First Posted
24-month change in gender awareness among VA primary care and women's health providers and staff
Quality Improvement Experience
The count of quality improvement activities reported by providers and staff in primary care and women's health settings; including 1) training in quality improvement methods, 2) collaboration with other VA facilities to identify best practices, 3) working with Women Veteran Program Manager to identify and/or solve local problems in caring for women Veterans, 4) using of VA performance data, 5) using of VA survey data by gender, 6) working on a quality improvement project focused on women Veterans, 7) involving in small tests of change for quality improvement.
12-month change
Quality Improvement Experience
The count of quality improvement activities reported by provider and staff in primary care and women's health settings; including 1) training in quality improvement methods \[e.g., LEAN\], 2) collaboration with other VA facilities to identify best practices, 3) working with Women Veteran Program Manager to identify and/or solve local problems in caring for women Veterans, 4) using of VA performance data, 5) using of VA survey data by gender, 6) working on a quality improvement project focused on women Veterans, 7) involving in small tests of change for quality improvement.
24-month change
Contact the study team to confirm eligibility.
Miami VA Healthcare System, Miami, FL
Miami, Florida, 33125, United States
Atlanta VA Medical and Rehab Center, Decatur, GA
Decatur, Georgia, 30033, United States
Carl Vinson VA Medical Center, Dublin, GA
Dublin, Georgia, 31021, United States
Marion VA Medical Center, Marion, IL
Marion, Illinois, 62959, United States
Robert J. Dole Department of Veterans Affairs Medical and Regional Office Center, Wichita, KS
Wichita, Kansas, 67218, United States
Overton Brooks VA Medical Center, Shreveport, LA
Shreveport, Louisiana, 71101, United States
Rehabilitation R&D Service, Baltimore, MD
Baltimore, Maryland, 21202, United States
Battle Creek VA Medical Center, Battle Creek, MI
Battle Creek, Michigan, 49037, United States
Harry S. Truman Memorial, Columbia, MO
Columbia, Missouri, 65201-5297, United States
VA Southern Nevada Healthcare System, North Las Vegas, NV
Las Vegas, Nevada, 89106, United States
Bath VA Medical Center, Bath, NY
Bath, New York, 14810, United States
Salisbury W.G. (Bill) Hefner VA Medical Center, Salisbury, NC
Salisbury, North Carolina, 28144, United States
Chalmers P. Wylie Ambulatory Care Center, Columbus, OH
Columbus, Ohio, 43203-1278, United States
VA Black Hills Health Care System Fort Meade Campus, Fort Meade, SD
Fort Meade, South Dakota, 57741, United States
Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Nashville, Tennessee, 37212-2637, United States
South Texas Health Care System, San Antonio, TX
San Antonio, Texas, 78229, United States
Central Texas Veterans Health Care System, Temple, TX
Temple, Texas, 76504, United States
Hampton VA Medical Center, Hampton, VA
Hampton, Virginia, 23667, United States
Jonathan M. Wainwright Memorial VA Medical Center, Walla Walla, WA
Walla Walla, Washington, 99362, United States
August 3, 2017
Study Start
January 9, 2017
Actual (reported)Primary Completion
September 30, 2020
Actual (reported)Study Completion
November 30, 2020
Actual (reported)Last Updated
July 27, 2023
Results First Posted
August 3, 2021
Record last verified: 2023-07
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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