Quality Enhancement Research Initiative (QUERI) Programs
The SFVA hosts two QUERI Programs: The Measurement Science QUERI and the PRISM QUERI.
The Measurement Science QUERI
The Measurement Science QUERI’s primary goal is to integrate measurement science into healthcare for Veterans. Measurement Science (defined as the theory, practice, and application of suitable metrics) is at the core of VA's Learning Healthcare System and is a critical component at every stage of the quality improvement (QI) and implementation process. Using system-wide data to promote performance measurement, improvement efforts, and electronic tools (i.e., clinical reminders) depends on the uniformity of those metrics, the efficiency with which they can be obtained, and the accuracy with which they are measured. Whenever a healthcare decision is made, it must be based on valid and reliable data that are linked with all relevant information. Without meaningful metrics, QI and implementation of effective therapies cannot be accomplished. The goal of the Measurement Science QUERI is to Work with VA operational partners to promote standardization of VA data through use of a Common Data Model and conduct four high-priority quality improvement and implementation projects to:1) Improve quality assessment of colonoscopy, 2) Expand integrated pain management programs,3) Evaluate implementation strategies for home-based cardiac rehabilitation, and 4) Improve measurement of functional status. The QUERI also aims to support trainees by providing expert guidance and assistance to use VA data in trainee-led QI and implementation research.
The Precision Monitoring to Transform Care (PRISM)
QUERI is co-located at the Indianapolis and the San Francisco VA. The Precision Monitoring (PRIS-M) to Transform Care program aims to: 1) Implement and evaluate electronic clinical quality measures (eCQMs) and decision support tools at the point of care; 2) conduct scalable clinical quality improvement projects that link electronic data to provider actions and reporting; 3) investigate the effects of providing actionable EHR-based data on care team and Veteran behaviors and satisfaction; 4) and
Identify implementation strategies and contextual factors that activate VA providers, leaders, and Veterans to use data to transform care. The core projects focus on national implementation of inpatient eCQMs, testing telehealth modules and eCQMs for improving rapid transient ischemic attack care, de-implementation of inappropriate carotid ultrasound image ordering, and implementing and evaluating a remote sleep apnea monitoring program.