# Virtual Medical Modality Implementation Strategies for Patient Aligned Care Teams to Promote Veteran Centered Care

> **NIH VA I01** · JAMES A. HALEY VA MEDICAL CENTER · 2020 · —

## Abstract

Project Background: MyVA and the Department of Veteran's Affairs (VA) Blueprint for Excellence
articulate a vision for delivering Veteran-centered care leveraging information technologies,
analytics, and new models of health care delivery. The Veterans Health Administration (VHA) is
currently expanding integration efforts of virtual medical modalities [VMM (i.e., My HealtheVet, Vet
Link kiosks, telehealth, mobile applications)] to increase consumer use and optimize function.
Integrated use of VMM can increase individual and system efficiency, maximize resources and
enhance patient outcomes. This proposal is responsive to the HSR&D solicitation for health
services research on provider behavior (HX-16-009) in its goal to increase integrated use of VMM
by patient aligned care teams (PACT), using novel PACT-focused implementation strategies.
Objectives: Our short-term goal is to develop innovative PACT team implementation strategies to
increase integrated use of VMM. Long-term, this research will inform regional and national
implementation efforts to promote integrated use of VMM in the ambulatory care setting. The
research aims are to: (1) Identify characteristics of PACT team members that impact VMM use
among early- and late- adopters; (2) Develop implementation strategies to promote PACT team
adoption of VMM; and (3) Evaluate local implementation of PACT focused strategies to promote
VMM adoption.
Methods: A community-based participatory research approach using concurrent mixed-methods
will be used to conduct this three-year implementation study. This study design overcomes
limitations of previous research identified in the HSR&D targeted solicitation for health services
research on provider behavior. In Phase 1 (Aim1) focus groups (n=60) with questionnaires and
follow-up individual interviews (n=20) will be conducted with PACT team members. In Phase 2
(Aim 2) the team will collaborate with VA eHealth researchers and operational partners to conduct
an environmental scan and collect current and emerging provider focused implementation tools
and resources. The team will then conduct a gap analysis based on Aim 1 findings to determine
what implementation strategies and content need to be adapted or developed, and adapt/develop
necessary content and convene a PACT expert panel to evaluate resultant content. In Phase 3
(Aim 3) a local implementation of PACT-focused strategies to promote integrated use of VMM will
be evaluated using pre- and post- questionnaire surveys, brief structured interviews, and
secondary data analysis with PACT team members (n=63).
Impact: This research supports the MyVA vision and the VA Blueprint for Excellence to increase
the integrated use of VMM to enhance delivery of proactive patient-driven care. This proposal is
timely in its alignment with the current re-organization and redesign efforts of VMM within the VA.
This study will produce the first protocol to objectively evaluate integrated VA VMM use employing
secondary dat...

## Key facts

- **NIH application ID:** 9768344
- **Project number:** 5I01HX002010-03
- **Recipient organization:** JAMES A. HALEY VA MEDICAL CENTER
- **Principal Investigator:** Jolie N. Haun
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2020
- **Award amount:** —
- **Award type:** 5
- **Project period:** 2017-04-01 → 2021-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9768344

## Citation

> US National Institutes of Health, RePORTER application 9768344, Virtual Medical Modality Implementation Strategies for Patient Aligned Care Teams to Promote Veteran Centered Care (5I01HX002010-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9768344. Licensed CC0.

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