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QUERI. OQP. PCS. VISNs. The Early Years. 1998 Basic data collection needed Limited range of data requested Highest interest in demand, cost management Low interest in analysis Evidence frequently undervalued. 2008 Leadership awash in data Organization & extraction of info. needed
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QUERI OQP PCS VISNs The Early Years
1998 Basic data collection needed Limited range of data requested Highest interest in demand, cost management Low interest in analysis Evidence frequently undervalued 2008 Leadership awash in data Organization & extraction of info. needed Highest interest in maximizing quality, value Sophisticated analyses & models Leadership demands more evidence Operational Landscape
1998 Modest interest in novel interventions Reluctance toward VA/ Non-VA comparisons Research undervalued Payer/client relationship 2008 Keen interest in creative approaches Commitment to honest benchmarking Respect for high caliber research Partnership expected Operational Landscape
1998 Limited knowledge of research constraints by leadership (and vice versa) Impatience with research time frame 2008 Moderate knowledge of research constraints (and vice versa) Even greater impatience with time frame Operational Landscape
QUERI OQP OQP QUERI PCS PCS 10N VISNs
The QUERI Advantage • 10 years of experience and accomplishment • Consistently outstanding leadership • Unique mission • Tremendous talent • Excellent funding • Supportive environment
Looking Forward • VA response to national health reform • New models of primary/specialty care • Care coordination • Continued attention to mental health care • Continued emphasis on seamless transition • Expanding and novel partnerships • DoD • Academic Affiliates • Pvt Sector • Improvement in IT climate • Unfamiliar budget pressure • Third transformation?