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Funding model for embedded research: Impacts, challenges, and lessons learned for investigators
C Ann Vitous1, Kaylee W Burgan1, John P Donnelly1,2,3
1VA QUERI Center for Evaluation and Implementation Resources (CEIR) Ann Arbor Michigan USA.
Learning Health Systems
|October 31, 2025
Summary
Embedded research programs significantly benefit investigators through professional development and tangible outputs. Key challenges included data issues and COVID-19 disruptions, highlighting the need for clear goals and support staff for future Learning Health System initiatives.
Area of Science:
- Healthcare Management
- Health Services Research
- Implementation Science
Background:
- Embedding research within Learning Health Systems (LHS) is vital for healthcare improvement.
- Investigator roles in partnered funding mechanisms require deeper understanding.
- This study evaluates embedded research programs from the investigator's perspective.
Purpose of the Study:
- Assess the impacts of an embedded research program on investigators.
- Identify challenges encountered by investigators in this setting.
- Extract lessons learned for optimizing future embedded research initiatives.
Main Methods:
- Outcome evaluation within the Department of Veterans Affairs healthcare system.
- Utilized adapted CDC evaluation framework with three data sources: close-out reports, research databanks, and online surveys.
- Focused on 25 investigators with completed projects during FY2017-2021.
Main Results:
- Investigators reported significant professional development, tangible products, increased knowledge, and enhanced multidisciplinary collaboration.
- Identified challenges included data-related issues, logistical concerns, and COVID-19 disruptions.
- Lessons learned emphasized the need for feasible goals and dedicated support staff.
Conclusions:
- Embedded research programs offer substantial professional benefits to investigators.
- Addressing challenges related to data, logistics, and support is crucial for program success.
- Findings inform the tailoring and implementation of LHS in large healthcare organizations.
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