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Using a Sustained Efficiency Model and Best Practices to Inform Evidence-Based Operational Decision Making.

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A new Sustained Efficiency Model enhances Veterans Affairs (VA) staffing evaluations through collaboration and rapid reporting. This implementation science approach ensures timely, evidence-based recommendations for improved healthcare efficiency and quality.

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Public Health Policy

Background:

  • The Veterans Affairs (VA) system requires efficient, evidence-based decision-making to maintain high-quality care amidst increasing demands.
  • The StrAtegic PoLicy EvIdence-Based Evaluation Center (SALIENT) developed a model to address these needs within the VA.
  • A congressionally mandated Specialty Care workforce evaluation provided a context for applying the model.

Purpose of the Study:

  • To present and demonstrate the efficacy of a Sustained Efficiency Model for rapid and rigorous evaluations.
  • To showcase the model's application in a Veterans Health Administration (VA) staffing evaluation initiative.
  • To inform VA workforce guidelines as mandated by the Honoring our PACT Act of 2022.

Main Methods:

  • The Sustained Efficiency Model integrates five principles: interdisciplinary partnerships, multi-level theoretical modeling (Lean Six Sigma, Human-Centered Design, QUERI), systematic processes, mixed-methods data triangulation, and iterative reporting.
  • A case study involving the VA's SALIENT Staffing Project was utilized.
  • Qualitative and quantitative data were collected and analyzed on an accelerated timeline through coordination with the Partnered Evidence-Based Policy Resource Center.

Main Results:

  • The model facilitated proactive collaboration, enabling rapid course corrections and timely knowledge translation.
  • Mixed-methods data analysis and diverse perspectives enhanced the rigor of findings.
  • The evaluation produced high-quality, relevant recommendations informing VA workforce guidelines.

Conclusions:

  • The Sustained Efficiency Model is effective for partnering with operational and clinical stakeholders in rapid evaluations.
  • The model supports timely, evidence-based decision-making crucial for enhancing efficiency and quality in healthcare systems like the VA.
  • Successful application in the VA staffing evaluation demonstrates the model's utility for policy and congressional partners.