Table 1.
Description of responsive innovation evidence reviews (RIERs)
| RIER | Project (Innovation team) | Number of pages (text word count) | Questions/topics addressed | Number of citations | Articles in evidence table |
|---|---|---|---|---|---|
| Advanced access | VISN system redesign open access project (VAIL leadership) | 9 (1390) | ▸ What is advanced access? ▸ What is the evidence that advanced access works? ▸ Resources for advanced access implementation | 7 | 7 |
| Homelessness | Home telehealth and vet-to-vet in HUD-VASH (VA supportive housing (VAIL homelessness workgroup, supporting access to primary care for homeless veterans) | 6 (961) | ▸ Elements of programmes directed toward the homeless ▸ Evidence of outcomes ▸ Resources | 5 | 5 |
| Interactive communication | Mental health integration into primary care PACT (primary care/mental health provider communication workgroup) | 15 (1159) | ▸ What are some effective and efficient evidence-based strategies to allow for two-way communication between primary care and mental health? ▸ What are the known barriers and facilitators of communication among primary care and mental health providers? | 34 | 31 |
| Motivational interviewing | Informing project selection, no project resulted from the topic (VAIL affiliated staff) | 13 (2057) | ▸ Is there an abbreviated method for training providers in this technique? ▸ What are the essential elements necessary to successfully motivate a patient? ▸ What is the time commitment needed to motivate individuals to change their behaviour using this technique? ▸ Are there any gender differences requiring modifying intervention and/or affecting outcomes? ▸ Costs of the intervention | 60 | 23 |
| PCMH evaluation measures | VAIL project evaluation (VAIL evaluation team) | 6 (504) | ▸ Evaluation measures used in PCMH interventions | 3 | 3 |
| Patient registries | RN disease managers role in PACT (Oceanside quality council) | 7 (925) | ▸ Use of registries ▸ Resources | 7 | 7 |
| PCMH and mental health | Mental health integration into primary care PACT (Sepulveda ambulatory care clinic quality council) | 8 (1125) | ▸ Mental health and primary care integration—A spectrum of models ▸ Situation in the VA ▸ Other resources | 21 | 18 |
| Pharmacists | Reducing walk-in visits for pharmacy refills (sepulveda ambulatory care clinic quality council) | 10 (2094) | ▸ Prescription refills ▸ The bigger picture: medication therapy management ▸ Role of the pharmacist in primary care ▸ Summary ▸ Resources | 15 | 8 |
| Primary care team functioning | Team based communication mini-TEX (teamlet evaluation exercise) (VAIL education workgroup) | 8 (1409) | ▸ How do we measure team functioning? ▸ What do we know about team effectiveness within primary care? ▸ An example of care team assessment within the VA ▸ How can team development be assessed? ▸ Examples of questions from various care team functioning instruments | 14 | 5 |
| Readmissions | PACT posthospitalisation telephone intervention (Redlands Boulevard outpatient clinic quality council) | 9 (697) | ▸ Readmission reduction strategies ▸ Readmission rate as an outcome—Some concerns ▸ Elements of a readmission reduction intervention | 11 | 11 |
| Relational coordination | Team based communication Mini-TEX (teamlet evaluation exercise) (VAIL education workgroup) | 10 (578) | ▸ What is relational coordination? ▸ Measuring and analysing relational coordination ▸ Relational coordination and primary care ▸ Resources | 13 | 11 |
| Secure messaging | Point-of-care enrolment of veterans in MyHealtheVet (VA online personal health record) (redlands boulevard outpatient clinic quality council) | 7 (960) | ▸ Secure messaging ▸ Patients using secure messaging ▸ Evidence for outcomes ▸ Implementation challenges ▸ Resources | 9 | 9 |
| Self-management | RN disease managers role in PACT (Oceanside quality council) | 8 (1370) | ▸ Does self-management support work? ▸ Twelve evidence-based principles for self- management support implementation in primary care ▸ Implications for PACT | 7 | 6 |
Note: Excluding search terms, tables, figures, references.
Note: VISN (Veterans Integrated Service Network); VAIL (Veterans Assessment and Improvement Laboratory); PACT (Patient Aligned Care Team); HUD-VASH (US Dept. of Housing and Urban Affairs—VA Supportive Housing).
PCMH (Patient Centered Medical Home); VA (Veterans Affairs); RN (registered nurse). The abbreviation TEX is already in the text of the line where it is found and stands for (teamlet evaluation exercise).