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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedRoddy MK, Chen P, Jeffery AD
Telemental health in emergency care settings: a qualitative analysis of considerations for sustainability and spread.
The purpose of this study was to explore barriers and facilitators for the spread and sustainability of telemental health video (TMH-V) as precaution policies from the pandemic declined. The researchers conducted a qualitative study using semistructured interviews and observations guided by RE-AIM. Local clinicians, facility leadership, Veterans, and external partners were asked about barriers and facilitators impacting patient willingness to engage in telemental health video (TMH-V) (reach), quality of care (effectiveness), barriers and facilitators impacting provider uptake (adoption), possible adaptations to TMH-V (implementation), and possibilities for long-term use of TMH-V (maintenance). The researchers also observed TMH-V encounters in one emergency department (ED) and one urgent care (UC) to understand how clinicians and Veterans engaged with the technology. The study found that in 10 observations, all interviewees were satisfied with the TMH-V program, and interviewees emphasized greater comfort discussing difficult topics for Veterans (reach). Clinicians indicated that TMH-V provided cross-coverage across sites as well as greater safety and flexibility for clinicians (adoption). Opportunities for improvement include reducing technological responsibilities for on-site staff, electronic health record (EHR) adaptations to correctly depict workload and modality (telehealth vs. in-person), and standardizing protocols to improve efficiency in communication between on-site and remote clinical staff (implementation). Participants supported its dissemination to other sites (maintenance) and indicated there was significant possibility for expanding the service.
AHRQ-funded; HS026395.
Citation: Roddy MK, Chen P, Jeffery AD .
Telemental health in emergency care settings: a qualitative analysis of considerations for sustainability and spread.
Acad Emerg Med 2023 Apr; 30(4):368-78. doi: 10.1111/acem.14682..
Keywords: Emergency Department, Telehealth, Health Information Technology (HIT)
Ward MJ, Shuster JL, Mohr NM
Implementation of telehealth for psychiatric care in VA emergency departments and urgent care clinics.
The purpose of this AHRQ-funded, mixed-methods study was to evaluate an emergency telehealth intervention in emergency department (ED) and urgent care clinic (UCC) settings within the Veterans Health Administration (VHA) in March 2020. The Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework was utilized to compare the 3 months preimplementation of the telehealth intervention (December 1, 2019 through February 29, 2020) with the 3 months postimplementation of the telehealth intervention (April 1, 2020 through June 30, 2020), and then assess sustainability through January 31, 2021. Qualitative data from surveys and semistructured interviews were conducted and analyze. The telemental health intervention was used in 83% (319) of unscheduled mental health consultations in the postimplementation phase, with no adverse trends in length of stay, 7-day revisits, or 30-day mortality. In the sustainability phase, use of the intervention was high with 82% (n = 1,010) of all unscheduled mental health consultations performed by telemental health. The study concluded that the use of unscheduled telemental health intervention was highly acceptable and sustainable in ED and UCC settings and did not impact the safety and efficacy of mental health consultations.
AHRQ-funded; HS025753.
Citation: Ward MJ, Shuster JL, Mohr NM .
Implementation of telehealth for psychiatric care in VA emergency departments and urgent care clinics.
Telemed J E Health 2022 Jul;28(7):985-93. doi: 10.1089/tmj.2021.0263..
Keywords: COVID-19, Telehealth, Health Information Technology (HIT), Behavioral Health, Emergency Department
Price LE, Shea K, Gephart S
The Veterans Affairs's Corporate Data Warehouse: uses and implications for nursing research and practice.
This article described the developments in research associated with the VHA's transition into the world of Big Data analytics through Corporate Data Warehouse (CDW) utilization. The authors found that the most commonly-occurring research topics are pharmacy/medications, systems issues, and weight management/obesity. They concluded that, despite the potential benefit of data mining techniques to improve patient care and services, the CDW and alternative analytical approaches are underutilized by researchers and clinicians.
AHRQ-funded; HS022908.
Citation: Price LE, Shea K, Gephart S .
The Veterans Affairs's Corporate Data Warehouse: uses and implications for nursing research and practice.
Nurs Adm Q 2015 Oct-Dec;39(4):311-8. doi: 10.1097/naq.0000000000000118.
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Keywords: Data, Electronic Health Records (EHRs), Health Information Technology (HIT), Nursing