High-Risk Veteran Initiative

Summary

Veterans at high-risk for hospitalization, including those with complex care needs, represent a large population of VHA patients who often do not receive evidence-based primary care practices that would help them avoid the hospital and improve their health. The high-RIsk VETerans (RIVET) Program will implement evidence-based practices that can support VHA Primary Care teams to deliver more comprehensive and patient-centered care, better strategies to manage medications, and avoid unnecessary hospitalizations. The RIVET Program is designed to find the most effective approaches to increasing use of evidence-based practices for high-risk Veterans in primary care, provide rapid data feedback to VHA on high-risk patient care, build capacity for the implementation of evidence-based practices, and train future leaders in high-risk Veteran care.

Conditions

• Multimorbidity

Interventions

OTHER

EBQI-IC

Individual (ongoing) consultation (IC), often described as coaching or supervision, is endorsed by implementation experts as an effective implementation strategy

OTHER

EBQI-LC

A Learning Collaborative is a systematic approach to process improvement based on the Institute for Healthcare Improvement Breakthrough Series Collaborative model. During the Collaborative, organizations will test and implement system changes and measure their impact. They will share their experiences to accelerate learning and broader implementation of best practices.

Sponsors & Collaborators

• Veterans Health Administration Office of Primary Care

  collaborator UNKNOWN

• Veterans Health Administration Office of Patient Centered Care & Cultural Transformation

  collaborator UNKNOWN

• US Department of Veterans Affairs

  collaborator FED

• Veterans Integrated Service Network 10

  collaborator UNKNOWN

• Veterans Integrated Service Network 12

  collaborator UNKNOWN

• VA MidSouth Healthcare Network

  collaborator UNKNOWN

• VA Office of Research and Development

  lead FED

Principal Investigators

• Evelyn T Chang, MD MSHS · VA Greater Los Angeles Healthcare System, Sepulveda, CA

• Susan E Stockdale, PhD MA · VA Greater Los Angeles Healthcare System, Sepulveda, CA

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-07-23

Primary Completion

2025-09-30

Completion

2026-12-30

Countries

• United States

Study Locations