COIN Investigators & Staff
COIN Investigators
-
Catherine T. Battaglia, PhD, MSHA, RN
- Title: Fellowship Co-Director
Clinical Teaching Associate Professor, Department of Health Systems, Management & Policy, University of Colorado School of Medicine - Contact: Catherine.Battaglia@va.gov
- Location: Denver
- University of Colorado webpage
Dr. Battaglia is a nurse scientist and core investigator in the Denver-Seattle Center of Innovation (COIN) at the VA Eastern Colorado Health Care System. She has a strong background in health services research, dissemination/implementation of interventions in routine clinical practice and mixed methods analyses. Dr. Battaglia is the Principal Investigator (PI) of the Triple Aim QUERI and two Transitions of Care quality improvement projects. She is the site PI for two Investigator-Initiated Research (IIR) grants. Dr. Battaglia also completed a VA Nursing Research Initiative (NRI) Merit Award (2009-2014), a Substance Use Disorder QUERI, and quantitative/qualitative evaluations for operational programs. In addition to research, Dr. Battaglia oversees the Denver Research Education and Mentor Program in the COIN, which is responsible for the Advanced Health Services Research Postdoctoral Fellowship Program, a joint Grand Rounds series with COIN, RMIRECC, and GRECC as well as the Junior Faculty Leadership Seminars.
Dr. Battaglia is also a member of the ACCORDS (The Adult and Child Consortium for Health Outcomes Research and Delivery Science) Dissemination and Implementation Core and has planned several regional conferences. As an Associate Professor in the Health System Management and Policy Department in the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus, Dr. Battaglia has mentored ~25 PhD, DNP, and master’s students, postdoctoral fellows, and a VA career development awardee over the past 13 years.
The following images visualize Dr. Battaglia's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):
| Publications | Grants |
|---|---|
| Clinical Research | Health Services |
| Health Services | Clinical Research |
| Prevention | Behavioral and Social Science |
| Behavioral and Social Science | Comparative Effectiveness Research |
| Substance Abuse | Prevention |
| Tobacco | Mental Health |
| Tobacco Smoke and Health | Pain Research |
| Clinical Trials and Supportive Activities | Tobacco |
| Mental Health | Chronic Pain |
| Cancer | Cost Effectiveness Research |
Grants & Funding
Value-Based Care to Improve the Quadruple Aim for Veterans and Stakeholders
Role: PI with Co-PIs: Joe Frank & P. Michael Ho
The Quadruple Aim Quality Enhancement Research Initiative (QUERI) aims to improve the care and experience for Veterans, clinician engagement, and reduce the cost of care. We will improve care coordination between Veterans Health Administration (VA) and community settings for Veterans using three evidence-based practices rooted in care coordination models to achieve consistently safe, efficient, and effective care for Veterans who are:
1) referred to home health care after discharge from VA,
2) receiving medication treatment for Opioid Use Disorders in the community, and
3) hospitalized or receiving emergency care in the community and return to VA or VA-assigned community PCP for ongoing care.
Veterans with complex medical and social needs will be case managed by a multidisciplinary team to ensure timely access to care and linkage to resources. The Quadruple Aim QUERI will improve health with optimal patient and clinician experience at a lower cost.
Funder: Veterans Affairs
NIH website
Designing for Dissemination and Implementation Training Hub
The Designing for Dissemination and Implementation (D4D&I) Training Hub aims to train Veterans Health Administration (VA) researchers, practitioners, and operational leaders/staff in the D4D&I implementation strategy.
The D4D&I strategy targets program adoption, implementation, sustainment, and scale-up and spread. The four discrete methods of the D4D&I strategy are:
1) Pre-implementation assessment for planning and evaluation of multi-level context using the Practical, Robust Implementation and Sustainability Model (PRISM) to ensure program success and sustainability,
2) Multi-level stakeholder engagement to learn what is important to end-users and garner program buy-in,
3) Implementation and adaptations guided by the pre-implementation assessment and stakeholders while retaining fidelity to care coordination program core components, and
4) Program evaluation using RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) to define program outcomes.
NIH website
Publications of note:
Designing for Dissemination and Implementation Training Hub
Recent Publications
2022
Sjoberg H, Kenney RR, Morgan B, Connelly B, Jones CD, Ali HN, Battaglia C, Gilmartin HM. (2022). Adaptations to relational facilitation for two national care coordination programs during COVID-19. Frontiers in Health Services. DOI=10.3389/frhs.2022.952272
Learn more about this publication on Dimensions
Morrow CD, Perraillon MC, Wald HL, Nelson JL, Reeder BP, Battaglia C, Boxer RS. Challenges in Heart Failure Disease Management in Skilled Nursing Facilities: A Qualitative Study. J Gerontol Nurs. 2022 May;48(5):14-17. doi: 10.3928/00989134-20220404-04. Epub 2022 May 1.
PMID: 35511061
Learn more about this publication on Dimensions
Gilmartin HM, Hess E, Mueller C, Connelly B, Plomondon ME, Waldo SW, Battaglia C. Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. Health Serv Res. 2022 Apr;57(2):385-391. doi: 10.1111/1475-6773.13907.
PMID: 35297037
Learn more about this publication on Dimensions
Locke ER, Young JP, Battaglia C, Simpson TL, Trivedi R, Simons C, Fortney JC, Hebert P, Swenson ER, Edelman J, Fan VS. Care-seeking and delay of care during COPD exacerbations. NPJ Prim Care Respir Med. 2022 Feb 15;32(1):7. doi: 10.1038/s41533-022-00269-9.
PMID: 35169140
Learn more about this publication on Dimensions
Sjoberg H, Liu W, Rohs C, Ayele RA, McCreight M, Mayberry A, Battaglia C. Optimizing care coordination to address social determinants of health needs for dual-use veterans. BMC Health Serv Res. 2022 Jan 12;22(1):59. doi: 10.1186/s12913-021-07408-x. PMCID: PMC8754195.
PMID: 35022053
Learn more about this publication on Dimensions
2021
Schuster ALR, Perraillon MC, Paul JJ, Leiferman JA, Battaglia C, Morrato EH. The Effect of the Affordable Care Act on Women's Postpartum Insurance and Depression in 5 States That Did Not Expand Medicaid, 2012-2015. Med Care. 2021 Oct 19. doi: 10.1097/MLR.0000000000001652. Epub ahead of print.
PMID: 34670222
Connelly B, Battaglia C, Gilmartin HM. A dissemination strategy to promote relational coordination in the veterans health administration: a case study. BMC Health Serv Res. 2021 Sep 27;21(1):1018. doi: 10.1186/s12913-021-07009-8.
PMID: 34579712
Hwang SS, Tong S, Pyle L, Battaglia C, McManus B, Niermeyer S, Sauaia A. Impact of State Prioritization of Safe Infant Sleep Programs on Supine Sleep Positioning for Non-Hispanic White and Non-Hispanic Black Infants. Am J Perinatol. 2021 Sep 20. doi: 10.1055/s-0041-1735262. Epub ahead of print.
PMID: 34544194
Suresh M, Young J, Fan V, Simons C, Battaglia C, Simpson TL, Fortney JC, Locke ER, Trivedi R. Caregiver Experiences and Roles in Care Seeking During COPD Exacerbations: A Qualitative Study. Ann Behav Med. 2021 Jun 24:kaab045. doi: 10.1093/abm/kaab045. Epub ahead of print.
PMID: 34165138
Gilmartin HM, Plomondon ME, Mueller C, Connelly B, Battaglia C, Waldo SW, Doll J. The Impacts of COVID-19 on Veterans Affairs Catheterization Laboratory Staff During the First Months of the US Response. J Cardiovasc Nurs. 2021 May 19. doi: 10.1097/JCN.0000000000000828. Epub ahead of print.
PMID: 34016839
Gilmartin HM, Hess E, Mueller C, Plomondon ME, Waldo SW, Battaglia C. A pilot study to assess the learning environment and use of reliability enhancing work practices in VHA cardiac catheterization laboratories. Learn Health Syst. 2020 Apr 8;5(2):e10227. doi: 10.1002/lrh2.10227. PMCID: PMC8051348.
PMID: 33889736
Hwang SS, Tong S, Smith RA, Barfield WD, Pyle L, Battaglia C, McManus B, Niermeyer S, Sauaia A. Persistent Racial/Ethnic Disparities in Supine Sleep Positioning among U.S.-born Preterm Infants, 2000-2015. J Pediatr. 2021 Mar 4:S0022-3476(21)00209-2. doi: 10.1016/j.jpeds.2021.02.070. Epub ahead of print.
PMID: 33676934
Fletcher DR, Grunwald GK, Battaglia C, Ho PM, Lindrooth RC, Peterson PN. Association Between Increased Hospital Reimbursement for Cardiac Rehabilitation and Utilization of Cardiac Rehabilitation by Medicare Beneficiaries: An Interrupted Time Series. Circ Cardiovasc Qual Outcomes. 2021 Mar 8:CIRCOUTCOMES120006572. doi: 10.1161/CIRCOUTCOMES.120.006572. Epub ahead of print.
PMID: 33677975
Morrow CD, Reeder BP, Perraillon MC, Ozkaynak M, Wald HL, Eber LE, Trojanowski JI, Battaglia C, Boxer RS. Information Needs of Skilled Nursing Facility Staff to Support Heart Failure Disease Management. AMIA Annu Symp Proc. 2021 Jan 25;2020:878-885. PMCID: PMC8075486.
PMID: 33936463
2020
Rugs D, Toyinbo P, Barrett B, Melillo C, Chavez M, Cowan L, Jensen PK, Engstrom C, Battaglia C, Thorne-Odem S, Sullivan SC, Powell-Cope G. A preliminary evaluation of full practice authority of advance practice registered nurses in the Veterans Health Administration. Nurs Outlook. 2021 Mar-Apr;69(2):147-158. doi: 10.1016/j.outlook.2020.11.005. Epub 2020 Dec 30.
PMID: 33388163
Gilmartin HM, Connelly B, Hebbe A, Battaglia C, Kwan BM. Assessing the impact of remote work during COVID-19 on clinical and translational scientists and staff in Colorado. J Clin Transl Sci. 2020 Dec 21;5(1):e71. doi: 10.1017/cts.2020.570. PMCID: PMC8027555.
PMID: 34192046
Galinsky T, Deter L, Krieg E, Feng HA, Battaglia C, Bell R, Haddock KS, Hilton T, Lynch C, Matz M, Moscatel S, Riley FD, Sampsel D, Shaw S. Safe patient handling and mobility (SPHM) for increasingly bariatric patient populations: Factors related to caregivers' self-reported pain and injury. Appl Ergon. 2021 Feb;91:103300. doi: 10.1016/j.apergo.2020.103300. Epub 2020 Nov 12.
PMID: 33190057
Gilmartin HM, Battaglia C, Warsavage T, Connelly B, Burke RE. Practices to support relational coordination in care transitions: Observations from the VA rural Transitions Nurse Program. Health Care Manage Rev. 2020 Nov 11. doi: 10.1097/HMR.0000000000000300. Epub ahead of print.
PMID: 33181554
McCarthy MS, Stonecipher JJ, Gilmartin H, El-Hajj D, Battaglia C. An interdisciplinary postdoctoral fellowship model: Opportunities for nurse PhDs. J Nurs Educ Pract. 2020;10(2):10.5430/jnep.v10n2p33. doi: 10.5430/jnep.v10n2p33. PMCID: PMC7590921.
PMID: 33117466
Morrow C, Perraillon MC, Daddato AE, Reeder BP, Wald HL, Battaglia C, Boxer RS. Patient Characteristics Are Not Associated With Documentation of Weight and Heart Failure Related Sign and Symptom Assessment in Skilled Nursing Facilities. J Am Med Dir Assoc. 2020 Oct 15:S1525-8610(20)30739-8. doi: 10.1016/j.jamda.2020.08.033. Epub ahead of print.
PMID: 33071159
Gilmartin, H., Connelly, B., Hebbe, A., Battaglia, C., & Kwan, B. (2020). Assessing the Impact of Remote Work During COVID-19 on Clinical and Translational Scientists and Staff in Colorado. Journal of Clinical and Translational Science, 1-26.
doi:10.1017/cts.2020.570
Ayele RA, Liu W, Rohs C, McCreight M, Mayberry A, Sjoberg H, Kelley L, Glasgow RE, Rabin BA, Battaglia C. VA Care Coordination Program Increased Primary Care Visits and Improved Transitional Care for Veterans Post Non-VA Hospital Discharge. Am J Med Qual. 2020 Aug 10:1062860620946362. doi: 10.1177/1062860620946362. Online ahead of print.
PMID: 32772849
Boggs JM, Beck A, Ritzwoller DP, Battaglia C, Anderson HD, Lindrooth RC. A Quasi-Experimental Analysis of Lethal Means Assessment and Risk for Subsequent Suicide Attempts and Deaths. J Gen Intern Med. 2020 Jun;35(6):1709-1714. doi: 10.1007/s11606-020-05641-4. Epub 2020 Feb 10.
PMID: 32040838
Glasgow RE, Battaglia C, McCreight M, Ayele RA, Rabin BA. Making Implementation Science More Rapid: Use of the RE-AIM Framework for Mid-Course Adaptations Across Five Health Services Research Projects in the Veterans Health Administration. Front Public Health. 2020 May 27;8:194. doi: 10.3389/fpubh.2020.00194. eCollection 2020.
PMID: 32528921
2019
McCreight MS, Rabin BA, Glasgow RE, Ayele RA, Leonard CA, Gilmartin HM, Frank JW, Hess PL, Burke RE, Battaglia CT. Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs. Transl Behav Med. 2019 Nov 25;9(6):1002-1011. doi: 10.1093/tbm/ibz085.
PMID: 31170296
Ayele RA, Lawrence E, McCreight M, Fehling K, Glasgow RE, Rabin BA, Burke RE, Battaglia C. Perspectives of Clinicians, Staff, and Veterans in Transitioning Veterans from non-VA Hospitals to Primary Care in a Single VA Healthcare System. J Hosp Med. 2019 Oct 23;14(3):E1-E7. doi: 10.12788/jhm.3320. Epub ahead of print. PMCID: PMC7064299.
PMID: 31634102
Media (Video, Podcast, Other)
QUERI Implementation Research Group
Putting Science into Practice is Hard: But There is Help!
by Cathy Battaglia, Ph.D., RN ; Heidi Sjoberg, MSW, LCSW
Seminar date: 1/24/2022
Description: Abstract: Dissemination and Implementation Science (D&I) is a critical investment for the VA to improve the delivery of evidence based (EBP) healthcare and apply most up-to-date EBP in clinical practice. The presenters will review how to use D&I science to design for dissemination, implementation, and sustainability of EBP through the pre-implementation phase of planning an EBP, the implementation phase focusing how to implement an EBP with a D&I approach to enhance uptake of EBP, and lastly the sustainment phase of using D&I to evaluate an EBP and enhance sustainment.
DOWNLOAD: PDF handout | Audio only (mp3) | transcript will be available at HSR&D webpage
Podcast: Role of Mentorship Program for New Investigators
6 July 2018
Dr. Heather Gilmartin, investigator and nurse scientist at the Denver/Seattle Center of Innovation in Denver, Colorado, talks with her colleague Dr. Cathy Battaglia, Director of the Denver Research and Education Mentor Program about the Denver HSR&D Post-doctoral Fellowship program and the role of mentorship in developing the next generation of HSR&D investigators.
Listen to Role of Mentorship Program for New Investigators (12:18)
