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Seattle-Denver Center of Innovation (COIN)


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2021 | 2020

2022 News


 Jeff Todd-Stenberg received both his 15 and 20 year service awards!
22 September 2022 - Jeff Todd-Stenberg received both his 15 and 20 year service awards last week. (We actually think he has been here closer to 25 years.) Thank you Jeff for helping navigate so many data challenges over the years.
 Dr. Michaela McCarthy annopunced as one of the 2022 Betty Irene Moore Fellowship for Nurse Leaders
24 May 2022 - The national program office for the Betty Irene Moore Fellowship for Nurse Leaders and Innovators at the Betty Irene Moore School of Nursing at UC Davis announced its third and largest cohort of fellows with 12 new members, including our own, Michaela McCarthy, PhD. Applicants completed a rigorous application and interview process. National program office leaders, along with members of the Fellowship National Advisory Council ultimately selected a diverse group pursuing innovative approaches to challenging problems. The program forms a learning community among fellows, combined with a strong curriculum to build skills and confidence in leadership and innovation.
Learn more here
 HSR&D Health System Impact Award Goes Jointly to Makato Jones & P. Michael Ho!
14 April 2022 - P. Michael Ho, MD, PhD and Makoto M. Jones, MD, MS are co-recipients of the 2021 HSR&D Health System Impact Award! This award honors HSR&D- and QUERI-funded research (with or without a component of operations funding) that has had a direct and important impact on clinical practice or clinical policy in the VA Healthcare System. Nominations should represent examples of outstanding research that have been successfully translated into VA's policy or operations, or that have otherwise had effective, system-wide implementation, and demonstrated improvements in veterans’ health or health services research.
A few highlights about Mike:
—  Former Co-Director for our COIN – Helped led the first COIN application and the renewal
—  He has published over 350 manuscripts, many in JAMA. His H-index is 52 and his work has been referenced over 20,000 times
—  Established VA Collaborative Evaluation Center (VACE) – Has led multiple evaluations across the enterprise impacting VA care
—  Mentored 27 cardiology fellows/junior faculty members, 7 PhD/1 PharmD students/fellows
—  He is a cardiologist and internationally recognized expert in several areas including improving medication adherence and incorporating patient voice into cardiology outcomes

Read the award announcement from HSR&D

A little bit of history, from our Seattle team, George Sayre won this award in 2018. Please read his wonderful write-up
 Congratulations to Lucas Donovan, recipient of the American Thoracic Society Jo Rae Wright Award for Outstanding Science!
31 March 2022 - Dr. Lucas Donovan is the 2022 recipient! The Jo Rae Wright Award for Outstanding Science recognizes demonstrated potential for significant achievement and contributions. This award is aimed at the rising generation of individuals who will be tomorrow's leaders in science. Lucas will receive the award at ATS 2022 conference, May 13-18 in San Francisco.
 Congratulations on Retiring! Chuck Maynard!
31 March 2022 - Dr. Chuck Maynard retired from VA HS&RD in March 2022. He is trained as a Sociologist and joined the University of Washington as a Statistician on the Coronary Artery Surgery Study in 1977. He joined the COIN in 1999 and was promoted to full Research Professor in 2012 in the Department of Health Services at the University of Washington where is now Professor Emeritus. He has published over 380 peer-reviewed manuscripts and received the Jack Michaels Award for Excellence in VA Research in 2019. Of his many, many service contributions to the COIN, he served as Associate Director for three years, Co-Director of the Ischemic Heart Disease Quality Enhancement Research Initiative, has been a long-term reviewer for VA's national Scientific Merit Review Board and Patient Centered Outcomes Research Institute, and is the chair of the IRB at VA Puget Sound. He has been an amazing colleague and supporter of countless researchers in the COIN. We wish him a happy retirement and many fun times to come in Bend, Oregon.
Some of our thoughts we passed along to Chuck:

"Chuck, you've been a role model researcher and a remarkable human being. You will be missed but your contribution will continue in the the work of the many who you have taught, mentored, and inspired."

"I have learned so much from you over the years, particularly how important it is to be a kind and thoughtful person, characteristics you embody."

"I have endless gratitude for the support and mentorship you've provided over the years to myself and others. There's so much that was made possible because of you. Thank you for showing resilience, compassion, and humility...absolutely a role model to us all in countless ways!"

"I want to thank you from the bottom of my heart for the mentorship and support you've provided over the years. I remember when you just jumped into helping me with data management for my CDA, out of the goodness of your heart. I've enjoyed learning from you and always appreciated your calm and supportive presence."

And so many more kind wishes! Thank you for everything and enjoy your next adventure!
 Seattle Institute for Biomedical and Clinical Research (SIBCR) features Laura C. Feemster, MD, MS
31 March 2022 - The April 2022 newsletter from SIBCR features our own Laura C. Feemster, MD, MS. The mission of the Seattle Institute for Biomedical and Clinical Research is "To improve the health and well-being of Veterans through research and education conducted at the VA Puget Sound Health Care System and the Mann-Grandstaff VA Medical Center."
Read Dr. Feemster's profile in the April 2022 issue.
 Seattle-Denver COIN Mourn the Loss of a Colleague - Christopher L. Bryson, MD, MPH
21 March 2022 - Christopher L. Bryson, MD, MPH, a former HSR&D Career Development Awardee and core investigator at HSR&D’s Center of Excellence in Seattle, WA passed away on March 12, 2022. Dr. Bryson completed his medical and residency training at the University of Texas Southwestern and in 2000, came to the University of Washington to complete a fellowship In Health Services Research. He then joined the faculty as an Acting Instructor based at the VA Puget Sound health care system, where he was highly respected as an outstanding attending physician on both the inpatient service and in the primary care clinic. As an investigator at HSR&D’s Center of Excellence in Seattle, WA, he pioneered early efforts to measure medication adherence using large, national, pharmacy databases and applied those metrics in pharmacoepidemiologic studies of diabetes and cardiovascular disease. He published nearly 100 articles in peer-reviewed journals and was the recipient of numerous grants to support his research. He was also an Adjunct Associate Professor at the University of Washington, Department of Health Services. For medical reasons, Dr. Bryson retired from the faculty in 2013.
Dr. Bryson’s family has requested that donations in his honor be made to the Division of General Internal Medicine Research Fund (contact Michelle Lynch – ~As reported on HSR&D website,
 VIDEO: Ascertaining Veterans' Vital Status: VA Data Sources for Mortality Ascertainment and Cause of Death
7 March 2022 - Charles Maynard, PhD presented this HSR&D seminar. The session described the components of the VA Vital Status Files as well as the SPatient table and how they can be used for research purposes. Additional death databases, such as the National Death Index and state death certificates, were also discussed.
Watch the cyberseminar on the HSR&D website.
 VIDEO: Stakeholder Perspectives on VA Access Research Priorities: Development of an Access Research Roadmap
2 March 2022 - Drs. Karen Albright and Demetria McNeal provided this HSR&D cyberseminar. As part of the Veterans Access Research Consortium, the Stakeholder Engagement Workgroup has engaged with access researchers within and outside VA, Veterans, and VA operational partners to solicit perspectives about the most important access-related research domains for VA to address in the next decade. Recent efforts from the workgroup include conducting (1) a modified Delphi panel, (2) a series of dialogues with Veteran Engagement Boards, (3) surveying and conducting individual interviews with operational partners, and (4) contributing to the creation of a research roadmap that incorporates findings from these efforts with a portfolio review of current and recent HSR&D and operationally-funded studies on access. The goal of this work is to inform VA HSR&D’s funding priorities for access research and, thus, the direction of the field. This Cyberseminar will describe the highest priority access-related questions that emerged from this process and suggest opportunities to bridge research and operational interests.
Watch the cyberseminar on the HSR&D website.
 VIDEO: Emerging Evidence on Technology-based Treatment of Women Veterans’ Mental Health
1 February 2022 - Dr. Keren Lehavot participated in this HSR&D cyberseminar. From the description: A cyberseminar reviewing emerging evidence of technology-based treatment of women Veterans’ mental health. Dr. Keren Lehavot will describe a randomized clinical trial that compared an 8-week web-based intervention, called DElivery of Self TRaining and Education for Stressful Situations (DESTRESS)–Women Veterans version (WV), to phone monitoring condition for women Veterans with PTSD (N = 102). Dr. Amy Street will focus on Beyond MST, a self-help mobile app designed to promote recovery among military sexual trauma survivors. Dr. Street will describe the ways in which qualitative input from multiple stakeholders, including MST survivors, has been incorporated into the design and evaluation of this mobile health intervention. Implications for future research, including adapting or tailoring treatments and different models of care, will be discussed.
Watch the cyberseminar on the HSR&D website.
 VIDEO: QUERI Implementation Research Group
Putting Science into Practice is Hard: But There is Help!
24 January 2022 - Cathy Battaglia, Ph.D., RN and Heidi Sjoberg, MSW, LCSW conducted this HSR&D cyberseminar. 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.
Watch the cyberseminar on the HSR&D website.
 VIDEO: VHA Primary Care Analytics Team
Low-value Cancer Screenings in the Veterans Health Administration: Rates and Factors Associated with Overuse of Breast, Cervical, Colorectal, and Prostate Cancer Testing
19 January 2022 - Dr. Linnaea Schuttner provided this HSR&D cyberseminar. Description: Abstract: This presentation reviews findings from a recent observational study of low-value (i.e., guideline-discordant) cancer screening for four common cancers in the VHA: breast, cervical, colorectal, and prostate cancer. In this study, the presenters will examine rates of low-value testing occurring among VHA-enrolled patients screened for cancer, using validated definitions of low-value cancer testing. The presenters will evaluate multilevel factors potentially associated with low-value testing at the individual patient, clinician, and system-level, including domains of the VHA’s patient-centered medical home (PACT model). Target Audience: Clinicians, health system leadership, health system researchers.
Watch the cyberseminar on the HSR&D website.