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VA Center for Clinical Management Research

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PROVE Project

PROVE: PeRsonalizing Options for Veteran Engagement

Principal Investigator: Julie Lowery, PhD, MHSA
Partners: National Center for Health Promotion and Disease Prevention (NCP); Office of Reporting, Analytics, Performance, Improvement & Deployment (RAPID)
Funding: 10/1/2016 – 9/30/2021

PROVE Project _ LCS   Lung Cancer Screening Team Members:
Angie Fagerlin PhD (co-PI - Salt Lake City)
Tanner Caverly, MD, MPH (co-PI)
Angie Larkin, BA
Jenny Burns, MHSA
Star Johnson, BS
Joe Leishman, BS
Mike Palmer, MSW
PROVE Project _ MOVE   MOVE! Screening Team Members:
Laura Damschroder, MS, MPH (PI)
Nick Yankey, MPH, MSW
Jenny Burns, MHSA
Michelle Barbaresso, MPH
Mike Palmer, MSW
Nora Metzger, MSW
Claire Robinson, MPH

Background:The overall goal of the PROVE QUERI program is to improve the prevention and management of chronic conditions by supporting Veterans and providers in making personalized healthcare decisions that take into account individual patient risk and preferences. We will accomplish this by implementing promising interventions developed by CCMR investigators. We will test several different implementation strategies in the process, including LEAP (described below), academic detailing, and audit and feedback.

Objectives: PROVE QUERI has developed a virtual quality improvement collaborative approach called Learn. Engage. Act. Process. (LEAP). LEAP comprises a 26-week curriculum, allowing participants to learn and practice key quality improvement (QI) concepts in manageable modules within the course of a daily work routine. The core components of LEAP include: brief videos and readings, assignments, individual telephone coaching sessions, interactive virtual collaborative (VC) sessions, and a QI project. Participants learn to use the Model for Improvement, which includes Plan-Do-Study-Act (PDSA) cycles to frame their improvement efforts. Teams also receive updated program data reports regularly to help them set goals and track their progress. All LEAP program materials are posted on VA’s online community platform, VA Pulse. Teams from multiple VAMCs participate in LEAP at the same time, all working on similar projects, thus providing an online community of peers for sharing best practices, problem-solving, and obtaining feedback and support.

We are using LEAP and academic detailing to help implement a web-based shared decision-making tool for improving the use of lung cancer screening in those patients who are at greatest risk of developing lung cancer (i.e., high benefit patients). 

We are also using LEAP to help implement updated MOVE! weight management program guidance, with the goal of reducing wide local variation in the reach and outcomes of MOVE! and maximizing personalized weight management support for Veterans in a group setting. CCMR Logo