JMIR Publications

ABSTRACT

Background:

All federal agencies are required to support appropriation requests with evidence and evaluation (US Public Law 115-435; the Evidence Act). The StrAtegic PoLicy EvIdence-Based Evaluation CeNTer (SALIENT) is one of six centers that help the Department of Veterans Affairs (VA) meet this requirement.

Objective:

Working with the existing VA evaluation structure, SALIENT evaluations will contribute to 1) optimize policies and programs for veteran populations; 2) improve outcomes regarding health, equity, cost, and provider well-being; 3) advance the science of dissemination and knowledge translation; and 4) expand the implementation and dissemination science workforce.

Methods:

We leverage the Lean Sprint methodology (iterative, incremental, rule-governed approach to clearly defined, time-boxed work) and three cores to develop our evaluation plans collaboratively with operational partners and key stakeholders including veterans, policy experts, and clinicians. The Operations Core will work with evaluation teams to develop timelines, facilitate work, monitor progress, and guide quality improvement within SALIENT. The Methods Core will work with evaluation teams to identify the most appropriate qualitative, quantitative, and mixed methods approaches to address each evaluation, ensure that the analyses are conducted appropriately, and troubleshoot when problems with data acquisition and analysis arise. The Knowledge Translation (KT) Core will target key partners and decision makers using a needs-based market segmentation approach to ensure needs are incorporated in the dissemination of knowledge. The KT Core will create communications briefs, playbooks, and other materials targeted at these market segments to facilitate implementation of evidence-based practices and maximize the impact of evaluation results.

Results:

The SALIENT team has developed a center infrastructure to support high-priority evaluations, often to be responsive to shifting operational needs and priorities. Our team has engaged in our core missions and operations to rapidly evaluate a high-priority areas, develop a comprehensive Lean Sprint systems redesign approach to training, and rapid knowledge translation.

Conclusions:

With an array of interdisciplinary expertise, operational partnerships, and integrated resources, SALIENT has an established and evolving infrastructure to rapidly develop and implement high-impact evaluations. Projects are developed with sustained efficiency approaches that can pivot to new priorities as needed, and effectively translate knowledge for key stakeholders and policymakers, while creating a learning health system infrastructure to foster the next generation of evaluation and implementation scientists.