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Table 2 Report characteristics

From: User survey finds rapid evidence reviews increased uptake of evidence by Veterans Health Administration leadership to inform fast-paced health-system decision-making

Report title

Survey response rate

Operational partners’ description of report purpose

Timeline and final report date

General findings

Link to report

Role of the annual physical examination in the asymptomatic adult

0/1 (0 %)

No response obtained

6 weeks

Comprehensive routine physical examinations are not recommended for the asymptomatic adult.

http://www.hsrd.research.va.gov/publications/esp/physical.cfm

Oct 2011

Effect of geriatricians on outcomes of inpatient and outpatient Care

2/3 (67 %)

Determine implementation strategy; guideline or directive; support resource allocation decisions; clinical guidance

12 weeks

The impact of geriatrician involvement on patient function and healthcare utilization varies across the different models of care that include geriatricians in different roles.

http://www.hsrd.research.va.gov/publications/esp/geriatricians.cfm

May 2012

Effectiveness of intensive primary care programs

2/9 (22 %)

Clinical guidance; identify future research needs; support program development and evaluation activities

16 weeks

Inconsistent findings on whether these models of care reduced hospitalizations.

http://www.hsrd.research.va.gov/publications/esp/primary-care.cfm

Nov 2012

Developing a threshold for small VA hospitals

1/4 (25 %)

Guideline or directive; identify future research needs; determine implementation strategy

12 weeks

A relationship between hospital size and quality measures was either not found (for adverse events) or was inconsistent (for other measures).

http://www.hsrd.research.va.gov/publications/esp/hospital-size.cfm

Feb 2013

Effects of small hospital closure on patient outcomes

1/2 (50 %)

Resource allocation decisions

15 weeks

Low-strength evidence that hospital closures leading to increased distance and/or time to nearest hospital may increase mortality for time-sensitive conditions.

http://www.hsrd.research.va.gov/publications/esp/hospital-closure.cfm

May 2013

Relationship between time delay to colonoscopy and colorectal cancer outcomes

3/5 (60 %)

Guideline or directive; clinical guidance; determine implementation strategy

16 weeks

No evidence to support current policy requiring follow-up colonoscopy within 60 days of positive screening fecal occult blood tests.

http://www.hsrd.research.va.gov/publications/esp/fecaloccult.pdf

May 2013

Review of reviews on specialty care topics

1/3 (33 %)

Program development and evaluation activities

4 weeks

Provided inventory of main findings from systematic reviews on the topics of shared decision-making in palliative care, oncology, and nephrology; interventions that reduce hospitalizations/emergency room (ER) visits for heart failure and chronic obstructive pulmonary disease (COPD); and interdisciplinary specialty care platforms/teams/neighborhood approaches for reducing hospitalizations/ER visits.

http://www.hsrd.research.va.gov/publications/esp/specialty-care.cfm

July 2013

Effectiveness of mandatory computer trainings on ethical, workplace, and security topics

1/1 (100 %)

Performance measure; update existing review; determine implementation strategy; support program development and evaluation activities

14 weeks

No studies identified.

http://www.hsrd.research.va.gov/publications/esp/mandatory-training.cfm

May 2014

Primary care initial appointment wait times threshold

1/1 (100 %)

Guideline or directive

6 weeks

No clear support for broad use of any specific wait time standard for new patients in accessing their first primary care or mental health appointment. Offered potential options for selecting a wait time target.

http://www.hsrd.research.va.gov/publications/esp/wait-time.cfm

July 2014

Factors that optimize therapy with repetitive transcranial magnetic stimulation for treatment-resistant depressions

1/3 (33 %)

Clinical guidance

16 weeks

High-frequency rTMS applied to the left dorsolateral prefrontal cortex is the best-studied approach and it includes a FDA-cleared protocol that has been shown to improve quality of life.

http://www.hsrd.research.va.gov/publications/esp/rtms.cfm

July 2014

Quality of care provided by advanced practice nurses

1/2 (50 %)

Inform proposed regulation

24 weeks

Low-strength evidence suggesting no difference in health status, quality or life, mortality, or hospitalizations favoring either APRN or physician care in primary or urgent care settings.

http://www.hsrd.research.va.gov/publications/esp/ap-nurses.cfm

Sept 2014

Updates on the prevalence of and interventions to reduce racial and ethnic disparities

2/2 (100 %)

Guideline or directive; identify future research needs; support program development and evaluation activities; resource allocation decisions

20 weeks

Moderate- and low-strength evidence of worse morbidity and mortality outcomes for some racial minority Veterans groups compared with white Veterans.

http://www.hsrd.research.va.gov/publications/esp/HealthDisparities.cfm

April 2015