Document text
Principal Investigator: EVE A KERR
Organization: VETERANS HEALTH ADMINISTRATION
Fiscal Year: 2024
Funding agency: Veterans Affairs
The Ann Arbor Center for Clinical Management Research (CCMR) has the expertise, experience,
infrastructure, collaborations, and partnerships necessary to conduct cutting-edge health services and
implementation research that will help Veterans receive the highest quality, safest, and most patient-centered
care possible. CCMR’s mission is to advance knowledge, promote innovations, and engage in
collaborations that will improve the health and health care of Veterans and the nation. Our vision is to
improve the quality, effectiveness, safety, and efficiency of Veterans’ health care through research and
partnerships that are driven by important challenges in clinical management.
Since 2008, CCMR’s Director has been Dr. Eve Kerr, a primary care physician and 2017 recipient of the
VA Undersecretary Award for Outstanding Achievement in Health Services Research. Our Associate
Director, Dr. Julie Lowery, is an implementation scientist who has been with Ann Arbor since 1979. Our
Center is organized around seven cores that support our research agendas. CCMR enjoys support from
VISN 10 and the VA Ann Arbor Healthcare System for research infrastructure, physician research salaries,
funding to promote research and partnership development, and a 25,000 square-foot lease.
Moreover, CCMR has brought together 39 superb, multidisciplinary core investigators who conduct
ground-breaking research and play highly visible roles in VHA. CCMR has retained a remarkable 16 of 19
researchers we have trained under HSR&D CDA programs since 1996, as well as three NIH K-trained
investigators. We are currently training an additional seven VA HSR&D CDA recipients and one NIH K-
awardee. Thirteen of our 39 core investigators are early career, thus promising future continued productivity.
Our investigators improve clinical management in VHA through three focused areas (FAs) of research:
FA1. To promote personalized, appropriate, and efficient care by integrating the routine use of digital
data into day-to-day care delivery through innovations in data collection, measurement, and analysis.
In the coming five years, our research will address VHA priorities on modernization, patient-centered care,
care coordination, and access through studies that improve predictive modeling for disease progression,
measure treatment de-intensification, track patient-reported outcomes, and reduce overuse of services in VA
and the community. Our key partners include the national VA Offices of: Reporting, Analytics, Performance
Improvement, and Deployment; Veterans Access to Care; and Community Care.
FA2. To develop, implement, and evaluate systems-based approaches to improve safety and
outcomes for our most vulnerable, high-risk, and complex patients.
In the next five years, our studies will use innovative approaches for reducing misuse of opioids, alcohol,
and cannabis, and for decreasing suicide risk, all key VHA priorities. We will also create tools to assess and
implement systems-based interventions to decrease adverse events for hospitalized and critically ill patients,
both during and after their inpatient stays. Our key partners include the Office of Mental Health and Suicide
Prevention, VISN 10, and the National Center for Patient Safety.
FA3. To develop innovative approaches for improving patient engagement in the prevention and
management of chronic conditions.
In the next five years, we will forward VHA priorities for Veteran and family engagement and innovative use
of technology through studies that extend peer support approaches to new clinical areas, employ mHealth to
examine Veterans’ experience with community care, improve screening decisions, and apply behavioral
economics theory to decrease overuse of low-value services. Our key partners include the National Center
for Health Promotion and Disease Prevention and the Michigan National Guard.
Terms: <2'-Deoxy-2-chloroadenosine><2-CDA><2-Chloro-2'-deoxyadenosine><2-Chlorodeoxyadenosine><2-chloro-2'-deoxy-adenosine><2CDA><Access to Care><Achievement><Achievement Attainment><Adverse Experience><Adverse event><Alcohol Chemical Class><Alcohols><Area><Award><Cannabis><Caring><CdA><Chronic><Cladribina><Cladribine><Clinical><Clinical Management><Collaborations><Communities><Community Health Care><Community Healthcare><Complex><Critical Illness><Critically Ill><Data Collection><Development><Disease Progression><Effectiveness><Family><Funding><Future><Health><Health Care Systems><Health Promotion><Health Services Accessibility><Health Services Evaluation><Health Services Research><Healthcare><Healthcare Systems><Homogeneously Staining Region><Hospital Admission><Hospitalization><Infrastructure><Inpatients><Intervention><Intervention Strategies><Investigators><Knowledge><Measurement><Measures><Medical Care Research><Mental Health><Mental Hygiene><Michigan><Mission><Modernization><NIH><National Institutes of Health><Outcome><Patient Outcomes Assessments><Patient Reported Measures><Patient Reported Outcomes><Patient-Centered Care><Patients><Performance><Physicians><Play><Prevention><Primary Care Physician><Productivity><Psychological Health><Reporting><Research><Research Infrastructure><Research Personnel><Researchers><Role><Safety><Salaries><Salutogenesis><Scientist><Services><Sight><Suicide precaution><Suicide prevention><System><Technology><Training><United States National Institutes of Health><Veterans><Vision><Wages><access to health services><access to services><access to treatment><accessibility to health services><availability of services><behavioral economics><care access><care coordination><care delivery><career><chlorodeoxyadenosine><clinical center><community care><computer based prediction><coordinating care><developmental><digital data><disease prevention><disorder prevention><experience><health care><health service access><health services availability><high risk><hsr><implementation research><improved><innovate><innovation><innovative><interventional strategy><investigator training><m-Health><mHealth><mobile health><multidisciplinary><non-medical opioid use><nonmedical opioid use><opiate misuse><opioid misuse><participant engagement><patient centered><patient engagement><patient oriented><patient safety><peer support><predictive modeling><prevent suicidality><prevent suicide><programs><promoting health><screening><screenings><service availability><services research><social role><sq. ft><square foot><suicidal risk><suicidality prevention><suicide intervention><suicide risk><theories><tool><treatment access><visual function>