Primary Care Policy and Health Care Delivery: VHA Primary Care Analytics Team
Dr. Nelson is the Director of Primary Care Analytics Team (PCAT) for the Veterans Health Administration (VHA) Office of Primary Care (OPC). The OPC is charged with policy and planning for over 900 primary care clinics nationally to provide high-quality, accessible team-based care to over 9 million Veterans. The current mission of PCAT is to enhance the capability of the OPC to make meaningful evidenced-based clinical and policy decisions about primary care delivery through generation of new evidence and evidence synthesis. PCAT evolved from a 6-site demonstration project and evaluation of the patient centered medical home initiative, called the Patient Aligned Care Team (PACT) program. This evaluation effort has been instrumental in providing evidence regarding the patient centered medical home (PCMH) model. Dr. Nelson was the lead investigator for the development of a measure of the implementation of the PCMH model in VA. Dr. Nelson was first author on a study published JAMA Internal Medicine that was selected as the 2015 VA HSR&D research paper of the year.
- Nelson KM, Helfrich C, Sun H, Hebert PL, Liu CF, Dolan E, Taylor L, Wong E, Maynard C, Hernandez SE, Sanders W, Randall I, Curtis I, Schectman G, Stark R, Fihn SD. Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern Med. 2014 Aug;174(8):1350-8.
Testing Models to Improve Chronic Disease Management and Disease Prevention
This 4-year randomized trial tests a peer support model in the VA, where veterans, trained as peer health coaches, work with other veterans to decrease cardiovascular risks among patients with poorly controlled hypertension [Vet COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health, (HSR&D – IIR 14-063-2)]. Utilizing geographic information systems (GIS) data, this study targets high-risk communities where veterans and their peer coaches reside. Recruitment is ongoing. This study is being conducted at the VHA Seattle-Denver Center of Innovation (COIN), where Dr. Nelson is a core Investigator.
Career Development and Mentorship
Dr. Nelson currently serves a co-Director for the VA MD HSR&D fellowship. She currently serves as the primary mentor for 2 VHA CDA awardees and a co-mentor on a third VHA CDA award. She is a member of the University of Washington Mentorship committee and has provided mentorship to numerous trainees from the medical student to the PhD post-doctoral fellow and Assistant Professor level. She was nominated for the 2015 UW Department of Medicine Mentoring Award and for the 2019 UW School of Medicine Excellence in Mentoring Women Faculty Award.