The primary goal of CADRE is to improve veterans’ wellbeing through innovative research to advance understanding of incorporating knowledge into practice. Research conducted by CADRE has sought to: 1) identify barriers and facilitators to the adoption of evidence-based practices; and 2) apply this understanding to develop, test, and disseminate novel interventions to improve the cost and quality of VA health care delivery in a variety of practice settings. However, we have been conducting a strategic planning process focused on building capacity in unique areas of expertise and refocusing our mission around testing and disseminating innovative, yet feasible, delivery interventions to improve access to high quality care. These interventions will seek to overcome modifiable access barriers and will be developed and implemented in concert with VA program offices, VISN and facility leaders, and frontline clinicians. In so doing, we hope to create a transportable model for partnering with VA operations and ensuring that VA research addresses important system needs.

CADRE is an energetic and upbeat organization with 18 Core investigators, 29 affiliate or associate investigators, 2 Career Development Awardees, 2 HSR&D Advanced Fellows, and 3 VA Quality Scholars, over 40 research and administrative employees, and 55 funded projects.

CADRE is committed to designing, testing, and promoting the adoption of innovative interventions that improve access to high quality care and reduce costs and that are developed and implemented in concert with VA program offices, local managers and clinicians. Our studies will be part of an integrated program to: (1) identify modifiable access barriers; (2) develop feasible interventions to improve healthcare delivery; and (3) create a new model for partnership with VA operations. CADRE will also actively partner with the Veteran’s Rural Health Resource Center - Central Region, the VISN 23 PACT Demonstration Laboratory, and the eHealth QUERI.

CADRE research will focus broadly on the design, testing, and adoption of innovations in the organization and delivery of care that have the potential for improving access to quality care and decreasing costs.

Within this paradigm of investigation, CADRE will further develop areas of investigative focus that build on the strengths, expertise, and current research directions of our. In addition, these areas will capitalize on resources available through the VISN 23 Midwest Rural Health Resource Center and the Patient Center Medical Home Demonstration Laboratory.

The focus areas include:

1) rural health, including research to identify gaps in care and to improve healthcare delivery to rural veterans);

2) telehealth and e-health strategies that extend specialty care to remote sites and that expand the delivery of care to veterans’ homes;

3) patient-centered behavioral and self-management interventions that are tailored to the unique traits and capabilities of individual patients;

4) nursing health services research, including research to disseminate evidence-based nursing practices, promote advanced models of nursing practice, and improve coordination of care; and evidence-based infection prevention, including innovations to decrease healthcare associated infections and to control the spread of emerging multidrug-resistant bacterial pathogens. This will target access to quality care.

This website is intended for health service researchers and other stakeholders.