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Center for Access & Delivery Research and Evaluation-CADRE

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Patient Safety Center of Inquiry CASPAR

The goal of the Iowa City VA's Center for Antimicrobial Stewardship and Prevention of Antimicrobial Resistance (CASPAR) is to develop and test automated risk-adjusted metrics for antimicrobial stewardship programs (ASPs) that are adaptable to the diverse care settings across VHA. The CASPAR objectives are: 1) to develop evaluation tools for ASPs and the Multi-drug Resistant Organisms (MDRO) prevention program that are adaptable to the diverse nature of care settings among VHA facilities, and 2) to develop an outcome tracking system for the ASP and MDRO prevention program utilizing information technologies.

Principal Investigator



MD        2004, Kagoshima University Faculty of Medicine, Kagoshima, Japan
MSCI     2014, University of Iowa College of Public Health, Iowa City, Iowa


Dr. Goto is an infectious diseases specialist and staff physician at Iowa City VA Medical Center. He also serves as an investigator with the Center for Comprehensive Access & Delivery Research & Evaluation (CADRE), network hospital epidemiologist for VA Midwest Health Care Network (VISN 23), and assistant professor at University of Iowa Carver College of Medicine. His research interests include epidemiology of healthcare-associated infections and multidrug-resistant organisms, identification of effective metrics and interventions for infectious diseases prevention, antimicrobial stewardship, and outcome improvement, as well as application of data science to infectious diseases research and practice. He is the director/principle investigator of VHA Patient Safety Center for Inquiry (PSCI), Center for Antimicrobial Stewardship and Prevention of Antimicrobial Resistance (CASPAR) at Iowa City VA Medical Center.

PSCI Staff

Eli Perencevich                   Co-Investigator

Daniel Livorsi                     Co-Investigator

Michael Ohl                        Co-Investigator

Hiro Suzuki                        Co-Investigator

Chris Richards                    Data Manager

Bruce Alexander                 Data Manager    

Jonas Church                     Data Analyst       

Brice Beck                         Data Analyst