Overview
My research career has centered on understanding how to improve delivery of new evidence-based practices in health care systems. I create study designs that integrate qualitative and quantitative methods (mixed-methods) and apply Implementation Science and System Science approaches. I currently have a developing body of academic work that uses participatory system dynamics modeling as a strategy to identify system level factors that affect development and implementation of equitable AI tools. For the VA health care system, I direct a cross-functional team that conducts rapid turnaround projects for high priority needs by VHA national, regional, and facility leaders.
Current Appointments & Affiliations
Associate Professor in Population Health Sciences
·
2022 - Present
Population Health Sciences,
Basic Science Departments
Core Faculty Member, Duke-Margolis Institute for Health Policy
·
2024 - Present
Duke-Margolis Institute for Health Policy,
University Initiatives & Academic Support Units
Recent Publications
Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.
Journal Article Innov Aging · 2025 BACKGROUND AND OBJECTIVES: As the population ages there is an increasing need for caregiver training programs, but little is known about how to deliver implementation support for diverse sites in large-scale implementation efforts. External group-based imp ... Full text Link to item CiteCharacterizing Emergency Department Disposition Conversations for Persons Living With Dementia: Protocol for an Ethnographic Study.
Journal Article JMIR Res Protoc · December 6, 2024 BACKGROUND: Almost 40% of persons living with dementia make an emergency department (ED) visit each year. One of the most impactful and costly elements of their ED care is the decision to discharge or admit them to the hospital-the "disposition" decision. ... Full text Link to item CiteImplementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.
Journal Article Health Serv Res · December 2024 OBJECTIVE: To assess whether a team collaboration strategy (CONNECT) improves implementation outcomes of a family caregiver skills training program (iHI-FIVES). DATA SOURCES AND STUDY SETTING: iHI-FIVES was delivered to caregivers at eight Veterans Affairs ... Full text Link to item CiteRecent Grants
The VA Genomic Learning Health System: Implementing genomic medicine across diverse Veteran communities.
ResearchCo Investigator · Awarded by Boston VA Research Institute, Inc. · 2024 - 2029Improving the lives of persons living with dementia and their families through person-centered measurement of home time
ResearchCo Investigator · Awarded by National Institutes of Health · 2021 - 2026Deploying a genomic-medicine risk assessment model for diverse primary care populations and settings
Clinical TrialInvestigator · Awarded by National Institutes of Health · 2021 - 2026View All Grants
Education, Training & Certifications
University of North Carolina, Chapel Hill ·
2010
Ph.D.