A Conceptual Model of VA Implementation with a Focus on Heart Failure and the Role of QUERI Revised 12 / 1 / 2009

Purpose A primary goal of the Quality Enhancement Research Initiative (QUERI) of the Veteran's Administration is to implement best practices leading to improved care for veterans. The VA has made significant advances in systematically implementing evidence into practice (1). QUERI have begun to understand the process of implementation – breaking open the "black box" to understand the contextual factors, barriers, facilitators, and moderators and to describe these with models of the improvement process (2).