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Cheryl B Stetler*1, Lynn McQueen2, John Demakis3 and Brian S Mittman4 Address: 1Independent Consultant, Amherst, Massachusetts, USA, 2Office of Quality and Performance, U.S. Department of Veterans Affairs, Washington DC, USA, 3(Retired) Health Services Research and Development Service, U.S. Department of Veterans Affairs, Washington, DC, USA and 4VA Center for the Study of Healthcare Provider Behavior, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA Email: Cheryl B Stetler* - Cheryl.Stetler@comcast.net; Lynn McQueen - Lynn.McQueen@va.gov; John Demakis - jgd11@erols.com; Brian S Mittman - Brian.Mittman@va.gov * Corresponding author. | Implementation Science BioMed Central Open Access An organizational framework and strategic implementation for system-level change to enhance research-based practice QUERI Series Cheryl B Stetler 1 Lynn McQueen2 John Demakis3 and Brian S Mittman4 Address Undependent Consultant Amherst Massachusetts USA 2Office of Quality and Performance U.S. Department of Veterans Affairs Washington DC USA 3 Retired Health Services Research and Development Service U.S. Department of Veterans Affairs Washington DC USA and 4VA Center for the Study of Healthcare Provider Behavior Veterans Affairs Greater Los Angeles Healthcare System Los Angeles California USA Email Cheryl B Stetler - Cheryl.Stetler@comcast.net Lynn McQueen - Lynn.McQueen@va.gov John Demakis - jgd11@erols.com Brian S Mittman - Brian.Mittman@va.gov Corresponding author Published 29 May 2008 Received 22 August 2006 Implementation Science 2008 3 30 doi 10.1186 1748-5908-3-30 Accepted 29 May 2008 This article is available from http www.implementationscience.cOm content 3 1 30 2008 Stetler et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The continuing gap between available evidence and current practice in health care reinforces the need for more effective solutions in particular related to organizational context. Considerable advances have been made within the U.S. Veterans Health Administration VA in systematically implementing evidence into practice. These advances have been achieved through a system-level program focused on collaboration and partnerships among policy makers clinicians and researchers. The Quality Enhancement Research Initiative QUERI was created to generate research-driven initiatives that directly enhance health care quality within the
