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Alexandra Ziemann is a senior research fellow at the Centre for Healthcare Innovation Research (CHIR). Her research focuses on improving the scale-up, spread and sustainability of innovations in health and social care. Her current work investigates implementation and spread approaches applied by Academic Health Science Networks across England, the influence of external contextual factors – such as cultural, socio-economic, political and health system factors – on the implementation of innovations, and the adaptation of innovations that spread from high to low- and middle-income countries. Alexandra's work focuses especially on improving the implementation of innovations in ambulance services. She is currently leading an evaluation of the pilot implementation of a primary care innovation across multiple sites in England, supporting people living with long-term conditions, the ULCPartners' Proactive Care Programme. In her work, Alexandra is applying novel qualitative evidence synthesis, mixed method, realist, and systems thinking approaches. She is also interested in strengthening interdisciplinary collaboration and exchange across different sectors and scientific fields concerned with the spread and implementation of innovations. Alexandra is a board member of the European Implementation Collaborative and an Honorary Board Member of the UK Implementation Society.
Before joining City, Alexandra worked at the Centre for Implementation Science, King’s College London and the National Institute for Health Research (NIHR) Collaboration of Leadership in Applied Health Research and Care (CLAHRC) South London. She holds a PhD in public health from Maastricht University in the Netherlands and a diploma (MSc equivalent) in human geography from Ludwig-Maximilian-University of Munich, Germany. She combined her PhD study with a researcher’s post, working on a number of different projects, focusing on public health surveillance and emergency care improvement across Europe. She also held positions as policy advisor implementing cross-border emergency care between Germany and the Netherlands and as temporary advisor on evidence-informed policymaking for the World Health Organization Regional Office for Europe.
- PhD, Maastricht University, Netherlands
- Diploma (MSc equivalent), Ludwig Maximilian University of Munich, Germany
- Senior Research Fellow, City, University London, Jan 2019 – present
- Postdoctoral Research Fellow, King's College London, Jul 2016 – Jan 2019
- Temporary Advisor, World Health Organization Regional Office for Europe, Jan – Feb 2015
- Policy Advisor, Acute Zorg Euregio, Feb 2014 – Jun 2016
- Researcher, Maastricht University, Sep 2010 – present
- Researcher & Authorised Representative, GEOMED Research Forschungsgesellschaft mbH, Aug 2007 – Aug 2010
- Researcher, University of Cologne, Jul 2006 – Jul 2007
Memberships of committees
- Honorary Board Member, UK Implementation Society, Dec 2020 – present
- Board Member, European Implementation Collaborative, May 2018 – present
Dutch; Flemish and German.
- Innovation & Creativity
- health care
Conference papers and proceedings (5)
- (2021). Proceedings of the 4th UK Implementation Science Research Conference.
- Balayah, Z., Stavropoulou, C., Chen, Y., Scarbrough, H., Nigam, A. and Ziemann, A. (2021). (Re-)conceptualising implementation depth of healthcare innovations - A systematic review and concept analysis.
- Ziemann, A., Chen, Y., Kyratsis, Y., Stavropoulou, C. and Scarbrough, H. (2019). What makes innovations both 'stick' and 'spread'? A multidisciplinary systematic review to understand implementation depth and scale-up of innovations in healthcare.
- Boufkhed, S., Khadjesari, Z., Vitoratou, S., Schatte, L., Ziemann, A., Daskalopoulou, C. … Hull, L. (2019). A systematic review of the implementation outcome instruments used in healthcare settings and their measurement properties.
- Sommer, A., Rehbock, C., Krafft, T. and Ziemann, A. (2019). Assessing causal links and potential consequences of implementing innovations in complex systems - A worked example of applying participatory systems thinking methods in a regional emergency medical service system in Oldenburg, Germany.
Journal articles (17)
- Cluley, V., Ziemann, A., Feeley, C., Olander, E.K., Shamah, S. and Stavropoulou, C. (2022). Mapping the role of patient and public involvement during the different stages of healthcare innovation: A scoping review. Health Expectations, 25(3), pp. 840–855. doi:10.1111/hex.13437.
- Khadjesari, Z., Boufkhed, S., Vitoratou, S., Schatte, L., Ziemann, A., Daskalopoulou, C. … Hull, L. (2020). Implementation outcome instruments for use in physical healthcare settings: a systematic review. Implementation science : IS, 15(1), pp. 66–66. doi:10.1186/s13012-020-01027-6.
- Ziemann, A., Brown, L., Sadler, E., Ocloo, J., Boaz, A. and Sandall, J. (2019). Influence of external contextual factors on the implementation of health and social care interventions into practice within or across countries—a protocol for a ‘best fit’ framework synthesis. Systematic Reviews, 8(1). doi:10.1186/s13643-019-1180-8.
- Votruba, N., Ziemann, A., Grant, J. and Thornicroft, G. (2018). A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries. Health Research Policy and Systems, 16(1). doi:10.1186/s12961-018-0357-2.
- Sadler, E., Khadjesari, Z., Ziemann, A., Sheehan, K., Whitney, J., Wilson, D. … Sandall, J. (2018). Case management for integrated care of frail older people in community settings. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd013088.
- Ziemann, A., Fouillet, A., Brand, H. and Krafft, T. (2016). Success factors of european syndromic surveillance systems: A worked example of applying qualitative comparative analysis. PLoS ONE, 11(5), pp. 1–15. doi:10.1371/journal.pone.0155535.
- Ziemann, A., Rosenkötter, N., Riesgo, L.G.-.C., Fischer, M., Krämer, A., Lippert, F.K. … Krafft, T. (2015). Meeting the International Health Regulations (2005) surveillance core capacity requirements at the subnational level in Europe: the added value of syndromic surveillance. BMC Public Health, 15(1). doi:10.1186/s12889-015-1421-2.
- ZIEMANN, A., ROSENKÖTTER, N., GARCIA-CASTRILLO RIESGO, L., SCHRELL, S., KAUHL, B., VERGEINER, G. … KRAFFT, T. (2014). A concept for routine emergency-care data-based syndromic surveillance in Europe. Epidemiology and Infection, 142(11), pp. 2433–2446. doi:10.1017/s0950268813003452.
- Rosenkötter, N., Ziemann, A., Krafft, T., Riesgo, L.G.-.C., Vergeiner, G. and Brand, H. (2014). Non-infectious events under the International Health Regulations (2005) in Europe – a case for syndromic surveillance. Journal of Public Health Policy, 35(3), pp. 311–326. doi:10.1057/jphp.2014.13.
- Medina, S., Ziemann, A., Caserio-Schonemann, C., Dupuy, C., Hulth, A., Medeiros, H. … Fouillet, A. (2014). Comparing Findings from Syndromic Surveillance Systems at a European Level. Online Journal of Public Health Informatics, 6(1). doi:10.5210/ojphi.v6i1.5061.
- Medina, S., Sala-Soler, M., Cooper, D., Kanieff, M., Caserio-Schonemann, C., Dupuy, C. … Fouillet, A. (2014). Guidelines to Implement or Improve Syndromic Surveillance Systems. Online Journal of Public Health Informatics, 6(1). doi:10.5210/ojphi.v6i1.5110.
- van Asten, L., Fanoy, E.B., Hooiveld, M., Koopmans, M.P.G., Kretzschmar, M.E.E. and Werkgroep inventarisatie syndroomsurveillance, (2014). [Syndromic surveillance: a finger on the pulse of public health]. Nederlands tijdschrift voor geneeskunde, 158.
- Rosenkötter, N., Ziemann, A., Riesgo, L.G.-.C., Gillet, J.B., Vergeiner, G., Krafft, T. … Brand, H. (2013). Validity and timeliness of syndromic influenza surveillance during the autumn/winter wave of A (H1N1) influenza 2009: results of emergency medical dispatch, ambulance and emergency department data from three European regions. BMC Public Health, 13(1). doi:10.1186/1471-2458-13-905.
- Schrell, S., Ziemann, A., Garcia-Castrillo Riesgo, L., Rosenkotter, N., Llorca, J., Popa, D. … Krafft, T. (2013). Local implementation of a syndromic influenza surveillance system using emergency department data in Santander, Spain. Journal of Public Health, 35(3), pp. 397–403. doi:10.1093/pubmed/fdt043.
- Triple S Project, (2011). Assessment of syndromic surveillance in Europe. The Lancet, 378(9806), pp. 1833–1834. doi:10.1016/s0140-6736(11)60834-9.
- Fischer, M., Kamp, J., Garcia-Castrillo Riesgo, L., Robertson-Steel, I., Overton, J., Ziemann, A. … Krafft, T. (2011). Comparing emergency medical service systems—A project of the European Emergency Data (EED) Project. Resuscitation, 82(3), pp. 285–293. doi:10.1016/j.resuscitation.2010.11.001.
- Lippert, F., Brattebø, G., Kettunen, T., Myrmel, L., Kurola, J., Ziemann, A. … Overton, J. (2009). The European Project SIDARTHA using emergency care data for public health surveillance and health threat preparedness. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 17(Suppl 3). doi:10.1186/1757-7241-17-s3-o13.
- Germain, S., Stavropoulou, C. and Ziemann, A. (2021). Key areas for targeting innovations to tackle health inequalities in the English NHS..