A5013472867- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Posttraumatic Stress Disorder Research
- Health Policy Implementation Science
- Global Health Workforce Issues
- Musculoskeletal pain and rehabilitation
- Interprofessional Education and Collaboration
- Antibiotic Use and Resistance
- Evaluation and Performance Assessment
- Healthcare cost, quality, practices
- Health, psychology, and well-being
- Breastfeeding Practices and Influences
- Healthcare professionals’ stress and burnout
- Education and Military Integration
- Suicide and Self-Harm Studies
- Traumatic Brain Injury Research
- Public Health Policies and Education
- Maternal Mental Health During Pregnancy and Postpartum
- Opioid Use Disorder Treatment
- Family and Patient Care in Intensive Care Units
- Resilience and Mental Health
- Reproductive Health and Contraception
- Pneumonia and Respiratory Infections
- Health Systems, Economic Evaluations, Quality of Life
VA Puget Sound Health Care System
2016-2025
Center for Innovation
2025
VA Eastern Colorado Health Care System
2025
VA Northeast Ohio Healthcare System
2019-2024
Louis Stokes Cleveland VA Medical Center
2018-2022
Health Services Research & Development
2020
Veterans Health Administration (VHA) initiatives aim to provide veterans timely access quality health care. The focus of this analysis was provider and staff perspectives on women veterans' in the context national efforts improve care.We completed 21 site visits at medical facilities evaluate implementation a initiative. Qualitative data collection included semistructured interviews (n = 127), groups 81), observations with local leadership, administrators, providers, support across primary...
<i>Pressure exists in health services research for teams to collect and synthesize qualitative data rapidly. Lacking is a standard process aid team-based debriefings during the early stages of collection real time. We propose systematic template use phase studies demonstrate utility approach using Veteran’s Administration evaluation study. Guided Team Discussion (GTD) can improve efficiency team debriefing through facilitated that standardizes discussion format sharing learnings...
Abstract Objective To test the feasibility of using telehealth to support antimicrobial stewardship at Veterans Affairs medical centers (VAMCs) that have limited access infectious disease-trained specialists. Design A prospective quasi-experimental pilot study. Setting Two rural VAMCs with acute-care and long-term care units. Intervention At each intervention site, providers, pharmacists, infection preventionists, staff nurses, off-site disease physicians formed a videoconference team (VAST)...
Despite the availability of evidence-based PTSD treatments at most facilities within VA Healthcare System, Iraq and Afghanistan veterans returning from deployments with posttraumatic stress symptoms do not receive an adequate dose mental health treatment, prompting need to identify potential barriers or facilitators care utilization. Previous research demonstrated self-reported utilization in prior year varies as a function symptom severity, interaction severity romantic relationship...
ABSTRACT Introduction The Veterans Health Administration’s (VHA) history of enhancing Veterans’ healthcare access continued in 2016 with the launch ChooseVA (née: MyVA Access). This initiative was designed to transform VHA and rapidly increase Veteran’s care across all facilities. Relevant this article include mandates improve patient-centered scheduling. In prioritizing scheduling, other large systems have paradoxical task providing health that meets not only needs individual patients but...
Veterans frequently seek chronic pain care from their primary providers (PCPs) who may not be adequately trained to provide management. To address this issue the Health Administration (VHA) Office of Specialty Care adopted Access Network Extension for Community Healthcare Outcomes (VA-ECHO née SCAN-ECHO). The VA-ECHO program offered training and mentoring by specialists PCPs staff. included virtual sessions where expertise was shared in two formats: 1) didactics on common conditions,...
ABSTRACT Introduction The Veterans Health Administration (VHA) is tasked with providing access to health care veterans of military service. However, many eligible have either not yet enrolled or underutilized VHA services. Further study barriers before enroll in necessary understand how address this issue. ChooseVA (née MyVA Access) initiative aims achieve mission improve veterans’ access. Although veteran outreach was specifically addressed by the initiative, it a critical component...
Despite evidence of possible patient harm and substantial costs, medication overuse is persistent. Patient reaction one potential barrier to deprescribing, but little research has assessed this in specific instances discontinuation. We sought understand Veteran provider experience when de-implementing guideline-discordant use inhaled corticosteroids (ICS) those with mild-to-moderate chronic obstructive pulmonary disease (COPD).We conducted a mixed-methods analysis provider-randomized quality...
Abstract Background Primary care providers (PCPs) may modify their antibiotic prescription practices if aware of potentially damaging impact. Methods We conducted a cluster randomized controlled trial at 12 Veterans Affairs community-based outpatient clinics. PCPs clinics to the intervention group received quarterly use reports with feedback about antibiotics prescribed for acute respiratory infections and adverse event letters alerting Clostridioides difficile infection or...
Site visits are common in evaluation plans but there is a dearth of guidance about how to conduct them. This paper revisits site visit standards published by Michael Patton 2017 and proposes framework for evaluative visits. We retrospectively examined documents from series examples Patton's standards. Through this process, we identified additional organized them into four categories fourteen that can guide visits: team competencies knowledge (interpersonal competence, cultural humility,...
The prevalence of chronic pain and its links to the opioid epidemic have given way widespread aims improve management care reduce use, especially in rural areas. Pain Management Specialty Care Access Network-Extension for Community Health Outcomes (VA-ECHO) promotes increased access Veterans through knowledge sharing from specialists primary providers (PCPs). We explored PCP participants' experiences VA-ECHO care.This qualitative study is based on a descriptive secondary analysis...
Introduction: Collaborative care improves depression and anxiety outcomes. In this naturalistic, observational case study, we adapted an evidence-based collaborative protocol for the assessment treatment of posttraumatic stress disorder (PTSD) sought to demonstrate that could be implemented in Veterans Affairs (VA) primary care. Method: Based on feedback from a content expert panel, clinical stakeholders, pilot study conducted postdeployment clinic, original was modified include PTSD support...