A5000916354- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Patient Satisfaction in Healthcare
- Complementary and Alternative Medicine Studies
- Pain Management and Opioid Use
- Pain Management and Placebo Effect
- Clinical practice guidelines implementation
- Innovations in Medical Education
- Myofascial pain diagnosis and treatment
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Health, psychology, and well-being
- Anesthesia and Pain Management
- Health Policy Implementation Science
- Health Sciences Research and Education
- Global Health Workforce Issues
- Empathy and Medical Education
- Telemedicine and Telehealth Implementation
- Patient-Provider Communication in Healthcare
- Pharmaceutical industry and healthcare
- Posttraumatic Stress Disorder Research
- Bone fractures and treatments
- Opioid Use Disorder Treatment
- Healthcare Systems and Technology
- Emergency and Acute Care Studies
Yale University
2016-2025
VA Connecticut Healthcare System
2015-2025
Connecticut Health Foundation
2013-2021
University of Bridgeport
2004-2019
United States Department of Veterans Affairs
2012-2018
Veterans Health Administration
2009-2018
New York Chiropractic College
2012-2015
Kaiser Permanente
2014
VA Greater Los Angeles Healthcare System
2014
Samueli Institute
2014
Objective To model future use of chiropractic services and predict clinical resource needs within the Veterans Health Administration (VA) over next 5 years. Methods A serial cross-sectional analysis data from VA’s Corporate Data Warehouse for fiscal years (FY) 2017 through 2022 (10/1/2016-9/30/2022). We calculated proportion VA users–via care provided on-station and/or purchased Community Care Network (CCN) providers–compared to overall healthcare users each FY. historical year-over-year...
Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans commonly seek care for musculoskeletal complaints in Veterans Health Administration (VHA) facilities. Chiropractic services conditions have recently been introduced to VHA. No reports published on chiropractic OIF/OEF veterans. This study was designed describe elements of the processes and outcomes a VHA clinic. A retrospective review consecutive cases consulted one clinic conducted. Thirty-one were identified....
The purpose of this study was to describe the demographic, facility, and practice characteristics doctors chiropractic (DCs) working in private sector health care settings United States.We conducted an online, cross-sectional survey using a purposive sample DCs (n = 50) integrated facilities. 36-item collected chiropractic, interdisciplinary characteristics, which were analyzed with descriptive statistics.The response rate 76% 38). Most respondents men mid-career professionals mean 21 years...
To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, to explore the relationship between timing a visit receipt an prescription.Cross-sectional analysis administrative data on OEF/OIF/OND veterans had at least one Affairs (VA) clinic 2004 2014. Opioid was defined as prescription within window 90 days before after index visit.We identified...
Fritz, Julie M.; Davis, Alison F.; Burgess, Diana J.; Coleman, Brian; Cook, Chad; Farrokhi, Shawn; Goertz, Christine; Heapy, Alicia; Lisi, Anthony McGeary, Donald D.; Rhon, Daniel I.; Taylor, Stephanie L.; Zeliadt, Steven; Kerns, Robert D.Author Information
Chiropractic services have been delivered on station at select Veterans Health Administration (VHA) medical facilities since late 2004. No published data describing the characteristics of VHA chiropractic physicians (chiropractors) and clinics exist a national level. This study was designed to examine elements structures in settings. Web-based survey methods were used question all chiropractors (N = 36). Data obtained from 33 providers, yielding 91.6% response rate. Most respondents...
The use of patient-reported outcome measures (PROMs) is an expected component high-quality, measurement-based chiropractic care. largest health care system offering integrated the Veterans Health Administration (VHA). Challenges limit monitoring PROM as a quality metric at national scale in VHA. Structured data are unavailable, with PROMs often embedded within clinic text notes unstructured requiring time-intensive, peer-conducted chart review for evaluation. Natural language processing...
Abstract Background Key nonpharmacologic therapies, including those routinely provided by chiropractors, are recommended first-line treatments for low back pain (LBP). Little is known on whether such care in the Veterans Health Administration (VA) has a downstream effect use of other healthcare services, opioid prescriptions. Objective To evaluate impact chiropractic receipt prescriptions within 365 days an incident primary provider (PCP) visit LBP among opioid-naïve VA patients. Design...
Low back pain is a common complaint in pregnancy, with reported prevalence of 57% to 69% and incidence 61%. Although such can result significant disability, it has been shown that as few 32% women report symptoms their prenatal provider, only 25% providers recommend treatment. Chiropractors sometimes manage low pregnant women; however, scarce data exist regarding This retrospective case series was undertaken describe the results group who underwent chiropractic treatment including spinal...
To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. A modified Delphi process was used to synthesize evidence-based recommendations. multidisciplinary expert panel developed the algorithm, which subsequently refined through iterative input from primary care physician panel. We and supportive materials help guide adults MP, important contributor chronic low back (CLBP). Addressing any...
ObjectiveThe purpose of this study was to develop an integrated care pathway for doctors chiropractic, primary providers, and mental health professionals who manage veterans with low back pain, or without comorbidity, within Department Veterans Affairs facilities.MethodsThe research method used a consensus process. A multidisciplinary investigative team reviewed clinical guidelines pain initiatives seed statements algorithms guide chiropractic management collaborative pain. 5-member advisory...
In 2004, the US Department of Veterans Affairs expanded its delivery chiropractic care by establishing onsite clinics at select facilities across country. Systematic information regarding planning and implementation these describing their features performance is lacking.To document planning, implementation, key VA clinics, to identify variations underlying causes consequences as well implications for policy, practice, research on introduction new clinical services into integrated health...
Retrospective cohort study.To compare utilization patterns for patients with new-onset neck pain by initial provider specialty.Initial specialty has been associated distinct care among acute back pain; little is known about pain.De-identified administrative claims and electronic health record data were derived from the Optum Labs Data Warehouse, which contains longitudinal information on over 200M enrollees representing a mixture of ages geographical regions across United States. Patients...
Chronic nonspecific neck pain (CNNP) is prevalent among health care workers, with particularly high rates nurses. Nurses experiencing CNNP often report decreased job satisfaction, increased absenteeism, and reduced productivity. In recent years, nonpharmacologic approaches have gained attention as effective treatments for the management of CNNP, exercise manual therapies representing two most common. Early evidence shows that multimodal may be more than unimodal strategies. The purpose this...