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VA Health Systems Research

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Disrupted Care Knowledge Groups

Introduction to the Disrupted Care Knowledge Groups

Knowledge groups are Disrupted Care National Project (DCNP) investigator forums designed to facilitate, accelerate, and communicate lessons learned from the pandemic by sharing findings, ideas, methods, and challenges in a collaborative effort to inform both the operational and research communities.

How it works:

Each group officially began with a virtual kick-off meeting in early 2023 designed to establish introductions and model the Works in Progress format. Quarterly meetings are held with the aim of presenting “a problem you are trying to solve,” followed by a group discussion to identify potential solutions. Topics and presenters for each meeting are chosen by the co-chairs to capture acute problems that can benefit from immediate input.

Engagement with Operational Partners:

Operational partners, as critical stakeholders, play key roles in addressing current backlogs and preparing for future disruptions. Therefore, they should remain engaged participants in the research process. Each knowledge group has one or more operational partner members.

Expectations and Products:

Knowledge groups are expected to generate work products to inform the operational or research communities. Potential products include but are not limited to; systematic review, meta-analysis, methods paper (e.g., validation of a cohort phenotype), unique analysis of a particular issue identified by the group with a proposed policy solution.

Benefits to Knowledge Group Members:

→ Connection with VA leaders and change-agents as relevant to communicate actionable findings, such as the National Leadership Board, the Healthcare Operations Center, VISN leads, or other high-level VA leadership.

→ Expanded network of others in the same or adjacent fields with subject matter and methodologic expertise to rapidly solve challenges

→ Potential supplemental funding for the creation of impactful products and publications

The Knowledge Groups:

Each knowledge group is chaired by a lead investigator or subject matter expert and a methodologist. Each of the three groups supports multiple active investigations to be found in the tables below with detailed aims available here. Discussion and cross pollination across groups is encouraged and can be facilitated by contacting the project manager, Sam Rosa.

System Level and Procedural Care
Clinical Co-Chair: Louise Davies
Methods Co-Chair: Caroline Korves

Pain Management and Mental Health
Clinical Co-Chair: Amy Justice
Methods Co-Chair: Christopher Rentsch

Chronic Care Services and Telehealth
Clinical Co-Chair: Anita Vashi
Methods Co-Chair: Diem Tran


Contact Sam Rosa (DCNP project manager) or Brian Lucas (Knowledge Group Lead)

Knowledge Group



Operational Partner(s)

System Level & Procedural Care

Virginia Wang, PhD, MSPH

Ranak Trivedi, PhD


Impact of COVID-era Disrupted Care on Disparities in Outcomes among Veterans with Kidney Failure

VHA Kidney Program

National Chief of VA Renal Services

System Level & Procedural Care

Amy Linsky, MD, MSc

Renda Wiener, MD, MPH


Impact of COVID-19 on implementation and outcomes of VA's Life-Sustaining Treatment Decisions Initiative

Office of Primary Care

National Center for Ethics in Health Care

System Level & Procedural Care

Barbara Jones, MD, MSc


Leveraging pandemic practice change to optimize evidence-based pneumonia care

Emergency Medicine

Claire Yarbrough (PCCM),

Mel Anderson (Hospital Medicine)

Pharmacy Benefits Management

System Level & Procedural Care

Katie Suda, PharmD, MS


The broken drug supply chain: The impact of COVID-19 on drug shortages and Veteran health

Pharmacy Benefits Management

System Level & Procedural Care

Stephen Waldo, MD

Paul Hess, MD


Impact of the coronavirus disease 2019 pandemic on cardiovascular healthcare utilization, quality of care, and clinical outcomes

National Office of Patient Safety

National Office of Health Disparities

Pain Management & Mental Health


Marianne S. Matthias, PhD  

Alan McGuire, PhD



COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning Services (CIPHER)


Local Interdisciplinary Pain Clinic


VHA PDICI* and PACT Pain Initiative

Director of VA Behavioral Pain Medicine

VA Pain Management and Opioid Safety

National Pain Management Office

Office of Primary Care

Pain Management & Mental Health

Elizabeth Oliva, PhD



Strategies to improve Utilization of Post-overdose Evidence-based Risk mitigation among Non-fatal Overdoses in VA (SUPER NOVA)


Pharmacy Benefits Management

Veteran’s Family & Assistance Center

Emergency Medicine

Mental Health Residential Rehabilitation Treatment Program

Pain Management, Opioid Safety and Prescription Drug Monitoring Program

Office of Mental Health & Suicide Prevention

Enterprise Opioid Strategy Team

National Center for Homelessness Among Veterans

Veterans Justice Program

Pain Management & Mental Health

Samantha L. Connolly, PhD



Provision of high-quality tele-mental health care during COVID-19 and beyond


Office of Connected Care

Office of Mental Health & Suicide Prevention


Pain Management & Mental Health

Anouk Grubaugh, PhD



Impact of COVID-19 on continuity of care for Veterans on antipsychotic medications


Office of Mental Health & Suicide Prevention

Pharmacy Benefits Management

MedSAFE program

Pain Management & Mental Health

Lucinda B. Leung, MD, MPH, PhD



Leveraging COVID-19 to modernize depression care for VA primary care populations


Office of Primary Care

Office of Connected Care

Office of Rural Health

Primary Care Analytics Team

Center of Integrated Healthcare

Telehealth & Chronic Care


Ashok Reddy, MD, MSc



COVID-19 Preventive Health Inventory: Evaluating a primary care approach to catching-up on needed chronic and preventive care for Veterans

Office of Primary Care

Telehealth & Chronic Care

Sylvia Hysong, PhD



Maintaining preventive care during public health emergencies through effective coordination

VA's National Women Veterans Oncology System

Office of Primary Care

Primary Care-Mental Health Integration

Telehealth & Chronic Care

Kelly Hunt, PhD, MSPH

Brian Neelon, PhD



Examining linkages between disrupted care and chronic disease outcomes during the COVID-19 pandemic: a VAMC level spatio-temporal analysis

Office of Primary Care

Telehealth & Chronic Care

Jack Tsai, PhD

Eric Jutkowitz, PhD



Evaluating the impact of COVID-19 on case management, health care utilization, and housing outcomes for HUD-VASH Veterans

Housing and Urban Development-VA Supportive Housing Veterans Homelessness Program

Telehealth & Chronic Care

Andrea Finlay, PhD

Marinella  Galea, MD



Disruption of Health Services: The impact of COVID-19 on Veterans with SCI/D

SCI/D National Program Office

Telehealth & Chronic Care

Jamie L. Estock, MA



Pandemic-related disruptions in care for Veterans on insulin pumps: A mixed methods analysis

Office of connected care

Office of Rural Health

VA National Endocrinology/Diabetes Program Office

Telehealth & Chronic Care

Lillian C. Min, MD, MSHS



Resilience to Covid-19 disrupted chronic condition care for older Veterans at risk of hospitalization: Role of VA ambulatory care and VA extended care home and community-based care supports


Geriatric Extended Care

Office of Quality and Safety

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