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Health Services Research & Development

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Research & EHR Synergy

Community Care Mammograms: Care Coordination Barriers and Facilitators and Clinical Informatics Solutions

by Caitlin Cusack, MD, MPH, FACOG ; Kristen Gray, PhD, MS ; Ann Guillory, BSN, RN CLC ; Kristine Lynch, PhD
Seminar date: 6/22/2022
Seminar time: 12:00pm-1:00pm
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Description: Women Veterans ages 45 and up need routine mammograms to screen for breast cancer. For most VA patients, mammograms are provided by non-VA facilities and paid for by VA, known as Community Care. Prior work has identified challenges to coordinating some sex-specific services between VA and community providers, but little is known about barriers and facilitators to mammogram care coordination. In this cyberseminar, we will present findings from qualitative interviews with 44 staff at 10 VA Medical Centers regarding current Community Care mammogram coordination practices and barriers and facilitators to care coordination. We will also present findings on the availability of common care coordination data in CPRS/VistA based on chart abstraction of 500 completed Community Care mammograms. The presentation will conclude with a discussion led by Dr. Caitlin Cusak regarding Cerner Millennium functionalities for women's health care coordination that have the potential to address some of the current challenges.

Objectives
• Describe barriers and facilitators to care coordination for Community Care mammograms
• Characterize the availability, structure, and format of key mammogram care coordination data in CPRS/
• Demonstrate Cerner Millennium functionality to support women's health care coordination


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