Health Services Research & Development

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Agenda ( View Mobile Version )

Tuesday, October 29

TIME LOCATION EVENT (including location/times for sessions)
2:00pm - 6:00pm Concourse Foyer Registration
3:30pm-5:00pm  

Concurrent Workshop


Georgetown West
Maximizing Impact: Creating Videos to Improve Engagement in and Uptake and Dissemination of Research or Quality Improvement Initiatives
Christine Hartmann, PhD

Gunston
Defining, Conceptualizing, and Studying De-implementation in Health
Christian Helfrich, PhD
3:30pm-5:00pm Georgetown East

Paper Session: Gender and Health


Moderator: Elizabeth Yano, PhD, MSPH

3:30pm-3:45pm
Housing Instability, Use of VHA Homeless Programs, and Challenges to Accessing Care among Transgender Veterans, Ann Elizabeth Montgomery, PhD, MSW

3:45pm-4:00pm
Development and Implementation of a Sexual and Gender Minority Inclusive Survey to Identify Differences in Military Trauma and Infertility, Kenda Stewart Steffensmeier, PhD

4:00pm-4:15pm
Gender Sensitive Primary Care is Associated with Lower Care Discontinuity among Female Patients, Claire Than, MPH

4:15pm-4:30pm
Evidence Map: Reporting of Results by Sex or Gender in Randomized Controlled Trials with Women Veteran Participants (2008-2018), Elizabeth Danan, MD, MPH

4:30pm-4:45pm
"It's All in Your Head": Women Veterans' Experiences with Gender Bias in VA Specialty Care, Jose Casares, MA

4:45pm-5:00pm
Extra time for Q&A
 

3:30pm-5:00pm Jefferson West

Paper Session: Peer Support


Moderator: Karen Goldstein, MD, MSPH

3:30pm-3:45pm
Evaluating Facilitated Implementation: Peer Specialists in Patient Aligned Care Teams, Richard Goldberg, PhD

3:45pm-4:00pm
Telephone Veteran Peer Coaching for Mental Health Treatment Engagement among Rural Veterans: Not What We Expected, But a Win for VA?, Karen Seal, MD, MPH

4:00pm-4:15pm
Practical Strategies for Effective Recruitment, Enrollment, and Retention of Veterans in Mental Health Research, Jennifer Funderburk, PhD

4:15pm-4:30pm
Implementing a Peer-Support Intervention to Enhance Housing, Health Care, and Community Reintegration for Veterans with Criminal Justice Involvement, Keith McInnes, ScD

4:30pm-4:45pm
Effectiveness of Veteran Peer-Assisted Computerized Cognitive Behavioral Therapy for Depression, Paul Pfeiffer, MD

4:45pm-5:00pm
Extra time for Q&A
 

3:30pm-5:00pm Jefferson East

Paper Session: Community Care
[Register for Live Stream live-stream]


Moderator: Kristin Mattocks, PhD, MPH

3:30pm-3:45pm
Innovation to Impact: Implementing Transitions of Care Intervention for Veterans Transtioning from Community Hospitals to VA Primary Care, Roman Ayele

3:45pm-4:00pm
Impact of Community Care on Time to Treatment in Veterans Diagnosed with Obstructive Sleep Apnea, Bhavika Kaul, MD

4:00pm-4:15pm
The Impact of the Affordable Care Act on Veterans' Use of VA Outpatient Care, Elizabeth Tarlov, PhD

4:15pm-4:30pm
Veteran-Directed Care and Other Purchased Care Service Recipients Have Similar Cost and Hospitalization Trajectories, Yingzhe Yuan, MPH

4:30pm-4:45pm
Can Non-VA Community Care Meet the Gaps in VA Gynecology Care?, Sarah Friedman, PhD

4:45pm-5:00pm
Extra time for Q&A
 

3:30pm-5:00pm Lincoln West

Paper Session: Data Measurement


Moderator: Laura Petersen, MD, MPH

3:30pm-3:45pm
The Measurement Science QUERI Infrastructure for National VA Colonoscopy Quality Measurement and Reporting, Andrew Gawron, MD, PhD

3:45pm-4:00pm
Discontinuity of Care For Patients with Complex Chronic Conditions in an Integrated Healthcare System: A Case Study of Inflammatory Bowel Disease, Shirley Cohen-Mekelburg, MD

4:00pm-4:15pm
Hospitalization, Re-Hospitalization, Mortality, and Utilization Patterns Predicted by Novel High-Risk Patient Latent Subgroups and Complexity Scores, Ann-Marie Rosland, MD, MS

4:15pm-4:30pm
The Use of Structured Data Elements to Identify ASCVD Patients with Statin-Associated Side Effects. Insights from the Department of Veterans Affairs, Salim Virani, MD, PhD

4:30pm-4:45pm
Impact of Risk-Adjustment for Socioeconomic Status on Veterans Affairs Medical Center Mortality Rates, Amal Trivedi, MD, MPH

4:45pm-5:00pm
Extra time for Q&A
 

3:30pm-5:00pm Lincoln East

Paper Session: Disability/TBI/Spinal Cord Injury


Moderator: Drew Helmer, MD, MS

3:30pm-3:45pm
Impact of Varying Federal Definitions on Carbapenem-Resistant Enterobacteriaceae Prevalence in Veterans with Spinal Cord Injury, Margaret Fitzpatrick, MD

3:45pm-4:00pm
Community Reintegration and Rehabilitation Pathways and Transitions following Traumatic Brain Injury, Karen Besterman-Dahan, PhD

4:00pm-4:15pm
Outpatient Polytrauma/TBI Teams that Integrate Vocational Rehabilitation Staff have Better Veteran Employment Outcomes, Terri Pogoda, PhD

4:15pm-4:30pm
Preventing Community-Acquired Pressure Injuries in Spinal Cord Injury: Health Care Provider Perspectives, Lisa Burkhart, PhD, RN

4:30pm-4:45pm
Predicting and Planning for Musculoskeletal Service-connected Disabilities in VA using Disability Separations for Active Duty OEF/OIF Service Members, Andrew Redd, PhD

4:45pm-5:00pm
Extra time for Q&A
 

3:30pm-5:00pm Monroe

Paper Session: Telehealth


Moderator: Jan Lindsay, PhD

3:30pm-3:45pm
Characterizing Secure Messaging Perceptions and Use Among Veterans with High Technology Adoption, Bella Etingen, PhD

3:45pm-4:00pm
Virtual Delivery of Competency-Based Training in Evidence-Based Psychotherapy: Comparison of Training Approaches, Craig Rosen, PhD

4:00pm-4:15pm
ACTIVet: A Randomized Controlled Trial to Investigate the Efficacy of a Pre-Visit Educational Video Intervention in Patients with Type 2 Diabetes, Howard Gordon, MD

4:15pm-4:30pm
Health Goal-Setting and Achievement among Veterans with High Technology Adoption, Tim Hogan, PhD

4:30pm-4:45pm
Veteran Engagement in Tele-Health Treatment for Gulf War Ilness, Lisa McAndrew, PhD

4:45pm-5:00pm
Extra time for Q&A
 

5:15pm-6:15pm International Terrace Poster Session A

Wednesday, October 30

TIME LOCATION EVENT (including location/times for sessions)
7:00am - 7:00pm Concourse Foyer Registration
8:00am - 7:30pm Concourse Foyer Exhibit Session
8:00am-9:30am International Ballroom Center Opening Plenary Session  [Register for Live Stream live-stream]
8:00am - 8:55am Welcoming Remarks and HSR&D/QUERI "State of the Service"

Lori Bastian, MD, MPH
Director, HSR&D Pain Research, Informatics, Multi-morbidities, and Education Center
VA Connecticut Healthcare System

David Atkins, MD, MPH
Director, HSR&D
Department of Veterans Affairs, Washington, DC

Amy Kilbourne, PhD, MPH
Director, QUERI
Department of Veterans Affairs, Washington, DC
8:55am - 9:30am 2017 Under Secretary's Award for Outstanding Achievement in Health Services Research

David Atkins, MD, MPH
Director, HSR&D
Department of Veterans Affairs, Washington, DC

Laura Petersen, MD, MPH
Director, HSR&D Center for Innovations In Quality, Effectiveness, and Safety
Michael E. DeBakey VA Medical Center, Houston
9:30am - 9:45am   Break
9:45am - 12:45pm Gunston

Partnership Forum


Bringing Veteran Care Closer to Home: Priorities, Partnerships, and Engaged Research and Evaluation of Virtual Patient-Facing Technologies

Leads: George Sayre, PsyD and Donna Zulman, MD
Partners: Susan Kirsh, MD, Office of Veteran Access to Care
Tom Klobucar, PhD, Office of Rural Health
Leonie Heyworth, MD, Office of Connected Care/Telehealth
Tom Edes, MD, MS, Geriatrics & Extended Care Operations

9:45am - 12:45pm Georgetown West

Partnership Forum


Research and Operations Partnering to Develop and Diffuse Innovations: Collaboration Among the VA Innovation Ecosystem, QUERI, HSR&D, and ORD

Lead: George Jackson, PhD
Partners: Brynn Cole, VHA Innovators Network
Ryan Vega, MD, VHA Innovation Ecosystem
Blake Henderson, VHA Diffusion of Excellence

9:45am - 12:45pm Georgetown East

Partnership Forum


Developing a Research Agenda for Cerner Implementation

Lead: Seppo Rinne, MD, PhD
Partners: Jill Draime, PsyD, Office of Electronic Health Record Modernization
Sheila Sullivan, PhD, RN, Office of Nursing Services

9:45am - 11:15am Lincoln East

Paper Session: Improving Antibiotic Use


Moderator: Barbara Trautner, MD, PhD

9:45am - 10:00am
De-Implementing Low Value Antibiotic Prescribing across Levels of Care, Kalpana Gupta, MD, MPH

10:00am - 10:15am
Trends in Antibiotic Use and Antibiotic Resistance among Veterans Affairs Community Living Centers from 2011 to 2017, Haley Appaneal, PharmD

10:15am - 10:30am
Trends in Microbiological Culture Collection across Veterans Affairs Medical Centers and Community Living Centers, 2010 to 2017, Haley Appaneal, PharmD

10:30am - 10:45am
Surgical Specialty and Facility Type are Associated with Suboptimal Surgical Antimicrobial Prophylaxis in Ambulatory Surgery, Westyn Branch-Elliman, MD

10:45am - 11:00am
Thirty-Day Postoperative Infection and Increased Risk of Long-term Infections, William O'Brien, MS

11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Jefferson West

Paper Session: Access to Care


Moderator: Denise Hynes, PhD, MPH, RN

9:45am - 10:00am
STepped Exercise Program for Veterans with Knee OsteoArtritis (STEP-KOA): Results of a Randomized Clinical Trial, Kelli Allen, PhD

10:00am - 10:15am
Home-based Cardiac Rehabilitation Improves Access to Care and Exercise Capacity among Veterans with Coronary Heart Disease, Mary Whooley, MD

10:15am - 10:30am
Trends in Wait Times for Outpatient Colonoscopy in the Veterans Health Administration, 2008-2015, Megan Adams, MD, JD, MSc

10:30am - 10:45am
Redesigning Healthcare Delivery to Improve Quality-of-Life and Hospital Readmission after COPD exacerbation: A Pragmatic Clinical Trial, David Au, MD

10:45am - 11:00am
Secondary Prevention in a High-Risk Population of Veterans with Diabetes - Findings from Patient and Provider Interviews, Alyson Littman, PhD, MPH

11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Lincoln West

Paper Session: Hospital Quality


Moderator: Mike Ho, MD, PhD

9:45am - 10:00am
Addition of UV-C to Commonly Used Hospital Disinfectants: Is there a Difference in Residual Bio-Burden?, John Zeber, PhD

10:00am - 10:15am
Not Until I Have To: Veteran Care Seeking and Delay of Care During COPD Exacerbations, Vincent Fan, MD, MPH

10:15am - 10:30am
Trends in Risk-Adjusted 30-Day Mortality and Readmission for VA Patients Hospitalized with Heart Failure, Paul Heidenreich, MD, MS

10:30am - 10:45am
More is Better: Transitional Care Processes Do Reduce Readmissions, Luci Leykum, MD, MBA

10:45am - 11:00am
Implementation of a Department of Veterans Affairs Oral Care Initiative to Prevent Hospital-Acquired Pneumonia Among Non-Ventilated Patients, Shannon Munro, PhD, APRN

11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am  

Concurrent Workshops


Cabinet
Applied Statistical Methods and Emerging Trends for Performing High Impact Meta-Analyses, Donna White, PhD, MPH


Jefferson East
Pain and Opioids: State of the Science and Partner Priorities, Will Becker, MD
[Register for Live Stream live-stream]

11:15am - 11:30am   Break
11:30am - 1:00pm Jefferson East

Paper Session: Veteran Engagement I
[Register for Live Stream live-stream]


Moderator: Gala True, PhD

11:30am - 11:45am
Development of a Veteran-Centered Measure of Healthcare Engagement, Rachel Kimerling, PhD 

11:45am - noon
Engaging Women Veterans through a Patient-Facing Web-based Reproductive Planning Decision Support Tool: A Pilot Study in VA Primary Care, Lisa Callegari, MD, MPH

Noon - 12:15pm
Enhancing Participation, Engagement, and Satisfaction in Preventive Care Services Among Women Veterans with Prediabetes, Tannaz Moin, MD, MBA, MSHS

12:15pm - 12:30pm
Empowering Patients in Chronic Care: Randomized Clinical Trial of a Whole Health Intervention, LeChauncy Woodard, MD, MPH

12:30pm - 12:45pm
Improving Post-Incarceration Reentry Support for Veterans with Mental Health and Substance Use Disorders: Application of the Collaborative Care Model, Bo Kim, PhD

12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Jefferson West

Paper Session: Healthcare Value


Moderator: Todd Wagner, PhD

11:30am - 11:45am
Outcomes of Intensive Care Management for Veterans at High Risk for Hospitalizations in Year 2, Evelyn Chang, MD, MSHS

11:45am - noon
Medicare-Eligible Veterans Voting with Their Feet: Events Associated with Changes in a Veteran's Reliance on the VA vs. Medicare for Healthcare, Paul Hebert, PhD

Noon - 12:15pm
Expanding an Economic Evaluation of the VA MRSA Prevention Initiative to Include Prevention of Infections from Other Pathogens, Richard Nelson, PhD

12:15pm - 12:30pm
Effects of a Veteran-Centered Intervention to Improve Appropriate Use of Colorectal Cancer Screening, Sameer Saini, MD, MS

12:30pm - 12:45pm
How Patient Targeting Affects the Cost of Care for Veterans Receiving Primary Care in Patient Aligned Care Teams (PACT) vs. Geriatric PACT (GeriPACT), Ciaran Phibbs, PhD

12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Lincoln West

Paper Session: Healthcare Informatics


Moderator: Matt Samore, MD

11:30am - 11:45am
Randomized Controlled Trial of a Relational Agent to Reduce Risky Alcohol Use, Steven Simon, MD, MPH

11:45am - noon
Association between Patient-Reported Social and Behavioral Determinants of Health and Hospitalization in High-Risk VA Patients, Matt Maciejewski, PhD

Noon - 12:15pm
Health Information Sharing Among Veterans with Multiple System Use, Bridget Smith, PhD

12:15pm - 12:30pm
Surveying the Clinical Experiences of Vulnerable Veteran Populations: How Can We Reach the Hardest to Reach?, Allyson Varley, PhD, MPH

12:30pm - 12:45pm
Techniques to Increase Healthcare Professionals' Response Rates of a Non-Incentivized VA Survey, Felicia Kleinberg, MSW

12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Lincoln East

Paper Session: Mental Health I


Moderator: Mark Kunik, MD, MPH

11:30am - 11:45am
Do Veterans' Non-VA Opioid Prescriptions Change after a VA dose reduction? Analyses of Linked VA and State Prescription Drug Monitoring Program Data, Kathleen Carlson, PhD

11:45am - noon
Associations between Tinnitus Severity and Mental Health Symptoms among Veterans with and without Traumatic Brain Injury: A National Survey, Kathleen Carlson, PhD

Noon - 12:15pm
The Role of Patient Experience in Obtaining High Quality Mental Health Treatment Among Women Veterans, Fernanda Rossi, PhD

12:15pm - 12:30pm
Understanding the Characteristics of Justice-Involved Gulf War Era Veterans Receiving VA Care, Brice Terpstra, MS

12:30pm - 12:45pm
Identifying Psychiatric Diagnostic Errors through Electronic Medical Record Reviews, Terri Fletcher, PhD

12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Cabinet

Workshop

Using Relational Coordination to Improve Care: Theory Overview, Relational Coordination Survey Examples, and Practical Applications, Heather Gilmartin, PhD

1:00pm - 1:45pm   Break to get lunch
1:45pm-3:15pm International Ballroom Center Plenary Session B
[Register for Live Stream live-stream]
1:45pm-2:25pm Presentation of the 2018 Under Secretary's Award for Outstanding Achievement in Health Services Research

Richard Stone, MD
Executive in Charge
Veterans Health Administration, Washington, DC

Steven Asch, MD, MPH
Director, HSR&D Center for Innovation to Implementation
VA Palo Alto Healthcare System

Thomas J. Fitzgerald III
Director, VA Palo Alto Healthcare System
2:25pm-2:45pm Veteran Remarks

Laura Petersen, MD, MPH
Director, HSR&D Center for Innovations In Quality, Effectiveness, and Safety
Michael E. DeBakey VA Medical Center, Houston

John Boerstler
CEO, Combined Arms
Houston, TX
2:45pm-3:15pm Panel Discussion: Impact of Research on a Learning Healthcare System

Moderator: Laura Petersen, MD, MPH
Director, HSR&D Center for Innovations In Quality, Effectiveness, and Safety
Michael E. DeBakey VA Medical Center, Houston

Joe Francis, MD
Chief Improvement and Analytics Officer
Veterans Health Administration, Washington, DC

Thomas J. Fitzgerald III
Director, VA Palo Alto Healthcare System
3:15pm - 3:30pm   Break
3:30pm - 5:00pm Gunston

Workshop

Understanding Care in the Community, Todd Wagner, PhD

3:30pm - 5:00pm Cabinet

Veteran Forum

Building Networks of Supports for Veterans At-Risk for Suicide: A Community Approach, Maggie Freytes, PhD

3:30pm - 5:00pm Georgetown East

Paper Session: Appropriateness of Care


Moderator: Steve Asch, MD, MPH

3:30pm - 3:45pm
Can This Patient Follow the Treatment Plan? Validity and Reliability of a Self-Efficacy Instrument for Hypertension Treatment Adherence in Veterans, Sundar Natarajan, MD, MSc

3:45pm - 4:00pm
Appropriateness of Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease: Department of Veterans Affairs, 2013-2015, Paul Hess, MD, MHS

4:00pm - 4:15pm
Assessing When to Stop or Scale Back Unnecessary Routine Medical Services: The ASSURES Study, Tim Hofer, MD, MSc

4:15pm - 4:30pm
Initial Findings from the Lithium Support Study: A Novel Notification System to Reduce Lithium Toxicity Events using Near-Real Time VA Clinical Data, Eric Smith, MD, PhD, MPH

4:30pm - 4:45pm
E-Consults to Improve the Quality and Timeliness of Cardiac Testing within the VA, Nishant Shah, MD, MPH, MSc

4:45pm - 5:00pm
Extra time for Q&A
 

3:30pm - 5:00pm Lincoln East

Paper Session: Implementation Science I


Moderator: Alison Hamilton, PhD, MPH

3:30pm - 3:45pm
Longitudinal Assessment of Expert Recommendations for Implementing Change (ERIC) Strategies in the Uptake of Evidence-Based Practices for Hepatitis C, Vera Yakovchenko, MPH

3:45pm - 4:00pm
Spreading VA's Emergency Department Rapid Access Clinics (ED-RAC): Role of Champions and Local Contexts in Explaining Implementation Outcomes, Lauren Penney, PhD

4:00pm - 4:15pm
Assessing the Integration of Smoking Cessation During Lung Cancer Screening in VHA, Steven Zeliadt, PhD, MPH

4:15pm - 4:30pm
Patient and Provider Perceptions about Implementation of the Veterans Affairs Patient-Reported Health Status Assessment (PROST) System, Marina McCreight, MPH

4:30pm - 4:45pm
Systems Redesign in the Development, Implementation, and Evaluation of a CAre Transitions and Hypertension (CATcH) Management Program for Veterans with Ischemic Stroke, Jason Sico, MD, MHS

4:45pm - 5:00pm
Extra time for Q&A
 

3:30pm - 5:00pm Jefferson West

Paper Session: Burnout


Moderator: Kara Zivin, PhD

3:30pm - 3:45pm
National Trends and Organizational Risk Factors for VA Physician Burnout, Seppo Rinne, MD, PhD

3:45pm - 4:00pm
Preventing Facilitator Burnout: Strategies for More Sustainable Process Improvement, Tanya Olmos-Ochoa, PhD, MPH

4:00pm - 4:15pm
Evidence-Based Quality Improvement Improves Team Function, Provider Gender-Sensitivity and Burnout, and Maintains Preventive Care among Women Veterans, Elizabeth Yano, PhD, MSPH

4:15pm - 4:30pm
Burnout and Intent to Remain in Practice Among VA Providers Experiencing Primary Care Transformation, Eric Apaydin, PhD

4:30pm - 4:45pm
The Invisible Work of Military Caregivers: Findings from a Photovoice Collaboration, Traci Abraham, PhD

4:45pm - 5:00pm
Extra time for Q&A
 

3:30pm - 5:00pm Lincoln West

Paper Session: Health Equity


Moderator: Michael Fine, MD, MSc

3:30pm - 3:45pm
Understanding Racial Disparities in Minimally Invasive Hysterectomy for Uterine Fibroids in the VA Healthcare System, Lisa Callegari, MD, MPH

3:45pm - 4:00pm
The Role of Neighborhood Deprivation on All-Cause Mortality Disparities among American Indian/Alaskan Native Veteran Health Administration Users, Michelle Wong, PhD

4:00pm - 4:15pm
Risk Factors for Veteran Food Insecurity: Findings from a New VA Food Insecurity Clinical Reminder, Alicia Cohen, MD, MSc

4:15pm - 4:30pm
Mortality Correlates in the Veterans Health Administration: Interaction between Individual Socio-economic Status and Neighborhood Deprivation, Donna Washington, MD, MPH

4:30pm - 4:45pm
Universal Screening for Homelessness: Lessons Learned and Implications for Future Implementation, Ann Elizabeth Montgomery, PhD, MSW, MPA

4:45pm - 5:00pm
Extra time for Q&A
 

3:30pm - 5:00pm Jefferson East

Paper Session: Challenges in PTSD Care
[Register for Live Stream live-stream]


Moderator: Paula Schnurr, PhD

3:30pm - 3:45pm
She Still Doesn't Know Me. Describing the Divergent Experiences of Veterans who Complete Versus Discontinue Trauma-Focused Therapy for PTSD, Shannon Kehle-Forbes, PhD

3:45pm - 4:00pm
When to Modify Evidence-Based PTSD Treatment: An Analysis of Diminishing Returns in VA Patients Undergoing PE and CPT, Rebecca Sripada, PhD

4:00pm - 4:15pm
A Systematic Review of 38 Years of PTSD Research: Groundwork for a Publicly Available Repository of Randomized Controlled Trials, Maya O'Neil, PhD

4:15pm - 4:30pm
Factors Associated with Completing Evidence-Based Psychotherapy for PTSD among Veterans in a National Healthcare System, Shira Maguen, PhD

4:30pm - 4:45pm
Trust in VA, Experiences of Care, and Perceived Quality Impact Preference for Setting of Future Care among Veterans with PTSD, Erin Finley, PhD, MPH

4:45pm - 5:00pm
Extra time for Q&A
 

3:30pm - 5:00pm Monroe

Paper Session: Pain


Moderator: Alicia Heapy, PhD

3:30pm - 3:45pm
Change in Pain-Related Outcomes and Opioid Misuse among Chronic Pain Patients Enrolled in an Integrated Pain Team Clinic, Carolyn Gibson, PhD, MPH

3:45pm - 4:00pm
Care Management for the Effective Use of Opioids (CAMEO): A Randomized Trial, Matt Bair, MD

4:00pm - 4:15pm
Outcomes of Prescription Opioid Dose Escalation for the Treatment of Chronic Pain: Results from a Prospective Cohort Study, Benjamin Morasco, PhD

4:15pm - 4:30pm
Identifying Predictors of Pain Intensity Following Discontinuation of Long-Term Opioid Therapy among Patients with and without Substance Use Disorders, Travis Lovejoy, PhD, MPH

4:30pm - 4:45pm
Challenges of Clinical Pharmacy Specialists' Role Expansion to Improve Access to PACT and Pain Management: A Mixed Methods Formative Evaluation, Megan McCullough, PhD

4:45pm - 5:00pm
Extra time for Q&A
 

5:00pm - 5:15pm   Break
5:15pm - 6:45pm Georgetown West

Workshop

An Introduction to Natural Language Processing Methods in Clinical Research, Olga Patterson, PhD

5:15pm - 6:45pm Gunston

Veteran Forum

Satisfaction and Adherence to Problem-Solving Treatment for Gulf War Illness, Lisa McAndrew, PhD

5:15pm - 6:45pm Georgetown East

Paper Session: Reproductive Health


Moderator: Susan Frayne, MD, MPH

5:15pm - 5:30pm
Factors Associated with Quitting Smoking during Pregnancy among Women Veterans who were Smoking at the Beginning of their Pregnancy, Eric DeRycke, MPH

5:30pm - 5:45pm
Leveraging a National Work Group to Review Research for Effective and Sustained Quality Improvement in Reproductive Health Care for Women Veterans, Jodie Katon, PhD, MS

5:45pm - 6:00pm
The VA's 7-Day Newborn Care Policy: Is 7 Days Enough?, Rebecca Kinney, PhD, MPH

6:00pm - 6:15pm
Prescription CNS Medication Burden among Pregnant Veterans, Laurel Copeland, PhD, MPH

6:15pm - 6:30pm
Assessing Women Veterans' Preconception Wellness, Deirdre Quinn, PhD

6:30pm - 6:45pm
Extra time for Q&A
 

5:15pm - 6:45pm Monroe

Paper Session: PACT


Moderator: Evelyn Chang, MD, MSHS

5:15pm - 5:30pm
Fidelity to Key Features of Evidence-Based Quality Improvement to Accelerate Implementation of Patient-Aligned Care Teams (PACT), Susan Stockdale, PhD

5:30pm - 5:45pm
Improving Primary Care Team Coordination via Audit and Feedback, Sylvia Hysong, PhD

5:45pm - 6:00pm
The Relationship Between PACT Dynamics and Utilization of Care Coordination Tools, Sylvia Hysong, PhD

6:00pm - 6:15pm
Factors Affecting GeriPACT Implementation Using the Consolidated Framework for Implemenation Research, Jennifer Sullivan, PhD

6:15pm - 6:30pm
High-Risk Patients' Experiences of Engagement in VA's Patient-Aligned Care Team (PACT) Intensive Management (PIM) Program, Alicia Bergman, PhD

6:30pm - 6:45pm
Extra time for Q&A
 

5:15pm - 6:45pm Jefferson West

Paper Session: Long-Term Care/Aging


Moderator: Lynn Snow, PhD

5:15pm - 5:30pm
Life-Sustaining Treatment (LST) Decisions Initiative: Variation in Completion of LST Templates in Community Living Centers and Home-Based Primary Care, Ciaran Phibbs, PhD

5:30pm - 5:45pm
Achieving Resident-Centered Care through Teamwork in High-Performing VA Nursing Homes, Rendelle Bolton, MPH, MSW

5:45pm - 6:00pm
Development and Validation of a Predictive Risk Score to Screen for Frailty in Patients Admitted to Veterans Affairs Hospitals, Ralph Ward, PhD

6:00pm - 6:15pm
Strategies Used by Home-Based Primary Care Teams to Support Veterans at Home, Leah Haverhals, MA

6:15pm - 6:30pm
Site of Death and Hospice Use at Death among Veterans Dying in VA's Home-Based Primary Care, Orna Intrator, PhD

6:30pm - 6:45pm
Extra time for Q&A
 

5:15pm - 6:45pm Lincoln West

Paper Session: Multimorbidity


Moderator: Aanand Naik, MD

5:15pm - 5:30pm
How Should We Organize Care for Veterans with HIV and Comorbidities in VA? A Multisite Qualitative Study of HIV Care, Barbara Bokhour, PhD

5:30pm - 5:45pm
Care Coordination for Veterans with Chronic Obstructive Pulmonary Disease: A Mixed Methods Study of High vs. Low Readmission Sites, Ekaterina Anderson, PhD

5:45pm - 6:00pm
Care Routing for Specialty Care Triage Improves Timeliness of Care and Veteran Experience, Lucas Donovan, MD, MS

6:00pm - 6:15pm
Analysis of Sequences by Finite State Machine Finds Systemic Anomalies in HIV Diagnostic Testing, Ronald Hauser, MD

6:15pm - 6:30pm
Impact of Diabetes Distress on Hemoglobin A1c Levels in a Self-Management Diabetes Intervention, Nipa Kamdar, PhD

6:30pm - 6:45pm
Extra time for Q&A
 

5:15pm - 6:45pm Lincoln East

Paper Session: Management of Persons with PTSD


Moderator: Jeff Pyne, MD

5:15pm - 5:30pm
Lessons Learned from a Formative Evaluation of an Implementation Intervention to Improve Rural PTSD Care, Nancy Bernardy, PhD

5:30pm - 5:45pm
Trauma-Sensitive Yoga v. Cognitive Processing Therapy for Women Veterans with PTSD and Co-Morbid Depression who Experienced Military Sexual Trauma, Ursula Kelly, PhD, MSN

5:45pm - 6:00pm
Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes, Brian Shiner, MD, MPH

6:00pm - 6:15pm
Behavioral Activation Increases Social Support among Veterans with PTSD, Sarah Campbell, PhD

6:15pm - 6:30pm
Validation of the PTSD Primary Care Screen, Michelle Bovin, PhD

6:30pm - 6:45pm
Extra time for Q&A
 

5:15pm - 6:45pm Jefferson East

Paper Session: Opioid Use Disorder
[Register for Live Stream live-stream]


Moderator: Ben Morasco, PhD

5:15pm - 5:30pm
Prescribing Outcomes over Six Months after Implementation of VA Stepped Care for Opioid Use Disorder Train-the-Trainer Initiative, Eric Hawkins, PhD

5:30pm - 5:45pm
Advancing Pharmacological Treatment for Opioid Use Disorder (ADaPT-OUD): Implementation Phase, Hildi Hagedorn, PhD

5:45pm - 6:00pm
An Evaluation of the Supporting Chart Documentation of Incident Opioid Use Disorder (OUD) Diagnoses via Chart Review, Benjamin Howell, MD, MPH

6:00pm - 6:15pm
Opioid-Involved Overdose Mortality in Veterans, 2010 - 2016, Talya Peltzman, PhD

6:15pm - 6:30pm
Changing Trends in Opioid Overdose Deaths and Prescription Opioid Receipt among Veterans, Allison Lin, MD, MS

6:30pm - 6:45pm
Extra time for Q&A
 

6:45pm - 7:30pm International Terrace Poster Session B

Thursday, October 31

TIME LOCATION EVENT (including location/times for sessions)
7:00am - noon Concourse Foyer Registration
8:00am - noon Concourse Foyer Exhibit Session
8:00am-9:30am International Ballroom Center Plenary Session:
Using Data to Advance a Learning Healthcare System
[Register for Live Stream live-stream]
8:00am - 9:00am Research Presentations

Moderator: LeChauncy Woodard, MD, MPH
Director, Human Integrated Health System Sciences Institute
University of Houston College of Medicine
HSR&D Center for Innovations in Quality, Effectiveness and Safety

8:00am - 8:10am
Disparities in Awarding VA Service-Connected Disability for PTSD for Active Duty Military Service Members from Conflicts in Iraq and Afghanistan, Andrew Redd, PhD

8:10am - 8:20am
Using Spatial Analyses to Inform Implementation Activities, Mary Bollinger, PhD, MPH

8:20am - 8:30am
Comparative Effectiveness of Risk-Adjusted CUSUM and Episodic Surgical Performance Evaluation, Nader Massarweh, MD, MPH

8:30am - 8:40am
Veterans' Experiences with Health Care Delivered in VHA vs. through VHA Purchased Care, Megan Vanneman, PhD, MPH

8:40am - 8:50am
Improved Estimates of Incidence of Pressure Ulcers in Veterans with SCI, Stephen Luther, PhD

8:50am - 9:00am
Q&A

9:00am - 9:30am Discussants

Carolyn Clancy, MD
Deputy Under Secretary for Health for Discovery, Education, and Affiliate Networks
Veterans Health Administration, Washington, DC

Rachel Ramoni, DMD, ScD
Chief Research and Development Officer
Department of Veterans Affairs, Washington, DC
9:30am - 9:45am   Break
9:45am - 12:45pm Georgetown West

Partnership Forum
[Register for Live Stream live-stream]


VA Community Care: Ongoing Evaluation Efforts, Preliminary Analyses, Data Systems, and Emerging Issues in the Implementation of the MISSION Act

Lead: Michelle Mengeling, PhD
Partners: Kameron Matthews, JD, MD, Office of Community Care
Michael Akinyele, MBA, Office of Enterprise Integration

9:45am - 12:45pm Gunston

Partnership Forum


VHA's High Reliability Organization (HRO) Initiative: Identifying Strategic and Tactical Evaluation Goals

Lead: Laura Damschroder, MPH
Partners: Gerard Cox, MD, MHA, Office of Organizational Excellence
B. Vince Watts, MD, MPH, Office of System Redesign
William Gunnar, MD, National Center for Patient Safety
Christopher Mannozzi, RAPID-Performance Measurement Office

9:45am - 11:15am Cabinet

Workshop


Wearable Sensors and Connected Homes to Improve Health Outcomes Research and Healthcare Quality: Challenges and Opportunities in VHA, Javad Razjouyan, PhD

9:45am - 11:15am Georgetown East

Paper Session: Implementation Science II


Moderator: Steve Martino, PhD

9:45am - 10:00am
Getting to Fidelity: Identifying Core Components of Implementation Facilitation Strategies, Jeff Smith

10:00am - 10:15am
Addressing the Next Implementation Challenge: Transferring Implementation Science Knowledge and Skills, JoAnn Kirchner, MD

10:15am - 10:30am
When an Implementation Strategy is a "Game-Changer": Stakeholders' Perspectives on the Value of Evidence-Based Quality Improvement, Alison Hamilton, PhD, MPH

10:30am - 10:45am
VHA Diffusion of Excellence: Motivation and Context for Development of Innovative Practices, Brandolyn White, MPH

10:45am - 11:00am
Necessary but Not Sufficient: A Multimethod Study of the Role of Champions in Healthcare-Related Implementation, Edward Miech, EdD

11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Jefferson East

Paper Session: Veteran Engagement II
[Register for Live Stream live-stream]


Moderator: Aimee Kroll-Desrosiers, PhD

9:45am - 10:00am
Developing a Spiritual Assessment Tool for Seriously-ill Veterans, Karen Steinhauser, PhD

10:00am - 10:15am
Striving to Work: A Veteran-Centered Participatory Approach to Identify Strategies to Overcome Employment Barriers, Wendy Hathaway

10:15am - 10:30am
Discussing Mental Health Outcomes in Measurement Based Care: A Qualitative Study of Clinician-Veteran Dyads, Craig Rosen, PhD

10:30am - 10:45am
Characterizing Patient-Reported Quality of Life and Care Satisfaction in a National VA Quality Improvement Program, Shari Rogal, MD, MPH

10:45am - 11:00am
Veterans' Experience of Health Care System Hassles: VA Care Only versus Dual Care, Polly Noel, PhD


11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Jefferson West

Paper Session: Women's Health


Moderator: Lori Bastian, MD, MPH

9:45am - 10:00am
Menopausal Symptoms and Higher Risk Opioid Use in a National Sample of Women Veterans with Chronic Pain, Carolyn Gibson, PhD, MPH

10:00am - 10:15am
Availability of Comprehensive Primary Care for Women Veterans and Impacts on Ratings of Patient-Provider Communication, Danielle Rose, PhD, MPH

10:15am - 10:30am
Enrollment and Retention of Men and Women in Health Services Research and Development Trials, Karen Goldstein, MD, MSPH

10:30am - 10:45am
Sexual Assault in the Military is Associated with Increased Odds of Sexual Pain among Women Veterans, Carey Pulverman, PhD

10:45am - 11:00am
Similarities and Differences in Military Experiences and Trauma Exposures of Academy and non-Academy Trained Women Officers, Michelle Mengeling, PhD


11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Lincoln West

Paper Session: Integrated and Collaborative Care


Moderator: Will Becker, MD

9:45am - 10:00am
Integrated Mental and Physical Healthcare for People with Serious Mental Illness: SMI-PACT, Amy Cohen, PhD

10:00am - 10:15am
Improving Chronic Pain Care and Opioid Safety in VA Primary Care: Implementation and Evaluation of the Integrated Pain Team Model, Karen Seal, MD, MPH

10:15am - 10:30am
A Randomized Stepped Wedge Hybrid-II Trial to Implement the Collaborative Chronic Care Model in VA General Mental Health Clinics, Mark Bauer, MD

10:30am - 10:45am
Effective Psychotherapy in Integrated Care (EPIC) Study: Identifying Mechanism and Contextual Factors Resulting in Quality Primary Care Psychotherapy, Joseph Mignogna, PhD

10:45am - 11:00am
External Facilitators' Perceptions of Internal Facilitation Skills during Implementation of Collaborative Care for Mental Health Teams, Samantha Connolly, PhD


11:00am - 11:15am
Extra time for Q&A
 

9:45am - 11:15am Lincoln East

Paper Session: Medication Quality


Moderator: Sameer Saini, MD, MS

9:45am - 10:00am
Veteran Possession of Excess Medication Supply: A Retrospective Database Study, Amy Linsky, MD, MSc

10:00am - 10:15am
Engaging Patients to Promote Deprescribing of Potentially Inappropriate Medications, Amy Linsky, MD, MSc

10:15am - 10:30am
Physicians' Perceptions of Proton Pump Inhibitor Risks and Recommendations to Discontinue: A National Survey, Jacob Kurlander, MD

10:30am - 10:45am
Understanding the Context of High- and Low-Testosterone Prescribing Facilities in the Veterans Health Administration (VHA): A Qualitative Study, Guneet Jasuja, PhD

10:45am - 11:00am
Statin Discontinuation in Veterans Affairs (VA) Community Living Center Residents with Limited Life Expectancy, Joshua Niznik


11:00am - 11:15am
Extra time for Q&A
 

11:15am - 11:30am   Break
11:30am - 1:00pm Cabinet

Veteran Forum


Veteran Engagement in Suicide Prevention Training, Alan Teo, MD, MS

11:30am - 1:00pm Monroe

Workshop


Dissemination of Findings in a Learning Healthcare System: Stretching to Reach a Broad Audience through Innovations in Method, Material, and Medium, Gala True, PhD

11:30am - 1:00pm Georgetown East

Paper Session: Population Health/Whole Health


Moderator: Karen Seal, MD, MPH

11:30am- 11:45am
National Survey of Veteran Interest in, Use of, and Satisfaction with Complementary and Integrative Health Approaches, Stephanie Taylor, PhD

11:45am - noon
Participating in Complementary and Integrative Health Approaches Improves Veterans' Patient Reported Outcomes over Time, Rani Elwy, PhD

Noon - 12:15pm
Survey-Based Prevalence of Substance Use Disorder among VA Patients: Improved Estimation and High-Risk Groups, Katherine Hoggatt, PhD, MPH

12:15pm - 12:30pm
National Media Coverage and Health System Distrust in the Department of Veterans Affairs, Audrey Jones, PhD

12:30pm - 12:45pm
A Mixed Methods Approach to Quantifying the Implementation Costs of a Major Healthcare Redesign Effort: The VHA Whole Health Flagship Experience, Steve Zeliadt, PhD, MPH


12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Jefferson East

Paper Session: Mental Health II
[Register for Live Stream live-stream]


Moderator: Lisa Brenner, PhD

11:30am- 11:45am
Expanding VA Mental Health Services to Treat Risk for Criminal Recidivism: Findings from an Effectiveness-Implementation Trial, Daniel Blonigen, PhD

11:45am - noon
Randomized Controlled Trial of Motivational Interviewing for Psychogenic Non-Epileptic Attacks, Benjamin Tolchin, MD, MS

Noon - 12:15pm
Veteran and VHA Staff Perspectives on Discussing Lethal Means Safety in Primary Care Settings, Steve Dobscha, MD

12:15pm - 12:30pm
Leveraging VA Electronic Health Record Data to Assess Associations of Social Determinants of Health with Suicide Risk among Veterans, John Blosnich, PhD, MPH

12:30pm - 12:45pm
PC-MHI Effects on Treatment Continuation, Andrew Pomerantz, MD


12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Jefferson West

Paper Session: Community Care Coordination


Moderator: Kristin Mattocks, PhD, MPH

11:30am- 11:45am
The Role of Non-VA Care in Veterans' Experiences of Care Coordination, Justin Benzer, PhD

11:45am - noon
New Women Veterans' Use of VA and non-VA Healthcare, Laurel Copeland, PhD, MPH

Noon - 12:15pm
VA and Community Provider Perspectives on Interorganizational Care Coordination: A Qualitative Analysis, Christopher Miller, PhD

12:15pm - 12:30pm
Advancing VA-Community Healthcare System Partnership under the Veterans Choice and VA MISSION Acts: A Model of Interorganizational Care Coordination, Lynn Garvin, PhD

12:30pm - 12:45pm
Potential Overuse of In-Laboratory Sleep Studies in the VA Community Care Program, Lucas Donovan, MD, MS


12:45pm - 1:00pm
Extra time for Q&A
 

11:30am - 1:00pm Lincoln West

Paper Session: Primary Care Practice/Management


Moderator: Sylvia Hysong, PhD

11:30am- 11:45am
The Implementation and Effectiveness of a Specialized Primary Care PACT to Improve the Health Care of Veterans with Serious Mental Illness, Alexander Young, MD, MSHS

11:45am - noon
Cognitive Requirements for Referring Primary Care Providers: Supporting Goals, Tasks, and Decisions, April Savoy, PhD

Noon - 12:15pm
Homeless Veterans Rate Primary Care More Favorably in Homeless-Tailored Compared to Mainstream Primary Care Clinics: A National Survey, Stefan Kertesz, MD, MSc

12:15pm - 12:30pm
Primary Care and Mental Health Provider Perceptions of Pharmacogenetic Testing for Depression: Qualitative Results from PRIME Care Study Focus Groups, Laura Wray, PhD

12:30pm - 12:45pm
Innovation to Sustainment: Computer-Based Mapping for VA Home-Based Primary Care Programs, Jacqueline Fickel, PhD


12:45pm - 1:00pm
Extra time for Q&A