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Golden SE, Sun CJ, Young A, Katz DA, Vander Weg MW, Mayeda MS, Gundle KR, Bailey SR. "We're On The Same Team": A Qualitative Study On Communication And Care Coordination Surrounding The Requirement To Quit Smoking Prior To Elective Orthopaedic Surgery. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2024 Jun 3.
Radcliff T, Ayele R, McCreight M, Lui W, Battaglia C. Implementation of VA care coordination program to improve transitional care for veterans post-non-VA hospital discharge: an incremental cost analysis. Implementation science communications. 2023 Nov 13; 4(1):135.
Hynes DM, Thomas KC. Realigning theory with evidence to understand the role of care coordination in mental health services research. International journal of care coordination. 2023 Jun 1; 26(2):55-61.
Monty GR, Benson SK, Deeds SA, Callegari LS, Katon JG, Cordasco KM, Gray KE. "We Are Working Harder, Not Smarter:" a Qualitative Inquiry Into Care Coordination for Department of Veterans Affairs Mammograms Referred to the Community. Women's health issues : official publication of the Jacobs Institute of Women's Health. 2022 Dec 15.
McCarthy M, Mak S, Kaufmann CN, Lum HD, Fung CH. Care coordination needs for deprescribing benzodiazepines and benzodiazepine receptor agonists. Research in social & administrative pharmacy : RSAP. 2022 Apr 1; 18(4):2691-2694.
Howren MB, Kazmerzak D, Pruin S, Barbaris W, Abrams TE. Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center. The journal of behavioral health services & research. 2022 Jan 1; 49(1):50-60.
Kartje R, Dixon BE, Schwartzkopf AL, Guerrero V, Judon KM, Yi JC, Boockvar K. Characteristics of Veterans With Non-VA Encounters Enrolled in a Trial of Standards-Based, Interoperable Event Notification and Care Coordination. Journal of the American Board of Family Medicine : JABFM. 2021 Mar 1; 34(2):301-308.
Miller C, Gurewich D, Garvin L, Pugatch M, Koppelman E, Pendergast J, Harrington K, Clark JA. Veterans Affairs and Rural Community Providers' Perspectives on Interorganizational Care Coordination: A Qualitative Analysis. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2021 Mar 1; 37(2):417-425.
Miller LB, Sjoberg H, Mayberry A, McCreight MS, Ayele RA, Battaglia C. The advanced care coordination program: a protocol for improving transitions of care for dual-use veterans from community emergency departments back to the Veterans Health Administration (VA) primary care. BMC health services research. 2019 Oct 22; 19(1):734.
Mattocks KM, Kroll-Desrosiers A, Kinney R, Singer S. Understanding Maternity Care Coordination for Women Veterans Using an Integrated Care Model Approach. Journal of general internal medicine. 2019 May 1; 34(Suppl 1):50-57.
Izquierdo A, Ong M, Jones F, Jones L, Ganz D, Rubenstein L. Engaging African American Veterans with Health Care Access Challenges in a Community Partnered Care Coordination Initiative: A Qualitative Needs Assessment. Ethnicity & disease. 2018 Sep 6; 28(Suppl 2):475-484.
Hanks D. QUERI e-News-3: Optimizing Care Coordination for Veterans. [Newsletter] 2018 Jul 26. 10 (3). Available from: https://www.queri.research.va.gov/qnews/jul18/default.cfm.
Sullivan JL, Adjognon O. Improving Care Coordination for Older Veterans. QUERI E-news: Optimizing Care Coordination for Veterans. [Newsletter] 2018 Jul 26. 2018 (July).
Hanks D. In Progress-3: Care Coordination. 2018 Jun 6; 3(3).
Brooke BS, Slager SL, Swords DS, Weir CR. Patient and caregiver perspectives on care coordination during transitions of surgical care. Translational behavioral medicine. 2018 May 23; 8(3):429-438.
Dixon BE, Embi PJ, Haggstrom DA. Information technologies that facilitate care coordination: provider and patient perspectives. Translational behavioral medicine. 2018 May 23; 8(3):522-525.
Kilbourne AM, Hynes D, O'Toole T, Atkins D. A research agenda for care coordination for chronic conditions: aligning implementation, technology, and policy strategies. Translational behavioral medicine. 2018 May 23; 8(3):515-521.
O'Brien CW, Breland JY, Slightam C, Nevedal A, Zulman DM. Engaging high-risk patients in intensive care coordination programs: the engagement through CARInG framework. Translational behavioral medicine. 2018 May 23; 8(3):351-356.
Weaver SJ, Che XX, Petersen LA, Hysong SJ. Unpacking Care Coordination Through a Multiteam System Lens: A Conceptual Framework and Systematic Review. Medical care. 2018 Mar 1; 56(3):247-259.
Wickersham A, Johnson K, Kamath AS, Kaboli PJ. Novel use of communication technology to improve nurse-physician communication, teamwork, and care coordination during bedside rounds. Journal of communication in healthcare. 2018 Jan 29; 11(1):56-61.
Vimalananda VG, Dvorin K, Fincke BG, Tardiff N, Bokhour BG. Patient, Primary Care Provider, and Specialist Perspectives on Specialty Care Coordination in an Integrated Health Care System. The Journal of ambulatory care management. 2018 Jan 1; 41(1):15-24.
Annis AM, Harris M, Robinson CH, Krein SL. Do Patient-Centered Medical Home Access and Care Coordination Measures Reflect the Contribution of All Team Members? A Systematic Review. Journal of nursing care quality. 2016 Oct 1; 31(4):357-66.
Ganz DA, Barnard JM, Saifu HN. Care Coordination Toolkit. 2016 Sep 30. Available from: https://vaww.visn10.portal.va.gov/sites/Toolkits/toolkit/Pages/Home.
Radwin LE, Castonguay D, Keenan CB, Hermann C. An Expanded Theoretical Framework of Care Coordination Across Transitions in Care Settings. Journal of nursing care quality. 2016 Jul 1; 31(3):269-74.
Nelson KM. Elements Of The Patient Centered Medical Home Associated With Clinical Quality: Evidence For Access, Continuity And Care Coordination. Paper presented at: AcademyHealth Annual Research Meeting; 2016 Jun 26; Boston, MA.
Shepherd-Banigan M, Rutledge R, Van Houtven CH, Wells R, Hillemier M, Domino M. Participation in a pregnancy-related care coordination program and behavioral health service use among Medicaid-eligible women in North Carolina. Poster session presented at: AcademyHealth Annual Research Meeting; 2016 Jun 26; Boston, MA.
Hecht MI, Hanks D, Vimalananda V. Short Video-05: Specialty Care Coordination. 2016 Jun 1. 6 (5). Available from: http://www.hsrd.research.va.gov/news/video/default.cfm.
Nelson KM. Elements of the patient centered medical home associated with clinical quality: evidence for access, continuity and care coordination. Paper presented at: Society of General Internal Medicine Annual Meeting; 2016 May 11; Hollywood, FL.
Rubenstein LV. Employee Engagement in the Care Coordination QUERI Program. 2016 Feb 1; February(2016).
Connor K, Cheng E, Siebens HC, Lee ML, Mittman BS, Ganz DA, Vickrey B. Study protocol of "CHAPS": a randomized controlled trial protocol of Care Coordination for Health Promotion and Activities in Parkinson's Disease to improve the quality of care for individuals with Parkinson's disease. BMC neurology. 2015 Dec 15; 15:258.
Hysong SJ, Che X, Weaver SJ, Petersen LA. Study protocol: identifying and delivering point-of-care information to improve care coordination. Implementation science : IS. 2015 Oct 19; 10:145.
Beste LA, Harp BK, Blais RK, Evans GA, Zickmund SL. Primary Care Providers Report Challenges to Cirrhosis Management and Specialty Care Coordination. Digestive diseases and sciences. 2015 Sep 1; 60(9):2628-35.
Santa Ana EJ, Gebregziabher MG. Care coordination telehealth In-Home-Messaging-Devices lower alcohol use in dually diagnosed Veterans. Paper presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 8; Philadelphia, PA.
Thrall SA, Taber DJ. Ambulatory Care Coordination Issues of Dual Use Solid Organ Transplant Recipients. Paper presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 8; Philadelphia, PA.
Turvey CL. Patient Engagement Using the Blue Button for Care Coordination. Presented at: Iowa eHealth Summit; 2015 Jun 24; Des Moines, IA.
Rose D, Stockdale SE, Meredith LS, Rubenstein LV. Predictors of VA Primary Care Director Report of Good Care Coordination. Poster session presented at: AcademyHealth Annual Research Meeting; 2015 Jun 14; Minneapolis, MN.
Turvey CL. Veteran Initiated Electronic Care Coordination Project. Presented at: HHS and VA Summit on Transforming Veterans Care: Patient Engagement and Care Coordination; 2015 Jun 9; Washington, DC.
D'Souza MF, Davagnino J, Hastings SN, Sloane R, Kamholz B, Twersky J. Preliminary Data from the Caring for Older Adults and Caregivers at Home (COACH) Program: A Care Coordination Program for Home-Based Dementia Care and Caregiver Support in a Veterans Affairs Medical Center. Journal of the American Geriatrics Society. 2015 Jun 1; 63(6):1203-8.
Maciejewski ML. Care Coordination and Outcomes of Multimorbid Populations. Paper presented at: University of Michigan Department of Health Management and Policy Seminar; 2015 May 13; Ann Arbor, MI.
Nelson K, Sun H, Dolan E, Maynard C, Beste L, Bryson C, Schectman G, Fihn SD. Elements of the patient-centered medical home associated with health outcomes among veterans: the role of primary care continuity, expanded access, and care coordination. The Journal of ambulatory care management. 2014 Oct 1; 37(4):331-8.
Bastian LA. Mammography Care Coordination and Tracking: Current VA Practices and Applications. Poster session presented at: National Women’s Health Field Leaders Training; 2014 Sep 17; Orlando, FL.
McGlynn G. FORUM-3: Care Coordination. 2014 Aug 25; 6(3).
Cordasco KM, Rubenstein LV. Care Coordination and PACT: Progress, Promise, and Work To Be Done. HSR&D FORUM. 2014 Aug 19; 6(3): 1.
Heidenreich PA. Care Coordination and Transitions in Heart Failure Care. Health Services Research & Development Online Forum. 2014 Aug 19.
Rose DE, Farmer Coste MM, Yano EM. Opportunities for Improved Care Coordination in VA’s Medical Neighborhoods. VA HSR&D Forum. 2014 Aug 1; 2014(8): 4.
Siddharthan K. Effect of care coordination on health resilience among OEF/OIF female combat wounded veterans. Paper presented at: Women's Health Annual Congress; 2014 Jul 11; Washington, DC.
Maciejewski ML. Improving the Management, Care Coordination and Patient Outcomes of Mulitmorbid Populations. Presented at: AcademyHealth Annual Research Meeting; 2014 Jun 8; San Diego, CA.
Turvey CL. Joint VA and HHS Initiative to Improve Care Coordination and Quality for Rural Veterans: The Veteran Initiated Coordination & Transformation of Rural Health Information Exchange Pilot Program. [Newsletter]. 2013 Dec 1; 4(1).
Nelson K, Sun H, Sharp ND, Dolan D, Maynard CC, Schectman G, Fihn SD. The Association between Primary Care Continuity, Access, and Care Coordination with Health Outcomes among a National Cohort of Veterans. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2013 Apr 24; Denver, CO.
Zulman DM, Yoon J, Cohen DM, Wagner TH, Ritchie C, Asch SM. Multimorbidity and health care utilization among high-cost patients: Implications for care coordination. Paper presented at: Society of General Internal Medicine Annual Meeting; 2013 Apr 24; Denver, CO.
Smith-Spangler C, Sundaram V, Albin L, McDonald KM, Owens DK. Care Coordination: In Search of the Active Ingredients of Interventions Reported in Systematic Reviews. Paper presented at: VA HSR&D / QUERI National Meeting; 2012 Jul 17; National Harbor, MD.
Zullig LL, Jackson GL, Provenzale D, Griffin J, Phelan S, van Ryn M. Patient-Reported Cancer Care Coordination in the Veterans Affairs Healthcare System. Presented at: University of North Carolina Lineberger Comprehensive Cancer Center Annual Scientific Meeting; 2012 May 14; Chapel Hill, NC.
Goldstein MK. Program to Improve Self Management of Patients with Heart Failure by Redesigning Health Care Coordination. Paper presented at: VA QUERI Chronic Heart Failure Meeting; 2011 Nov 8; Palo Alto, CA.
Siddharthan K, Spehar AM, Brock S, Lapcevic WA. Redesigning care coordination for combat-wounded veterans via telerehabilitation. Paper presented at: VA VHA System's Redesign Improvement Annual Forum; 2011 Sep 20; Las Vegas, NV.
Jia H, Feng H, Wang X, Wu SS, Chumbler N. A longitudinal study of health service utilization for diabetes patients in a care coordination home-telehealth programme. Journal of telemedicine and telecare. 2011 Aug 12; 17(3):123-6.
Rose DE, Farmer Coste MM, Mitchell MN, Canelo IA, Yano EM. Moving into the Medical Neighborhood: Predictors of Specialty Care Coordination Problems. Poster session presented at: AcademyHealth Annual Research Meeting; 2011 Jun 11; Seattle, WA.
Midboe AM, Lewis E, Cronkite R, Chambers D, Goldstein M, Kerns RD, Trafton J. Behavioral medicine perspectives on the design of health information technology to improve decision-making, guideline adherence, and care coordination in chronic pain management. Translational behavioral medicine. 2011 Mar 28; 1(1): 35-44.
Judge KS, Kunik ME, Wilson NL, Bass D, Snow AL, Murry B. Partners in dementia care: Descriptions and results of a care coordination intervention for individuals with dementia and their informal caregivers. Paper presented at: Gerontological Society of America Annual Scientific Meeting; 2010 Nov 22; New Orleans, LA.
Smith-Spangler C, Sundaram V, Albin L, Owens DK, McDonald KM. Care coordination: What works? Making sense of a vast literature via a systematic review of reviews. Presented at: Society for Medical Decision Making Annual Meeting; 2010 Oct 27; Toronto, Canada.
Jia H, Hua F, Wang X, Wu SS, Chumbler NR. A longitudinal study of health services utilization for diabetes patients in a care coordination home-telehealth program. Poster session presented at: AcademyHealth Annual Research Meeting; 2010 Jun 28; Boston, MA.
McDonald KM, Sundaram V, Smith-Spangler C, Albin L, Bravata D, Owens DK. Care coordination: What works? Harnessing a vast literature through a systematic review of systematic reviews. Poster session presented at: Society for Medical Decision Making Biennial European Meeting; 2010 Jun 1; Innsbruck, Austria.
Pope CA. The Investigation of Communication in Heart Failure Care Coordination Home Telehealth. Paper presented at: University of Maryland School of Nursing / VA Maryland Health Care System Annual Evidence-Based Practice Conference; 2010 Apr 13; Baltimore, MD.
Sherman SE, Cummins S, Finney J, Kalra P, Kuschner W, York LS, Zhu SH. Telephone Care Coordination For Smoking Cessation: A Randomized Trial. Paper presented at: Society for Research on Nicotine and Tobacco / Society for Research Nicotine and Tobacco - Europe Joint Conference; 2009 Apr 28; Dublin, Ireland.
Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B, Lancaster AE. Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2008 Dec 1; 14(10):1118-26.
Haggstrom DA, Doebbeling BM, Jones LE, Yano EM. Degree of Cancer Care Coordination among Primary Care, Gastroenterology, and Oncology through Service Agreements. Poster session presented at: AcademyHealth Annual Research Meeting; 2008 Jun 8; Washington, DC.
Haggstom A, Doebbeling N, Yano M. Degree of Cancer Care Coordination among Primary Care, Gastroenterology, and Oncology through Service Agreements. Poster session presented at: VA HSR&D National Meeting; 2008 Feb 13; Baltimore, MD.
Bass DM, Kunik ME, Maslow K. Partners in Dementia Care: an innovative care coordination intervention for veterans with dementia and family caregivers. Presented at: Gerontological Society of America Annual Scientific Meeting; 2007 Nov 16; San Francisco, CA.
Mkanta WN, Chumbler NR, Richardson LC, Kobb RF. Age-related differences in quality of life in cancer patients: a pilot study of a cancer care coordination/home-telehealth program. Cancer nursing. 2007 Nov 1; 30(6):434-40.
Chumbler NR, Barnett TE, Vogel WB, Beyth RJ, Kobb R. The Effectiveness of a Patient-Centered Care Coordination/Home Telehealth Chronic Disease Management Program for Veterans with Diabetes: A Four-Year Follow-up. Paper presented at: AcademyHealth Annual Research Meeting; 2007 Jun 4; Orlando, FL.
Lutz BJ, Chumbler NR, Roland K. Care coordination/home-telehealth for veterans with stroke and their caregivers: addressing an unmet need. Topics in Stroke Rehabilitation. 2007 Mar 1; 14(2):32-42.
Barnett TE, Chumbler NR, Vogel WB, Beyth RJ, Qin H, Kobb R. The effectiveness of a care coordination home telehealth program for veterans with diabetes mellitus: a 2-year follow-up. The American journal of managed care. 2006 Aug 1; 12(8):467-74.
Barnett TE, Chumbler NR, Vogel WB, Beyth RJ, Qin H, Kobb R. The Effectiveness of a Care Coordination/Home - Telehealth Program for Veterans with Diabetes. Poster session presented at: VA HSR&D National Meeting; 2006 Feb 16; Arlington, VA.
Chumbler NR, Vogel WB, Garel M, Qin H, Kobb R, Ryan P. Health services utilization of a care coordination/home-telehealth program for veterans with diabetes: a matched-cohort study. The Journal of ambulatory care management. 2005 Jul 1; 28(3):230-40.
Chumbler NR, Vogel WB, Garel M, Qin H, Kobb R, Ryan P. Evaluation of a Patient-Centered Care Coordination/Home-Telehealth Disease Management Program for Veterans with Diabetes. Paper presented at: AcademyHealth Annual Research Meeting; 2005 Jun 28; Boston, MA.
Wakefield B. The evidence base for care coordination and home telehealth. Paper presented at: VA Care Management Annual Conference; 2005 Apr 27; Minneapolis, MN.
Chumbler NR, Neugaard BI, Kobb R, Ryan P, Qin H, Joo Y. Care Coordination/Home Telehealth Diabetes Care: Daily versus Weekly Monitoring. Paper presented at: American Telemedicine Association on Remote Monitoring and Home Telehealth Fall Forum; 2004 Sep 1; Boston, MA.
Chumbler NR, Mann WC, Wu S, Schmid A, Kobb R. The association of home-telehealth use and care coordination with improvement of functional and cognitive functioning in frail elderly men. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2004 Jun 1; 10(2):129-37.
Ryan P, Chumbler NR, Kobb R, Neugaard BI, Qin H, Mann WC. Patient Centered Outcomes of Diabetes Care: Technology and Care Coordination. Paper presented at: American Telemedicine Association Annual Meeting; 2004 May 3; Tampa, FL.
Witt WP, Kasper JD, Riley AW. Mental health services use among school-aged children with disabilities: the role of sociodemographics, functional limitations, family burdens, and care coordination. Health services research. 2003 Dec 1; 38(6 Pt 1):1441-66.
Kobb R, Hoffman N, Lodge R, Kline S. Enhancing elder chronic care through technology and care coordination: report from a pilot. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2003 Jun 1; 9(2):189-95.