Research Topics
Care Coordination
Patients with complex healthcare concerns may receive care from a primary care physician, a visiting nurse, or a range of specialists. Coordinating that care can be challenging for patients and caregivers alike. Within VA, the goals of care coordination research are to understand those factors that contribute to effectively organized patient care and the sharing of information among all of a patient's caregivers. Ideally, care coordination research results in evidence that helps healthcare systems and providers achieve safer, higher quality, and more effective care for our nation's Veterans.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Care Coordination". Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(5 of more than 164 CARE COORDINATION focused publications)
- 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.
- Relyea MR, Kinney RL, DeRycke EC, Haskell S, Mattocks KM, Bastian LA. Evaluating an Enterprise-Wide Initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework. Frontiers in Health Services. 2024 Jan 12; 3:1237701.
- 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, Govier DJ, Niederhausen M, Tuepker A, Laliberte AZ, McCready H, Hickok A, Rowneki M, Waller D, Cordasco KM, Singer SJ, McDonald KM, Slatore CG, Thomas KC, Maciejewski M, Battaglia C, Perla L. Understanding care coordination for Veterans with complex care needs: protocol of a multiple-methods study to build evidence for an effectiveness and implementation study. Frontiers in Health Services. 2023 Aug 15; 3:1211577.
- Hempel S, Ganz D, Saluja S, Bolshakova M, Kim T, Turvey C, Cordasco K, Basu A, Page T, Mahmood R, Motala A, Barnard J, Wong M, Fu N, Miake-Lye IM. Care coordination across healthcare systems: development of a research agenda, implications for practice, and recommendations for policy based on a modified Delphi panel. BMJ open. 2023 May 17; 13(5):e060232.
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Publication Briefs
(5 of more than 30 CARE COORDINATION focused publication briefs)
- Veterans Experience Better Outcomes in VA Hospitals for Some Conditions, but at Higher Cost
This study compared outcomes for six acute conditions in VA and non-VA hospitals for VA enrollees of all ages in 11 states discharged between 1/1/2012 and 12/31/2017. Findings showed that Veterans in VA hospitals experienced lower 30-day mortality for heart failure (HF) and stroke and lower 30-day readmission for CABG, GI hemorrhage, HF, pneumonia, and stroke compared to Veterans in non-VA hospita...
Date: December 1, 2023
- Early Expansion of Benefits under Choice Act Increased Community Hospital Use but Did Not Change Mortality
This study examined changes in VA enrollees’ use of VA and non-VA hospitals from 2012-2017, as well as mortality associated with policies intended to increase access to care, such as the Choice Act. Findings showed that over the five-year study period, Veterans increased their use of community hospitals paid by VA and Medicaid and decreased their use of VA hospitals when access to non-VA care expa...
Date: June 10, 2022
- Challenges and Strain on VA System Associated with VA-Funded Community Care for Veterans with Advanced Kidney Disease
This study sought to further the understanding of the internal challenges of cross-system healthcare use to the VA healthcare system and enrolled Veterans. Three dominant themes pertaining to VA-financed community care were identified. Themes described VA as mothership, the hidden work of Veterans, and strain on the VA system. ‘VA as mothership’ describes extensive care coordination by VA staff me...
Date: May 16, 2022
- Genetic Consultation Provided by VA Facilities or Centralized VA Virtual Care More Timely and Better Coordinated than Community Care Options
This study assessed care coordination and equity in the delivery of genetic care for the care models available to VA patients (i.e., VA-traditional, centralized VA-telehealth, and non-VA care). Findings showed that VA genetic care models – both traditional and centralized telehealth – had better care coordination than non-VA care. Veterans referred to non-VA care completed their consult only 57% o...
Date: April 11, 2022
- Specialized Primary Care Homes Effective in Treatment of Patients with Serious Mental Illness
This project studied the implementation and effectiveness of a primary care medical home specifically designed to improve the healthcare of Veterans with serious mental illness. SMI PACTs (Patient Aligned Care Teams) include a specialized, integrated team that can provide both primary and psychiatric care. Findings showed that a primary care medical home for Veterans with SMI can be safe and more ...
Date: April 5, 2022
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Studies
( 5 of more than 32 CARE COORDINATION focused projects
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| Project No. |
Title |
PI |
Funding Start |
| PPO 22-040
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Virtual Care Coordination in VA Primary Care-Mental Health Integration |
Leung, Lucinda |
2023-08-01 |
| IIR 20-241
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Patient Experience of Specialty Care Coordination under the MISSION Act |
Vimalananda, Varsha |
2022-06-01 |
| SDR 20-197-E
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Impacts of the Electronic Health Record Modernization on Women's Health Care Coordination: A Qualitative Investigation |
Gray, Kristen |
2022-05-01 |
| IIR 20-165
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Care Coordination and Outcomes for High Risk Patients: Building the Evidence for Implementation |
Hynes, Denise |
2021-10-01 |
| SDR 19-325
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Women Veteran''s Satisfaction with the Maternity Benefit, Maternity Care Coordination, and Barriers to Care |
Katon, Jodie |
2019-10-01 |
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HSR Briefs, Reports, Newsletters
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Cyberseminars
The most recent "Care Coordination" seminars are displayed.
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| Date |
Title |
Presenter(s) |
| 5/7/2024 |
Perinatal Depression among Veterans: State of the Research and Future Directions
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Kroll-Desrosiers, Aimee
Johnson, Discussant: Amanda
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| 3/20/2024 |
Dissemination, Adaptation, and Uptake of Patient-Facing Materials to Improve Care Coordination in Primary Care
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O'Hanlon, Claire
Barnard, Jenny
Ganz, David
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| 2/21/2024 |
Use and Cost of Low-Value Health Services by Veterans in VA and non-VA Settings
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Radomski, Thomas
Thorpe, Carolyn
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| 12/6/2023 |
Nursing State of the Art (SOTA) Conference: Research and Policy Recommendations
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Sullivan, Sheila
Schlak, Amelia
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| 7/20/2022 |
Patient Care Assessment System (PCAS) 2022 Update
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LaFontaine, Tom
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Videos
There are currently no videos for this topic. |
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