Health Services Research & Development

• 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.
• Cordasco KM, Hynes DM, Mattocks KM, Bastian LA, Bosworth HB, Atkins D. Improving Care Coordination for Veterans Within VA and Across Healthcare Systems. Journal of general internal medicine. 2019 May 1; 34(Suppl 1):1-3.
• Leonard C, Gilmartin H, McCreight M, Kelley L, Lippmann B, Mayberry A, Coy A, Lawrence E, Burke RE. Operationalizing an Implementation Framework to Disseminate a Care Coordination Program for Rural Veterans. Journal of general internal medicine. 2019 May 1; 34(Suppl 1):58-66.
• Mattocks KM, Cunningham K, Elwy AR, Finley EP, Greenstone C, Mengeling MA, Pizer SD, Vanneman ME, Weiner M, Bastian LA. Recommendations for the Evaluation of Cross-System Care Coordination from the VA State-of-the-art Working Group on VA/Non-VA Care. Journal of general internal medicine. 2019 May 1; 34(Suppl 1):18-23.
• McCreight MS, Gilmartin HM, Leonard CA, Mayberry AL, Kelley LR, Lippmann BK, Coy AS, Radcliff TA, Côté MJ, Burke RE. Practical Use of Process Mapping to Guide Implementation of a Care Coordination Program for Rural Veterans. Journal of general internal medicine. 2019 May 1; 34(Suppl 1):67-74.

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• JGIM Supplement Features VA Research on Care Coordination Both within VA and with Non-VA Healthcare Providers
  In March 2018, a state-of-the-art (SOTA) conference on care coordination was jointly planned by VA HSR&D and the Offices of Primary Care, Community Care, Nursing Services, and Care Management and Social Work. The SOTA was organized into three workgroups: 1) measures and models of care coordination; 2) care coordination within the VA system; and 3) care coordination between VA and non-VA providers ...
  
  Date: May 1, 2019
• Effect of Intensive Primary Care on Patient Experience Outcomes
  To address the gap in evidence about patient experiences with intensive primary care, study investigators conducted a survey of Veterans in a five-site randomized trial of intensive primary care in the VA healthcare system. Findings showed that augmenting VA’s patient-centered medical home with intensive primary care had a modestly positive influence on high-risk patients’ experiences with care co...
  
  Date: May 1, 2019
• Receipt of Opioid Prescriptions from Both VA and Medicare Associated with Greater Likelihood of Overdose Death
  This study assessed the association between dual receipt of opioid prescriptions from VA and Medicare Part D and prescription opioid overdose death among Veterans enrolled in both VA and Part D. Findings showed that receipt of opioid prescriptions from both VA and Part D was associated with 2-3 times greater odds of overdose death than among Veterans receiving opioids from VA or Part D only. Dual ...
  
  Date: March 12, 2019
• Pharmacotherapy for Opioid Use Disorder Highly Variable across VA Residential Substance Abuse Treatment Programs
  Pharmacotherapy, including methadone, buprenorphine, and naltrexone, is both efficacious and cost-effective for treating opioid use disorder (OUD), however it is infrequently prescribed in VA. Investigators in this study sought to describe barriers to and facilitators of pharmacotherapy provided to a national cohort of VA patients with OUD in VA residential substance use disorder (SUD) treatment p...
  
  Date: November 1, 2018
• High-Risk Veterans with Access to Primary Care Intensive Management Receive Increased Outpatient Care without Increased Cost
  Intensive Management (IM) models aim to proactively reduce complex patients’ deteriorations in health and resultant high-cost hospitalizations through interdisciplinary teams, care coordination, and support for care transitions. This study evaluated the impact of outpatient primary care IM programs on health care utilization and cost at five VA medical centers. Findings showed that Veterans receiv...
  
  Date: June 19, 2018

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• FORUM, August 2014: Care coordination and PACT
  ...efforts to address care coordination challenges Improving Care Coordination When Referring Patients to Subspecialists: Can Electronic Health...
  
  
• FORUM, October 2014: Care coordination and PACT, research highlights, announcements
  ...FORUM, October 2014: Care coordination and PACT, research highlights, announcements HSR&D Home October 2014 Download PDF version (251 KB) In This...
  
  
• In Progress: Care Coordination
  ...In This Issue: Care Coordination Overview Ongoing HSR&D Studies Identifying and Delivering Point-of-Care Information to Improve Care Coordination...
  
  
• FORUM, August 2014: Care coordination and PACT
  ...FORUM, August 2014: Care coordination and PACT HSR&D Home August 2014 » Back to Table of Contents Research Highlight Facilitating Care Transitions...
  
  
• FORUM, August 2014: Care coordination and PACT
  ...care coordination challenges. More than 80 percent of VA primary care directors reported frequent care coordination problems with at least one...
  
  

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Videos

• Research to Improve Specialty Care Coordination 04/28/16

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Other Resources

• Visit the VA’s Office of Community Care to learn more about requesting care coordination services with community providers.
• Visit the Care Coordination Quality Enhancement Research Initiative to learn more about their work.
• Learn more about care coordination at the Agency for Healthcare Research & Quality.