Scholars@Duke
George Lee Jackson

George Lee Jackson

Adjunct Professor in Population Health Sciences
Population Health Sciences
george.l.jackson@duke.edu
Duke Box 2720, Durham, NC 27705
215 Morris Street, Suite 210, Duke Department of Population Health Sci, Durham, NC 27701

Selected Publications

Implementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To assess whether a team collaboration strategy (CONNECT) improves implementation outcomes of a family caregiver skills training program (iHI-FIVES). DATA SOURCES AND STUDY SETTING: iHI-FIVES was delivered to caregivers at eight Veterans Affairs ... Full text Link to item Cite

"This has reinvigorated me": perceived impacts of an innovation training program on employee experience and innovation support.

Journal Article J Health Organ Manag · October 10, 2024 PURPOSE: Innovation is widely desired within healthcare organizations, yet the efficacy of programs aimed at fostering it remain largely unassessed, with little consideration given to their effects on employee experience. The Veterans Health Administration ... Full text Link to item Cite

A stepped wedge cluster randomized trial to evaluate the effectiveness of a multisite family caregiver skills training program.

Journal Article Health Serv Res · August 13, 2024 OBJECTIVE: To assess the effects of an evidence-based family caregiver training program (implementation of Helping Invested Families Improve Veteran Experiences Study [iHI-FIVES]) in the Veterans Affairs healthcare system on Veteran days not at home and fa ... Full text Link to item Cite

Enhancing team communication to improve implementation of a supervised walking program for hospitalized veterans: Evidence from a multi-site trial in the Veterans Health Administration.

Journal Article PM R · July 5, 2024 INTRODUCTION: The timely translation of evidence-based programs into real-world clinical settings is a persistent challenge due to complexities related to organizational context and team function, particularly in inpatient settings. Strategies are needed t ... Full text Link to item Cite

Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration.

Journal Article Implement Sci · May 7, 2024 BACKGROUND: The Veterans Health Administration (VHA) is the United States largest learning health system. The Diffusion of Excellence (DoE) program is a large-scale model of diffusion that identifies and diffuses evidence-informed practices across VHA. Dur ... Full text Link to item Cite

Social determinants of health and treatment center affiliation: analysis from the sickle cell disease implementation consortium registry.

Journal Article BMC Health Serv Res · March 6, 2024 BACKGROUND: Adults with sickle cell disease (SCD) suffer early mortality and high morbidity. Many are not affiliated with SCD centers, defined as no ambulatory visit with a SCD specialist in 2 years. Negative social determinants of health (SDOH) can impair ... Full text Link to item Cite

Examining veterans' preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?

Journal Article Psychol Serv · February 26, 2024 Understanding the modality by which veterans prefer to receive couples-based posttraumatic stress disorder (PTSD) treatment (i.e., home-based telehealth, in-person) may increase engagement in PTSD psychotherapy. This study aimed to understand veterans' pre ... Full text Link to item Cite

Implementation of Direct-to-Patient Mobile Teledermatology in VA.

Journal Article J Gen Intern Med · February 2024 BACKGROUND: Innovative technology can enhance patient access to healthcare but must be successfully implemented to be effective. OBJECTIVE: We evaluated Department of Veterans Affairs' (VA's) implementation of My VA Images, a direct-to-patient asynchronous ... Full text Link to item Cite

NP and PA transition to practice: A scoping review of fellowships and onboarding programs.

Journal Article JAAPA · December 1, 2023 OBJECTIVES: Newly graduated NPs and physician associates/assistants (PAs) benefit from transition to practice (TTP) support to move successfully into practice. TTP programs (such as onboarding programs, fellowships, and residencies) hold promise for improv ... Full text Open Access Link to item Cite

Nurse practitioner and physician assistant transition to practice: A scoping review of fellowships and onboarding programs.

Journal Article J Am Assoc Nurse Pract · December 1, 2023 BACKGROUND: Newly graduated nurse practitioners (NPs) and physician assistants (PAs) benefit from transition-to-practice (TTP) support to move successfully into practice. Transition-to-practice programs (i.e., onboarding programs and fellowships/residencie ... Full text Link to item Cite

Supporting Veteran's Administration Medical Center Directors' Decisions When Adopting Innovative Practices: Development and Implementation of the "QuickView" and "WishList" Tools.

Journal Article Perm J · September 15, 2023 Background Since 2015, the Veterans Health Administration (VHA) Diffusion of Excellence Program has supported spread of practices developed by frontline employees. Shark Tank-style competitions encourage "Sharks" nationwide (VHA medical center/regional dir ... Full text Link to item Cite

Veterans' reasons for dropping out of prolonged exposure therapy across three delivery modalities: A qualitative examination.

Journal Article Psychological services · August 2023 Premature dropout from posttraumatic stress disorder treatment (PTSD) hinders treatment response. Studies have primarily used quantitative methodology to identify factors that contribute to Veterans' premature dropout, which has yielded mixed results. Qual ... Full text Cite

Use of a Medication Safety Audit and Feedback Tool in the Emergency Department Is Affected by Prescribing Characteristics.

Journal Article Appl Clin Inform · August 2023 BACKGROUND: The Enhancing Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department (EQUIPPED) program developed an audit and feedback health information technology (IT) solution with the intent to replace the in-person a ... Full text Link to item Cite

Non-overdose acute care hospitalizations for opioid use disorder among commercially-insured adults: a retrospective cohort study.

Journal Article Addict Sci Clin Pract · July 11, 2023 BACKGROUND: Acute care inpatient admissions outside of psychiatric facilities have been increasingly identified as a critical touchpoint for opioid use disorder (OUD) treatment. We sought to describe non-opioid overdose hospitalizations with documented OUD ... Full text Link to item Cite

Rolling out PRIDE in All Who Served: Barriers and Facilitators for Sites Implementing an LGBTQ+ Health Education Group for Military Veterans.

Journal Article J Gen Intern Med · July 2023 BACKGROUND/OBJECTIVE: The Veterans Health Administration (VHA) PRIDE in All Who Served health education group (PRIDE) was developed to improve health equity and access to care for military veterans who are lesbian, gay, bisexual, transgender, queer, and/or ... Full text Link to item Cite

Leveraging Organizational Conditions for Innovation: A Typology of Facility Engagement in the Veterans Health Administration Shark Tank-Style Competition.

Journal Article Perm J · June 15, 2023 Introduction The development and spread of innovation are known challenges in health care. The US Veterans Health Administration (VHA) created a "Shark Tank"-style competition directed at frontline employees. In this annual, systemwide competition, employe ... Full text Link to item Cite

Impact of primary care usual provider type and provider interdependence on outcomes for patients with diabetes: a cohort study.

Conference BMJ Open Qual · June 2023 BACKGROUND: Interprofessional primary care (PC) teams are key to the provision of high-quality care. PC providers often 'share' patients (eg, a patient may see multiple providers in the same clinic), resulting in between-visit interdependence between provi ... Full text Link to item Cite

Research-practice partnerships: Adapting a care coordination intervention for rural Veterans over 3 years at multiple sites.

Conference J Rural Health · June 2023 PURPOSE: Rural Veterans are more likely than urban Veterans to qualify for community care (Veterans Health Administration [VHA]-paid care delivered outside of VHA) due to wait times ≥30 days and longer travel times for VHA care. For rural Veterans receivin ... Full text Link to item Cite

Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals : A Stepped-Wedge, Cluster Randomized Trial.

Journal Article Annals of internal medicine · June 2023 BackgroundIn trials, hospital walking programs have been shown to improve functional ability after discharge, but little evidence exists about their effectiveness under routine practice conditions.ObjectiveTo evaluate the effect of implem ... Full text Cite

A cluster-randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

Journal Article Acad Emerg Med · April 2023 OBJECTIVES: The Enhancing the Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department (EQUIPPED) medication safety program involves three core components including provider education, clinical decision support, and audit ... Full text Link to item Cite

Identifying potentially morally injurious events from the Veteran perspective: A qualitative descriptive study

Journal Article Journal of Military, Veteran and Family Health · April 1, 2023 Introduction: Current conceptualizations of potentially morally injurious events (PMIEs) emphasize war atrocities. However, additional research on the breadth of PMIEs could inform provision of patient-centred care for those experiencing moral injury. This ... Full text Cite

Sustainment of diverse evidence-informed practices disseminated in the Veterans Health Administration (VHA): initial development and piloting of a pragmatic survey tool.

Journal Article Implement Sci Commun · January 16, 2023 BACKGROUND: There are challenges associated with measuring sustainment of evidence-informed practices (EIPs). First, the terms sustainability and sustainment are often falsely conflated: sustainability assesses the likelihood of an EIP being in use in the ... Full text Link to item Cite

Organizational Readiness for Patient-Facing Mobile Teledermatology to Care for Established Veteran Patients in the United States.

Journal Article Telemed J E Health · January 2023 Purpose: To improve patient access to skin care, the Department of Veterans Affairs (VA) developed a patient-facing asynchronous mobile teledermatology application (app), which allows patients to follow up remotely with dermatologists. To understand how th ... Full text Link to item Cite

When is caring sharing? Primary care provider interdependence and continuity of care.

Journal Article JAAPA · January 1, 2023 Efforts to improve access to high-quality, efficient primary care have highlighted the need for team-based care. Most primary care teams are designed to maintain continuity of care between patients and primary care providers (PCPs), because continuity of c ... Full text Link to item Cite

Using the RE-AIM framework to assess national teledermatology expansion.

Journal Article Front Health Serv · 2023 BACKGROUND: Teledermatology has been utilized in the United States Department of Veterans Affairs (VA) for decades but continues to have incomplete penetration. VA has funded an initiative to enhance access to dermatology services since 2017 to support asy ... Full text Link to item Cite

Diffusion of excellence: evaluating a system to identify, replicate, and spread promising innovative practices across the Veterans health administration.

Journal Article Front Health Serv · 2023 INTRODUCTION: The Veterans Health Administration (VHA) Diffusion of Excellence (DoE) program provides a system to identify, replicate, and spread promising practices across the largest integrated healthcare system in the United States. DoE identifies innov ... Full text Open Access Link to item Cite

Transition-to-practice programs for newly graduated advanced practice registered nurses and physician assistants: a scoping review protocol.

Journal Article JBI Evid Synth · December 1, 2022 OBJECTIVE: The objective of this scoping review is to map the evidence on transition-to-practice programs for newly graduated advanced practice registered nurses and physician assistants, and describe how they differ. Additional objectives include summariz ... Full text Link to item Cite

Healthcare Utilization for Medicaid-Insured Children with Medical Complexity: Differences by Sociodemographic Characteristics.

Journal Article Matern Child Health J · December 2022 OBJECTIVE: To compare differences in healthcare utilization and costs for Medicaid-insured children with medical complexity (CMC) by race/ethnicity and rurality. METHODS: Retrospective cohort of North Carolina (NC) Medicaid claims for children 3-20 years o ... Full text Link to item Cite

Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes.

Journal Article J Gen Intern Med · September 2022 BACKGROUND: Rural patients with type 2 diabetes (T2D) may experience poor glycemic control due to limited access to T2D specialty care and self-management support. Telehealth can facilitate delivery of comprehensive T2D care to rural patients, but implemen ... Full text Open Access Link to item Cite

Balancing reality in embedded research and evaluation: Low vs high embeddedness.

Journal Article Learn Health Syst · April 2022 Embedding research and evaluation into organizations is one way to generate "practice-based" evidence needed to accelerate implementation of evidence-based innovations within learning health systems. Organizations and researchers/evaluators vary greatly in ... Full text Link to item Cite

The Impact of COVID-19 on Patient, Family Member, and Stakeholder Research Engagement: Insights from the PREPARE NOW Study.

Journal Article J Gen Intern Med · April 2022 BACKGROUND: Little is known about the impact of COVID-19 on patient, family member, and stakeholder patient-centered outcomes research engagement. OBJECTIVE: To answer the research questions: (1) What is the impact of COVID-19 on the lives of patients with ... Full text Link to item Cite

Teaming up in primary care: Membership boundaries, interdependence, and coordination.

Journal Article JAAPA · February 1, 2022 OBJECTIVE: Increased demand for quality primary care and value-based payment has prompted interest in implementing primary care teams. Evidence-based recommendations for implementing teams will be critical to successful PA participation. This study sought ... Full text Link to item Cite

Collaborative spiritual care for moral injury in the veterans Affairs Healthcare System (VA): Results from a national survey of VA chaplains.

Journal Article J Health Care Chaplain · 2022 The psychospiritual nature of moral injury invites consideration regarding how chaplains understand the construct and provide care. To identify how chaplains in the VA Healthcare System conceptualize moral injury, we conducted an anonymous online survey (N ... Full text Open Access Link to item Cite

Core Components of Moral Injury Groups Co-Facilitated by Mental Health Providers and Chaplains.

Journal Article Spiritual Clin Pract (Wash D C ) · 2022 Despite increasing interest in moral injury, there is not yet consensus around what it is (and is not), who can have it and under what circumstances, or the degree and form of distress necessary to distinguish moral injury from other psychological and spir ... Full text Link to item Cite

What does it mean to be affiliated with care?: Delphi consensus on the definition of "unaffiliation" and "specialist" in sickle cell disease.

Journal Article PLoS One · 2022 Accruing evidence reveals best practices for how to help individuals living with Sickle Cell Disease (SCD); yet, the implementation of these evidence-based practices in healthcare settings is lacking. The Sickle Cell Disease Implementation Consortium (SCDI ... Full text Open Access Link to item Cite

Implementation of Mobile Teledermatology: Challenges and Opportunities.

Journal Article Telemed J E Health · December 2021 Background: While teledermatology is well-established in the Department of Veterans Affairs (VA), its implementation is far from complete. To facilitate consultative teledermatology and extend its reach, VA introduced a mobile teledermatology application ( ... Full text Link to item Cite

Are care experiences associated with survival among cancer patients? An analysis of the SEER-CAHPS data resource.

Journal Article Cancer Causes Control · September 2021 PURPOSE: Cancer patients' care experiences encompass the range of interactions with the health care system and are an important indicator of care quality, which may influence survival outcomes. This study evaluates relationships between care experiences an ... Full text Link to item Cite

Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.

Journal Article J Gen Intern Med · August 2021 BACKGROUND: Virtual care is critical to Veterans Health Administration (VHA) efforts to expand veterans' access to care. Health care policies such as the Veterans Access, Choice, and Accountability (CHOICE) Act and the Maintaining Internal Systems and Stre ... Full text Open Access Link to item Cite

Rapid versus traditional qualitative analysis using the Consolidated Framework for Implementation Research (CFIR).

Journal Article Implementation science : IS · July 2021 BackgroundQualitative approaches, alone or in mixed methods, are prominent within implementation science. However, traditional qualitative approaches are resource intensive, which has led to the development of rapid qualitative approaches. Publish ... Full text Cite

Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake.

Journal Article Medical care · June 2021 BackgroundRapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designe ... Full text Open Access Cite

The Veterans Health Administration (VHA) Innovators Network: Evaluation design, methods and lessons learned through an embedded research approach.

Journal Article Healthcare (Amsterdam, Netherlands) · June 2021 BackgroundCollaboration between researchers, implementers and policymakers improves uptake of health systems research. In 2018, researchers and VHA Innovators Network (iNET) leadership used an embedded research model to conduct an evaluation of iN ... Full text Cite

Merging Implementation Practice and Science to Scale Up Promising Practices: The Veterans Health Administration (VHA) Diffusion of Excellence (DoE) Program.

Journal Article Jt Comm J Qual Patient Saf · April 2021 INTRODUCTION: The Veterans Health Administration (VHA) Diffusion of Excellence (DoE) program developed and manages a framework for identification, replication, and diffusion of promising practices throughout the nation's largest integrated health care syst ... Full text Link to item Cite

Implementing Teledermatology for Rural Veterans: An Evaluation Using the RE-AIM Framework.

Journal Article Telemed J E Health · February 2021 Introduction: Few systematic evaluations of implementing teledermatology programs in large health care systems exist. We conducted a longitudinal evaluation of a U.S. Department of Veterans Affairs (VA) initiative to expand asynchronous consultative telede ... Full text Link to item Cite

Preferences for and Experiences of Shared and Informed Decision Making Among Patients Choosing Kidney Replacement Therapies in Nephrology Care.

Journal Article Kidney Med · 2021 RATIONALE & OBJECTIVE: Chronic kidney disease (CKD) can progress rapidly, and patients are often unprepared to make kidney failure treatment decisions. We aimed to better understand patients' preferences for and experiences of shared and informed decision ... Full text Link to item Cite

Engaging patients and family members to design and implement patient-centered kidney disease research.

Journal Article Res Involv Engagem · November 1, 2020 We need more research projects that partner and engage with patients and family members as team members. Doing this requires that patients and family members set research priorities and fully participate in research teams. Models for this patient and famil ... Full text Link to item Cite

Dynamic Diffusion Network: Advancing moral injury care and suicide prevention using an innovative model.

Journal Article Healthc (Amst) · September 2020 Healthcare providers across a wide variety of settings face a common challenge: the need to provide real time care for complex problems that are not adequately addressed by existing protocols. In response to these intervention gaps, frontline providers may ... Full text Link to item Cite

Effect of the Patient-Centered Medical Home on Racial Disparities in Quality of Care.

Journal Article J Gen Intern Med · August 2020 BACKGROUND: Research demonstrates that the patient-centered medical home (PCMH) is associated with improved clinical outcomes and quality of care, and the populations that can most benefit from this model require long-term management, e.g., persons with ch ... Full text Link to item Cite

Utilization and Costs by Primary Care Provider Type: Are There Differences Among Diabetic Patients of Physicians, Nurse Practitioners, and Physician Assistants?

Journal Article Med Care · August 2020 OBJECTIVE: The objective of this study was to compare health care utilization and costs among diabetes patients with physician, nurse practitioner (NP), or physician assistant (PA) primary care providers (PCPs). RESEARCH DESIGN AND METHODS: Cohort study us ... Full text Link to item Cite

21-OR: Implementation of an Intensive Telehealth Intervention for Rural Patients with Uncontrolled Diabetes

Journal Article Diabetes · June 1, 2020 Background: In rural areas, lack of access to specialty care and intensive self-management programs may perpetuate poor diabetes outcomes. Telehealth presents an opportunity to extend specialized diabetes care to rural areas, but may be difficult t ... Full text Cite

The Enhancing Quality of Prescribing Practices for Older Veterans Discharged From the Emergency Department (EQUIPPED) Potentially Inappropriate Medication Dashboard: A Suitable Alternative to the In-person Academic Detailing and Standardized Feedback Reports of Traditional EQUIPPED?

Journal Article Clin Ther · April 2020 PURPOSE: The Enhancing Quality of Prescribing Practices for Older Veterans Discharged From the Emergency Department (EQUIPPED) program is a quality improvement initiative that combines education, clinical decision support (ie, geriatric pharmacy order sets ... Full text Link to item Cite

Advanced CKD Care and Decision Making: Which Health Care Professionals Do Patients Rely on for CKD Treatment and Advice?

Journal Article Kidney Med · 2020 RATIONALE & OBJECTIVE: Chronic kidney disease (CKD) care is often fragmented across multiple health care providers. It is unclear whether patients rely mostly on their nephrologists or non-nephrologist providers for medical care, including CKD treatment an ... Full text Link to item Cite

Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study.

Journal Article Implement Sci Commun · 2020 BACKGROUND: One goal of health systems seeking to evolve into learning health systems is to accelerate the implementation and sustainment of evidence-based practices (EBPs). As part of this evolution, the Veterans Health Administration (VHA) developed the ... Full text Link to item Cite

Bridging the integration gap between patient-generated blood glucose data and electronic health records.

Journal Article J Am Med Inform Assoc · July 1, 2019 Telemedicine can facilitate population health management by extending the reach of providers to efficiently care for high-risk, high-utilization populations. However, for telemedicine to be maximally useful, data collected using telemedicine technologies m ... Full text Open Access Link to item Cite

Implementation of Teledermatology: Theory and Practice

Journal Article Current Dermatology Reports · June 15, 2019 Purpose of Review: Multiple factors influence the success and failure of teledermatology programs. We evaluate the current teledermatology literature using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework developed for ... Full text Cite

Primary care provider type: Are there differences in patients' intermediate diabetes outcomes?

Journal Article JAAPA · June 2019 Growing demand for services is leading primary care organizations to explore new delivery models. One approach incorporates multiple primary care providers on a team. Effective incorporation of multiple clinicians into teams requires well-defined roles, in ... Full text Link to item Cite

Impact Of Physicians, Nurse Practitioners, And Physician Assistants On Utilization And Costs For Complex Patients.

Journal Article Health Aff (Millwood) · June 2019 Because of workforce needs and demographic and chronic disease trends, nurse practitioners (NPs) and physician assistants (PAs) are taking a larger role in the primary care of medically complex patients with chronic conditions. Research shows good quality ... Full text Link to item Cite

An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department.

Journal Article J Pharm Pract · April 2019 OBJECTIVE: To evaluate the impact of an academic detailing intervention delivered as part of a quality improvement project by a physician-pharmacist pair on (1) self-reported confidence in prescribing for older adults and (2) rates of potentially inappropr ... Full text Link to item Cite

Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity.

Journal Article Clin Pediatr (Phila) · January 2019 Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of m ... Full text Open Access Link to item Cite

Clinical factors associated with persistently poor diabetes control in the Veterans Health Administration: A nationwide cohort study.

Journal Article PLoS One · 2019 OBJECTIVE: Patients with persistent poorly-controlled diabetes mellitus (PPDM) despite engagement in clinic-based care are at particularly high risk for diabetes complications and costs. Understanding this population's demographics, comorbidities and care ... Full text Open Access Link to item Cite

Implementing a Mandated Program Across a Regional Health Care System: A Rapid Qualitative Assessment to Evaluate Early Implementation Strategies.

Journal Article Qual Manag Health Care · 2019 BACKGROUND: Rapid qualitative assessment was used to describe early strategies to implement an evidence-based walking program for hospitalized older adults, assiSTed eaRly mobIlity for hospitalizeD older vEterans (STRIDE), mandated by a regional Department ... Full text Link to item Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs nonmetastatic colorectal cancer survivors: a matched case-control analysis.

Journal Article Cancer Manag Res · 2019 PURPOSE: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing nonmetastatic CRC survivors and matched noncancer controls, our objectives were to determine the odds of CRC survivors being diagnosed with c ... Full text Open Access Link to item Cite

Diffusion of Excellence: Accelerating the Spread of Clinical Innovation and Best Practices across the Nation's Largest Health System.

Journal Article Perm J · 2019 The time it takes for clinical innovation and evidence-based practices to reach patients remains a major challenge for the health care sector. In 2015, the Veterans Health Administration (VHA) launched the Diffusion of Excellence Initiative aimed at aligni ... Full text Link to item Cite

Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study.

Journal Article Ann Intern Med · December 18, 2018 BACKGROUND: Primary care provided by nurse practitioners (NPs) and physician assistants (PAs) has been proposed as a solution to expected workforce shortages. OBJECTIVE: To examine potential differences in intermediate diabetes outcomes among patients of p ... Full text Link to item Cite

VA Telederm study: protocol for a stepped-wedge cluster randomised trial to compare access to care for a mobile app versus a workstation-based store-and-forward teledermatology process.

Journal Article BMJ Open · December 14, 2018 INTRODUCTION: Teledermatology has emerged as an important strategy to enhance access to high-quality skin care. VA Telederm is a provider-facing, web-based mobile app designed to integrate into the existing teledermatology workflow in the US Veterans Healt ... Full text Link to item Cite

Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial.

Journal Article Contemp Clin Trials · October 2018 UNLABELLED: Care for patients transitioning from chronic kidney disease to kidney failure often falls short of meeting patients' needs. The PREPARE NOW study is a cluster randomized controlled trial studying the effectiveness of a pragmatic health system i ... Full text Link to item Cite

How Views of the Organization of Primary Care Among Patients with Hypertension Vary by Race or Ethnicity.

Journal Article Mil Med · September 1, 2018 INTRODUCTION: We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested ... Full text Open Access Link to item Cite

Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data.

Journal Article BMC Fam Pract · July 30, 2018 BACKGROUND: Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated with interpersonal continuity of ca ... Full text Link to item Cite

Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol.

Journal Article Implement Sci · April 20, 2018 BACKGROUND: Successful implementation of new clinical programs depends on effectively establishing, reorganizing, or enhancing team structures and processes to coordinate the work of individuals who are interdependent in their tasks, manage relationships, ... Full text Open Access Link to item Cite

Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis.

Journal Article BMC Health Serv Res · March 9, 2018 BACKGROUND: Colorectal cancer (CRC) is the third most commonly diagnosed cancer in the US. CRC survivors may have complex healthcare needs requiring care from both specialists and primary care. Our objective was to understand how CRC survivors perceive the ... Full text Open Access Link to item Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs colorectal cancer survivors: A matched case-control analysis.

Conference Journal of Clinical Oncology · March 1, 2018 4 Background: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing CRC survivors and matched non-cancer controls, our objectives were to determine the odds of CRC survivors bei ... Full text Cite

Measuring sustainability of a grassroots program in a large integrated health care delivery system: the Warrior to Soul Mate Program.

Journal Article J Mil Veteran Fam Health · 2018 INTRODUCTION: Veterans experience many physical and psychosocial adjustment problems that challenge personal relationships and social functioning and successful social reintegration. The Warrior to Soul Mate (W2SM) program uses a structured curriculum [i.e ... Full text Open Access Link to item Cite

Which provider is likely to improve outcomes in diabetes and CVD?

Journal Article Journal of the American Academy of Physician Assistants · December 1, 2017 Full text Cite

Implementing Integrated Mental Health and Chaplain Care in a National Quality Improvement Initiative.

Journal Article Psychiatr Serv · December 1, 2017 This column describes the development, implementation, and outcomes of a quality improvement learning collaborative that aimed to better integrate chaplaincy with mental health care services at 14 participating health care facilities evenly distributed acr ... Full text Link to item Cite

Which provider is likely to improve outcomes in diabetes and CVD?

Journal Article JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS · December 1, 2017 Link to item Cite

Commentaries on health services research

Journal Article JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS · December 1, 2017 Link to item Cite

A problem-solving intervention for cardiovascular disease risk reduction in veterans: Protocol for a randomized controlled trial.

Journal Article Contemp Clin Trials · September 2017 BACKGROUND: Health behaviors related to diet, tobacco usage, physical activity, medication adherence, and alcohol use are highly determinative of risk for developing cardiovascular disease. This paper describes a study protocol to evaluate a problem-solvin ... Full text Link to item Cite

Cancer Incidence Among Patients of the U.S. Veterans Affairs Health Care System: 2010 Update.

Journal Article Mil Med · July 2017 INTRODUCTION: Nearly 50,000 incident cancer cases are reported in Veterans Affairs (VA) Central Cancer Registry (VACCR) annually. This article provides an updated report of cancer incidence recorded in VACCR. MATERIALS AND METHODS: Data were obtained from ... Full text Link to item Cite

TITRATED DISEASE MANAGEMENT FOR HYPERTENSION

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2017 Link to item Cite

Linkage between theory-based measurement of organizational readiness for change and lessons learned conducting quality improvement-focused research.

Journal Article Learn Health Syst · April 2017 Organizations have different levels of readiness to implement change in the patient care process. The Hypertension Telemedicine Nurse Implementation Project for Veterans (HTN-IMPROVE) is an example of an innovation that seeks to enhance delivery of care fo ... Full text Open Access Link to item Cite

Implementation of Lung Cancer Screening in the Veterans Health Administration.

Journal Article JAMA Intern Med · March 1, 2017 IMPORTANCE: The US Preventive Services Task Force recommends annual lung cancer screening (LCS) with low-dose computed tomography for current and former heavy smokers aged 55 to 80 years. There is little published experience regarding implementing this rec ... Full text Link to item Cite

Evaluating the Impact of Medication Safety Alerts on Prescribing of Potentially Inappropriate Medications for Older Veterans in an Ambulatory Care Setting.

Journal Article J Pharm Pract · February 2017 Potentially inappropriate medications (PIMs) have been associated with poor outcomes in older adults. Electronic health record (EHR)-based interventions may be an effective way to reduce PIM prescribing. The main objective of this study was to evaluate cha ... Full text Link to item Cite

Factors Associated With Having a Physician, Nurse Practitioner, or Physician Assistant as Primary Care Provider for Veterans With Diabetes Mellitus.

Journal Article Inquiry · January 1, 2017 Expanded use of nurse practitioners (NPs) and physician assistants (PAs) is a potential solution to workforce issues, but little is known about how NPs and PAs can best be used. Our study examines whether medical and social complexity of patients is associ ... Full text Link to item Cite

Colorectal Cancer Statistics From the Veterans Affairs Central Cancer Registry.

Journal Article Clin Colorectal Cancer · December 2016 BACKGROUND: Colorectal cancer (CRC) is a common and potentially deadly disease. Although the United States has robust cancer data reporting, information from the Department of Veterans Affairs (VA) healthcare system has often been underrepresented in natio ... Full text Open Access Link to item Cite

Primary care physician assistant and advance practice nurses roles: Patient healthcare utilization, unmet need, and satisfaction.

Journal Article Healthc (Amst) · December 2016 PURPOSE: Team-based care involving physician assistants (PAs) and advance practice nurses (APNs) is one strategy for improving access and quality of care. PA/APNs perform a variety of roles on primary care teams. However, limited research describes the rel ... Full text Link to item Cite

Patient characteristics associated with primary care PA and APRN roles.

Journal Article JAAPA · December 2016 OBJECTIVES: Physician assistants (PAs) and advanced practice registered nurses (APRNs) can perform multiple roles on primary care teams, but limited research describes the patients they serve. We sought to identify patient characteristics associated with r ... Full text Link to item Cite

Open-label randomized trial of titrated disease management for patients with hypertension: Study design and baseline sample characteristics.

Journal Article Contemp Clin Trials · September 2016 Despite the availability of efficacious treatments, only half of patients with hypertension achieve adequate blood pressure (BP) control. This paper describes the protocol and baseline subject characteristics of a 2-arm, 18-month randomized clinical trial ... Full text Open Access Link to item Cite

Practical Telemedicine for Veterans with Persistently Poor Diabetes Control: A Randomized Pilot Trial.

Journal Article Telemed J E Health · May 2016 BACKGROUND: Telemedicine-based diabetes management improves outcomes versus clinic care but is seldom implemented by healthcare systems. In order to advance telemedicine-based management as a practical option for veterans with persistent poorly controlled ... Full text Link to item Cite

Chaplains' Engagement with Suicidality among Their Service Users: Findings from the VA/DoD Integrated Mental Health Strategy.

Journal Article Suicide Life Threat Behav · April 2016 Chaplains play an important role in supporting the mental health of current and former military personnel; in this study, the engagement of Department of Veterans Affairs (VA), Army, Navy, and Air Force chaplains with suicidality among their service users ... Full text Link to item Cite

Are Small Reimbursement Changes Enough to Change Cancer Care? Reimbursement Variation in Prostate Cancer Treatment.

Journal Article J Oncol Pract · April 2016 PURPOSE: The Centers for Medicare and Medicaid Services recently initiated small reimbursement adjustments to improve the value of care delivered under fee-for-service. To estimate the degree to which reimbursement influences physician decision making, we ... Full text Link to item Cite

The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data.

Journal Article BMC Health Serv Res · February 11, 2016 BACKGROUND: The National Comprehensive Cancer Network and the American Society of Clinical Oncology have established guidelines for the treatment and surveillance of colorectal cancer (CRC), respectively. Considering these guidelines, an accurate and effic ... Full text Open Access Link to item Cite

Colorectal cancer survivorship statistics: A Veterans Affairs Central Cancer Registry analysis.

Conference Journal of Clinical Oncology · January 20, 2016 e267 Background: Our objective was to evaluate VA CRC incidence and survival and compare with the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data. Methods: Data were obtained from VACCR for vet ... Full text Cite

Impact of Clinical Pharmacy Specialists on the Design and Implementation of a Quality Improvement Initiative to Decrease Inappropriate Medications in a Veterans Affairs Emergency Department.

Journal Article J Manag Care Spec Pharm · January 2016 BACKGROUND: As the proportion of older adult patients who interface with the health care system grows, clinical pharmacy specialists (CPS) have a pivotal role in reducing potentially inappropriate medication (PIM) use in this population. OBJECTIVES: To (a) ... Full text Link to item Cite

Patient characteristics associated with the level of patient-reported care coordination among male patients with colorectal cancer in the Veterans Affairs health care system.

Journal Article Cancer · July 1, 2015 BACKGROUND: The current study was performed to determine whether patient characteristics, including race/ethnicity, were associated with patient-reported care coordination for patients with colorectal cancer (CRC) who were treated in the Veterans Affairs ( ... Full text Link to item Cite

Gonadotropin-releasing hormone agonist overuse: urologists' response to reimbursement and characteristics associated with persistent overuse.

Journal Article Prostate Cancer Prostatic Dis · June 2015 BACKGROUND: Medicare reimbursement cuts have been associated with declining gonadotropin-releasing hormone (GnRH) agonist overuse in localized prostate cancer. Medical school affiliation and foreign training have been associated with persistent overuse. Ho ... Full text Link to item Cite

Evaluating the implementation and sustainability of a program for enhancing veterans' intimate relationships.

Journal Article Mil Med · June 2015 The Warrior to Soul Mate (W2SM) program is a grassroots initiative on the part of Veterans Affairs chaplain services to provide relationship enhancement skills to veterans and significant others based on the Practical Application of Intimate Relationship S ... Full text Link to item Cite

Utilizing Evidence to Address the Health and Health Care Needs of Veterans.

Journal Article N C Med J · 2015 This issue brief focuses on opportunities to address the health needs of our nation's heroes--service members and veterans who have served the United States in the armed forces. Since the North Carolina Medical Journal (NCMJ) last examined this issue in 20 ... Full text Link to item Cite

Implementation of new clinical programs in the VHA healthcare system: the importance of early collaboration between clinical leadership and research.

Journal Article J Gen Intern Med · December 2014 Collaboration between policy, research, and clinical partners is crucial to achieving proven quality care. The Veterans Health Administration has expended great efforts towards fostering such collaborations. Through this, we have learned that an ideal coll ... Full text Link to item Cite

Collaborating across the Departments of Veterans Affairs and Defense to integrate mental health and chaplaincy services.

Journal Article J Gen Intern Med · December 2014 BACKGROUND: Recognizing that clergy and spiritual care providers are a key part of mental health care systems, the Department of Veterans Affairs (VA) and Department of Defense (DoD) jointly examined chaplains' current and potential roles in caring for vet ... Full text Link to item Cite

Do palliative care interventions reduce emergency department visits among patients with cancer at the end of life? A systematic review.

Journal Article J Palliat Med · December 2014 BACKGROUND: Frequent emergency department (ED) visits are an indicator of poor quality of cancer care. Coordination of care through the use of palliative care teams may limit aggressive care and improve outcomes for patients with cancer at the end of life. ... Full text Link to item Cite

Pastoral care use among post-9/11 veterans who screen positive for mental health problems.

Journal Article Psychol Serv · August 2014 As a result of their military experience, veterans with mental health problems may have unique motivations for seeking help from clergy. Patterns and correlates of seeking pastoral care were examined using a nationwide representative survey that was conduc ... Full text Link to item Cite

Utilization of hospital-based chaplain services among newly diagnosed male Veterans Affairs colorectal cancer patients.

Journal Article J Relig Health · April 2014 The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed i ... Full text Link to item Cite

Patient-reported quality of supportive care among patients with colorectal cancer in the Veterans Affairs Health Care System.

Journal Article J Clin Oncol · March 10, 2014 PURPOSE: High-quality supportive care is an essential component of comprehensive cancer care. We implemented a patient-centered quality of cancer care survey to examine and identify predictors of quality of supportive care for bowel problems, pain, fatigue ... Full text Link to item Cite

Do the benefits of participation in a hypertension self-management trial persist after patients resume usual care?

Journal Article Circ Cardiovasc Qual Outcomes · March 2014 BACKGROUND: Hypertension self-management has been shown to improve systolic blood pressure (BP) control, but longer-term economic and clinical impacts are unknown. The purpose of this article is to examine clinical and economic outcomes 18 months after com ... Full text Open Access Link to item Cite

An examination of racial differences in process and outcome of colorectal cancer care quality among users of the veterans affairs health care system.

Journal Article Clin Colorectal Cancer · December 2013 BACKGROUND: Veterans Affairs (VA) manages the largest US integrated health care system. Although quality of VA colorectal cancer (CRC) care is well chronicled, there is a paucity of research examining racial differences in this care. This study examines ra ... Full text Link to item Cite

Examining potential colorectal cancer care disparities in the Veterans Affairs health care system.

Journal Article J Clin Oncol · October 1, 2013 PURPOSE: Racial disparities in cancer treatment and outcomes are a national problem. The nationwide Veterans Affairs (VA) health system seeks to provide equal access to quality care. However, the relationship between race and care quality for veterans with ... Full text Link to item Cite

Organizational factors associated with readiness to implement and translate a primary care based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study.

Journal Article Implement Sci · September 8, 2013 BACKGROUND: Hypertension is prevalent and often sub-optimally controlled; however, interventions to improve blood pressure control have had limited success. OBJECTIVES: Through implementation of an evidence-based nurse-delivered self-management phone inter ... Full text Open Access Link to item Cite

Wide clinic-level variation in adherence to oral diabetes medications in the VA.

Journal Article J Gen Intern Med · May 2013 BACKGROUND: While there has been extensive research into patient-specific predictors of medication adherence and patient-specific interventions to improve adherence, there has been little examination of variation in clinic-level medication adherence. OBJEC ... Full text Link to item Cite

Using NCCN clinical practice guidelines in oncology to measure the quality of colorectal cancer care in the veterans health administration.

Journal Article J Natl Compr Canc Netw · April 1, 2013 Clinical practice guidelines can be used to help develop measures of quality of cancer care. This article describes the use of a Cancer Care Quality Measurement System (CCQMS) to monitor these measures for colorectal cancer in the Veterans Health Administr ... Full text Link to item Cite

The patient centered medical home. A systematic review.

Journal Article Ann Intern Med · February 5, 2013 BACKGROUND: The patient-centered medical home (PCMH) describes mechanisms for organizing primary care to provide high quality care across the full range of individuals' health care needs.It is being widely implemented by provider organizations and third pa ... Full text Link to item Cite

Stigma, perceived blame, self-blame, and depressive symptoms in men with colorectal cancer.

Journal Article Psychooncology · January 2013 BACKGROUND: We measured the prevalence of stigma, self-blame, and perceived blame from others for their illness among men with colorectal cancer (CRC) and examined whether these factors were associated with depressive symptoms, independent of clinical and ... Full text Link to item Cite

Chaplaincy and mental health in the department of Veterans affairs and department of defense.

Journal Article J Health Care Chaplain · 2013 Chaplains play important roles in caring for Veterans and Service members with mental health problems. As part of the Department of Veterans Affairs (VA) and Department of Defense (DoD) Integrated Mental Health Strategy, we used a sequential approach to ex ... Full text Link to item Cite

The association of race with timeliness of care and survival among Veterans Affairs health care system patients with late-stage non-small cell lung cancer.

Journal Article Cancer Manag Res · 2013 BACKGROUND: Non-small cell lung cancer is the leading cause of cancer-related mortality in the United States. Patients with late-stage disease (stage 3/4) have five-year survival rates of 2%-15%. Care quality may be measured as time to receiving recommende ... Full text Link to item Cite

Examining potential cancer care disparities in an equal access system: Quality of colorectal cancer care (CRC) in the Veterans Affairs (VA) health care system.

Journal Article J Clin Oncol · December 2012 229 Background: Racial disparities in cancer treatment and outcomes are a substantial problem nationally. The Veterans Affairs (VA) health system is nationwide, with goals of being equal access and delivering high-quality care; however, the presence or ext ... Full text Link to item Cite

Racial differences in the effect of a telephone-delivered hypertension disease management program.

Journal Article J Gen Intern Med · December 2012 BACKGROUND: African Americans are significantly more likely than whites to have uncontrolled hypertension, contributing to significant disparities in cardiovascular disease and events. OBJECTIVE: The goal of this study was to examine whether there were dif ... Full text Open Access Link to item Cite

Implementation of automated reporting of estimated glomerular filtration rate among Veterans Affairs laboratories: a retrospective study.

Journal Article BMC Med Inform Decis Mak · July 12, 2012 BACKGROUND: Automated reporting of estimated glomerular filtration rate (eGFR) is a recent advance in laboratory information technology (IT) that generates a measure of kidney function with chemistry laboratory results to aid early detection of chronic kid ... Full text Open Access Link to item Cite

Closing the quality gap: revisiting the state of the science (vol. 2: the patient-centered medical home).

Journal Article Evid Rep Technol Assess (Full Rep) · July 2012 OBJECTIVES: As part of the Closing the Quality Gap: Revisiting the State of the Science series of the Agency for Healthcare Research and Quality (AHRQ), this systematic review sought to identify completed and ongoing evaluations of the comprehensive patien ... Link to item Cite

Measures of adherence to oral hypoglycemic agents at the primary care clinic level: the role of risk adjustment.

Journal Article Med Care · July 2012 BACKGROUND: Prior research found that in the Veterans Affairs health care system (VA), the proportion of patients adherent to oral hypoglycemic agents varies from 50% to 80% across primary care clinics. This study examined whether variation in patient and ... Full text Link to item Cite

Cancer incidence among patients of the U.S. Veterans Affairs Health Care System.

Journal Article Mil Med · June 2012 OBJECTIVE: Approximately 40,000 incident cancer cases are reported in the Veterans Affairs Central Cancer Registry (VACCR) annually (approximately 3% of U.S. cancer cases). Our objective was to provide the first comprehensive description of cancer incidenc ... Full text Link to item Cite

Transportation: a vehicle or roadblock to cancer care for VA patients with colorectal cancer?

Journal Article Clin Colorectal Cancer · March 2012 BACKGROUND: Patients must have transportation to the treatment site before they can access appropriate cancer care. This article describes factors associated with patients experiencing transportation-related barriers to accessing cancer care. PATIENTS AND ... Full text Link to item Cite

Resilience in chronic illness

Journal Article · December 1, 2011 Resilience has been written about and valued since time immemorial. Its value is transmitted down generations through adages, mythology, anecdotes, and even children's books. In essence, resilience can be thought of as a process of successfully adapting to ... Full text Open Access Cite

Defining core issues in utilizing information technology to improve access: evaluation and research agenda.

Journal Article J Gen Intern Med · November 2011 The Department of Veterans Affairs (VA) has been at the vanguard of information technology (IT) and use of comprehensive electronic health records. Despite the widespread use of health IT in the VA, there are still a variety of key questions that need to b ... Full text Open Access Link to item Cite

Employment of mid-level providers in primary care and control of diabetes.

Journal Article Prim Care Diabetes · April 2011 AIMS: Examine potential associations between inclusion of mid-level providers in United States Veterans Affairs (VA) primary care programs and diabetes control. METHODS: We established a cohort of diabetes patients (alive October 1, 1999) using the VA Diab ... Full text Link to item Cite

Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid.

Journal Article Transl Behav Med · March 2011 Elevated blood pressure can lead to serious patient morbidity and mortality. The aim of the study was to evaluate the implementation of a tailored multifaceted program, administered by care managers in a Medicaid setting to improve hypertension medication ... Full text Open Access Link to item Cite

Use of psychosocial support services among male Veterans Affairs colorectal cancer patients.

Journal Article J Psychosoc Oncol · 2011 The authors describe use of psychosocial services within +/- 3 months of diagnosis among male colorectal cancer (CRC) patients treated within the Veterans Affairs (VA) health care system. Analysis included 1,199 patients with CRC treated at 27 VA medical c ... Full text Link to item Cite

Colonoscopy withdrawal time and risk of neoplasia at 5 years: results from VA Cooperative Studies Program 380.

Journal Article Am J Gastroenterol · August 2010 OBJECTIVES: Withdrawal time (WT) has been proposed as a quality indicator for colonoscopy based on evidence that it is directly related to the rate of adenoma detection. Our objective was to test the hypothesis that baseline WT is inversely associated with ... Full text Link to item Cite

The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).

Journal Article Implement Sci · July 16, 2010 BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implemen ... Full text Open Access Link to item Cite

Quality of nonmetastatic colorectal cancer care in the Department of Veterans Affairs.

Journal Article J Clin Oncol · July 1, 2010 PURPOSE: The Veterans Affairs (VA) healthcare system treats approximately 3% of patients with cancer in the United States each year. We measured the quality of nonmetastatic colorectal cancer (CRC) care in VA as indicated by concordance with National Compr ... Full text Link to item Cite

Medical clinics versus usual care for patients with both diabetes and hypertension: a randomized trial.

Journal Article Ann Intern Med · June 1, 2010 BACKGROUND: Group medical clinics (GMCs) are widely used in the management of diabetes and hypertension, but data on their effectiveness are limited. OBJECTIVE: To test the effectiveness of GMCs in the management of comorbid diabetes and hypertension. DESI ... Full text Link to item Cite

Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.

Journal Article J Gen Intern Med · January 2010 While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to r ... Full text Link to item Cite

Developing and sustaining quality improvement partnerships in the VA: the Colorectal Cancer Care Collaborative.

Journal Article J Gen Intern Med · January 2010 OBJECTIVE: The Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) seeks to develop partnerships between VA health services researchers and clinical managers, with the goal of designing and evaluating interventions to improve the quality ... Full text Link to item Cite

FACILITY LEVEL VARIATION IN ADHERENCE TO ORAL DIABETES MEDICATIONS

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2009 Link to item Cite

Concordance between self-reported race/ethnicity and that recorded in a Veteran Affairs electronic medical record.

Journal Article N C Med J · 2009 BACKGROUND: Using information from electronic health records (EHRs) to examine racial/ethnic health disparities is increasingly common. This study examines the degree of concordance between administratively recorded race/ethnicity and the criterion standar ... Link to item Cite

Improving colorectal cancer screening and care in the Veterans Affairs Healthcare system.

Journal Article Clin Colorectal Cancer · January 2009 The Veterans Health Administration (VHA) has recently launched several nationwide initiatives to improve the quality of its colorectal cancer (CRC) screening and care. The timeliness of follow-up diagnostic tests in patients who have positive noncolonoscop ... Full text Link to item Cite

Racial/ethnic and educational-level differences in diabetes care experiences in primary care.

Journal Article Prim Care Diabetes · February 2008 AIMS: To assess potential racial/ethnic and educational-level differences in the degree to which patients with diabetes who receive primary care from a Veterans Affairs Medical Center report that experiences with the diabetes care system are consistent wit ... Full text Link to item Cite

Association between pharmacy medication refill-based adherence rates and cd4 count and viral-load responses: A retrospective analysis in treatment-experienced adults with HIV.

Journal Article Clin Ther · April 2007 BACKGROUND: Current guidelines and most contemporary statements in the literature indicate that, like other medical conditions, HIV infection requires exceptionally high adherence to highly active antiretroviral therapy (HAART) for successful treatment. OB ... Full text Link to item Cite

Prevalence of refractory hypertension among primary care patients with diabetes

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2007 Link to item Cite

Simultaneous control of intermediate diabetes outcomes among Veterans Affairs primary care patients.

Journal Article J Gen Intern Med · October 2006 BACKGROUND: Guidelines recommend tight control of hemoglobin A1c (HbA1c), low-density lipoprotein cholesterol (LDL-C), and blood pressure (BP) for patients with diabetes. The degree to which these intermediate outcomes are simultaneously controlled has not ... Full text Link to item Cite

Arthritis prevalence and symptoms among US non-veterans, veterans, and veterans receiving Department of Veterans Affairs Healthcare.

Journal Article J Rheumatol · February 2006 OBJECTIVE: . Studies suggest arthritis and rheumatic diseases are common among military veterans, but prior research has not directly compared arthritis between veterans and the general population. This study compared arthritis prevalence and symptoms betw ... Link to item Cite

Veterans Affairs primary care organizational characteristics associated with better diabetes control.

Journal Article Am J Manag Care · April 2005 OBJECTIVE: To examine organizational features of Veterans Affairs (VA) primary care programs hypothesized to be associated with better diabetes control, as indicated by hemoglobin A1C (HbA1C) levels. STUDY DESIGN: Cross-sectional cohort. METHODS: We establ ... Link to item Cite