Veterans Affairs and Rural Community Providers’ Perspectives on Interorganizational Care Coordination: A Qualitative Analysis

2020 ◽  
Author(s):  
Christopher Miller ◽  
Deborah Gurewich ◽  
Lynn Garvin ◽  
Marianne Pugatch ◽  
Elisa Koppelman ◽  
...  
Keyword(s):  
Qualitative Analysis ◽  
Rural Community ◽  
Care Coordination ◽  
Veterans Affairs ◽  
Community Providers

scholarly journals Interorganizational Care Coordination of Rural Veterans by Veterans Affairs and Community Care Programs

Medical Care ◽  
2021 ◽  
Vol 59 (Suppl 3) ◽  
pp. S259-S269
Author(s):  
Lynn A. Garvin ◽  
Marianne Pugatch ◽  
Deborah Gurewich ◽  
Jacquelyn N. Pendergast ◽  
Christopher J. Miller
Keyword(s):  
Care Coordination ◽  
Community Care ◽  
Veterans Affairs

Care coordination at a pediatric accountable care organization (ACO): A qualitative analysis

2017 ◽  
Vol 73 ◽  
pp. 148-155 ◽  
Author(s):  
Baria Hafeez ◽  
Sophia Miller ◽  
Anup D. Patel ◽  
Zachary M. Grinspan
Keyword(s):  
Qualitative Analysis ◽  
Care Coordination ◽  
Accountable Care Organization ◽  
Care Organization ◽  
Accountable Care

scholarly journals Standardizing Care Coordination Within the Department of Veterans Affairs

2019 ◽  
Vol 34 (S1) ◽  
pp. 4-6 ◽  
Author(s):  
Clinton L. Greenstone ◽  
Jennifer Peppiatt ◽  
Kristin Cunningham ◽  
Christina Hosenfeld ◽  
Michelle Lucatorto ◽  
...  
Keyword(s):  
Care Coordination ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs

scholarly journals Association of VA Payment Reform for Dialysis with Spending, Access to Care, and Outcomes for Veterans with ESKD

2020 ◽  
Vol 15 (11) ◽  
pp. 1631-1639
Author(s):  
Virginia Wang ◽  
Shailender Swaminathan ◽  
Emily A. Corneau ◽  
Matthew L. Maciejewski ◽  
Amal N. Trivedi ◽  
...  
Keyword(s):  
Access To Care ◽  
Veterans Affairs ◽  
Dialysis Access ◽  
Department Of Veterans Affairs ◽  
Health Administration ◽  
Payment Reform ◽  
Community Based ◽  
Time Period ◽  
Community Providers ◽  
Dialysis Facilities

Background and objectivesBecause of the limited capacity of its own dialysis facilities, the Department of Veterans Affairs (VA) Veterans Health Administration routinely outsources dialysis care to community providers. Prior to 2011—when the VA implemented a process of standardizing payments and establishing national contracts for community-based dialysis care—payments to community providers were largely unregulated. This study examined the association of changes in the Department of Veterans Affairs payment policy for community dialysis with temporal trends in VA spending and veterans’ access to dialysis care and mortality.Design, setting, participants, & measurementsAn interrupted time series design and VA, Medicare, and US Renal Data System data were used to identify veterans who received VA–financed dialysis in community-based dialysis facilities before (2006–2008), during (2009–2010), and after the enactment of VA policies to standardize dialysis payments (2011–2016). We used multivariable, differential trend/intercept shift regression models to examine trends in average reimbursement for community-based dialysis, access to quality care (veterans’ distance to community dialysis, number of community dialysis providers, and dialysis facility quality indicators), and 1-year mortality over this time period.ResultsBefore payment reform, the unadjusted average per-treatment reimbursement for non–VA dialysis care varied widely ($47–$1575). After payment reform, there was a 44% reduction ($44–$250) in the adjusted price per dialysis session (P<0.001) and less variation in payments for dialysis ($73–$663). Over the same time period, there was an increase in the number of community dialysis facilities contracting with VA to deliver care to veterans with ESKD from 19 to 37 facilities (per VA hospital), and there were no changes in either the quality of community dialysis facilities or crude 1-year mortality rate of veterans (12% versus 11%).ConclusionsVA policies to standardize payment and establish national dialysis contracts increased the value of VA–financed community dialysis care by reducing reimbursement without compromising access to care or survival.

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

Cancer ◽  
2015 ◽  
Vol 121 (13) ◽  
pp. 2207-2213 ◽  
Author(s):  
George L. Jackson ◽  
Leah L. Zullig ◽  
Sean M. Phelan ◽  
Dawn Provenzale ◽  
Joan M. Griffin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Care Coordination ◽  
Patient Characteristics ◽  
Veterans Affairs ◽  
Patient Reported ◽  
Male Patients ◽  
Care System

scholarly journals Reducing avoidable admissions in rural community palliative care: a pilot study of care coordination by General Practice registrars

2016 ◽  
Vol 25 (3) ◽  
pp. 141-147 ◽  
Author(s):  
Thea F. van de Mortel ◽  
Kenneth Marr ◽  
Elizabeth Burmeister ◽  
Hilton Koppe ◽  
Christine Ahern ◽  
...  
Keyword(s):  
Palliative Care ◽  
General Practice ◽  
Pilot Study ◽  
Rural Community ◽  
Care Coordination ◽  
Avoidable Admissions
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