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Nov 3, 2024 | 
link.springer.com | Value-Driven Care
AbstractVaccine hesitancy, especially related to COVID-19 vaccinations among Veterans, may limit uptake. Behaviorally informed text-based messages have the potential to improve uptake of COVID-19 vaccinations. To evaluate the impact of two different behaviorally informed text message nudges on COVID-19 vaccine scheduling and completion, compared to standard control message. Prospective, three-arm patient-level randomized quality improvement trial.
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Oct 28, 2024 | 
jamanetwork.com | Kevin Duan |Value-Driven Care |Edwin Wong |Joshua Liao
Supplemental Oxygen Use, Outcomes, and Spending in Patients With COPD in the Medicare Competitive Bidding Program Key PointsQuestion What is the association between implementation of lower reimbursement rates through the Medicare Competitive Bidding Program (CBP) and supplemental oxygen use among patients with chronic obstructive pulmonary disease (COPD)?
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Oct 21, 2024 | 
link.springer.com | Value-Driven Care
AbstractSocial risks (individual social and economic conditions) have been implicated as playing a major role in the opioid epidemic and may be more prevalent in the most medically vulnerable patients. However, the extent to which specific social risks and other patient factors are associated with opioid use among high-risk patients has not been comprehensively assessed.
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May 22, 2024 | 
link.springer.com | Value-Driven Care
AbstractThe prevalence of co-occurring chronic pain and posttraumatic stress disorder (PTSD) has yet to be established in a nationally representative sample of US veterans, and little is known about the individual contributing roles of these disorders to the psychiatric and functional burden of this comorbidity. To determine the prevalence of chronic pain, PTSD, and co-occurring chronic pain and PTSD, and psychiatric comorbidities and psychosocial functioning in these groups.
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Apr 15, 2024 | 
link.springer.com | Value-Driven Care
AbstractPragmatism in clinical trials is focused on increasing the generalizability of research findings for routine clinical care settings. Hybridism in clinical trials (i.e., assessing both clinical effectiveness and implementation success) is focused on speeding up the process by which evidence-based practices are developed and adopted into routine clinical care.
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Apr 14, 2024 | 
link.springer.com | Value-Driven Care
AbstractThe Veterans Health Administration increased synchronous telemedicine (video and telephone visits) in primary care in response to the COVID-19 pandemic. Our objective was to determine veteran use patterns of in-person and telemedicine primary care when all modalities were available. A retrospective cohort analysis.
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Jan 22, 2024 | 
link.springer.com | Value-Driven Care
AbstractVirtual care, including synchronous and asynchronous telehealth, remote patient monitoring, and the collection and interpretation of patient-generated health data (PGHD), has the potential to transform healthcare delivery and increase access to care. The Veterans Health Administration (VHA) Office of Health Services Research and Development (HSR&D) convened a State-of-the-Art (SOTA) Conference on Virtual Care to identify future virtual care research priorities.
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Jan 3, 2024 | 
implementationscience.biomedcentral.com | P. Michael |Value-Driven Care
VHA provides inpatient and outpatient clinical care for veterans and active-duty service members with acquired absence of a limb using a multidisciplinary approach at over 150 sites across the USA. This team-based clinical pathway provides comprehensive and lifelong prosthetic limb care with the goal of optimizing functional independence and quality of life.
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Oct 5, 2023 | 
link.springer.com | Value-Driven Care
AbstractElectronic health record (EHR) transitions are increasingly widespread and often highly disruptive. It is imperative we learn from past experiences to anticipate and mitigate such disruptions. Veterans Affairs (VA) is undergoing a large-scale transition from its homegrown EHR (CPRS/Vista) to a commercial EHR (Cerner), creating a unique opportunity of shedding light on large-scale EHR-to-EHR transition challenges.
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Oct 5, 2023 | 
link.springer.com | Value-Driven Care
AbstractHealthcare organizations regularly manage external stressors that threaten patient care, but experiences handling concurrent stressors are not well characterized. To evaluate the experience of Veterans Affairs (VA) clinicians and staff navigating simultaneous organizational stressors—an electronic health record (EHR) transition and the COVID-19 pandemic—and identify potential strategies to optimize management of co-occurring stressors.
