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01-05-2019 | Care | Editorial

Improving Care Coordination for Veterans Within VA and Across Healthcare Systems

Authors: Kristina M. Cordasco, MD, MPH, MSHS, Denise M. Hynes, PhD, MPH, RN, Kristin M. Mattocks, PhD, MPH, Lori A. Bastian, MD, MPH, Hayden B. Bosworth, PhD, David Atkins, MD, MPH

Published in: Journal of General Internal Medicine | Special Issue 1/2019

Excerpt

In the Veterans’ Health Administration (VA), care coordination is described as facilitating integration of, and navigation through, healthcare services, within and across care settings, to help patients receive the care they need and want without unnecessary duplication of services or avoidable inconvenience.¹ VA coordinates care within VA and with non-VA providers across a continuum of service intensity—from basic care coordination (for all Veterans), to care management (for Veterans with chronic medical illnesses), to highly resource-intensive case management (for Veterans with biopsychosocially complex conditions).² Coordinating care is essential for improving patients’ clinical outcomes, enhancing patients’ experiences of care, increasing provider satisfaction, and decreasing costs.³ …

Veterans’ Health Administration Handbook 1101.10, https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2977, accessed January 23rd, 2019.

Veterans’ Health Administration Handbook 1110.04, https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2884, accessed January 23rd, 2019.

Bodenheimer T. Coordinating Care — A Perilous Journey through the Health Care System. N Engl J Med. 2008; 358(10):1064–1071.CrossRefPubMed

Greenstone CL, Peppiatt J, Cunningham K, et al. Standardizing Care Coordination with the Department of Veterans Affairs J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04997-6.

Peterson K, Anderson J, Bourne D, et al. Health care coordination theoretical frameworks: A systematic scoping review to increase their understanding and use in practice. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04966-z

McDonald K, Singer S, Gorin SS, et al. Incorporating theory into practice: Reconceptualizing exemplary care coordination initiatives from the US Veterans health delivery system. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04969-w

Gittell J, Hajjar L. Implementing patient-centered care reliably in the VHA: How relational coordination and human resource management can help. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04996-7.

Cordasco K, Frayne S, Kansagara D, et al. Coordinating care across VA providers and settings: Policy and research recommendations from VA’s state-of-the-art conference. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04970-3

Mattocks K, Cunningham K, Elwy AR, et al. Recommendations for the evaluation of cross-system care coordination from the VA state-of-the-art working group on VA/non-VA care. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04972-1

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Olmos-Ochoa T, Bharath P, Ganz D, et al. Staff perspectives on primary care teams ad de facto “Hubs” for care coordination in VA: A qualitative study. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04967-y

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Mohr D, Benzer J, Vimalananda V, et al. Organizational coordination and patient experiences of specialty care integration. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04973-0

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Rinne S, Resnick K, Weiner RS, et al. VA provider perspectives on coordinating COPD care across health systems. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04971-2

13.

Zulman D, Chang E, Wong A, et al. Effects of intensive primary care on high-need patient experiences: Survey findings from a Veterans Affairs randomized quality improvement trial. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04965-0

14.

Benzer J, Singer S, Mohr D, et al. Patient-experienced integrated care for diabetes with cardiovascular and mental health comorbidities in the Department of Veterans Affairs. J Gen Intern Med. 2019;

15.

Mattocks K, Cunningham K, Kroll-Desrosiers A, Baldor R, Singer S. Understanding Maternity Care for Women Veterans Using an Integrated Care Model Approach. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04974-z

16.

McCreight MS, Gilmartin HM, Leonard CA, et al. Practical use of process mapping to guide implementation of a care coordination program for rural Veterans. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04968-x

17.

Leonard C, Gilmartin H, McCreight M, et al. Operationalizing an implementation framework to disseminate a care coordination program for rural Veterans. J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-04964-1

Title: Improving Care Coordination for Veterans Within VA and Across Healthcare Systems
Authors: Kristina M. Cordasco, MD, MPH, MSHS
Denise M. Hynes, PhD, MPH, RN
Kristin M. Mattocks, PhD, MPH
Lori A. Bastian, MD, MPH
Hayden B. Bosworth, PhD
David Atkins, MD, MPH
Publication date: 01-05-2019
Publisher: Springer US
Keyword: Care
Published in: Journal of General Internal Medicine / Issue Special Issue 1/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-04999-4

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Other articles of this Special Issue 1/2019

Practical Use of Process Mapping to Guide Implementation of a Care Coordination Program for Rural Veterans

Strengthening Patient-Centered Care in the VHA: A Relational Model of Change

Coordinating Care Across VA Providers and Settings: Policy and Research Recommendations from VA’s State of the Art Conference

Health Care Coordination Theoretical Frameworks: a Systematic Scoping Review to Increase Their Understanding and Use in Practice

Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System

VA Provider Perspectives on Coordinating COPD Care Across Health Systems

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Year in Review: Heart failure and cardiomyopathies

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