Evidence map›Paper›PMID 31098968›Full record

ArticleJournal of general internal medicine2019

Recommendations for the Evaluation of Cross-System Care Coordination from the VA State-of-the-art Working Group on VA/Non-VA Care.

Kristin M Mattocks, Kristin Cunningham, A Rani Elwy, Erin P Finley, Clinton Greenstone, Michelle A Mengeling, Steven D Pizer, Megan E Vanneman, Michael Weiner, Lori A Bastian

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Gynecologist Supply Deserts Across the VA and in the Community.Journal of general internal medicine · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Preventive Care Delivery After the Veterans Choice Program.American journal of preventive medicine · 2021
    Article
  17. Article
  18. Article
  19. VA Academic Affiliations Matter in the Era of Community Care: A Model From California.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kristin M MattocksVA Central Western Massachusetts Healthcare System, Leeds, MA, USA. Kristin.Mattocks@va.gov.
Kristin CunninghamVHA Office of Community Care, Washington, DC, USA.
A Rani ElwyCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Erin P FinleySouth Texas Veterans Health Care System, San Antonio, TX, USA.
Clinton GreenstoneVHA Office of Community Care, Washington, DC, USA.
Michelle A MengelingThe Center for Comprehensive Access & Delivery Research and Evaluation (CADRE) and VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VA Health Care System, Iowa City, IA, USA.
Steven D PizerVA Boston Healthcare System, Boston, MA, USA.
Megan E VannemanInformatics, Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Michael WeinerVA Health Services Research and Development Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Lori A BastianDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to widespread concerns regarding Veterans' access to VA care, Congress enacted the Veterans Access, Choice and Accountability Act of 2014, which required VA to establish the Veterans Choice Program (VCP). Since the inception of VCP, more than two million Veterans have received care from community providers, representing approximately 25% of Veterans enrolled in VA care. However, expanded access to non-VA care has created challenges in care coordination between VA and community health systems. In March 2018, the VA Health Services Research & Development Service hosted a VA State of the Art conference (SOTA) focused on care coordination. The SOTA convened VA researchers, program directors, clinicians, and policy makers to identify knowledge gaps regarding care coordination within the VA and between VA and community systems of care. This article provides a summary and synthesis of relevant literature and provides recommendations generated from the SOTA about how to evaluate cross-system care coordination. Care coordination is typically evaluated using health outcomes including hospital readmissions and death; however, in cross-system evaluations of care coordination, measures such as access, cost, Veteran/patient and provider satisfaction (including with cross-system communication), comparable quality metrics, context (urban vs. rural), and patient complexity (medical and mental health conditions) need to be included to fully evaluate care coordination effectiveness. Future research should examine the role of multiple individuals coordinating VA and non-VA care, and how these coordinators work together to optimize coordination.

Indexed as

Continuity of Patient CareDelivery of Health Care, IntegratedHealth Services AccessibilityHumansQuality of Health CareUnited StatesUnited States Department of Veterans AffairsVeterans Healthcare coordinationdelivery of healthcarehealth information interoperabilityVeterans

Identifiers

PMID31098968
PMCPMC6542862

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.