ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026
Five Milestones to Addressing Rural Veteran Care Coordination, Care Management, and Case Management Needs: An Integrated Case Management Practice Framework.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
purposeVeterans often experience fragmented care across clinics and health systems, with rural veterans facing additional challenges such as navigating community care. To address these needs, the Veterans Health Administration (VHA) implemented Care Coordination and Integrated Case Management (CCICM), a standardized, clinical practice framework that assigns high-needs veterans a lead coordinator to assess needs, coordinate services, and reduce fragmentation. Evidence describing CCICM implementation in rural settings is limited. This project examined CCICM implementation across rural facilities.
methodsThis multi-methods project assessed CCICM implementation at six rural VHA facilities participating in an Office of Rural Health Enterprise-Wide Initiative (EWI) October 2024 through September 2025. Implementation proceeded through five milestones: (1) Leadership Awareness; (2) Facility Readiness; (3) Preparing to Implement; (4) Systems and Clinical Integration; and (5) Establishment of a Governance Structure. Structure and process evaluation used quantitative data and qualitative interviews, focus groups, and observations. VA Generative Pre-trained Transformer transcript summarization with human review supported rapid matrix content analysis.
findingsAll six sites achieved clinical integration; one site will not continue due to staffing constraints. Over 80% of veterans identified for care coordination had moderate or complex, most commonly medical or physical, needs. Veterans assigned a Lead Coordinator (n = 245) were predominantly older, male, White, and rural. Four elements associated with successful implementation were strong leadership, effective change-management, clear communication, and tailored veteran engagement. Enhanced EWI supports facilitated workflow alignment and sustainability planning.
conclusionsStructured, leadership-supported system changes can improve rural veteran care coordination. CCICM offers a reproducible model for coordinated care across diverse settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.