Coordinating Care Across VA Providers and Settings

Policy and Research Recommendations from VA’s State of the Art Conference

Kristina M. Cordasco, Susan M. Frayne, Devan Kansagara, Donna M. Zulman, Steven M. Asch, Robert E. Burke, Edward P. Post, Stephan D. Fihn, Thomas Klobucar, Laurence J. Meyer, Susan R. Kirsh, David Atkins

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Delivering well-coordinated care is essential for optimizing clinical outcomes, enhancing patient care experiences, minimizing costs, and increasing provider satisfaction. The Veterans Health Administration (VA) has built a strong foundation for internally coordinating care. However, VA faces mounting internal care coordination challenges due to growth in the number of Veterans using VA care, high complexity in Veterans’ care needs, the breadth and depth of VA services, and increasing use of virtual care. VA’s Health Services Research and Development service with the Office of Research and Development held a conference assessing the state-of-the-art (SOTA) on care coordination. One workgroup within the SOTA focused on coordination between VA providers for high-need Veterans, including (1) Veterans with multiple chronic conditions; (2) Veterans with high-intensity, focused, specialty care needs; (3) Veterans experiencing care transitions; (4) Veterans with severe mental illness; (5) and Veterans with homelessness and/or substance use disorders. We report on this workgroup’s recommendations for policy and organizational initiatives and identify questions for further research. Recommendations from a separate workgroup on coordinating VA and non-VA care are contained in a companion paper. Leaders from research, clinical services, and VA policy will need to partner closely as they develop, implement, assess, and spread effective practices if VA is to fully realize its potential for delivering highly coordinated care to every Veteran.

Original languageEnglish (US)
Pages (from-to)11-17
Number of pages7
JournalJournal of general internal medicine
Volume34
DOIs
StatePublished - May 15 2019

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Veterans Health
United States Department of Veterans Affairs
Veterans
Research
Organizational Policy
Delivery of Health Care
Homeless Persons
Patient Transfer
Health Services Research
Health Policy
Health Services
Substance-Related Disorders
Patient Care
Costs and Cost Analysis

Keywords

  • case management
  • health services
  • integrated delivery systems
  • organization and management
  • research
  • Veterans Health

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Coordinating Care Across VA Providers and Settings : Policy and Research Recommendations from VA’s State of the Art Conference. / Cordasco, Kristina M.; Frayne, Susan M.; Kansagara, Devan; Zulman, Donna M.; Asch, Steven M.; Burke, Robert E.; Post, Edward P.; Fihn, Stephan D.; Klobucar, Thomas; Meyer, Laurence J.; Kirsh, Susan R.; Atkins, David.

In: Journal of general internal medicine, Vol. 34, 15.05.2019, p. 11-17.

Research output: Contribution to journalArticle

Cordasco, KM, Frayne, SM, Kansagara, D, Zulman, DM, Asch, SM, Burke, RE, Post, EP, Fihn, SD, Klobucar, T, Meyer, LJ, Kirsh, SR & Atkins, D 2019, 'Coordinating Care Across VA Providers and Settings: Policy and Research Recommendations from VA’s State of the Art Conference', Journal of general internal medicine, vol. 34, pp. 11-17. https://doi.org/10.1007/s11606-019-04970-3
Cordasco, Kristina M. ; Frayne, Susan M. ; Kansagara, Devan ; Zulman, Donna M. ; Asch, Steven M. ; Burke, Robert E. ; Post, Edward P. ; Fihn, Stephan D. ; Klobucar, Thomas ; Meyer, Laurence J. ; Kirsh, Susan R. ; Atkins, David. / Coordinating Care Across VA Providers and Settings : Policy and Research Recommendations from VA’s State of the Art Conference. In: Journal of general internal medicine. 2019 ; Vol. 34. pp. 11-17.
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