What Drives Frequent Emergency Department Use in an Integrated Health System? National Data From the Veterans Health Administration

2013 ◽  
Vol 62 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Kelly M. Doran ◽  
Maria C. Raven ◽  
Robert A. Rosenheck
Keyword(s):  
Emergency Department ◽  
Health System ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
National Data ◽  
Emergency Department Use ◽  
Integrated Health

scholarly journals Suicide Mortality Among Patients Receiving Care in the Veterans Health Administration Health System

2009 ◽  
Vol 169 (8) ◽  
pp. 1033-1038 ◽  
Author(s):  
J. F. McCarthy ◽  
M. Valenstein ◽  
H. M. Kim ◽  
M. Ilgen ◽  
K. Zivin ◽  
...  
Keyword(s):  
Health System ◽  
Veterans Health Administration ◽  
Suicide Mortality ◽  
Veterans Health ◽  
Health Administration

Implementing Lynch Syndrome Screening in the Veterans Health Administration

2018 ◽  
Author(s):  
Maren T. Scheuner ◽  
Marcia Russell ◽  
Jane Peredo ◽  
Alison B. Hamilton ◽  
Elizabeth M. Yano
Keyword(s):  
Health Care ◽  
Lynch Syndrome ◽  
Care Delivery ◽  
Veterans Health Administration ◽  
Population Based ◽  
Integrated Health Care ◽  
Veterans Health ◽  
Health Administration ◽  
Integrated Health

Lynch syndrome (LS) is the most common hereditary colorectal cancer (CRC) syndrome. Diagnosis of LS has important clinical implications for CRC patients and their family members. LS screening in tumor tissue is possible, and screen-positive cases are referred for diagnostic testing. This case study describes how implementation science informed a population-based LS screening program in the Veterans Health Administration (VHA), the largest integrated health care delivery system in the United States. Successful implementation strategies relied on the organizational structures and processes characteristic of integrated health care systems, including data warehousing methods that leverage the electronic health record, case management, and centralized technical assistance. Challenges to sustainability of the population-based program include low prevalence of LS among veterans, limited expertise, organizational changes, and the rapidly evolving field of precision oncology. LS screening is an exemplar case study for implementation science in integrated health care delivery systems.

scholarly journals Mental disorder comorbidity and suicide among 2.96 million men receiving care in the veterans health administration health system.

2013 ◽  
Vol 122 (1) ◽  
pp. 256-263 ◽  
Author(s):  
Kenneth R. Conner ◽  
Amy S. Bohnert ◽  
John F. McCarthy ◽  
Marcia Valenstein ◽  
Robert Bossarte ◽  
...  
Keyword(s):  
Mental Disorder ◽  
Health System ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration
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