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Semin Reprod Med 2019; 37(01): 032-042
DOI: 10.1055/s-0039-1692398
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Coordinating Care for Reproductive Health Malignancies in the Veterans' Health Administration: Promising Practices, Ongoing Challenges, and Future Research

Kristina M. Cordasco
1   VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California
2   Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California
3   Department of Medicine, Geffen School of Medicine at the University of California Los Angeles (UCLA), Los Angeles, California
,
Jessica L. Moreau
1   VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California
,
Neetu Chawla
1   VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California
4   Department of Health Policy and Management, UCLA School of Public Health, Los Angeles, California
› Author Affiliations Funding K.M.C. and N.C. were supported in this work by the Department of Veterans Affairs (VA), VA Quality Enhancement Research Initiative (QUERI) Program “Improving Patient-Centered Care Coordination for High-Risk Veterans in PACT” (# QUE 15–276). J.L.M. was supported by VA QUERI Program “The Enhancing Mental and Physical health of Women through Engagement and Retention (EMPOWER)” (QUE 15–272).
Further Information

Publication History

Publication Date:
11 June 2019 (online)

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Abstract

In cancer care, communication and coordination across the cancer continuum is paramount for delivering effective, high-quality, patient-centered care. However, achieving optimally coordinated cancer care is inherently challenging, especially in the case of Veterans Administration (VA) care for women's reproductive health cancers. Given the relatively small number of women Veterans requiring care for reproductive malignancies, VA often must rely on community providers to deliver this care, necessitating coordination across two or more health care systems. Recently, VA has invested heavily in improving care for women Veterans through several initiatives and efforts. This article reviews VA's successes, challenges, and future opportunities in research and innovation in the context of care coordination across the cancer continuum (i.e., prevention and screening, diagnosis and treatment, survivorship care, palliative and supportive care) for women Veterans with reproductive health malignancies. We describe how coordination of VA care for reproductive health malignancies currently reflects a mix of successes that demonstrate use of strong evidenced-based practices and challenges, with solutions yet to be fully developed and implemented. We conclude that there are a multitude of opportunities for future research, interventions, and potential avenues for implementing innovative approaches to coordinate VA reproductive cancer care across the cancer continuum.

Keywords

care coordination - Veterans - women - reproductive health - cancer

Note

This manuscript is an invited submission for a dedicated issue on the reproductive health needs of the Military and Veterans.


Disclaimer

The views expressed in this article are solely those of the authors, and do not necessarily represent the views of the Department of Veterans Affairs or the U.S. government.


Previous Reporting

The reported findings have not been previously published and the manuscript is not being simultaneously submitted elsewhere.


Compliance with Ethical Standards

All authors declare that they have no conflicts of interest.


 

  • References

  • 1 McDonald KM, Sundaram V, Bravata DM. , et al. Conceptual frameworks and their application to assessing care coordination. In: Shojania KG, McDonald KM, Wachter RM, Owens DK. , eds. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies Technical Review 9 (Prepared by Stanford-UCSF Evidence-Based Practice Center under contract No. 290–02–0017). Vol 7, Chapter 5. Rockville, MD: Agency for Healthcare Research and Quality; 2007. . AHRQ Publication No. 04(07)-0051–7
    Search in Google Scholar
  • 2 Hong NJ, Wright FC, Gagliardi AR, Paszat LF. Examining the potential relationship between multidisciplinary cancer care and patient survival: an international literature review. J Surg Oncol 2010; 102 (02) 125-134
    CrossrefPubMedSearch in Google Scholar
  • 3 Yabroff KR, Davis WW, Lamont EB. , et al. Patient time costs associated with cancer care. J Natl Cancer Inst 2007; 99 (01) 14-23
    CrossrefPubMedSearch in Google Scholar
  • 4 Bodenheimer T. Coordinating care--a perilous journey through the health care system. N Engl J Med 2008; 358 (10) 1064-1071
    CrossrefPubMedSearch in Google Scholar
  • 5 Zapka JG, Taplin SH, Solberg LI, Manos MM. A framework for improving the quality of cancer care: the case of breast and cervical cancer screening. Cancer Epidemiol Biomarkers Prev 2003; 12 (01) 4-13
    PubMedSearch in Google Scholar
  • 6 Institute of Medicine. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Washington, DC: The National Academies Press; 2013
    Search in Google Scholar
  • 7 Institute of Medicine. Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. Washington, DC: The National Academies Press; 2008. . Available at: https://doi.org/10.17226/11993 . Accessed May 21, 2019
    CrossrefSearch in Google Scholar
  • 8 Hewitt M, Greenfield S, Stovall E. From Cancer Patient to Cancer Survivor: Lost in Transition Committee on Cancer Survivorship: Improving Care and Quality of Life, Institute of Medicine and National Research Council. Washington, DC: National Academies Press; 2006
    Search in Google Scholar
  • 9 Gorin SS, Haggstrom D, Han PKJ, Fairfield KM, Krebs P, Clauser SB. Cancer care coordination: a systematic review and meta-analysis of over 30 years of empirical studies. Ann Behav Med 2017; 51 (04) 532-546
    CrossrefPubMedSearch in Google Scholar
  • 10 Taplin SH, Weaver S, Chollette V. , et al. Teams and teamwork during a cancer diagnosis: interdependency within and between teams. J Oncol Pract 2015; 11 (03) 231-238
    CrossrefPubMedSearch in Google Scholar
  • 11 Smith SD, Nicol KM, Devereux J, Cornbleet MA. Encounters with doctors: quantity and quality. Palliat Med 1999; 13 (03) 217-223
    CrossrefPubMedSearch in Google Scholar
  • 12 Bickell NA, Young GJ. Coordination of care for early-stage breast cancer patients. J Gen Intern Med 2001; 16 (11) 737-742
    CrossrefPubMedSearch in Google Scholar
  • 13 Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 2009; 17 (08) 1117-1128
    CrossrefPubMedSearch in Google Scholar
  • 14 Grant S, Motala A, Chrystal JG. , et al. Describing care coordination of gynecologic oncology in western healthcare settings: a rapid review. Transl Behav Med 2018; 8 (03) 409-418
    CrossrefPubMedSearch in Google Scholar
  • 15 Taylor C, Shewbridge A, Harris J, Green JS. Benefits of multidisciplinary teamwork in the management of breast cancer. Breast Cancer (Dove Med Press) 2013; 5: 79-85
    PubMedSearch in Google Scholar
  • 16 Society of Gynecologic Oncology. Creating a New Paradigm in Gynecologic Cancer Care: Policy Proposals for Delivery, Quality and Reimbursement. Chicago, IL: Society of Gynecologic Oncology; 2013
    Search in Google Scholar
  • 17 Frayne SM, Phibbs CS, Saechao F. , et al. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 3. Sociodemographics, Utilization, Costs of Care, and Health Profile. Women's Health Evaluation Initiative, 2014 . Available at: https://www.womenshealth.va.gov/womenshealth/docs/sourcebook_vol_3_final.pdf . Accessed May 21, 2019
    PubMedSearch in Google Scholar
  • 18 Yano EM, Haskell S, Hayes P. Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams. J Gen Intern Med 2014; 29 (Suppl. 02) S703-S707
    PubMedSearch in Google Scholar
  • 19 Hayes PM. Leading the nation in women's health: the important role of research. Womens Health Issues 2011; 21 (4, Suppl): S70-S72
    CrossrefPubMedSearch in Google Scholar
  • 20 U.S. Government Accountability Office. VA Health Care: VA Has Taken Steps to Make Services Available to Women Veterans, but Needs to Revise Key Policies and Improve Oversight Processes. 2010
    PubMedSearch in Google Scholar
  • 21 Landon BE, Wilson IB, Wenger NS. , et al. Specialty training and specialization among physicians who treat HIV/AIDS in the United States. J Gen Intern Med 2002; 17 (01) 12-22
    CrossrefPubMedSearch in Google Scholar
  • 22 Washington DL, Bean-Mayberry B, Mitchell MN, Riopelle D, Yano EM. Tailoring VA primary care to women veterans: association with patient-rated quality and satisfaction. Womens Health Issues 2011; 21 (4, Suppl): S112-S119
    CrossrefPubMedSearch in Google Scholar
  • 23 Shaneyfelt TM. Building bridges to quality. JAMA 2001; 286 (20) 2600-2601
    CrossrefPubMedSearch in Google Scholar
  • 24 Zuchowski JL, Hamilton AB, Washington DL, Gomez AG, Veet L, Cordasco KM. Drivers of continuing education learning preferences for Veterans Affairs women's health primary care providers. J Contin Educ Health Prof 2017; 37 (03) 168-172
    CrossrefPubMedSearch in Google Scholar
  • 25 Zullig LL, Goldstein KM, Sims KJ. , et al. Cancer among women treated in the veterans affairs healthcare system. J Womens Health (Larchmt) 2019; 28 (02) 268-275
    CrossrefPubMedSearch in Google Scholar
  • 26 Zuchowski JL, Chrystal JG, Hamilton AB. , et al. Coordinating care across health care systems for Veterans with gynecologic malignancies: a qualitative analysis. Med Care 2017; 55 (Suppl 7, Suppl 1): S53-S60
    CrossrefPubMedSearch in Google Scholar
  • 27 Washington DL, Caffrey C, Goldzweig C, Simon B, Yano EM. Availability of comprehensive women's health care through Department of Veterans Affairs Medical Center. Womens Health Issues 2003; 13 (02) 50-54
    CrossrefPubMedSearch in Google Scholar
  • 28 Katon JG, Washington DL, Cordasco KM, Reiber GE, Yano EM, Zephyrin LC. Prenatal care for women veterans who use Department of Veterans Affairs Health Care. Womens Health Issues 2015; 25 (04) 377-381
    CrossrefPubMedSearch in Google Scholar
  • 29 Seelig MD, Yano EM, Bean-Mayberry B, Lanto AB, Washington DL. Availability of gynecologic services in the department of veterans affairs. Womens Health Issues 2008; 18 (03) 167-173
    CrossrefPubMedSearch in Google Scholar
  • 30 Cordasco KM, Huynh AK, Zephyrin L. , et al. Building capacity in VA to provide emergency gynecology services for women. Med Care 2015; 53 (04) (Suppl. 01) S81-S87
    CrossrefPubMedSearch in Google Scholar
  • 31 Katon J, Reiber G, Rose D. , et al. VA location and structural factors associated with on-site availability of reproductive health services. J Gen Intern Med 2013; 28 (Suppl. 02) S591-S597
    PubMedSearch in Google Scholar
  • 32 Mattocks KM. Care coordination for women veterans: bridging the gap between systems of care. Med Care 2015; 53 (04) (Suppl. 01) S8-S9
    CrossrefPubMedSearch in Google Scholar
  • 33 Skinner K, Sullivan LM, Tripp TJ. , et al. Comparing the health status of male and female veterans who use VA health care: results from the VA Women's Health Project. Women Health 1999; 29 (04) 17-33
    PubMedSearch in Google Scholar
  • 34 Whitehead AM, Czarnogorski M, Wright SM, Hayes PM, Haskell SG. Improving trends in gender disparities in the Department of Veterans Affairs: 2008-2013. Am J Public Health 2014; 104 (Suppl. 04) S529-S531
    CrossrefPubMedSearch in Google Scholar
  • 35 Atkins D. Health services research on women veterans: a critical partner on the road to patient-centered care. J Gen Intern Med 2013; 28 (02) (Suppl. 02) S498-S499
    CrossrefPubMedSearch in Google Scholar
  • 36 Moyer VA. ; U.S. Preventive Services Task Force. Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012; 156 (12) 880-891 , W312
    PubMedSearch in Google Scholar
  • 37 Siu AL. ; U.S. Preventive Services Task Force. Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med 2016; 164 (04) 279-296
    CrossrefPubMedSearch in Google Scholar
  • 38 Department of Veterans Affairs. VHA Directive 1120: Responsibilities of the National Center for Health Promotion and Disease Prevention (NCP). Washington, DC: 2015
    Search in Google Scholar
  • 39 Bean-Mayberry B, Bastian L, Trentalange M. , et al. Associations between provider designation and female-specific cancer screening in women Veterans. Med Care 2015; 53 (04) (Suppl. 01) S47-S54
    CrossrefPubMedSearch in Google Scholar
  • 40 Perlin JB, Kolodner RM, Roswell RH. The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care. Am J Manag Care 2004; 10 (11, Pt 2): 828-836
    PubMedSearch in Google Scholar
  • 41 Stone EG, Morton SC, Hulscher ME. , et al. Interventions that increase use of adult immunization and cancer screening services: a meta-analysis. Ann Intern Med 2002; 136 (09) 641-651
    PubMedSearch in Google Scholar
  • 42 Shea S, DuMouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc 1996; 3 (06) 399-409
    CrossrefPubMedSearch in Google Scholar
  • 43 Fung CH, Tsai JS, Lulejian A. , et al. An evaluation of the Veterans Health Administration's clinical reminders system: a national survey of generalists. J Gen Intern Med 2008; 23 (04) 392-398
    CrossrefPubMedSearch in Google Scholar
  • 44 Saleem JJ, Patterson ES, Militello L, Render ML, Orshansky G, Asch SM. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc 2005; 12 (04) 438-447
    CrossrefPubMedSearch in Google Scholar
  • 45 Khan S. Military health system transformation implications on health information technology modernization. Mil Med 2018; 183 (3-4): 56-59
    CrossrefPubMedSearch in Google Scholar
  • 46 Maisel NC, Haskell S, Hayes PM. , et al. Readying the workforce: evaluation of VHA's comprehensive women's health primary care provider initiative. Med Care 2015; 53 (04) (Suppl. 01) S39-S46
    CrossrefPubMedSearch in Google Scholar
  • 47 Department of Veterans Affairs. VHA Handbook 1300.01: Health Care Services for Women Veterans. Washington, DC: 2010
    Search in Google Scholar
  • 48 Cordasco KM, Zuchowski JL, Hamilton AB. , et al. Early lessons learned in implementing a women's health educational and virtual consultation program in VA. Med Care 2015; 53 (04) (Suppl. 01) S88-S92
    CrossrefPubMedSearch in Google Scholar
  • 49 Kvasnovsky CL, Kesmodel SB, Gragasin JL. , et al. Expansion of screening mammography in the Veterans Health Administration: implications for breast cancer treatment. JAMA Surg 2013; 148 (11) 999-1004
    CrossrefPubMedSearch in Google Scholar
  • 50 Sabbatini AK, Merck LH, Froemming AT. , et al. Optimizing patient-centered communication and multidisciplinary care coordination in emergency diagnostic imaging: a research agenda. Acad Emerg Med 2015; 22 (12) 1427-1434
    CrossrefPubMedSearch in Google Scholar
  • 51 Easley J, Miedema B, O'Brien MA. , et al; Canadian Team to Improve Community-Based Cancer Care Along the Continuum. The role of family physicians in cancer care: perspectives of primary and specialty care providers. Curr Oncol 2017; 24 (02) 75-80
    PubMedSearch in Google Scholar
  • 52 Easley J, Miedema B, Carroll JC. , et al. Coordination of cancer care between family physicians and cancer specialists: importance of communication. Can Fam Physician 2016; 62 (10) e608-e615
    PubMedSearch in Google Scholar
  • 53 Wagner EH, Ludman EJ, Aiello Bowles EJ. , et al. Nurse navigators in early cancer care: a randomized, controlled trial. J Clin Oncol 2014; 32 (01) 12-18
    PubMedSearch in Google Scholar
  • 54 McAlearney AS, Murray K, Sieck C, Lin JJ, Bellacera B, Bickell NA. The challenge of improving breast cancer care coordination in safety-net hospitals: barriers, facilitators, and opportunities. Med Care 2016; 54 (02) 147-154
    CrossrefPubMedSearch in Google Scholar
  • 55 Colonna S, Halwani A, Ying J, Buys S, Sweeney C. Women with breast cancer in the Veterans Health Administration: demographics, breast cancer characteristics, and trends. Med Care 2015; 53 (04) (Suppl. 01) S149-S155
    CrossrefPubMedSearch in Google Scholar
  • 56 VA Mission Act of 2018. Available at: https://www.congress.gov/bill/115th-congress/senate-bill/2372/text . Accessed August 17, 2018
    PubMed
  • 57 Gijsbers van Wijk CM, van Vliet KP, Kolk AM. Gender perspectives and quality of care: towards appropriate and adequate health care for women. Soc Sci Med 1996; 43 (05) 707-720
    CrossrefPubMedSearch in Google Scholar
  • 58 McCabe MS, Bhatia S, Oeffinger KC. , et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol 2013; 31 (05) 631-640
    CrossrefPubMedSearch in Google Scholar
  • 59 Halpern MT, Viswanathan M, Evans TS, Birken SA, Basch E, Mayer DK. Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract 2015; 11 (01) e19-e27
    CrossrefPubMedSearch in Google Scholar
  • 60 Mayer DK, Deal AM, Crane JM. , et al. Using survivorship care plans to enhance communication and cancer care coordination: results of a pilot study. Oncol Nurs Forum 2016; 43 (05) 636-645
    CrossrefPubMedSearch in Google Scholar
  • 61 Weaver SJ, Jacobsen PB. Cancer care coordination: opportunities for healthcare delivery research. Transl Behav Med 2018; 8 (03) 503-508
    CrossrefPubMedSearch in Google Scholar
  • 62 National Cancer Institute. Side Effects of Cancer Treatment. Available at: https://www.cancer.gov/about-cancer/treatment/side-effects . Accessed August 16, 2018
    PubMed
  • 63 Cooper GS, Kou TD, Reynolds Jr HL. Receipt of guideline-recommended follow-up in older colorectal cancer survivors : a population-based analysis. Cancer 2008; 113 (08) 2029-2037
    CrossrefPubMedSearch in Google Scholar
  • 64 Zullig LL, Kimmick G, Smith V. , et al. Using a geriatric oncology assessment to link with services (GOAL). J Geriatr Oncol 2019; 10 (01) 164-168
    CrossrefPubMedSearch in Google Scholar
  • 65 Naik AD, Martin LA, Karel M. , et al. Cancer survivor rehabilitation and recovery: protocol for the Veterans Cancer Rehabilitation Study (Vet-CaRes). BMC Health Serv Res 2013; 13: 93
    CrossrefPubMedSearch in Google Scholar
  • 66 Mehta P, Haggstrom DA, Latini DM, Ballard EA, Moye J. Cancer Survivorship Care: Summarizing the 6 Tools for Success. Fed Pract 2011; 28 (Suppl. 06) 43S-49S
    PubMedSearch in Google Scholar
  • 67 Ganz PA, Casillas J, Hahn EE. Ensuring quality care for cancer survivors: implementing the survivorship care plan. Semin Oncol Nurs 2008; 24 (03) 208-217
    CrossrefPubMedSearch in Google Scholar
  • 68 Jacobsen PB, DeRosa AP, Henderson TO. , et al. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol 2018; 36 (20) 2088-2100
    CrossrefPubMedSearch in Google Scholar
  • 69 Brennan ME, Gormally JF, Butow P, Boyle FM, Spillane AJ. Survivorship care plans in cancer: a systematic review of care plan outcomes. Br J Cancer 2014; 111 (10) 1899-1908
    CrossrefPubMedSearch in Google Scholar
  • 70 Zullig LL, Ramos K, Berkowitz C. , et al. Assessing key stakeholders' knowledge, needs, and preferences for head and neck cancer survivorship care plans. J Cancer Educ 2018; . [Epub ahead of print]
    CrossrefPubMedSearch in Google Scholar
  • 71 Brumley R, Enguidanos S, Jamison P. , et al. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care. J Am Geriatr Soc 2007; 55 (07) 993-1000
    CrossrefPubMedSearch in Google Scholar
  • 72 Bakitas M, Lyons KD, Hegel MT. , et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA 2009; 302 (07) 741-749
    CrossrefPubMedSearch in Google Scholar
  • 73 Temel JS, Greer JA, Muzikansky A. , et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363 (08) 733-742
    CrossrefPubMedSearch in Google Scholar
  • 74 Mor V, Joyce NR, Coté DL. , et al. The rise of concurrent care for veterans with advanced cancer at the end of life. Cancer 2016; 122 (05) 782-790
    CrossrefPubMedSearch in Google Scholar
  • 75 Bird CE, Shugarman LR, Lynn J. Age and gender differences in health care utilization and spending for Medicare beneficiaries in their last years of life. J Palliat Med 2002; 5 (05) 705-712
    CrossrefPubMedSearch in Google Scholar
  • 76 Roth DL, Haley WE, Wadley VG, Clay OJ, Howard G. Race and gender differences in perceived caregiver availability for community-dwelling middle-aged and older adults. Gerontologist 2007; 47 (06) 721-729
    CrossrefPubMedSearch in Google Scholar
  • 77 Yano EM, Bastian LA, Bean-Mayberry B. , et al. Using research to transform care for women veterans: advancing the research agenda and enhancing research-clinical partnerships. Womens Health Issues 2011; 21 (4, Suppl): S73-S83
    CrossrefPubMedSearch in Google Scholar
  • 78 Chumbler NR, Haggstrom D, Saleem JJ. Implementation of health information technology in Veterans Health Administration to support transformational change: telehealth and personal health records. Med Care 2011; 49 (Suppl): S36-S42
    CrossrefPubMedSearch in Google Scholar
  • 79 U.S. Department of Health and Human Services. Health Resources & Services Administration: Telehealth Programs. Available at: https://www.hrsa.gov/rural-health/telehealth/index.html . Accessed March 11, 2019
    PubMed
  • 80 Darkins A. The growth of telehealth services in the Veterans Health Administration between 1994 and 2014: a study of the diffusion of innovation. Telemed J E Health 2014; 20 (09) 761-768
    CrossrefPubMedSearch in Google Scholar
  • 81 Frayne SM, Mattocks KM. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 2: Sociodemographics and Use of VHA and Non-VA Care (Fee). 2012 . Available at: https://works.bepress.com/kristin_mattocks/20/ . Accessed March 11, 2019
    PubMedSearch in Google Scholar
  • 82 Cordasco KM, Mengeling MA, Yano EM, Washington DL. Health and health care access of rural women Veterans: findings from the National Survey of Women Veterans. J Rural Health 2016; 32 (04) 397-406
    CrossrefPubMedSearch in Google Scholar
  • 83 VA Health Services Research & Development News Feature. “Improving Access to Care through Telehealth.” Available at: https://www.hsrd.research.va.gov/news/feature/telehealth2016.cfm . Accessed March 11, 2019
    PubMed
  • 84 Vimalananda VG, Gupte G, Seraj SM. , et al. Electronic consultations (e-consults) to improve access to specialty care: a systematic review and narrative synthesis. J Telemed Telecare 2015; 21 (06) 323-330
    CrossrefPubMedSearch in Google Scholar
  • 85 Hale A, Haverhals LM, Manheim C, Levy C. Vet connect: a quality improvement program to provide telehealth subspecialty care for Veterans residing in VA-contracted community nursing homes. Geriatrics (Basel) 2018; 3 (03) 57
    CrossrefPubMedSearch in Google Scholar
  • 86 Maudlin J, Keene J, Kobb R. A road map for the last journey: home telehealth for holistic end-of-life care. Am J Hosp Palliat Care 2006; 23 (05) 399-403
    CrossrefPubMedSearch in Google Scholar
  • 87 Veterans E-Health and Telemedicine Support Act of. 2017 . Available at: https://www.congress.gov/115/bills/s925/BILLS-115s925es.xml . Accessed July 27, 2018
    PubMed
  • 88 Goldstein KM, Gierisch JM, Zullig LL. , et al. Telehealth Services Designed for Women: An Evidence Map. VA ESP Project #09–010. Washington, DC: Department of Veterans Affairs; 2017
    Search in Google Scholar
  • 89 Yano EM, Bastian LA, Frayne SM. , et al. Toward a VA women's health research agenda: setting evidence-based priorities to improve the health and health care of women veterans. J Gen Intern Med 2006; 21 (03) (Suppl. 03) S93-S101
    CrossrefPubMedSearch in Google Scholar
  • 90 Goldstein KM, Vogt D, Hamilton A. , et al. Practice-based research networks add value to evidence-based quality improvement. Healthc (Amst) 2018; 6 (02) 128-134
    PubMedSearch in Google Scholar
  • 91 HSR&D Major Priority Domains and High-Priority Research Topics. Available at: https://www.hsrd.research.va.gov/funding/PriorityDomains2017.pdf . Accessed August 14, 2018
    PubMed
  • 92 Yano EM, Darling JE, Hamilton AB. , et al. Cluster randomized trial of a multilevel evidence-based quality improvement approach to tailoring VA Patient Aligned Care Teams to the needs of women Veterans. Implement Sci 2016; 11 (01) 101
    PubMedSearch in Google Scholar
  • 93 Cordasco KM, Katzburg JR, Katon JG, Zephyrin LC, Chrystal JG, Yano EM. Care coordination for pregnant veterans: VA's Maternity Care Coordinator Telephone Care Program. Transl Behav Med 2018; 8 (03) 419-428
    CrossrefPubMedSearch in Google Scholar
  • 94 Schneider JL, Goddard KAB, Muessig KR. , et al. Patient and provider perspectives on adherence to and care coordination of lynch syndrome surveillance recommendations: findings from qualitative interviews. Hered Cancer Clin Pract 2018; 16 (01) 11
    CrossrefPubMedSearch in Google Scholar
  • 95 Atkins D, Kilbourne AM, Shulkin D. Moving from discovery to system-wide change: the role of research in a learning health care system: experience from three decades of health systems research in the Veterans Health Administration. Annu Rev Public Health 2017; 38: 467-487
    CrossrefPubMedSearch in Google Scholar
  • 96 Yano EM. A partnered research initiative to accelerate implementation of comprehensive care for women veterans: the VA women's health CREATE. Med Care 2015; 53 (04) (Suppl. 01) S10-S14
    CrossrefPubMedSearch in Google Scholar