Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Office of Research & Development

print icon sign up for VA Research updates
VA RESEARCH QUARTERLY UPDATE
This Issue: Chronic Disease Care | Table of Contents: Spring 2018

New Initiatives | Announcements

VA state of the art conference on care coordination


Dr. Leo Greenstone (left), a researcher at the VA Ann Arbor Healthcare System, and Dr. Steve Pizer, chief economist at VA Boston Healthcare System: both were participants at the 2018 care coordination conference in Baltimore. (Photo by Mitch Mirkin)
Dr. Leo Greenstone (left), a researcher at the VA Ann Arbor Healthcare System, and Dr. Steve Pizer, chief economist at VA Boston Healthcare System: both were participants at the 2018 care coordination conference in Baltimore. (Photo by Mitch Mirkin)

Dr. Leo Greenstone (left), a researcher at the VA Ann Arbor Healthcare System, and Dr. Steve Pizer, chief economist at VA Boston Healthcare System: both were participants at the 2018 care coordination conference in Baltimore. (Photo by Mitch Mirkin)

The VA Health Services Research and Development (HSR&D) service held an invitation only two-day state of the art (SOTA) conference on care coordination on March 20-21, 2018, in Baltimore, Maryland. The purpose of the SOTA was to explore the state of care coordination within VA and in collaboration with community partners. Invited experts sought to develop a research agenda that focused on improvements and innovations in care coordination, and to identify evidence-based recommendations for VA policymakers.

Co-chairs Denise Hynes, Ph.D., and Kristin Mattocks, Ph.D., worked with a SOTA planning committee to develop materials and key questions that were provided ahead of time to invited participants as background for the discussions and consensus building at the SOTA.

The SOTA opened with a plenary session in which the co-chairs and David Atkins, M.D., director of HSR&D, welcomed the participants and discussed the key issues in care coordination that are challenging the VA health care system, providers, and Veterans.

A Veteran's perspective was provided by Tara Jones Molloy, a psychiatric mental health nurse practitioner, with the VA Maine Healthcare System community-based outpatient clinic in Saco, Maine. Molloy is a combat Veteran who served in the U.S. Air Force as a pilot. She shared her own experiences with care coordination when she was referred by VA to a community hospital for care during her pregnancy and delivery.

Following the presentations, the attendees separated into three work groups to discuss 1) care coordination within VA; 2) care coordination between VA and non-VA caregivers in the community; and 3) measures, models and definitions. They were charged to reach consensus on knowledge gaps and research questions that would address them. In addition, they were to reach consensus on evidence-based innovations/strategies to improve care coordination and policy recommendations and next steps to implement them into VA practice.

On day two of the SOTA, the three work groups presented their findings to the full group for discussion. There was also a keynote presentation by Dr. Jody Hoffer Gittell, professor of management at Brandeis University's Heller School for Social Policy and Management, and executive director of the Relational Coordination Research Collaborative.

Once the conference participants review and consolidate their recommendations, they will be disseminated through briefings to VA leadership and through targeted cyber-seminars, and published in a future special supplement of the Journal of General Internal Medicine.



Questions about the R&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.