VA State of the Art Conference in Rural Health - September 12-13, 2016 - Ralph H. Johnson VA Medical Center
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Ralph H. Johnson VA Medical Center

 

VA State of the Art Conference in Rural Health - September 12-13, 2016

Health Equity and Rural Outreach Innovation Center (HEROIC) logo

Session 1 | Session 2 | Session 3 | Abstracts

Conference Sessions

Session 1 - Telemedicine and Technology

The Future of Telehealth in the VA
John Peters, VA Office of Telehealth

Tele-Rehab
Charles Levy, MD, CINDRR COIN, Gainesville VA

Tele-Specialty Care
Peter Kaboli, MD, IOWA VA

Chronic Disease Management with Telehealth
Hayden Bosworth, PhD, Durham VA

Tele-Mental Health
Ron Acierno, PhD, HEROIC COIN, Charleston VA

Session 2 - Veteran Choice Program and Community-Based Care

Veterans Choice: What it is and where it is going
Kristin Cunningham, VA Office of Community Care

Purchase of community-based care and community care coordination in rural South
Graham Adams, PhD, SC Office of Rural Health

Challenges of Veterans Choice implementation from insular island perspective
Irma L. Molina-Vicenty, MD, VA Carribean Healthcare System

Implementation of Veterans Choice in Pacific Islands
Thomas Driskill, PhD, VA Pacific Islands

Community-based care with a focus on Indian Health
Chris Fore, PhD, Indian Health Service

Session 3 - Engaging Rural Veterans

Engaging Rural Veterans in care and research
Thomas Klobucar, PhD, Office of Rural Health

Veterans Engagement Across the Research and Care Continuum
Hilda R. Heady, MSW, Atlas Research

Veteran Defined Treatment Engagement and Access to Mental Health Services
Jeff M. Pyne, MD, Little Rock, VA

Outreach and Enhanced Engagement of Rural Veterans
Lori L. Davis, MD, Tuscaloosa, VA

Rules of Engagement: Reaching and Keeping Veterans in the VHA
Paul Arthur, Gainesville VA & Kiersten Downs, Tampa VA

 

Abstracts

1. Improving Transitions of Care to VHA Primary Care Following a Non-VHA Hospitalization through an Innovative Community Transitions Consortium

Authors: Ayele AR, Nardini K, Hull A
Affiliation: COIN: Center of Innovation for Veteran-Centered and Value-Driven Care; Seattle, WA and Denver, CO
Additional Affiliation(s): Department of Veterans Affairs, Eastern Colorado Health Care System, Denver, CO; University of Colorado, Anschutz Medical Campus, Aurora, CO; Parkview Medical Center, Pueblo, CO

2. Partnered Evaluation of the Social Determinants of Health and Healthcare

Authors: Littman AJ, Bollinger M, Wong ES, Finley EP, Fortney JC, Pyne JM, Drummond KL, Abraham TH, Townsend J, Mader M, Lee JS, Batten A, Bosworth HB, Boyko EJ, Hudson TJ
Affiliation: COIN: Center of Innovation for Veteran-Centered and Value-Driven Care; Seattle, WA and Denver, CO

3. Veteran Community Engagement in the Pacific through the Veterans Choice Program

Authors: Driskill, Jr. TM, Engstrom K, Joselow, K
Affiliation: VA Pacific Islands Health Care System, Honolulu, HI
Additional Affiliation(s): Office of Rural Health, Washington, DC; Ward Circle Strategies, Washington, DC

4. Identifying Patterns of Geographic Clustering in VA Enrollment and Active Utilization. National Rural Evaluation Center (NREC)

Authors: Bollinger M, Mader M, Hudson TJ, Wong ES, Finley EP, Fortney JC, Pyne JM, Drummond KL, Abraham TH, Townsend J, Lee J, Batten A, Bosworth HB, Boyko EJ, Littman A
Affiliation: South Texas Veterans Health Care System, San Antonio, TX

5. Educational Intervention to Engage Rural Veterans in Improving their PTSD Care

Authors: Montano MA, Sherrieb K
Affiliation: VA National Center for PTSD
Additional Affiliation(s): White River Junction VA Medical Center, Bernardy, NC; VA National Center for PTSD and Department of Psychiatry at Geisel School of Medicine at Dartmouth, Hanover, NH

6. Intensive Referral to Mutual-Help Groups: A Field Trial of Adaptations for Rural Veterans

Authors: Grant KM, Young LB, Beaumont C, Tyler KA, Simpson JL, Pulido RD
Affiliation: Nebraska-Western Iowa Health Care System, Omaha, NE
Additional Affiliation(s): VA Nebraska-Western Iowa Health Care System; Western Illinois University; VA Nebraska-Western Iowa Health Care System; University of Nebraska; Midland University

7. Telemedicine approaches to extend geriatric care to rural areas (GRECC-Connect)

Authors: Hung WW, Barczi S, Thielke S, Colon-Emeric C, Rossi M, Garner K, Espinoza S, Caprio T, Moo L, Boockvar KS
Affiliation: James J. Peters VA Medical Center, Bronx, NY
Additional Affiliation(s): Howe JL Geriatric Research, Education and Clinical Center (GRECC)

8. Video to Home Inhaler Training for Rural Patients with COPD or Asthma

Authors: Thomas RT, Locke ER, Woo DM, Nguyen EHK, Tamanaha BK, Gylys-Colwell IM, Press VG, Layouni TA, Ruiber GE, Fan VS
Affiliation: COIN: Center of Innovation for Veteran-Centered and Value-Driven Care; Seattle, WA and Denver, CO

9. The Rural Veterans TeleRehabilitation Initiative Creative Arts Therapy program (RVTRI CAT)

Authors: Levy CE, Myers KJ, Sonke J, Baxley-Lee J, Spooner H, Snow E
Affiliation: COIN: Center of Innovation on Disability and Rehabilitation Research (CINDRR); North Florida/South Georgia and Tampa

10. Rural Veterans with Dementia and the Role of Telehealth in Home Safety Evaluations

Authors: Gately MG, Trudeau SA, Moo LR
Affiliation: Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA

11. VA PACT team perspectives on managing psychiatric and cognitive problems in aging rural Veterans

Authors: Greenberg L, Grant M, Hicken BL
Affiliation: George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT
Additional Affiliation(s): ORH: Veterans Rural Health Resource Center- Salt Lake City, UT

12. An internet and telephone support intervention for stroke caregivers living in rural and urban areas

Authors: Uphold CR, LeLaurin  JH, Schmitzberger MK, Eliazar-Macke  ND, Schember  TO, Fehlberg EA, Hugon RP, Rogers J, Jordan M, Freytes  IM
Affiliation: COIN: Center of Innovation on Disability and Rehabilitation Research (CINDRR); North Florida/South Georgia and Tampa
Additional Affiliation(s): North Florida/South Georgia Veterans Health System

13. Conceptualizing the role of Primary Care during TCC Outreach Events

Authors: Stewart KR, Ohl M, Lutz P, Moeckli J
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA

14. Intensive Care Unit Staff Perceptions and Attitudes about Readiness to Implement and Impact of ICU Telemedicine

Authors: Moeckli J, Mengeling MA, Goedken CC, Reisinger HS
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s): RHRC-IC, CADRE, University of Iowa Carver College of Medicine

15. Expansion of Telehealth Collaborative Care for Rural Veterans with HIV: A Rapid Ethnographic Assessment of Year One

Authors: Moeckli J, Stewart KR, Lutz P, Ohl M
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s): RHRC-IC, CADRE, University of Iowa Carver College of Medicine

16. The 40+ Mile Choice Cohort: Sociodemographics, VA Health Care Use and Safety Net Provider Access

Authors: Mengeling MA, Franciscus C, Sadler AG
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s):  University of Iowa, Carver College of Medicine

17. Impact of the Clinical Pharmacy Specialist in Telehealth Primary Care

Authors: Litke JR, Schultz LA, Erickson KR, Perdew CJ
Affiliation: Boise VA Medical Center, Boise, ID

18. Trauma Informed Yoga Intervention for Pain Management in Veterans with PTSD and Alcohol Use Disorder

Authors: Reyes-Rabanillo ML, Olmo-Terrasa AM
Affiliation: VACHS: VA Caribbean Healthcare System, San Juan, PR

19. Serving Veterans Where They Live: Implementing VA Video to Home to Increase Access to Evidence-Based Psychotherapy for Rural Veterans

Authors: Lindsay JA, Martin LA, Graves L, Gabriel J, Walder A
Affiliation: COIN: Center for Innovations in Quality, Effectiveness and Safety (IQuESt); Houston, TX

20. Lessons Learned from the Evaluation of Strategic Communications to Influence Maine Veterans Participation in Health Information Exchange

Authors: Wing KL, Farris GL, Lee PW, Lee RE, Markle P
Affiliation: ORH: Veteran Rural Health Resource Center, Togus, Maine

21. TeleDementia Clinic- Caring for Rural Veterans with Cognitive decline via Clinical Video Teleheath

Authors: Rossi MI, Homer M
Affiliation: GRECC: Geriatric Research Education & Clinical Center, VA Pittsburgh Healthcare System

22. Examination of Rural-Urban Mental Health of the Veteran Population Receiving VA Health Care: A Focus on PTSD and Depression

Authors: Davidson TM, Wojciechowski B, Davis BS, Dismuke CE, Gebregziabher M, Hunt KJ, Bunnell BE, Ruggiero KJ
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC

23. 30-Day All-Cause Readmissions after Acute Myocardial Infarction in the VA Caribbean HealthCare System; Descriptive Study

Authors: Escabi JE
Affiliation: VACHS: VA Caribbean Healthcare System, San Juan, PR

24. Care Coordination and Non-VA Gynecologic Care for VA Patients: The Role of Primary Care

Authors: Cordasco KM, Zuchowski JL, Chrystal JG, Zephyrin LC, Hamilton AB
Affiliation: COIN: Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP); Los Angeles, CA

25. Physical, Mental and Obstetric Needs of Rural and Urban Pregnant Veterans

Authors: Cordasco KM, Katzburg JR, Katon JK, Zephyrin LC, Yano EM
Affiliation: COIN: Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP); Los Angeles, CA

26. Health and Health Care Access of Rural Women Veterans: Findings from the National Survey of Women Veterans

Authors: Cordasco KM, Mengeling MA, Yano EM, Washington DL
Affiliation: COIN: Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP); Los Angeles, CA

27. Feasibility of Using a Tele-Presence Robot to Conduct Home Safety Evaluations

Authors: Romero S, Lee MJ, Poulin ER
Affiliation: COIN: Center of Innovation on Disability and Rehabilitation Research (CINDRR); North Florida/South Georgia and Tampa

28. "Getting the ball rolling" -- Rural Veterans' experiences initiating mental health care

Authors: Miller CJ, Bovin MJ, Burgess JF
Affiliation: COIN: Center for Healthcare Organization and Implementation Research (CHOIR) Bedford, MA and Boston, MA
Additional Affiliation(s):
 National Center for PTSD at the VA Boston Healthcare System

29. Travel time to nearest VA Medical Center, Continuity of Care, and Electronic Health Information Exchange

Authors: Turvey C, Klein D
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA

30. "Hopeful Yet Unsure": Participant Perspectives on the Impact of the Renal SCAN-ECHO Program

Authors: Young JP, Simons C., Germani M., Helfrich CD, Young BA
Affiliation: COIN: Center of Innovation for Veteran-Centered and Value-Driven Care; Seattle, WA and Denver, CO

31. Increasing access to cost effective home-based rehabilitation for rural veteran stroke survivors

Authors: Housley SN, Garlow AR, Ducote K, Howard A, Thomas T, Wu D, Richards K, Butler AJ
Affiliation: ORH: Eastern Resource Center, Atlanta, GA

32. Improving transitions of care for rural Veterans : The Rural Transitions Program

Authors: Kelley LR, Ho M, Burke, RE
Affiliation: COIN: Center of Innovation for Veteran-Centered and Value-Driven Care; Seattle, WA and Denver, CO

33. Racial-Geographic Disparities in Veteran Traumatic Brain Injury (TBI) Mortality Rates

Authors: Dismuke CE, Wojciechowski B, Gebregziabher M, Egede LE
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC

34. Diabetes Prevalence in Rural and Urban Patients seeking care from the Veterans Health Administration (VHA) 2007 through 2012

Authors: Hunt KJ, Davis M, Wojciechowski B, Lynch CP, Dismuke CE, Gebregziabher M, Egede L, Axon, RN
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC

35. Using Video Telerehabilitation to Deliver Vocational Services to Rural Veterans with Disabilities

Authors: Ottomanelli L, Cotner BA, Njoh E, O'Connor DR, Jones VA, Levy C
Affiliation: COIN: Center of Innovation on Disability and Rehabilitation Research (CINDRR); North Florida/South Georgia and Tampa

36. Tailored Telephone-based Treatment for Smoking Cessation in Rural Veterans

Authors: Vander Weg MW, Cozad AJ, Howren MB, Cretzmeyer M, Scherubel M, Turvey C
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s): ORH: Rural Health Resource Center, Central Region

37. Coordinated Care Approach to Improve Diabetes Care for Veterans

Authors: Hermayer K., Fernandes J., Walker RJ, Egede LE
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC
Additional Affiliation(s): Department of Medicine, Medical University of South Carolina, Charleston, SC

38. Creation of a Dashboard Reporting System that Identifies the Near Real-Time Risk of a Psychiatric Hospitalization

Authors: Burningham Z., Sauer BC, Rupper R., Parry K., Leng J., Hicken B.
Affiliation: COIN: Informatics, Decision-Enhancement and Analytic Sciences Center (IDEAS 2.0); Salt Lake City, UT
Additional Affiliation(s): Salt Lake City Veterans Affairs Medical Center; University of Utah Division of Epidemiology, Salt Lake City, UT

39. Lessons learned from developing a clinic model to improve access to mental health care for rural American Indian Veterans

Authors: Goss CW, Richardson WJ, Bair B
Affiliation: ORH: Veteran Rural Health Resource Center, Western Region, Salt Lake City, Utah
Additional Affiliation(s): VA Rocky Mountain Healthcare Network VISN 19

40. Model of Traumatic Brain Injury Using Imaging, Physiological and Psychosocial Parameters: The VA Caribbean Healthcare System Experience -Pilot Study

Authors: Molina-Vicenty IL, Santiago M, Matos A, Velez-Miro I, Motta-Valencia K, Borras, I, Figueroa J, Jones G, Freytes M
Affiliation: VACHS: VA Caribbean Healthcare System, San Juan, PR

41. Rurality Status Does Not Affect Kidney Transplant (KTP) Rates amongst Veterans

Authors: Kalil RS, Franciscus CL, O'Shea AMJ
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s): Internal Medicine/Nephrology, University of Iowa, Iowa City, IA

42. The effect of ICU telemedicine on inter-hospital transfers in VA health system

Authors: Vaughan Sarrazin M, Fortis S, Beck BF, Reisinger HS
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA
Additional Affiliation(s):
 University of Iowa Carver College of Medicine

43. Magnitude and disparity of multimorbidity by location of residence and race/ethnicity in the Veterans Health Administration: evidence from 3 cohorts

Authors: Gebregziabher M, Ward RC, Wojciechowski B, Yeager DE, Walker R, Egede LE
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC
Additional Affiliation(s): Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC

44. Homelessness Predictors among Veterans Requesting Services at the Homeless Program of the VA Caribbean Healthcare System

Authors: Rivera-Rivera N, Villarreal AA
Affiliation: Research & Development Service, VA Caribbean Healthcare System

45. Research Considerations and Social, Health and Mental Health barriers identified by Homeless Veterans Providers of the VA Caribbean Healthcare System

Authors: Rivera-Rivera N, Molina-Vicenty, I
Affiliation: Research & Development, VA Caribbean Healthcare System; VA Nuclear Medicine, VA Caribbean Healthcare System

46. Comparison of All Cause Hospital Readmission and Mortality among Dual Users of Hospital Care and All-VA Users Across Multiple Conditions

Authors: Axon RN, Gebregziabher M, Everett CJ, Hunt KJ
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC

47. The Interaction between Rural/Urban Status and Dual Use Status among Veterans with Heart Failure

Authors: Axon RN, Gebregziabher M, Everett CJ, Hunt KJ
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC

48. "Where's my choice?:"Experiences of Veterans Accessing Hepatitis C Treatment in the VA and the Choice Program

Authors: Yakovchenko V, Skolnik A, Jones N, Noska A, Tsai J, McInnes K, Gifford AL
Affiliation: COIN: Center for Healthcare Organization and Implementation Research (CHOIR) Bedford, MA and Boston, MA

49. A Qualitative Study of the Diversity of Veteran Engagement in Mental Health Care

Authors: Zamora KA, Koenig CJ, Abraham TA, Pyne JM
Affiliation: San Francisco VA Health Care System, San Francisco, CA
Additional Affiliation(s): UC San Francisco; Central Arkansas Veterans Healthcare System; University of Arkansas Medical Sciences

50. Outreach to Improve Care Coordination with Community Providers

Authors: Clark J, Garvin L, Lee P, Lee R, West A, Markle P
Affiliation: COIN: Center for Healthcare Organization and Implementation Research (CHOIR) Bedford, MA and Boston, MA

51. Brief behavioral telehealth treamtent for Veterans with alcohol misuse and co-existing psychiatric disorder

Authors: Santa Ana E.J, Lamb K, LaRowe, SD, Nietert P
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC
Additional Affiliation(s): Substance Abuse Treatment Center, Mental Health Service, Ralph H. Johnson VAMC; The Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC

52. Availability of Community Providers for Rural Veterans Eligible for Purchased Care Under the Veterans Choice Act

Authors: Ohl ME, Carrell M, Thurman A, Vander Weg M, Hudson T, Mengeling M, Vaughan-Sarrazin M
Affiliation: COIN: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE); Iowa City, IA

53. The Feasibility of a Psychoeducation for PTSD Program Delivered via Clinical Televideo to Ethnoracially-Diverse Rural Veterans and Family Members

Authors: Whealin JM, Yoneda A, Hilmes T, Darden D
Affiliation: VA Pacific Islands Health Care System, Honolulu, HI

54. Lessons in Population Health from the Indiana Telemonitoring to Optimize Use of CPAP at Home (IN-TOUCH) Program

Authors: Bravata DM, Lenet A, Guenther D, Ferguson J, Stahl SM, Lightner N, Aichinger J, Miech EJ
Affiliation: COIN: Center for Health Information and Communication (CHIC); Indianapolis, IN
Additional Affiliation(s): Precision Monitoring to Transform Care (PRIS-M)

55. Evaluating Clinical Video Telehealth Services of Anticoagulation Care for Rural Veterans

Authors: Lee RE, Lee PW, Puglisi G, Hansen D, Smith SM
Affiliation: ORH: Veteran Rural Health Resource Center, Togus, Maine

56. Remote Eye Care Screening for Rural Veterans with Technology-based Eye Care Services (TECS): A Quality Improvement Project

Authors: Maa AY, Wojciechowski B, Hunt K, Dismuke C, Janjua, R, Lynch MG
Affiliation: Atlanta VA Medical Center, Decatur, GA
Additional Affiliation(s): Ophthalmology Division, Atlanta Veteran Affairs Medical Center, Atlanta GA, Charleston Health Equity and Rural Outreach Innovation Center (HEROIC)

57. The Utilization of Video-Conference Shared Medical Appointments in Rural Diabetes Care

Authors: Lisa Tokuda, Lenora Lorenzo, Andre Theriault, Tracey H. Taveira, Lynn Marquis, Helene Head, David Edelman, Susan R. Kirsh, David C. Aron, Wen-Chih Wu
Affiliation: COIN: Center of Innovation in Long-Term Services and Supports for Vulnerable Veterans; Providence, RI

58. Evaluation of the Office of Rural Health Providers Continuing Education Initiative

Authors: Hanjian JH
Affiliation: ORH: Veteran Rural Health Resource Center, Togus, Maine

59. Creating a Rural Veterans Health Care Atlas

Authors: Ahern JK, Litt ER, Wilson LK, Cowper Ripley DC
Affiliation: COIN: Center of Innovation on Disability and Rehabilitation Research (CINDRR); North Florida/South Georgia and Tampa

60. Improved Mobility in Rural Veterans Using Telehealth Technology

Authors: Nocera JR, Whitney K, McGregor KM
Affiliation: Atlanta VA Medical Center, Decatur, GA
Additional Affiliation(s): Atlanta Department of Veterans Affairs RR&D Center for Visual and Neurocognitive Rehabilitation

61.  Adapting a Web-Based Intervention Targeting Alcohol Use and Sexual Assault Risk among Female Veterans

Authors: Gilmore AK, Maples-Keller JL, Resnick HS, Ruggiero KJ, Acierno R, Kilpatrick DG
Affiliation: COIN: Charleston Health Equity and Rural Outreach Innovation Center (HEROIC); Charleston, SC