Contingency management for substance use disorders in the U.S. Veterans Health Administration: 2018-2022

Abstract: Introduction: Contingency management (CM) is one of the most effective interventions for substance use disorders (SUDs), including stimulant use disorder. In the United …

Development and implementation of a nationwide multidrug-resistant organism tracking and alert system for Veterans Affairs medical centers

Abstract: Objective: Develop and implement a system in the Veterans Health Administration (VA) to alert local medical center personnel in real time when an acute- or long-term care …

Congressional expansion of enhancing breast cancer screening and care at the Veterans Health Administration

Abstract: Despite high screening rates, breast cancer disparities persist among women veterans because of occupational risks and barriers to access. Three essential bills recently …

Patient-reported pain and physical health for acupuncture and chiropractic care delivered by Veterans Affairs versus community providers

Abstract: Background: Acupuncture and chiropractic care are evidence-based pain management alternatives to opioids. The Veterans Health Administration (VA) provides this care in …

Association between clozapine exposure and risk of hematologic malignancies in Veterans with schizophrenia

Abstract: Objective: The objective of this study was to examine the relationship between clozapine use and hematologic malignancies, using national administrative data from the …

Clinicians in the Veterans Health Administration initiate gender-affirming hormone therapy in concordance with clinical guideline recommendations

Abstract: Background: Gender-affirming hormone therapy (GAHT) is a common medical intervention sought by transgender and gender diverse (TGD) individuals. Initiating GAHT in …

Associations between Veterans Health Administration nursing home star ratings and quality end of life care

Abstract: Outcomes: 1. Describe gaps in five-star quality rating system in measuring nursing home end-of-life care quality. 2. Identify two areas for improvement and/or active …

Cystatin C Use for CKD Detection in the Veterans Health Administration System: A Qualitative Study of Barriers and Facilitators

Abstract: Rationale and objective: The measurement of cystatin C has been recommended to enhance chronic kidney disease (CKD) detection and risk stratification in clinical …

Barriers Facing Primary Care Leaders in Implementing Goals of Care Conversations with Seriously Ill Veterans

Abstract: Outcomes: 1. To better understand provider barriers faced by organizational leaders when implementing goals of care conversations in primary care settings. 2. To better …

Identifying Patterns of Primary Care In-Person and Telemedicine Use in the Veterans Health Administration: A Latent Class Analysis

Abstract: Background: The Veterans Health Administration increased synchronous telemedicine (video and telephone visits) in primary care in response to the COVID-19 pandemic. …

Peer specialist-led interventions in primary care at the Veterans Health Administration: An integrative review

Abstract: The Veterans Health Administration (VHA) currently employs over 1,300 peer specialists-veterans with lived experience of mental illness who are in recovery and have been …

Factors associated with acute telemental health consultations in older Veterans

Abstract: Introduction: The United States Veterans Health Administration is a leader in the use of telemental health (TMH) to enhance access to mental healthcare amidst a …