Identification of Military Veterans Upon Implementation of a Standardized Screening Process in a Federally Qualified Health Center

Howren, M. Bryant; Kazmerzak, Debra; Kemp, Ronald W; Boesen, Theodore J; Capra, Gina; Abrams, Thad E.

doi:10.1007/s10900-019-00761-3

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Third, although our ability to recruit participants from both VA and community clinics represents a strength of this study, our procedures did not involve speaking to veterans or representatives from the TPAs, potentially limiting generalizability. Fourth, the HRSA data that we used to identify FQHCs serving large numbers of veterans may be incomplete, 44 although our recruitment method was successful in identifying community practices that treated veterans.…”

Section: Discussionmentioning

confidence: 99%

Veterans Affairs and Rural Community Providers’ Perspectives on Interorganizational Care Coordination: A Qualitative Analysis

Miller

Gurewich

Garvin

et al. 2020

The Journal of Rural Health

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Objective To investigate challenges in care coordination between US Department of Veterans Affairs (VA) clinics and community providers serving rural veterans. Methods We completed qualitative interviews in 2017‐2018 with a geographically diverse sample of 57 VA and community staff. Interviews were audio‐recorded and transcribed verbatim. We used Rapid Qualitative Inquiry (RQI) to guide analyses. Results Results suggested 5 pivotal domains related to interorganizational care coordination at these sites: organizational mechanisms; organizational culture; relational coordination; contextual factors; and the role of the third party administrators charged with management of scheduling and reimbursement of community services through recent legislation. Across these domains, strategies to bridge gaps between organizations (eg, contracts with third party administrators, development of VA‐based community care offices, provision of boundary‐spanning staff) at times exacerbated coordination challenges. Conclusions Steps taken to improve interorganizational care coordination between VA and community clinics may inadvertently complicate an already complex process. Our findings emphasize the importance of attending to key contextual barriers in coordinating care for rural veterans, and they illustrate the value of fundamental structural and relational approaches to enhancing such care coordination.

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Section: Discussionmentioning

confidence: 99%

Veterans Affairs and Rural Community Providers’ Perspectives on Interorganizational Care Coordination: A Qualitative Analysis

Miller

Gurewich

Garvin

et al. 2020

The Journal of Rural Health

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“…This process has been described elsewhere and resulted in a near ten-fold increase of identified veterans in this FQHC, from approximately 50 veterans before implementation to over 500 after. 26 These results led to specific policy changes regarding the collection of veteran status in FQHCs nationwide beginning in 2020, which are now described in the most recent 2020 UDS reporting manual. 13…”

Section: Methodsmentioning

confidence: 99%

Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center

Howren

Kazmerzak²,

Pruin

et al. 2021

J Behav Health Serv Res

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Many rural veterans receive care in community settings but could benefit from VA services for certain needs, presenting an opportunity for coordination across systems. This article details the Collaborative Systems of Care (CSC) program, a novel, nurse-led care coordination program identifying and connecting veterans presenting for care in a Federally Qualified Health Center to VA behavioral health and other services based upon the veteran's preferences and eligibility. The CSC program systematically identifies veteran patients, screens for common behavioral health issues, explores VA eligibility for interested veterans, and facilitates coordination with VA to improve healthcare access. While the present program focuses on behavioral health, there is a unique emphasis on assisting veterans with the eligibility and enrollment process and coordinating

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“…Unfortunately, there is a paucity of descriptive clinical data on existing cross-system collaborations which may help characterize these veterans and aid understanding of conditions for which they may receive treatment across systems. Such data has implications for workforce training, development, and resource allocation [ 2 ]. The objective of this report is to describe different clinical profiles between two mutually exclusive samples: veterans engaged in FQHC only use, and VHA-enrolled veterans engaged in dual VHA and FQHC use.…”

mentioning

confidence: 99%

“…Moreover, causality for differences in illness patterns between the two systems also should not be inferred. Future partnerships between FQHC and VHA facilities would benefit from efforts to identify non-enrolled veterans presenting for community care who may gain access to specific VHA services such as mental health [ 2 ]. Efforts by community-based clinics to increase screening and care specifically for PTSD, substance use, and sleep disorder may also benefit veterans.…”

mentioning

confidence: 99%

Veterans utilizing a federally qualified health center: a clinical snapshot

et al. 2022

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Identification of Military Veterans Upon Implementation of a Standardized Screening Process in a Federally Qualified Health Center

Cited by 6 publications

References 8 publications

Veterans Affairs and Rural Community Providers’ Perspectives on Interorganizational Care Coordination: A Qualitative Analysis

Veterans Affairs and Rural Community Providers’ Perspectives on Interorganizational Care Coordination: A Qualitative Analysis

Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center

Veterans utilizing a federally qualified health center: a clinical snapshot

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