Source: http://docplayer.net/1466359-Sociodemographic-characteristics-and-use-of-vha-care.html
Timestamp: 2017-04-25 14:28:29
Document Index: 34150637

Matched Legal Cases: ['ART 1', 'ART 2', 'ART 2', 'ART 3', 'ART 1', 'ART 2', 'art 2', 'art 1', 'art 2', 'art 2', 'art 1']

Sociodemographic Characteristics and Use of VHA Care - PDF
Sociodemographic Characteristics and Use of VHA Care
Download "Sociodemographic Characteristics and Use of VHA Care"
1 Sourcebook H Vol. 1 Sourcebook: Women Veterans in the Veterans Health Administration VOLUME 1: Sociodemographic Characteristics and Use of VHA Care Women s Health Evaluation Initiative (WHEI) Center for Health Care Evaluation VA HSR&D Center of Excellence VA Palo Alto Health Care System Palo Alto, CA Women Veterans Health Strategic Health Care Group Office of Public Health and Environmental Hazards Veterans Health Administration Washington, DC December 212 3 Women Veterans Sourcebook Vol. 1: Introduction Since the Revolutionary War, America s women have earned America s gratitude and respect for their contributions to the military and to the Nation. VA will continue to improve our benefits and services for women Veterans as we transform into a 21st century organization. Secretary of Veterans Affairs Eric K. Shinseki March 1, 21 14 5 Women Veterans Sourcebook Vol. 1: Introduction Sourcebook: Women Veterans in the Veterans Health Administration (VHA) Volume 1. Sociodemographic Characteristics and Use of VHA Care Prepared for: Women Veterans Health Strategic Health Care Group Offce of Public Health and Environmental Hazards, Veterans Health Administration Department of Veterans Affairs 81 Vermont Ave., NW Washington, DC 242 Prepared by: Women s Health Evaluation Initiative (WHEI) Center for Health Care Evaluation VA Palo Alto Health Care System 381 Miranda Ave. (152-MPD) Palo Alto, CA 9434 Susan M. Frayne, MD, MPH, Director, WHEI Ciaran S. Phibbs, PhD, Associate Director, WHEI Sarah A. Friedman, MSPH, Project Manager and Technical Writer Eric Berg, MS, Senior Data Analyst Lakshmi Ananth, MS, Senior Data Analyst Samina Iqbal, MD, Senior Clinical Consultant Patricia M. Hayes, PhD, Chief Consultant, Women Veterans Health Strategic Health Care Group Laura Herrera, MD, MPH, Acting Deputy Chief Offcer, Offce of Public Health and Environmental Hazards Recommended citation: Frayne SM, Phibbs CS, Friedman SA, Berg E, Ananth L, Iqbal S, Hayes PM, Herrera L. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 1. Sociodemographic Characteristics and Use of VHA Care. Women s Health Evaluation Initiative, Women Veterans Health Strategic Health Care Group, Veterans Health Administration, Department of Veterans Affairs, Washington DC. December 21. Acknowledgements: Kerri Childress, MA, John Finney, PhD, Sally Haskell, MD, Geraldine McGlynn, MEd, John McKellar, PhD, Rudolf Moos, PhD, Maureen Murdoch, MD, MPH, Donna Washington, MD, MPH, Ellen Yee, MD, MPH, and Laurie Zephyrin, MD, MPH, MBA, FACOG, provided valuable editorial input. Kaajal Laungani, BS, Natalia Llarena, BA, and Xiaoyu Bi, PhD, provided key technical assistance. Our deepest gratitude goes to the women Veterans who have served our country across the generations. This report is based on program evaluation analyses conducted by the Women s Health Evaluation Initiative at the VA Palo Alto Health Care System in Palo Alto, California. This work was funded by the Women Veterans Health Strategic Health Care Group of the Veterans Health Administration, Department of Veterans Affairs. The findings and conclusions reported in this document are those of the authors who are responsible for its contents, and do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this document should be construed as an offcial position of the Department of Veterans Affairs.6 7 Women Veterans Sourcebook Vol. 1: Introduction Table of Contents EXECUTIVE SUMMARY... 1 Key Findings... 2 INTRODUCTION... 4 Key Implications for Policy and Practice... 3 Background... 4 INTRODUCTION... Methods... 5 Background... 5 PART 1: SOCIODEMOGRAPHICS... 6 Methods... 6 Women Veteran VHA Patient Cohort Size... 6 PART Ages 1: SOCIODEMOGRAPHICS of Women Veteran VHA... Patients... 7 Service-Connected Women Veteran VHA Disability Patient Cohort Status of Size... Women Veteran VHA Patients Ages of Women Veteran VHA Patients... 8 PART 2: UTILIZATION OF VHA CARE Service-Connected Disability Status of Women Veteran VHA Patients... 1 Women Veterans Utilization in FY PART 2: UTILIZATION Outpatient OF Care... VHA CARE Women Primary Veterans Care... Utilization in FY Specialty Outpatient Care... for Women Mental Primary Health Care Inpatient Specialty Admissions... Care for Women 2 19 Women Mental Veterans Health Longitudinal Care... Trends, FY FY Outpatient Inpatient Admissions Care Women Primary Veterans Care... Longitudinal Trends, FY FY9 22 Specialty Outpatient Care... for Women Mental Health Care Inpatient Admissions PART 3: TECHNICAL APPENDIX Data Sources Cohort Creation Algorithms for Sociodemographic Characteristics Algorithms for Utilization Data Outpatient Quality Control Utilization Inpatient Utilization Data Quality Control Table of Figures PART 1 Figure 1. Number of women Veteran VHA patients in each year, FY FY Figure 2. Number of men Veteran VHA patients in each year, FY FY Figure 3. Age distribution among women Veteran VHA patients, FY Figure 4. Age distribution of women Veteran VHA patients (#), FY and FY Figure 5. Age distribution of women Veteran VHA patients (%), FY FY Figure 6. Age group of Veteran patients, by gender, FY Figure 7. Service-connected disability status among women Veteran VHA patients, FY and FY Figure 8. Service-connected disability status among women Veteran VHA patients, by age, FY Figure 9. Service-connected disability status among Veteran VHA patients, by gender, FY i8 Women Veterans Sourcebook Vol. 1: Introduction PART 2 Figure 1. Proportion of women Veteran VHA patients by frequency of face-to-face outpatient visits, FY Figure 11. Proportion of women and men Veteran VHA patients by frequency of face-to-face outpatient visits, FY Figure 12. Proportion of women and men Veteran VHA patients by frequency of face-to-face outpatient visits, by age group, FY Figure 13. Proportion of women and men Veteran VHA outpatients by frequency of total primary care visits, FY Figure 14. Proportion of women and men Veteran VHA outpatients by frequency of total primary care visits, by age group, FY Figure 15. Proportion of women and men Veteran VHA outpatients by frequency of total primary care visits, by service-connected disability ratings, FY Figure 16. Proportion of women Veteran VHA outpatients by frequency of primary care clinic (PC) visits, FY Figure 17. Proportion of women Veteran VHA outpatients by frequency of women s health clinic (WHC) visits, FY Figure 18. Proportion of women Veteran VHA outpatients by which primary care clinics they use, FY Figure 19. Proportion of women Veteran VHA outpatients by frequency of women s health clinic (WHC) visits, by age group, FY Figure 2. Proportion of women Veteran VHA outpatients by frequency of mental health visits, FY Figure 21. Proportion of women and men Veteran VHA outpatients by frequency of mental health visits, FY Figure 22. Proportion of women and men Veteran VHA outpatients by frequency of mental health visits, by age group, FY Figure 23. Proportion of women and men Veteran VHA outpatients by frequency of mental health visits, by service-connected disability ratings, FY Figure 24. Proportion of women and men Veteran VHA patients with at least one inpatient stay, by age group, FY Figure 25. Proportion of women and men Veteran VHA patients with at least one inpatient stay, by service-connected disability ratings, FY Figure 26. Number of women Veteran VHA patients by frequency of face-to-face outpatient visits, FY FY Figure 27. Proportion of women Veteran VHA outpatients by frequency of total primary care visits, FY FY Figure 28. Proportion of women Veteran VHA outpatients by frequency of primary care clinic (PC) visits, FY FY Figure 29. Proportion of women Veteran VHA outpatients by frequency of women s health clinic (WHC) visits, FY FY Figure 3. Proportion of women Veteran VHA outpatients by frequency of mental health care visits, FY FY Figure 31. Proportion of women Veteran VHA patients with at least one inpatient stay, FY FY List of Acronyms ADUSH... Assistant Deputy Under Secretary of Health FY... Fiscal Year (October 1 to September 3) HSR&D... Health Services Research and Development GAO... Government Accountability Office IP... Inpatient MH... Mental Health PC... Primary care clinic PTF... VHA inpatient stay files SC... Service-connected SE/SF... VHA outpatient encounter and visit files VBA... Veterans Benefits Administration VHA... Veterans Health Administration VIReC... VA Information Resource Center VSSC... VHA Support Services Center WHC... Women s health clinic WHEI... Women s Health Evaluation Initiative WV... Women Veterans WVHSHG... Women Veterans Health Strategic Health Care Group ii9 Women Veterans Sourcebook Vol. 1: Executive Summary Executive Summary Despite the fact that women have served in every United States military conflict since the American Revolution, they were not recognized as Veterans at the time that President Abraham Lincoln urged Congress to authorize Veterans benefits assistance to care for him who shall have borne the battle, and for his widow, and his orphan. Even when Congress granted women eligibility for Veterans Health Administration (VHA) care, women represented an extreme numeric minority group within an organization originally designed to meet the health care needs of men. Over the past two decades, VHA has rolled out numerous initiatives designed to improve access and quality of care for women Veterans. Since 28, these efforts have been overseen nationally by the Women Veterans Health Strategic Health Care Group (WVHSHG). Along with clinical advances, VHA women s health research has accelerated, providing an evidence base that further sharpens the focus on women Veterans. Although highly informative data on women Veterans are available from the research literature 1 and from various VHA reports (e.g., VHA Offce of Policy and Planning, and the searchable VSSC Data Cube), the WVHSHG identified the need for detailed data specifically tailored to its strategic planning objectives. A bridge has been created between clinical leadership and research, linking the WVHSHG with women s health investigators with expertise in large database research at the Center for Health Care Evaluation, a VHA Health Services Research & Development (HSR&D) Center of Excellence, and the Health Economics Resource Center at VA Palo Alto Health Care System. This Sourcebook (Volume 1) is the initial result of the collaboration between the WVHSHG and VA Palo Alto Health Care System. The first in a planned series of reports, this volume describes sociodemographic characteristics and health care utilization patterns of women Veteran patients in the VHA. Its primary purpose is to provide data to inform policy and program planning as VHA implements and evaluates new ways of providing care to women Veterans. All data in this report come from centralized, national VHA administrative databases of enrollment, outpatient care, and inpatient care. The report describes women Veterans receiving VHA care in Fiscal Year 29 (FY9) overall, and within key subgroups (i.e., within age groups and service-connected disability status groups). It also presents gender comparisons between women and men in FY9. Finally, it presents longitudinal trends over the past decade (FY FY9). The report has several limitations: (1) The data represents only Veterans who chose to use VHA care, rather than all Veterans. The characteristics of Veterans who do not choose to use VHA could differ from the characteristics of those who do. (2) This report does not examine non-veteran women who use VHA services. 2 (3) This report 1 Goldzweig CL, Balekian TM, Rolon C, Yano EM, Shekelle PG. The State of Women Veterans Health Research. Results of a Systematic Literature Review. J Gen Intern Med. 26;21(s3):S82-S92; Bean-Mayberry B, Batuman F, Huang C, Goldzweig CL, Washington DL, Yano EM, Miake-Lye I, Shekelle PG. A Systematic Review of the Literature on Women Veterans Health Update, VA-ESP Project #5-226; 21, 2 See Technical Appendix, Section 3, for a more complete explanation of the types of non-veteran women who use VHA services. 110 Women Veterans Sourcebook Vol. 1: Executive Summary does not include race/ethnicity data among the sociodemographic information due to concerns about the quality of data for the race/ethnicity variable. (4) Utilization data include outpatient and inpatient VHA care, but do not include care provided by VHA through fee basis or contracts, and do not include non-vha care received privately by women who use VHA. Thus, for women Veterans who use VHA for at least some of their care, total health care utilization across all systems of care is likely to be higher than the VHA-based utilization rates presented in this report. Key Findings Rapid Growth of VHA Women Veteran Population, FY FY9. The number of women Veterans using VHA has nearly doubled in the past decade, from 159,63 in FY to 292,921 in FY9. The rate of growth has been faster in women Veterans than in men Veterans. Shifting Age Distribution in VHA Women Veterans. In FY, the age distribution of women showed two main peaks: The tallest peak had a maximum at age 44, and the second peak had a maximum at age 76. By FY9, this pattern had shifted. The peak that had been tallest in FY was even taller in FY9 and had its maximum at age 47. The second peak had its maximum at age 85. Meanwhile, a substantial new third peak had appeared, with its maximum at age 27. High Levels of Service-Connected Disability Status in VHA Women Veterans. As of FY9, more than half of women Veteran patients in VHA had received a service-connected disability rating. The proportion of women Veterans receiving service-connected disability ratings increased over the decade. Further, in FY9, a higher proportion of women Veterans who were years old had a service-connected disability rating than women who were or years old. Frequent Use of VHA Care by VHA Women Veterans. Among women Veterans who had any face-to-face outpatient visits with a clinician in FY9, VHA provided, on average, 12 face-to-face outpatient visits per woman, not including any services received through fee-basis care. 3 Ninety percent of women Veteran VHA patients had at least one primary care visit in FY9. Among primary care patients, women Veterans visited primary care clinics an average of 3.5 times in FY9. Among women Veteran VHA patients, 37% received mental health services in FY9; women who used mental health services visited mental health clinics an average of nine times in FY9. Increase in Women Veterans Using VHA Care, FY FY9. The proportion of all women Veteran VHA outpatients using primary care increased from 79% in FY to 9% in FY9. The proportion of all women Veteran VHA outpatients using mental health services increased from 28% in FY to 37% in FY9. However, the average number of visits for primary care and mental health services per women Veteran was relatively constant between FY and FY9. Gender Differences Among Veteran VHA Patients. Nearly 6% were women in FY9. Compared to men, women were, on average, substantially younger: 42% of women and 12% of men were less than 45 years old. Women were more likely than men to carry a service-connected disability status and to have a service-connected disability 3 In all cases, outpatient utilization described in Part 2 of this report does not include fee-basis, contract care, or pharmacy services. See Notes to Interpretation on page 14 for an explanation of how this might underestimate total VHA outpatient utilization by women Veteran VHA patients. 211 Women Veterans Sourcebook Vol. 1: Executive Summary rating of at least 5 percent. 4 Within every age group, a greater proportion of women than men used face-to-face outpatient services more than six times. Women used more primary care services than did men: 47% of women versus 42% of men had at least three primary care visits, and 15% of women versus 11% of men had at least six primary care visits in FY9. Women used more mental health services than did men. Among mental health clinic patients, 12% of women and 7% of men had more than six mental health visits in FY9. Key Implications for Policy and Practice The number of women Veterans using VHA services has nearly doubled in the past decade. If growth continues at this pace, and especially if market penetration increases among the large group of women Veterans who currently do not use VHA, 5 increasing demands upon VHA delivery systems for women are anticipated. The number of young women in VHA has been growing rapidly in recent years. This rapid demographic shift highlights the need to assure ample capacity for clinical services necessary for women in their reproductive years and to assure that health care providers knowledge and skills are up to date in this clinical domain. The tallest peak in the age distribution of women Veteran patients was at age 47 in FY9. Twenty years from now, this large group of women will be nearing their seventies. These women could require more intensive health care services as they age, including geriatric and extended care services and, where applicable, support for their role as caregivers. Also, as these women become Medicare-eligible, coordination of care across health care systems may become increasingly important. The proportion of women Veteran VHA patients with a service-connected disability rating, as well as the proportion with ratings of 5 percent or more, has increased over the decade. More than half of women Veterans in VHA now carry a service-connected disability rating, some of whom are very young. These women will be eligible for lifelong VHA care for their service-connected conditions. Women Veterans use VHA primary care services even more heavily than do men Veterans. Clinicians with a large number of women in their panels may require adjustments in panel size or scheduling profiles to assure that women have suffcient access to care. Among those women Veteran VHA patients who have mental illness, many use mental health services. Those who use mental health services tend to make many visits, suggesting that mental health care for women often requires high-intensity services. The proportion of women Veteran VHA patients who made one or more primary care visits increased between FY and FY9. This suggests that the VHA has been successful in its efforts to connect more women Veteran patients with primary care providers. Further, the proportion of women Veteran VHA patients who had one or more mental health visits increased between FY FY9. This suggests that VHA innovations in the past 1 years, such as systematic screening for mental illness and embedded mental health providers in primary care settings, appear to have improved access to mental health services for women Veteran VHA patients. 4 To enhance the clarity and readability of this report, an editorial decision has been made to spell percent in reference to service-connected disability ratings, e.g. SC disability rating of 7 percent. In all other measures of percentage, the percent symbol (%) is used. 5 In FY9, WHEI data indicate that 292,921 women Veterans received VHA care. In that same year, there were approximately 1,824, women Veterans living in the United States (based upon Vetpop data, accessed at Thus, the majority of women Veterans do not receive care in VHA. 312 13 Women Veterans Sourcebook Vol. 1: Introduction Background Introduction Despite the fact that women have served in every United States military conflict since the American Revolution, they were not recognized as Veterans at the time that President Abraham Lincoln created the Veterans Administration (VA) to care for him who shall have borne the battle, and for his widow, and his orphan. When the congressional Government Accountability Offce (GAO) released its first comprehensive report on Veterans Health Administration (VHA) care for women Veterans in 1982, women represented an extreme numeric minority group within an organization originally designed to meet the health care needs of men. Reports by the GAO and the VA Offce of Inspector General in the late 198s and early 199s documented quality gaps in VHA women s health care delivery. By the mid-199s, major change had begun. Over the past two decades, VHA has rolled out numerous initiatives designed to improve access and quality of care for women Veterans. Among these were Comprehensive Women Veterans Health Centers, Continuing Medical Education offerings in women s health, post-doctoral Fellowship training programs in women s health, the Women s Health Sciences Division of the National Center for Post Traumatic Stress Disorder (PTSD), women s mental health specialty programs, a national Military Sexual Trauma Support team, and active solicitation of women s health services research projects. Building on these earlier achievements, in late 28, the VHA Women Veterans Health Strategic Health Care Group (WVHSHG) in VA Central Offce launched a 5-year plan to redesign the women s health care delivery system in VHA nationally. A fundamental component of this new vision was assuring that women Veterans receive comprehensive primary care from providers skilled in women s health care. Every VHA health care system in the country now has a full-time Women Veterans Program Manager tasked with advocating for the health care needs of women using that facility. Miniresidencies in women s health have been disseminated systemwide to enhance clinician competencies in women s health. The WVHSHG oversees these efforts nationally. As part of this dynamic systems redesign, the WVHSHG identified the need for data to inform policy and program planning. While highly informative data on women Veterans are available from the research literature 6 and from various VHA reports (e.g., VHA Offce of Policy and Planning, and the searchable VSSC Data Cube), the WVHSHG identified the need for detailed data specifically tailored to its strategic planning objectives and available to be queried in a timely way as issues emerge in VHA women s health care delivery. 6 Goldzweig CL, Balekian TM, Rolon C, Yano EM, Shekelle PG. The State of Women Veterans Health Research. Results of a Systematic Literature Review. J Gen Intern Med. 26; 21(s3):S82-S92; Bean-Mayberry B, Batuman F, Huang C, Goldzweig CL, Washington DL, Yano EM, Miake-Lye I, Shekelle PG. Systematic Review of Women Veterans Health Research VA-ESP Project #5-226;14 Women Veterans Sourcebook Vol. 1: Introduction To address this need, the WVHSHG approached women s health investigators with expertise in large database research at the Center for Health Care Evaluation, a VA Health Services Research & Development (HSR&D) Center of Excellence, and the Health Economics Resource Center at VA Palo Alto Health Care System. The resulting partnership was called the Women s Health Evaluation Initiative, or WHEI. Since 29, WHEI has been conducting analyses in response to queries by the WVHSHG. The analyses that WHEI produces are relevant to groups besides the WVHSHG, including policymakers, clinicians, researchers, advocates, and women Veterans. To facilitate dissemination of major findings to a broader audience, key sociodemographic and VHA health care utilization data have been organized in this Sourcebook. This document is the first volume; subsequent volumes of the Sourcebook are being developed to describe additional characteristics of women Veteran VHA patients and their health care. Methods Overview. This report presents the number, age, and service-connected disability status of women Veterans who received medical care in the Veterans Health Administration (VHA) (Part 1), along with information about their utilization of outpatient and inpatient VHA services (Part 2). Data for this report were derived from centralized VHA administrative files (the ADUSH Monthly Enrollment File, the SE Outpatient Encounter File, and the PTF Inpatient File, described in the Technical Appendix) spanning a 1-year period from Fiscal Year 2 through Fiscal Year 29 (FY FY9). Non-Veterans who use VHA services are not included in this report. Characteristics examined. Sociodemographic characteristics examined in this report are age and service-connected disability status. Note that race/ethnicity data are not included among the sociodemographic characteristics due to data quality concerns about the race/ethnicity variable. 7 This report examines several specific types of outpatient utilization: total outpatient utilization, outpatient face-to-face visits with a clinician (i.e., excluding laboratory, radiology, and telephone encounters), primary care visits (total primary care visits as well as visits to primary care clinics and women s health clinics, defined in Part 2), women s specialty care, and mental health care. This report also quantifies the number of women with at least one inpatient stay. (See Technical Appendix for details of the algorithms used to create these variables and the data validity checks completed.) Analyses. All data in this report are descriptive. The analyses in the sociodemographics section are organized as follows: Number of women Veteran VHA patients Age distribution Service-connected disability status The analyses in the utilization section are organized as follows: Utilization of VHA services by women Veterans in FY9 Overall [by type of care: total outpatient care, face-to-face outpatient care, primary care, women s specialty care 8, mental health care] Within key sub-populations (i.e., by age group and service-connected disability status) [by type of care] Compared to utilization by men Veteran VHA patients [by type of care] Longitudinal trends in the utilization of VHA services by women Veterans, FY FY9 [by type of care] 7 The VA Information Resource Center is currently working to identify optimal approaches to identification of race/ethnicity from VHA data sources. It is anticipated that race/ethnicity information will become available in a future volume of the Sourcebook. More information about race/ethnicity data quality and availability in VHA is provided at DataQuality/Race.htm. Further observations on how race/ethnicity information in VHA data sources can be improved by linking to Medicare and Department of Defense sources can be found in this study: Stroupe K, Tarlov E, Zhang Q, Haywood T, Owens A, Hynes D. Utility of Medicare and DoD data for improving VA race data quality. Journal of Rehabilitation Research & Development. 21 Nov;47(8): This category is separated into two parts: Gynecology and Women s Surgery Clinic. 615 Women Veterans Sourcebook Vol. 1: Sociodemographics Part 1: Sociodemographics Women Veteran VHA Patient Cohort Size Growth in number of women Veterans using VHA, FY FY9. While women Veterans remain a numerical minority group in VHA, the number using VHA services has nearly doubled in the past decade, growing from 159,63 to 292,921 an 83% increase between FY and FY9 (Figure 1). In contrast, the number of men Veterans in VHA has grown more slowly, from 3,225,712 to 4,846,869 a 5% increase (Figure 2). The 292,921 women Veterans who used any care at a VHA facility in FY9 represent about 6% of all Veterans using VHA in that year. Since 24, the annual percent increase in the number of women Veteran VHA patients has been consistently four percentage points higher than the same percent increase for men Veterans. Figure 1. Number of women Veteran Fig 1 VHA patients in each Figure 2. Number of men Veteran VHA patients Fig 2 in each year, year, FY FY9 FY FY9 3, 5,, 4,, # WV VHA Patients 2, 1, # MV VHA Patients 3,, 2,, 1,, Key: VHA Veterans Health Administration; WV Women Veterans; MV Men Veterans; FY Fiscal Year Notes: Findings portray Veterans who use services at VHA facilities, not the entire Veteran population. See Technical Appendix for an explanation of how women Veterans were identified. Cohort: Women and men Veteran VHA users in year. Women in FY9: N=292,921; Men in FY9: N=4,846,869. Source: WHEI analysis of ADUSH Monthly Enrollment Files, FY FY9. Notes to interpretation: These data reflect the VHA system at a national level. Specific geographic regions or individual VHA facilities may have experienced greater or lesser increases in the women Veteran patient population. Implications The number of women Veterans using VHA services has nearly doubled in the past decade. If growth continues at this pace, and especially if market penetration increases among the large group of women Veterans who currently do not use VHA, increasing demands upon VHA delivery systems for women are anticipated. 716 Women Veterans Sourcebook Vol. 1: Sociodemographics Ages of Women Veteran VHA Patients Age mix, FY9. Women Veteran VHA patients cross the full adult lifespan, from late teen years to older than 1 years. The history of U.S. military conflicts influences their age distribution; while some women join the military in times of peace, large boluses of women join at the time of major military conflicts. Many of those who join the military are in their late teens or early 2s. Thus, the age distribution of women in part reflects war era cohort effects. In FY9, the majority of women Veterans in VHA were less than 65 years old, with approximately equal numbers in the (42%) and the (44%) age groups (Figure 3). Substantial numbers of women were at the age extremes: 5% were younger than 25, and 4% were older than 85. Fig 3 Figure 3. Age distribution among women Veteran VHA patients, FY9 42% 14% 44% Key: VHA Veterans Health Administration; WV Women Veterans; FY Fiscal Year Notes: Findings portray age mix among Veterans who use VHA Age (Years) services and are not necessarily representative of the age mix of Veterans who do not use VHA. See Technical Appendix for an explanation of how women Veterans were identified in data and how age was calculated, and for information on missing age values Cohort: Women Veteran VHA users who have non-missing ages between 18 and 11 years old (inclusive) in year. N= in FY, N=292,878 in FY9. Source: WHEI analysis of ADUSH Monthly Enrollment File, FY9. Changes in age distribution, FY FY9. Figure 4 shows the number of women at each age in FY (dotted line), and again in FY9 (bold line). In FY, the distribution had two main peaks: The tallest peak had a maximum at age 44, and the second peak had a maximum at age 76. By FY9, the peaks had shifted forward. The peak that had been tallest in FY was even taller and had its maximum at age 47. The second FY9 peak had its maximum at age 85; notably, the number of women in this age cohort did not shrink significantly between FY and FY9, despite the potential for attrition (e.g., due to death or transfer to non-vha long-term care facilities). This suggests that older women have joined VHA at a pace commensurate with their attrition. Furthermore, by FY9 a substantial new third peak had appeared, with its maximum at age 27. Figure 4. Age distribution of women Veteran VHA patients (#), FY and FY9 Fig 4 Key: VHA Veterans Health Administration; FY Fiscal Year; WV Women Veterans 1, Notes: Findings portray age mix among Veterans who use VHA FY services and are not necessarily representative of the 8, age mix of Veterans who do not use VHA. See Technical FY9 Appendix for an explanation of how women Veterans 6, were identified in data and how age was calculated, and for information on missing age values. 4, Cohort: Women Veteran VHA users who have non-missing 2, ages between 18 and 1 years old (inclusive) in year. N=159,548 in FY, N=292,878 in FY9. 2 Source: WHEI analysis of ADUSH Monthly Enrollment Files, FY FY9. # WV VHA Patients Age (Years) 817 Women Veterans Sourcebook Vol. 1: Sociodemographics Even though the total number of women under age 45 increased from 81,745 in FY to 123,797 in FY9, the proportion of women under age 45 actually decreased, from 51% in FY to 42% in FY9 (Figure 5). This is because the total number of women using VHA increased rapidly over this period. Similarly, although the number of year olds also increased over the decade (from 36,354 in FY to 67,219 in FY9), this age group did not increase as a proportion of the total women Veteran patient population: year olds comprised 23% of the population in FY and 23% of the population in FY9. Over this same period, the year old cohort became much larger, both numerically (47,32 in FY, 128,178 in FY9) and as a proportion of all women patients (3% in FY, 44% in FY9) (Figure 5). Figure 5. Age distribution of women Veteran VHA patients (%), FY FY9 Fig 5 Key: VHA Veterans Health Administration; FY Fiscal Year; WV Women Veterans 1 Notes: Findings portray age mix among Veterans who use VHA 19% 14% services and are not necessarily representative of the 8 Age (Years) age mix of Veterans who do not use VHA. See Technical 3% 44% Appendix for an explanation of how women Veterans were identified in data and how age was calculated, and for information on missing age values. 4 Cohort: Women Veteran VHA users who have non-missing 51% ages between 18 and 11 years old (inclusive) in year. 2 42% N=292,894 in FY9. Source: WHEI analysis of ADUSH Monthly Enrollment Files, FY FY9. % WV VHA Patients Changes in age distribution, FY FY9 (continued). Compared with the numbers of women in the and age groups, relatively fewer women were years old. Between FY and FY9, the number of women in this age cohort grew from 3,488 to 4,919, but this group decreased as a proportion of all women Veteran VHA patients, from 19% to 14% (Figure 5). Women compared to men, FY9. Figure 6 indicates that, compared to men Veteran VHA patients in FY9, the population of women is substantially younger: 86% of women compared to 54% of men are less than 65 years old, and 42% of women compared to 12% of men are less than 45 years old. Fig 6 Figure 6. Age group of Veteran patients, by gender, FY9 % VHA Patients Age (Years) Key: VHA Veterans Health Administration; FY Fiscal Year Notes: Findings portray age mix among Veterans who use VHA services; they are not necessarily representative of Veterans who do not use VHA care. See Technical Appendix for an explanation of how Veterans were identified in data and how age was calculated, and for information on missing age values Cohort: Women and men Veteran VHA users who have non missing ages between 18 and 11 years old (inclusive) 2 in FY9. Women: N=292,894; Men: N=4,846, Source: WHEI analysis of ADUSH Monthly Enrollment Files, FY9. Women Men 918 Women Veterans Sourcebook Vol. 1: Sociodemographics Implications The number of young women in VHA has been growing rapidly in recent years. This rapid demographic shift highlights the need to assure ample capacity for clinical services necessary for women in their reproductive years and to assure that health care providers knowledge and skills are up to date in this clinical domain. The tallest peak in the age distribution of women Veteran patients was at age 47 in FY9. Twenty years from now, this large group of women will be nearing their seventies. These women could require more intensive health care services as they age, including geriatric and extended care services and, where applicable, support for their role as caregivers. Also, as these women become Medicare-eligible, coordination of care across systems may become increasingly important. Service-Connected Disability Status of Women Veteran VHA Patients Service-connected status indicates an injury or illness that was incurred or aggravated while serving in the armed forces. The Veterans Benefits Administration (VBA) reviews disability compensation claims using a multi-step process. VBA first determines whether the disability was incurred or aggravated during active military service if so, the Veteran receives service connected (SC) disability status. The Veteran s SC disability is then assessed and rated for severity from to 1 percent. 9 Finally, VBA calculates disability compensation benefits based on the SC disability rating as well as other factors, such as dependents. Service-connected status, FY9. More than half (55%) of women Veteran VHA patients in FY9 had an SC disability rating (Figure 7). Among all women Veterans using VHA in FY9, 14,39 (5%) had an SC disability rating of 1 percent. About a quarter of women (26%, or 75,272 women) had an SC disability rating of 5 percent or higher. Fig 7 Figure 7. Service-connected disability status among women Veteran VHA patients, FY and FY9 # WV VHA Patients 3, 2, 1, 4% 45% 52% 3% 32% 21% 5% 12% 2 29 Service-Connected Disability Rating (Percent) No SC SC: 49 SC: 5 99 SC: 1 Key: VHA Veterans Health Administration; FY Fiscal Year; WV Women Veterans; SC Service-connected Notes: Findings portray SC status mix among Veterans who use VHA services, who are not necessarily representative of Veterans who do not use VHA. See Technical Appendix for an explanation of how women Veterans were identified in data and how SC status was determined, and for information on missing SC values. Cohort: Women Veteran VHA users with non-missing SC values in year. N=158,16 in FY, N=292,18 in FY9. Source: WHEI analysis of ADUSH Monthly Enrollment Files, FY and FY9. Changes in proportion of women with service-connected disability status over time, FY vs. FY9. Also seen in Figure 7, the proportion of women Veteran VHA patients with any SC disability rating had increased, from 48% in FY to 55% in FY9 (representing a numeric increase from 76,377 women to 161,543 women). The 9 To enhance the clarity and readability of this report, an editorial decision has been made to spell percent in reference to service-connected disability ratings, e.g. SC disability rating of 7 percent. In all other measures of percentage, the percent symbol (%) is used. 119 Women Veterans Sourcebook Vol. 1: Sociodemographics proportion of women Veterans with SC disability ratings of 5 percent or higher increased over this 1-year period as well: Those with ratings of 5 99 percent increased from 12% to 21%, and those with a rating of 1 percent increased from 4% to 5%. Service-connected disability status by age, FY9. Figure 8 shows that 68% of women Veteran VHA patients who are years old had an SC disability rating, compared with 55% of those who are years old and 19% of those who are years old. More women Veteran VHA patients in the age group had an SC disability rating of 1 percent (7%) than in the other age groups (4% of years; 3% of years). Women compared to men, FY9. A higher proportion of women Veteran VHA patients than men had SC disability ratings (Figure 9). Fifty-five percent of women Veterans had any SC disability rating, compared with 41% of men. Among these Veteran VHA patients, 26% of women and 19% of men had an SC disability rating higher than 5 percent. Figure 8. Service-connected Fig 8 disability status among women Figure 9. Service-connected disability Fig 9 status among Veteran Veteran VHA patients, by age, FY9 VHA patients, by gender, FY9 % WV VHA Patients 1 1 Service-Connected Service-Connected 8 Disability Rating 8 Disability Rating (Percent) (Percent) 6 No SC 6 No SC 4 SC: 49 SC: 49 4 SC: SC: 1 Age Age Age % VHA Patients SC: SC: 1 Women Men Key: VHA Veterans Health Administration; FY Fiscal Year; Key: VHA Veterans Health Administration; FY Fiscal Year; WV Women Veterans; SC Service-connected SC Service-connected Notes: Findings portray SC and age status among Veterans who Notes: Findings portray SC status among Veterans who use use VHA services, who are not necessarily representative VHA services, who are not necessarily representative of of Veterans who do not use VHA. See Technical Appendix Veterans who do not use VHA. See Technical Appendix for for an explanation of how women Veterans were identified an explanation of how Veterans were identified in data in data and how age and SC status were calculated, and for and how SC status was calculated, and for information on information on missing age and SC values. missing SC values. Cohort: Women Veteran VHA users who have non-missing ages Cohort: Women and men Veteran VHA users with non-missing SC between 18 and 11 years old (inclusive) in FY9 and who values in FY9. Women: N=292,18; Men: N=4,838,232. also have non-missing SC values. N=292,81. Source: WHEI analysis of ADUSH Monthly Enrollment File, FY9. Source: WHEI analysis of ADUSH Monthly Enrollment File, FY9. Notes to interpretation: First, SC disability status can result from a variety of exposures including, but not limited to, combat. The administrative data used for this report do not indicate the diagnoses associated with an individual s SC disability rating. Second, these data show the proportion of women and men VHA patients who carry SC disability status. These data do not show the total number of Veterans nationally who carry SC disability status: Veterans who do not use VHA care are not included in the cohort examined here. Therefore, no conclusions can be drawn about what proportion of all women and men Veterans in the U.S. population carry an SC disability status. Third, these data only identify Veterans who have been formally granted SC disability status; VHA patients who have a military service-related illness or disability, but who have not applied for SC disability status, are not identified in these data as having an SC disability rating. Higher proportions of VHA patients with SC disability 1120 Women Veterans Sourcebook Vol. 1: Sociodemographics status in one group compared to another group (e.g., women versus men) could imply either that the proportion of Veterans in that group applying for and being granted SC disability status is greater, or that Veterans in that group who have SC disability status are more likely to be using VHA services. Similarly, higher proportions of VHA patients in one group compared to another group carrying higher SC disability ratings could imply either that the proportion of Veterans in that group applying for and being granted higher SC disability ratings is greater, or that Veterans in that group who have higher SC disability ratings are more likely to be using VHA services. Finally, Veterans who have only recently applied for SC disability status will appear in the database as non-sc until the time, if any, that they are granted SC disability status and VHA is updated regarding this change. Implications The proportion of women Veteran VHA patients with a service-connected disability rating, as well as the proportion with SC disability ratings of 5 percent or more, has increased over the decade. More than half of women Veterans in VHA now carry an SC disability rating, some of whom are very young. These women will be eligible for lifelong VHA care for their service-connected conditions. 12 View more
Since the Revolutionary War, America s women
Since the Revolutionary War, America s women have earned America s gratitude and respect for their contributions to the military and to the nation. VA will continue to improve our benefits and services More information Suicide, PTSD, and Substance Use Among OEF/OIF Veterans Using VA Health Care: Facts and Figures
Suicide, PTSD, and Substance Use Among OEF/OIF Veterans Using VA Health Care: Facts and Figures Erin Bagalman Analyst in Health Policy July 18, 2011 Congressional Research Service CRS Report for Congress More information INSIGHT on the Issues
INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138 More information Addressing Intimate Partner Violence (IPV) Among Women in the Veterans Health Administration (VHA): Toward a Comprehensive Response
Addressing Intimate Partner Violence (IPV) Among Women in the Veterans Health Administration (VHA): Toward a Comprehensive Response Katherine M. Iverson, PhD Clinical Research Psychologist, National Center More information Report No.: 99-00057-4 Date: December 20, 2000. Office of Inspector General Washington DC 20420
AUDIT OF VETERANS HEALTH ADMINISTRATION (VHA) PHARMACY CO-PAYMENT LEVELS AND RESTRICTIONS ON FILLING PRIVATELY WRITTEN PRESCRIPTIONS FOR PRIORITY GROUP 7 VETERANS VHA can reduce the cost impact of providing More information GAO VETERANS HEALTH CARE. VA Uses a Projection Model to Develop Most of Its Health Care Budget Estimate to Inform the President s Budget Request
GAO United States Government Accountability Office Report to Congressional Requesters January 2011 VETERANS HEALTH CARE VA Uses a Projection Model to Develop Most of Its Health Care Budget Estimate to More information HIT AND HSR FOR ACTIONABLE KNOWLEDGE: HEALTH SYSTEM SUMMARY. PARTNER: Veterans Health Administration (VHA) Organization and IT Infrastructure
HIT AND HSR FOR ACTIONABLE KNOWLEDGE: HEALTH SYSTEM SUMMARY PARTNER: Veterans Health Administration (VHA) Organizational Description And History Organization and IT Infrastructure The U.S. Department of More information Serving America's Veterans: How Louisiana s Health Centers Can Answer the Call. September 23, 2015
Serving America's Veterans: How Louisiana s Health Centers Can Answer the Call September 23, 2015 Presentation Topics Topic 1. Veterans Healthcare Overview- Gina Capra 2. Veteran Services in Health Centers- More information OPERATING DIVISION/DEPARTMENT: Department of Veterans Affairs (VA), Veterans Health Administration
FEDERAL PATIENT CENTERED MEDICAL HOME (PCMH) COLLABORATIVE Catalogue of Federal PCMH Activities as of October 2012 OPERATING DIVISION/DEPARTMENT: Department of Veterans Affairs (VA), Veterans Health Administration More information 2013 Health Care Cost and Utilization Report
2013 Health Care Cost and Utilization Report October 2014 Copyright 2014 Health Care Cost Institute Inc. Unless explicitly noted, the content of this report is licensed under a Creative Commons Attribution More information Oregon VA Medical Centers. To care for him who shall have borne the battle and his widow and orphan. Abraham Lincoln
Oregon VA Medical Centers To care for him who shall have borne the battle and his widow and orphan. Abraham Lincoln The White House DEPARTMENT OF STATE DEPARTMENT OF ENERGY DEPARTMENT OF TRANSPORT- ATION More information VA HEALTH CARE. Management and Oversight of Fee Basis Care Need Improvement. Report to Congressional Requesters
United States Government Accountability Office Report to Congressional Requesters May 2013 VA HEALTH CARE Management and Oversight of Fee Basis Care Need Improvement GAO-13-441 May 2013 VA HEALTH CARE More information GAO VA HEALTH CARE. Spending for Mental Health Strategic Plan Initiatives Was Substantially Less Than Planned. Report to Congressional Requesters
GAO United States Government Accountability Office Report to Congressional Requesters November 2006 VA HEALTH CARE Spending for Mental Health Strategic Plan Initiatives Was Substantially Less Than Planned More information Caring4WomenVeterans App. User Manual
Caring4WomenVeterans App User Manual User Manual Table of Contents Overview 1 The Basics 2 Getting to know the screen 2 Finding more information about the App 2 About Woman Veterans 3 Viewing general information More information Veterans Access, Choice and Accountability Act of 2014 ( Choice Act )
SUMMARY Veterans Access, Choice and Accountability Act of 2014 ( Choice Act ) The Department of Veterans Affairs (VA) was established to fulfill President Lincoln's promise "To care for him who shall have More information Fig. 22 Alcohol... 15 Fig. 23 2011 Gender Disparity for VISNs that chose IHD:LDL <100... 18 Fig. 24 Change in Disparity 2010 2011 for VISNs that
Table of Contents EXECUTIVE SUMMARY... 1 BACKGROUND... 2 VHA RESPONSE TO GAPS IN QUALITY OF CARE... 3 National Trends 2008 2011... 4 The Gender Disparity Measure in the Network Director s Performance Plan More information Pregnancy and Mental Health Care Among Women Veterans Returning from Iraq and Afghanistan
Pregnancy and Mental Health Care Among Women Veterans Returning from Iraq and Afghanistan Kristin M. Mattocks 12 1,2, Melissa Skanderson 12 1,2, Joseph Goulet 1,2, Sally Haskell 1,2, Elizabeth Yano 3,4, More information VA NURSING HOMES. Reporting More Complete Data on Workload and Expenditures Could Enhance Oversight
United States Government Accountability Office Report to the Ranking Member, Committee on Veterans Affairs, House of Representatives December 2013 VA NURSING HOMES Reporting More Complete Data on Workload More information VA HEALTH CARE ENROLLMENT. Department of Veterans Affairs New York Harbor HealthCare System
VA HEALTH CARE ENROLLMENT Department of Veterans Affairs New York Harbor HealthCare System Veterans Health Administration Honoring Those Who Served VA s health care system is patient-centered and focused More information VA HEALTH CARE. Actions Needed to Improve Administration of the Provider Performance Pay and Award Systems. Report to Congressional Requesters
United States Government Accountability Office Report to Congressional Requesters July 2013 VA HEALTH CARE Actions Needed to Improve Administration of the Provider Performance Pay and Award Systems GAO-13-536 More information GAO VA HEALTH CARE. Reliability of Reported Outpatient Medical Appointment Wait Times and Scheduling Oversight Need Improvement
GAO United States Government Accountability Office Report to Congressional Requesters December 2012 VA HEALTH CARE Reliability of Reported Outpatient Medical Appointment Wait Times and Scheduling Oversight More information Medicare Beneficiaries Out-of-Pocket Spending for Health Care
Insight on the Issues OCTOBER 2015 Beneficiaries Out-of-Pocket Spending for Health Care Claire Noel-Miller, MPA, PhD AARP Public Policy Institute Half of all beneficiaries in the fee-for-service program More information MENTAL HEALTH AND VETERANS BENEFITS ADMINISTRATION COLLABORARTIONS. Stacey Pollack, Ph.D.
MENTAL HEALTH AND VETERANS BENEFITS ADMINISTRATION COLLABORARTIONS Stacey Pollack, Ph.D. Collaborations with Compensation Service and Benefits Assistance Service (BAS) 1 VBA Compensation Issues Update More information Objective: Provide information regarding 4 Department of Veterans Affairs programs.
Veterans Benefits Objective: Provide information regarding 4 Department of Veterans Affairs programs. OEF/OIF/OND Case Management Peer Support VA Claims and Benefits Vocational Rehabilitation Structure More information Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013
Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Published: March 2015 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s More information Integrated Investment Decision Making at the Veterans Health Administration (VHA)
Integrated Investment Decision Making at the Veterans Administration (VHA) Troux Worldwide Conference April Ian Komorowski, Deputy Director, Business Architecture (BA) Jim Sant Amour, Office of Strategic More information Combined Assessment Program Review of the Atlanta VA Medical Center Atlanta, Georgia
Department of Veterans Affairs Office of Inspector General Combined Assessment Program Review of the Atlanta VA Medical Center Atlanta, Georgia Report No. 06-01571-231 September 29, 2006 VA Office of Inspector More information The role of t he Depart ment of Veterans Affairs (VA) as
The VA Health Care System: An Unrecognized National Safety Net Veterans who use the VA health care system have a higher level of illness than the general population, and 60 percent have no private or Medigap More information Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012
Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012 Published: July 2014 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s More information Assessment of Alternative Treatment Strategies for Chronic Genotype 1 Hepatitis C
Department of Veterans Affairs Health Services Research & Development Service Assessment of Alternative Treatment Strategies for Chronic Genotype 1 Hepatitis C March 2013 Prepared for: Department of Veterans More information Setting the Record Straight about Medicare
Fact Sheet Setting the Record Straight about Medicare Keith D. Lind, JD, MS As the nation considers the future of Medicare, it is important to separate the facts from misconceptions about Medicare coverage, More information The Career Path of a Chief Nursing Officer: The Impact of Nursing Leadership at the Veterans Health Administration Cathy Rick, RN PhD (h), NEA-BC,
The Career Path of a Chief Nursing Officer: The Impact of Nursing Leadership at the Veterans Health Administration Cathy Rick, RN PhD (h), NEA-BC, FACHE, FAAN 1 Conflict of Interest Disclosure Cathy Rick, More information VA Office of Inspector General
VA Office of Inspector General OFFICE OF AUDITS AND EVALUATIONS Veterans Health Administration Audit of the Community Nursing Home Program March 29, 2013 11-00331-160 ACRONYMS AND ABBREVIATIONS CMS GEC More information Treatment of Metastatic Non-Small Cell Lung Cancer: A Systematic Review of Comparative Effectiveness and Cost-Effectiveness
Department of Veterans Affairs Health Services Research & Development Service Treatment of Metastatic Non-Small Cell Lung Cancer: A Systematic Review of Comparative Effectiveness and Cost-Effectiveness More information of new medical facilities at Seattle, Dallas, st. Louis and Palo Alto, Calif.
Here are highlights from the President's 2013 budget request for VA. Medical Care The President's proposed budget seeks $52.7 billion for medical care, a 4.1 percent increase over the $50.6 billion approved More information Specialty Care in the Veterans Health Administration
Specialty Care in the Veterans Health Administration A Presentation for the Paralyzed Veterans of America Summit Robert L. Jesse, MD, PhD Principal Deputy Under Secretary for Health September 16, 2011 More information Co-Occurring Disorder-Related Quick Facts: ELDERLY
Co-Occurring Disorder-Related Quick Facts: ELDERLY Elderly: In 2004, persons over the age of 65 reached a total of 36.3 million in the United States, an increase of approximately nine percent over the More information Utilization of the Electronic Medical Record to Assess Morbidity and Mortality in Veterans Treated for Substance Use Disorders
Utilization of the Electronic Medical Record to Assess Morbidity and Mortality in Veterans Treated for Substance Use Disorders Dr. Kathleen P. Decker, M.D. Staff Psychiatrist, Hampton VAMC Assistant Professor, More information LEGISLATIVE BULLETIN
LEGISLATIVE BULLETIN October 2012 Fiscal Year 2013 Appropriations Acts As expected, Congress recessed for its summer vacation without approving VA s appropriation for Fiscal Year 2013. However, Congress More information Summary of VA Benefits
Summary of VA Benefits You are here We are here to help you find your way text Bird & Flags stars & disk SUMMARY OF VA BENEFITS You have sacrificed to keep our country and everything it represents safe. More information GAO POST-TRAUMATIC STRESS DISORDER. DOD Needs to Identify the Factors Its Providers Use to Make Mental Health Evaluation Referrals for Servicemembers
GAO United States Government Accountability Office Report to Congressional Committees May 2006 POST-TRAUMATIC STRESS DISORDER DOD Needs to Identify the Factors Its Providers Use to Make Mental Health Evaluation More information Summary of VA Benefits
Summary of VA Benefits You are here We are here to help you find your way text Bird & Flags stars & disk You have sacrificed to keep our country and everything it represents safe. The U.S. Department of More information James Hallenbeck, MD Associate Chief of Staff, Extended Care, VA Palo Alto Health Care System, Associate Professor, Stanford University
James Hallenbeck, MD Associate Chief of Staff, Extended Care, VA Palo Alto Health Care System, Associate Professor, Stanford University james.hallenbeck@va.gov California Veterans 2.2 Million (6%) of More information Evidence-based Synthesis Program. October 2012
Department of Veterans Affairs Health Services Research & Development Service Effects of Health Plan-Sponsored Fitness Center Benefits on Physical Activity, Health Outcomes, and Health Care Costs and Utilization: More information VA Program for Suicide Prevention
VA Program for Suicide Prevention Janet Kemp RN, PhD VA National Mental Health Director for Suicide Prevention Office of Mental Health, Patient Care Services Washington DC Krista Stephenson RN, MSN VA More information Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans
Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans Cumulative from 1 st Qtr FY 2002 through 4th Qtr FY 2011 More information Defense Healthcare Management Systems
Defense Healthcare Management Systems DoD Electronic Health Records & Interoperability Strategy July 9, 2014 Mary Ann Rockey Deputy Program Executive Officer Defense Healthcare Management Systems Distribution More information Veterans Health Administration (VHA): Mental Health Services. Briefing for Commission on Care October 19, 2015
Veterans Health Administration (VHA): Mental Health Services Briefing for Commission on Care October 19, 2015 Uniform Mental Health Services VHA is committed to providing a uniform package of mental health More information DOD-VA HEALTH CARE AND RELATED ISSUES
STATEMENT OF JOHN L. MAKI DAV ASSISTANT NATIONAL SERVICE DIRECTOR BEFORE THE MILITARY COMPENSATION AND RETIREMENT MODERNIZATION COMMISSION WASHINGTON, D.C. NOVEMBER 4, 2013 DOD-VA HEALTH CARE AND RELATED More information Compassionate Allowance Outreach Hearing on Brain Injuries. Social Security Administration. November 18, 2008. Statement of
Compassionate Allowance Outreach Hearing on Brain Injuries Social Security Administration November 18, 2008 Statement of Jerome E. Herbers, Jr., M.D. Office of Healthcare Inspections Office of Inspector More information VA HEALTH CARE. Actions Needed to Improve Administration and Oversight of Veterans Millennium Act Emergency Care Benefit
United States Government Accountability Office Report to Congressional Requesters March 2014 VA HEALTH CARE Actions Needed to Improve Administration and Oversight of Veterans Millennium Act Emergency Care More information Veterans Benefits. Eligibility for Benefits
Veterans Benefits Eligibility for Benefits Benefit programs for military veterans had their origins in the earliest days of the Nation s history. Pensions for disabled veterans of the Revolutionary War More information Department of Veterans Affairs VHA DIRECTIVE 2010-027 Veterans Health Administration Washington, DC 20420 June 9, 2010
Department of Veterans Affairs VHA DIRECTIVE 2010-027 Veterans Health Administration Washington, DC 20420 VHA OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES 1. PURPOSE: This Veterans Health Administration More information Electronic Health Record-based Interventions for Reducing Inappropriate Imaging in the Clinical Setting: A Systematic Review of the Evidence
Department of Veterans Affairs Health Services Research & Development Service Electronic Health Record-based Interventions for Reducing Inappropriate Imaging in the Clinical Setting: A Systematic Review More information GAO VA MENTAL HEALTH. Number of Veterans Receiving Care, Barriers Faced, and Efforts to Increase Access
GAO United States Government Accountability Office Report to the Ranking Member, Committee on Veterans Affairs, House of Representatives October 2011 VA MENTAL HEALTH Number of Veterans Receiving Care, More information Hospitals and Health Systems:
Hospitals and Health Systems: An Inside Look at Employee Health Plan Strategies To Control Costs and Provide Access to Healthcare August 2010 Highlights Because of their dual role as benefit plan sponsor More information GAO ELECTRONIC HEALTH RECORDS. DOD s and VA s Sharing of Information Could Benefit from Improved Management. Report to Congressional Committees
GAO United States Government Accountability Office Report to Congressional Committees January 2009 ELECTRONIC HEALTH RECORDS DOD s and VA s Sharing of Information Could Benefit from Improved Management More information Department of Defense MANUAL
Department of Defense MANUAL NUMBER 1341.12 August 10, 2015 USD(P&R) SUBJECT: Special Compensation for Assistance with Activities of Daily Living (SCAADL) Process References: See Enclosure 1 1. PURPOSE. More information Department of Veterans Affairs VHA HANDBOOK 1140.3. Washington, DC 20420 August 16, 2004 HOME HEALTH AND HOSPICE CARE REIMBURSEMENT HANDBOOK
Department of Veterans Affairs VHA HANDBOOK 1140.3 Veterans Health Administration Transmittal Sheet Washington, DC 20420 August 16, 2004 HOME HEALTH AND HOSPICE CARE REIMBURSEMENT HANDBOOK 1. REASON FOR More information Population Health: Veterans. Humble Beginnings
Population Health: Veterans Randy Moore, MSN, RN VA Nursing Academy partnership with UAB SON; Clinical Instructor Humble Beginnings Colonial Period From the beginning, the English colonies in North America More information Summary of Public Law 113-146 The Veterans Access, Choice, and Accountability Act of 2014 (The Choice Act of 2014)
Summary of Public Law 113-146 The Veterans Access, Choice, and Accountability Act of 2014 (The Choice Act of 2014) Title I: Improvement of Access to Care from Non-Department of Veterans Affairs Providers More information The Intersection of Suicide Research and Public Health Practice: Suicide and Veterans
The Intersection of Suicide Research and Public Health Practice: Suicide and Veterans Presenters: Robert Bossarte, Alan Holmlund, Cheryl Lussier Poppe Moderator: Julie Goldstein Grumet Audio will begin More information GAO. VA HEALTH CARE Weaknesses in Policies and Oversight Governing Medical Equipment Pose Risks to Veterans Safety
GAO United States Government Accountability Office Testimony Before the Committee on Veterans Affairs, House of Representatives For Release on Delivery Expected at 10:30 a.m. EDT Tuesday, May 3, 2011 VA More information A Comparison of Costs Between Medical and Surgical Patients in an Academic Pediatric Intensive Care Unit
ORIGINAL RESEARCH A Comparison of Costs Between Medical and Surgical Patients in an Academic Pediatric Intensive Care Unit Benson S. Hsu, MD, MBA; Thomas B. Brazelton III, MD, MPH ABSTRACT Objective: To More information Center for Medicare and Medicaid Innovation
Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center More information Pre-doctoral Nurse Fellowship Program
DEPARTMENT OF VETERANS AFFAIRS Veterans Health Administration Office of Academic Affiliations Washington, DC 2010 PROGRAM ANNOUNCEMENT Pre-doctoral Nurse Fellowship Program 1. PURPOSE: This fellowship More information DEPARTMENT OF VETERANS AFFAIRS 8320-01
This document is scheduled to be published in the Federal Register on 02/08/2016 and available online at http://federalregister.gov/a/2016-02350, and on FDsys.gov DEPARTMENT OF VETERANS AFFAIRS 8320-01 More information 4/11/2016. Overview: Veteran Benefits & Services
Overview: Veteran Benefits & Services Kay Kye April 11, 2016 1 Agenda VA Mission & Organization Compensation & Pension Health Care Education Vocational Rehabilitation & Employment G.I. Bill Burial & Survivor More information Pay for Performance: Its Influence on the Use of IT in Physician Organizations
Pay for Performance: Its Influence on the Use of IT in Physician Organizations Thomas R. Williams, M.B.A., M.P.H.,* Kristiana Raube, Ph.D., Cheryl L. Damberg, Ph.D., and Russell E. Mardon, Ph.D.** T he More information GAO VA HEALTH CARE. Report to the Ranking Member, Subcommittee on Health, Committee on Veterans Affairs, House of Representatives
GAO United States Government Accountability Office Report to the Ranking Member, Subcommittee on Health, Committee on Veterans Affairs, House of Representatives January 2011 VA HEALTH CARE VA Spends Millions More information Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids
Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids Prepared for the Florida Healthy Kids Corporation Prepared by Jill Boylston Herndon, Ph.D. More information DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX. Dear SALUTATION:
DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX Dear SALUTATION: Considering your leadership role in the Veterans Health Administration (VHA) helping to carry out Secretary McDonald s directive to More information GRADUATE AND FIRST-PROFESSIONAL STUDENTS
NATIONAL CENTER FOR EDUCATION STATISTICS GRADUATE AND FIRST-PROFESSIONAL STUDENTS NATIONAL POSTSECONDARY STUDENT AID STUDY 1996 U.S. Department of Education Office of Educational Research and Improvement More information FOR IMMEDIATE RELEASE June 10, 2014
FOR IMMEDIATE RELEASE June 10, 2014 AMA Encourages the Federal Government to Utilize Private Sector Physicians to Help Solve VA Crisis Urges Creation of Registries Identifying Physicians Ready and Willing More information DEPARTMENT OF HEALTH AND HUMAN SERVICES STATEMENT OF YVETTE ROUBIDEAUX M.D., M.P.H., DIRECTOR INDIAN HEALTH SERVICE BEFORE THE
DEPARTMENT OF HEALTH AND HUMAN SERVICES STATEMENT OF YVETTE ROUBIDEAUX M.D., M.P.H., DIRECTOR INDIAN HEALTH SERVICE BEFORE THE SENATE COMMITTEE ON INDIAN AFFAIRS May 24, 2012 STATEMENT OF THE INDIAN HEALTH More information DEPARTMENT OF VETERANS AFFAIRS Veterans Health Administration Office of Academic Affiliations Washington, DC
July 11, 2013 DEPARTMENT OF VETERANS AFFAIRS Veterans Health Administration Office of Academic Affiliations Washington, DC PROGRAM ANNOUNCEMENT Post-doctoral Nurse Fellowship Program 1. PURPOSE AND GOAL More information Federal Recovery Coordination Program. Karen Guice, MD, MPP Executive Director
Federal Recovery Coordination Program Karen Guice, MD, MPP Executive Director CONCEPT The President s Commission on Care for America s Returning Wounded Warriors Immediately create comprehensive patient-centered More information MODULE 11: Developing Care Management Support
MODULE 11: Developing Care Management Support In this module, we will describe the essential role local care managers play in health care delivery improvement programs and review some of the tools and More information Independent Review Group on Rehabilitative Care and Administrative Processes at Walter Reed Army Medical Center and National Naval Medical Center
Independent Review Group on Rehabilitative Care and Administrative Processes at Walter Reed Army Medical Center and National Naval Medical Center Crystal Plaza 6 2221 S. Clark Street, Suites 8-12 Independent More information Sue Flocke, PhD Eileen L. Seeholzer, MD MS Heidi Gullett, MD MPH
Sue Flocke, PhD Eileen L. Seeholzer, MD MS Heidi Gullett, MD MPH Brigid Jackson, MA Samantha Smith, MA Elizabeth Antognoli, PhD Sue Krejci, MBA Peter J. Lawson, MA MPH MBA Practice-based Research Network More information Data Shows Reduction in Medicare Hospital Readmission Rates During 2012
Medicare & Medicaid Research Review 2013: Volume 3, Number 2 A publication of the Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics Data Shows Reduction in Medicare More information Madam Chairwoman, Ranking Member Michaud, and Members of the Subcommittee:
STATEMENT OF JOY J. ILEM DEPUTY NATIONAL LEGISLATIVE DIRECTOR OF THE DISABLED AMERICAN VETERANS BEFORE THE COMMITTEE ON VETERANS AFFAIRS SUBCOMMITTEE ON HEALTH UNITED STATES HOUSE OF REPRESENTATIVES JULY More information Transforming VA Care at the End of Life
Transforming VA Care at the End of Life Thomas Edes, MD, MS Director, Home & Community-Based Care Geriatrics and Extended Care Office of Patient Care Services U.S. Department of Veterans Affairs May 20, More information Traumatic Brain Injury Family Caregiver Panel Update
Defense Health Board Meeting August 17, 2009 Traumatic Brain Injury Family Caregiver Panel Update Anne M. Moessner, RN, MSN, CRRN TBI Clinical Nurse Specialist; Coodinator,TBI Model System; Mayo Clinic More information MEDICARE SUPPLEMENTAL COVERAGE. Medigap and Other Factors Are Associated with Higher Estimated Health Care Expenditures
United States Government Accountability Office Report to the Ranking Member, Committee on Finance, U.S. Senate September 2013 MEDICARE SUPPLEMENTAL COVERAGE Medigap and Other Factors Are Associated with More information VA Office of Inspector General
VA Office of Inspector General OFFICE OF AUDITS AND EVALUATIONS Veterans Health Administration Audit of The Home Telehealth Program March 9, 2015 13-00716-101 ACRONYMS BDOC CCM FY HPDP NIC OIG PAID VA More information Pregnant and Parenting Youth in Foster Care in Washington State: Comparison to Other Teens and Young Women who Gave Birth
January 2014 RDA Report 11.202 Olympia, Washington Pregnant and Parenting in Care in Washington State: Comparison to Other and Women who Gave Birth Laurie Cawthon, MD, MPH Barbara Lucenko, PhD Peter Woodcox, More information VA Office of Inspector General
VA Office of Inspector General OFFICE OF AUDITS AND EVALUATIONS Veterans Health Administration Audit of Medical Care Collections Fund Billing of VA-Provided Care August 30, 2012 11-00333-254 ACRONYMS AND More information Dispatch from the. The National Clearinghouse for Veterans Treatment Courts at the National Association of Drug Court Professionals
Dispatch from the Front Lines The National Clearinghouse for Veterans Treatment Courts at the National Association of Drug Court Professionals Justice For Vets The VBA in Veterans Treatment Courts: Accessing More information Did raising the drinking age reduce veterans later alcohol treatment episodes?
Did raising the drinking age reduce veterans later alcohol treatment episodes? The U.S. military as a natural experiment Amy Wallace, MD, MPH Atticus Wallace Edward Sheehan, MD Yinong Young-Xu, ScD William More information Department of Veterans Affairs FY2016 Appropriations: In Brief
Cornell University ILR School DigitalCommons@ILR Federal Publications Key Workplace Documents 11-18-2015 Department of Veterans Affairs FY2016 Appropriations: In Brief Sidath Viranga Panangala Congressional More information Anita Shumaker, C.A.,C.M.T.,C.M.P. California Department of Veterans Affairs
James Hallenbeck, MD Associate Chief of Staff, Extended Care, VA Palo Alto Health Care System, Associate Professor, Stanford University james.hallenbeck@va.gov Anita Shumaker, C.A.,C.M.T.,C.M.P. California More information National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid
National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid By Sharon K. Long Karen Stockley Elaine Grimm Christine Coyer Urban Institute MACPAC Contractor Report More information Telehealth and Telemedicine Mary C. Foster, DNP, MSN, ANP VISN 6 Mid-Atlantic Health Care Network
Telehealth and Telemedicine Mary C. Foster, DNP, MSN, ANP VISN 6 Mid-Atlantic Health Care Network Not VA Telehealth One VA Provide the right care, in the right place, at the right time. This is our goal More information Department of Veterans Affairs VHA DIRECTIVE 2013-002 Veterans Health Administration Washington, DC 20420 January 14, 2013
Department of Veterans Affairs VHA DIRECTIVE 2013-002 Veterans Health Administration Washington, DC 20420 DOCUMENTATION OF MEDICAL EVIDENCE FOR DISABILITY EVALUATION PURPOSES 1. PURPOSE: This Veterans More information Fixing Mental Health Care in America
Fixing Mental Health Care in America A National Call for Measurement Based Care in Behavioral Health and Primary Care An Issue Brief Released by The Kennedy Forum Prepared by: John Fortney PhD, Rebecca More information How Outreach and Enrollment Staff Can Connect Veterans to Coverage
How Outreach and Enrollment Staff Can Connect Veterans to Coverage Virginia Community Healthcare Association Membership organization consisting of FQHCs and one RHC in Virginia Services include outreach More information Analysis of VA Health Care Utilization Among US Global War on Terrorism (GWOT) Veterans
Analysis of VA Health Care Utilization Among US Global War on Terrorism (GWOT) Veterans Operation Enduring Freedom Operation Iraqi Freedom VHA Office of Public Health and Environmental Hazards January More information Use of the Decision Support System for VA Cost-Effectiveness Research
MEDICAL CARE Volume 37, Number 4, pp AS63 AS70 VA Supplement 1999 Lippincott Williams & Wilkins, Inc. Use of the Decision Support System for VA Cost-Effectiveness Research PAUL G. BARNETT, PHD* AND JOHN More information 2017 © DocPlayer.net Privacy Policy | Terms of Service | Feedback