HSR&D National Meeting 2011

“Teaming Up for High VAlue Care”

February 16-18, 2011

Meeting Program

Wednesday, February 16

TIME

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EVENT

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LOCATION

3:00pm – 7:00pm
3:30pm – 5:00pm
5:00pm – 6:30pm / Registration
Concurrent Workshops
(sessions are not part of accredited meeting hours)
HSR&D Scientific Merit Review Board (SMRB): The Process
Merry Ward, PhD
An Introductory Look at Statistical Text Mining for Health Services Researchers
James McCart, PhD
Modern Approach to Causal Inference
Brian Sauer, PhD
AnIntroduction to Conducting and Interpreting Meta-Analyses
Donna White, PhD, MPH
Bridging the Gap Between Clinical Science and Care: An Introduction to Point of Care Clinical Trials
Leonard D’Avolio, PhD
Qualitative and Mixed Methods in QUERI and Implementation Research
Susan Zickmund, PhD
Psychometric Overview for Proper Development, Validation, and Evaluation of Self-Report Measures
Corinne Voils, PhD
Poster Session A/Reception / Fort Washington Registration Desk
Baltimore 3
Baltimore 4
Annapolis 1
Annapolis 2
Annapolis 3
Baltimore 1
Baltimore 2
Prince George’s Exhibit Hall B

Thursday, February 17

TIME

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EVENT

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LOCATION

7:00am – 8:00pm /

Registration

/ Fort Washington Registration Desk
7:00am – 8:00am / Continental Breakfast / Woodrow Wilson Lobby
8:00am – 7:30pm / Exhibit Session / Woodrow Wilson Lobby
8:00am – 8:45am
8:45am – 10:15am / Welcoming Remarks and Conference Highlights
Steve Fihn, MD, MPH
Northwest Center for Outcomes Research in Older
Adults
VA Puget Sound Health Care System, Seattle
Seth Eisen, MD, MSc
Director, HSR&D
Department of Veterans Affairs, Washington, DC
Joel Kupersmith, MD
Chief Research and Development Officer
Department of Veterans Affairs, Washington, DC
Plenary Paper Session
Moderators: Karin Nelson, MD; Steven Zeliadt, PhD
The Differential Pattern of Post-Concussive Symptoms Among Female Compared to Male OEF/OIF Veterans with Deployment-Related TBI
Katherine Iverson, PhD
Measuring the Quality of Care for Alcohol Misuse: Limitations of Screening-based Measures
Katharine Bradley, MD, MPH
Clinical Decision Support at the Time of An e-Prescription Can Sustainably Decrease Unwarranted Use of Antibiotics for Acute Respiratory Infections
Sylvain DeLisle, MD, MBA
Implementation of a Text-Mining-Based Clinical Decision Support Tol to Improve the Management of Pulmonary Nodules
Vijay Garla, MSc
Clinical Trial of a Home Safety Intervention for Alzheimer's Disease
Scott Trudeau, PhD, OTR-L
Do the Economic Benefits of Participation in a Diabetes Group Visits Trial Persist after Trial Completion?
George Jackson, PhD / Woodrow Wilson Ballroom
10:15am – 10:45am /

Break

/ Woodrow Wilson Lobby
10:45am – 12:15pm / Concurrent Workshops
Patient Aligned Care Teams (PACT) Demonstration Lab Initiative: Research-Clinical Partnerships to Evaluate and Enhance VA PACT Implementation
Elizabeth Yano, PhD, MSPH
Mediation Analysis in Health Services Research
Andrew Zhou, PhD
Building Successful VA HSR&D/ CTSA Collaborations
Gary Rosenthal, MD
Hybrid Effectiveness-Implementation Trial Designs for Enhanced Research Impact
Mark Bauer, MD
Opportunities for the New eHealth QUERI: Developing Approaches to Increase Veteran Adoption and Use of My HealtheVet (MHV)
Keith McInnes, ScD
An Introduction to Natural Language Processing in the VA
Scott DuVall, PhD
Understanding Content of and Access to Major VA Data Sources Useful for Health Services Research
Denise Hynes, PhD, MPH, RN / Baltimore 3
Baltimore 4
Annapolis 1
Annapolis 2
Annapolis 3
Baltimore 1
Baltimore 2
12:30pm – 2:15pm
1:00pm – 1:35pm
1:35pm – 1:55pm / Luncheon Program
Under Secretary for Health Address and Presentation of Under Secretary’s Award for Outstanding Achievement in Health Services Research
Joel Kupersmith, MD
Chief Research and Development Officer
Department of Veterans Affairs, Washington, DC
The Honorable Robert Petzel, MD
Under Secretary for Health
Department of Veterans Affairs, Washington, DC
Awardee Presentation / Woodrow Wilson Ballroom
2:30pm – 3:45pm /

Concurrent Paper Sessions

Chronic Disease Management I
Moderator: Martha Gerrity, MD, MPH, PhD
2:30 – 2:45pm
Blood Pressure Lowering among Eligible Patients Immediately and Up to Six Months after the Adherence and Intensification of Medications (AIM) Program
Michele Heisler, MD, MPA
2:45 – 3:00pm
Baseline Correlates of Achieving and Maintaining Blood Pressure Targets in the Adherence and Intensification of Medications (AIM) Program
Mandi Klamerus, MPH
3:00 – 3:15pm
A Behavioral Intervention to Improve Hypertension Control: Primary Outcomes of a Randomized Controlled Trial
Sundar Natarajan, MD, MSc
3:15 – 3:30pm
The Self-Management Addressing Heart Risk Trial (SMAHRT): Baseline Results of an Integrated Health Behavior-Chronic Care Model
Amy Kilbourne, PhD, MPH
3:30 – 3:45pm
Lack of Treatment Intensification in a Trial of Home Telemonitoring and Medication Management: Clinical Inertia or Good Clinical Judgment?
Matthew Crowley, MD
Clinical Epidemiology
Moderator: David Au, MD
2:30 – 2:45pm
Long-Term Evaluation of Survival among Solid Organ Transplants among Veterans from 1995-2007
Bessie Young, MD, MPH
2:45 – 3:00pm
Chronic Kidney Disease in Veterans with Spinal Cord Injury
V. Ram Krishnamoorthi, MD
3:00 – 3:15pm
Adherence to HIV Antiretroviral Drugs is Worse for Protease Inhibitor-Based Regimens than for Non-Nucleoside Reverse Transcriptase
Richard Nelson, PhD
3:15 – 3:30pm
Ten-Year Trends in the Quality of Care and Racial Disparities after the Veterans Affairs Organizational Transformation
Amal Trivedi, MD, MPH
3:30 – 3:45pm
Racial Differences in Treatment Response to a Depression Intervention
Teri Davis, PhD
Cost of Care
Moderator: Sarah Krein, PhD, RN
2:30 – 2:45pm
Changes in Spending on Chronic Conditions in the VA Health Care System 2000-2008
Jean Yoon,PhD
2:45 – 3:00pm
An Economic Analysis of Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke
Todd Wagner,PhD
3:00 – 3:15pm
Estimating Quality-Adjusted Life Years using SF-36 Questionnaire Responses: Challenges in a Population of Veterans with Diabetes
Anushua Sinha, MD, MPH
3:15 – 3:30pm
Cost-Effectiveness of Oral Bisphosphonates for Osteoporosis at Different Ages and Levels of Life Expectancy
Santanu Datta, PhD
3:30 – 3:45pm
Cost Analysis of a Four-Arm Home- and Telephone-Based Intervention for Blood Pressure Management among Primary Care Patients with Hypertension
Virginia Wang, PhD
Expanding Access
Moderator: Peter Kaboli, MD
2:30 – 2:45pm
VHA Enrollment Rates across the Rural-Urban Continuum
Bruce Vogel, PhD
2:45 – 3:00pm
Accessing Homeless-Oriented Primary Care and Making the Transition to Stable Sheltering
Thomas O’Toole, MD
3:00 – 3:15pm
Community Reintegration: Comparing Outcomes of Working, Homeless, and OEF/OIF Veterans
Linda Resnik, PT, PhD
3:15 – 3:30pm
Homeless Women Veterans’ Social Service Needs and Experiences
Alison Hamilton, PhD, MPH
3:30 – 3:45pm
Improving Access for Homeless Veterans: A New Health Care Model of Collaboration
Nina Ramchandani, MD
Geriatrics
Moderator: Mark Kunik, MD, MPH
2:30 – 2:45pm
Using System Dynamics Tools to Integrate Evidence into VA Stroke Care
Kristen Hassmiller-Lich, PhD
2:45 – 3:00pm
Exposure to Potentially Harmful Drug-Disease Interactions in a National Cohort of Older Veterans: Who is at Risk?
Mary Jo Pugh, PhD
3:00 – 3:15pm
Antidepressant Treatment Duration and Post-Stroke Survival
Hua Feng, MD, PhD Candidate
3:15 – 3:30pm
Inpatient Stroke Care Quality for Veterans: Are There Differences between Stroke Belt States and Other Areas?
Jaime Castro, MS
3:30 – 3:45pm
Head Injury in Older Veterans and Risk of Dementia
Deborah Barnes, PhD, MPH
Informatics
Moderator: Bonnie Wakefield, PhD, RN
2:30 – 2:45pm
Automated Extraction of Ejection Fraction (EF) for Heart Failure (HF) from VA Echocardiogram Reports
Jennifer Garvin, PhD
2:45 – 3:00pm
Leveraging the EMR for Studying Genetic Determinants of Complex Disease: Novel Genetic Association with Longitudinal Blood Pressure
Vibha Bhatnagar, MD, MPH
3:00 – 3:15pm
Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
Lance Brendan Young, PhD, MBA
3:15 – 3:30pm
Investigating Integration of Computerized Decision Support into Workflow at Three Benchmark Institutions
Brad Doebbeling, MD, MSc
3:30 – 3:45pm
Telemedicine versus Face-to-Face Patient Care: A Comparison of Treatment Avoidance in Post-Traumatic Stress Disorder (PTSD) Patients
Danielle Zuest,MA
Mental Health I
Moderator: Ranak Trivedi, PhD
2:30 – 2:45pm
MHICM and Antipsychotic Medication Adherence
Marcia Valenstein, MD
2:45 – 3:00pm
Psychometric Properties of a Measure of Post-Deployment Community Reintegration Difficulty
Nina Sayer, PhD
3:00 – 3:15pm
Antipsychotic Prescribing in Older Veterans Administration Community Living Center Patients
Walid Gellad, MD, MPH
3:15 – 3:30pm
A Clinical Trial of Long-Acting Injectable Risperidone and Oral Antipsychotics
Robert Rosenheck, MD
3:30 – 3:45pm
The Impact of Comorbid Depression on Longitudinal Medication Adherence among Veterans with Type 2 Diabetes
Robert Axon, MD
Performance Measurement
Moderator: Mary Goldstein, MD
2:30 – 2:45pm
Partial Credit Glycemic Measures for Older Veterans Not Receiving Insulin Therapy
Orysya Soroka, MS
2:45 – 3:00pm
Comparative Effectiveness Study of the Patient Safety Indicators and Natural Language Processing on Identifying Post-Operative Complications
Harvey Murff, MD, MPH
3:00 – 3:15pm
Assessing the Validity of Selected Patient Safety Indicators (PSIs): Are the PSIs Ready to be Used as Hospital Performance Measures?
Marlena Shin, JD, MPH
3:15 – 3:30pm
Developing Clinically Meaningful Performance Measures for Hypertension: Are We Overtreating?
Eve Kerr, MD, MPH
3:30 – 3:45pm
Increased Risk of Hypoglycemia in Older Patients with Dementia and Cognitive Impairment: Do HEDIS Performance Measures Risk Safety?
Denise Feil, MD, MPH / Baltimore 3
Baltimore 4
Annapolis 1
Annapolis 2
Annapolis 3
Baltimore 1
Baltimore 2
Annapolis 4
3:45pm – 4:15pm /

Break

/ Woodrow Wilson Foyer
4:15pm – 5:45pm /

Concurrent Workshops

Continuing ‘Quality in Parallel Circuits’: HSR&D and VERC Collaboration
Peter Woodbridge, MD, MBA
Validation of Process Quality Measures
Alex Sox-Harris, PhD
Developing aHigh VAlue Health Services Research Career in VA: Advice from Experienced Investigators
Nancy Kressin, PhD
Improving VA/DoD Healthcare Research Collaboration
Linda Resnik, PhD
State-of-the-Science Workshop on VA Caregiving Research
John Piette, PhD
Implementation Research: An Approach to Promote More Timely and Informative Synthesis for Real-World Implementation Findings
Laura Damschroder, MS, MPH
Current Applications and Future Directions in VA-CMS Data
Elizabeth Tarlov, RN, PhD / Baltimore 3
Baltimore 4
Annapolis 1
Annapolis 2
Annapolis 3
Baltimore 1
Baltimore 2
6:00pm – 7:30pm /

Poster Session B/Reception

/ Woodrow Wilson Ballroom

Friday, February 18

TIME

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EVENT

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LOCATION

7:00am – 8:00am / Continental Breakfast / Woodrow Wilson Foyer
7:00am – 8:00am / Special Interest Group Breakfast Sessions / See flyer
8:15am – 9:45am
8:15am – 9:15am
9:15am – 9:45am /

Plenary Session

Keynote Address
Robert Jesse, MD, PhD
Principal Deputy Under Secretary for Health
Department of Veterans Affairs, Washington, DC
HSR&D Report and Organization
Seth Eisen, MD, MSc
Director, HSR&D
Department of Veterans Affairs, Washington, DC
Recognition of Post-Doctoral Poster Award
Seth Eisen, MD, MSc / Woodrow Wilson Ballroom
9:45am – 10:15am /

Break

/ Woodrow Wilson Foyer
10:15am-11:45am /

Concurrent Paper Sessions

Chronic Disease Management II
Moderator: David Edelman MD, MHS
10:15 – 10:30am
Using an Illness Web to Understand the Role of Co-Occurring Illnesses in Veterans’ Self-Management of Hypertension
Gemmae Fix, PhD
10:30 – 10:45am
A Randomized Controlled Trial of Peer Mentoring and Financial Incentive to Improve Glucose Control in African American Veterans
Judith Long, MD
10:45 – 11:00am
Implementation of a VA Weight Management Program: Who Enrolls and is there a Benefit?
Alyson Littman, PhD, MPH
11:00 – 11:15am
Obesity, Overweight, and their Life Course Trajectories in Veterans and Non-Veterans: Findings from NHANES
Thomas Koepsell, MD, MPH
11:15 – 11:30am
Hypertension and Diabetes: Blood Pressure Goals Endorsed by VA Primary Care Providers
Mary Goldstein, MD
11:30 – 11:45am
Impact of Obesity on Mortality for Veterans with Sepsis
Marcos Restrepo, MD, MSc
Mental Health II
Moderator: Steven Dobscha, MD
10:15 – 10:30am
Systematic Review and Meta-Analysis of Collaborative Chronic Care Models for Mental Health Conditions
Mark Bauer, MD
10:30 – 10:45am
Does Integrating Mental Health Services in VA Primary Care Reduce Barriers to Mental Health Care for OEF/OIF Veterans?
Karen Seal, MD, MPH
10:45 – 11:00am
Co-Location of General Medical Services in Mental Health for Veterans with Serious Mental Illness and Ambulatory Care-Sensitive Hospital Admissions
Paul Pirraglia, MD, MPH
11:00 – 11:15am
Variation in Practices and Attitudes of Mental Health Professionals Assessing PTSD-Related Disability among Veterans
James Jackson, PsyD
11:15 – 11:30am
OEF/OIF Reserve and National Guard Women Veteran Barriers to Mental Healthcare: Deployment and Provider Effects
Michelle Mengeling, PhD
11:30 – 11:45am
Gender Differences in Patterns of Comorbidity with PTSD among OEF/OIF Veterans
Rani Desai, PhD, MPH
OEF/OIF Veterans
Moderator: Laurel Copeland, PhD
10:15 – 10:30am
Validity of Diagnosis Codes in VA Administrative Data for Identifying OEF/OIF Veterans with History of Traumatic Brain Injury
Emily Hagel, MS
10:30 – 10:45am
Does Resilience Predict Mental Health, Alcohol, or Drug Abuse in Afghanistan (OEF) and Iraq (OIF) Veterans?
Sue Eisen, PhD
10:45 – 11:00am
Results of the Comprehensive TBI Evaluation for Veterans Returning from OEF/OIF
Bridget Smith, PhD
11:00 – 11:15am
Screening for Mild Traumatic Brain Injury in OEF-OIF Deployed Military: An Empirical Assessment of the VHA Experience
Ann Hendricks, PhD
11:15 – 11:30am
Prevalence and Costs of Co-Occurring TBI, Psychiatric Disturbance, and Pain among OEF/OIF VA Users
Brent Taylor, PhD
11:30 – 11:45am
Interpersonal Violence and OEF/OIF Reserve and National Guard Service Women
Anne Sadler, PhD
Quality
Moderator: Karin Nelson, MD, MSHS
10:15 – 10:30am
Relationships between Organizational Climate and Diabetes Quality of Care
Justin Benzer,PhD
10:30 – 10:45am
Trends in Initial Lower Extremity Amputation Rates among Veterans Health Administration Health Care System Users from 2000 to 2004
Chin-Lin Tseng, DrPH
10:45 – 11:00am
How Much Intern Time Does a Newly Admitted Patient Take?
Kathlyn Fletcher, MD
11:00 – 11:15am
Factors Influencing Receipt of Outpatient Rehabilitation Services among Veterans Following Lower Limb Amputation
Jianxun Zhou, MD, PhD
11:15 – 11:30am
Longitudinal Changes in Observed Minus Expected Length of Stay (OMELOS) Associated with the FY07 Flow Improvement Inpatient Initiative (FIX)
Justin Glasgow, MS
11:30 – 11:45am
Extra time for Q&A
QUERI
Moderator: Joanne Kircher, MD
10:15 – 10:30am
Implementing Telemedicine-Based Collaborative Care for MDD in Contract CBOCs
John Fortney, PhD
10:30 – 10:45am
Evaluating the Implementation of Models for Delivering Post-Deployment Integrated Care
Casey MacGregor, MSW
10:45 – 11:00am
Returning Veterans with Schizophrenia to Paid, Competitive Employment
Amy Cohen, PhD
11:00 – 11:15am
Development and Testing of an HIV Medication Touch-Screen Patient Adherence Tool with Telephone-Based, Targeted Adherence Counseling
Keith McInnes, ScD
11:15 – 11:30am
Effectiveness of the Tobacco Tactics Program in the Department of Veterans Affairs
Sonia Duffy, PhD, RN
11:30 – 11:45am
Extra time for Q&A
Research Methods
Moderator: Charles Maynard, PhD, MSW
10:15 – 10:30am
Mutations vs. Risk vs. Score: The Format of Genetic Test Results Can Alter Patients’ Reactions and Risk Perceptions
Nicole Exe, MPH
10:30 – 10:45am
Combining Natural Language Processing and Statistical Text Mining: Classifying Fall-Related Progress Notes
Jay Jarman, MS
10:45 – 11:00am
Latent Variable Models for Equality of Care in Multi-Center Cluster Randomized Trials
Xinhua Zhao, PhD
11:00 – 11:15am
Time-Dependent Survival Analysis: Its Benefits and Hazards
Angelique Zeringue, MS
11:15 – 11:30am
Extraction and Validation of MRSA Data from the Nation’s VA Medical Centers
Makoto Jones, MD
11:30 – 11:45am
Extra time for Q&A
Screening
Moderator: Steven Zeliadt, PhD, MPH
10:15 – 10:30am
Performance of Cognitive Screening Tests in Primary Care
Tracey Holsinger, MD
10:30 – 10:45am
An Electronic Health Record-Based Trigger to Detect Potential Delays in Colorectal Cancer Diagnosis
Archana Laxmisan, MD
10:45 – 11:00am
Testing and System Interventions Improve Colorectal Cancer Screening Uptake
Richard Hoffman, MD, MPH
11:00 – 11:15am
Improving Follow-Up after a Positive Colorectal Cancer Screening Test: An Evaluation of the C4 Collaborative
Adam Powell, PhD, MBA
11:15 – 11:30am
Diagnostic Efficiency of the AUDIT-C in OEF/OIF Veterans
Patrick Calhoun, PhD
11:30 – 11:45am
Suicide Mortality among VHA Patients: Assessing Associations with Rurality and Distance to VA Providers
John McCarthy, PhD
Substance Abuse
Moderator: Adam Gordon, MD, MPH
10:15 – 10:30am
Rewarding Early Abstinence and Treatment Participation (REAP): The Effect of Motivational Incentives on Substance Use Disorders Treatment Outcomes
Hildi Hagedorn, PhD
10:30 – 10:45am
Substance Use Disorder and the Risk of Open-Angle Glaucoma
Dustin French, PhD
10:45 – 11:00am
Does Comorbidity Predict Treatment Barriers in Alcohol-Dependent Veterans?
Amy Rodrigues, PhD
11:00 – 11:15am
Opioid Agonist Treatment (OAT) for Opioid Dependence: Trends in Use of Buprenorphine and Patient and Facility Factors Related to OAT receipt
Elizabeth Oliva, PhD
11:15 – 11:30am
Opioid Prescribing and Fatal Opioid Overdose Trends in the VHA, 2000-2007
Amy Bohnert, PhD
11:30 – 11:45am
Extra time for Q&A / Baltimore 3
Baltimore 4
Annapolis 1
Annapolis 2
Annapolis 3
Annapolis 4
Baltimore 1
Baltimore 2