HSR&D National Meeting 2009

HSR&D National Meeting 2009

“Defining Optimal Care: Balancing Quality, Cost, and Patient Preferences”

February 11-13, 2009

Baltimore Marriott Waterfront

DRAFT Meeting Program

Wednesday, February 11

TIME

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EVENT

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LOCATION

1:00pm – 5:00pm
3:00pm – 7:00pm
3:30pm – 5:00pm
5:00pm – 6:30pm /

Research Proposal Development Workshop

Lee Sechrest, PhD
Judith Babcock-Parziale, PhD
Registration
Advanced Methods Workshops
Designing Mixed Methods Studies in Health Services Research
John Creswell, PhD
Statistical Challenges and Methods in Using VA Administrative Data for Comparative Studies
H. Myra Kim, ScD
Topics in Multilevel Modeling
Timothy P. Hofer, MD, MSc
Concurrent Invited Workshops
Introducing New Medical Informatics Research Programs and Data Infrastructure for VA Researchers
Matthew Samore, MD
Applying HSR&D Methods in Rehabilitation Research: An Overview
Margaret Stineman, MD
Poster Session A/Reception

Thursday, February 12

TIME

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EVENT

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LOCATION

7:00am – 8:00pm /

Registration

7:00am – 8:00am / Continental Breakfast
8:00am – 7:30pm / Exhibit Session
8:00am – 8:15am / Welcoming Remarks and Conference Highlights
Eve Kerr, MD, MPH
Center for Clinical Management Research
VA Ann Arbor Health Care System
Seth Eisen, MD, MSc
Director, HSR&D
Department of Veterans Affairs, Washington, DC
8:30am – 8:40am
8:40am – 9:00am / Remarks and Presentation of Under Secretary’s Award for Outstanding Achievement in Health Services Research
Michael J. Kussman, MD, MS, MACP
Under Secretary for Health

Department of Veterans Affairs, Washington, DC

Awardee Presentation

9:00am – 10:15am / Plenary Paper Session
Moderator:
A Cost-Benefit Analysis of Higher Medication Copayments in Veterans with Schizophrenia
John Zeber, PhD
Case/Self Management in COPD: A Randomized Trial
Kathryn Rice, MD
AUDIT-C Alcohol Misuse Screening and Post-operative Complications: A Cohort Study of Men Undergoing Major Surgery in VA
Katharine Bradley, MD, MPH
Impact of a Novel Patient Educational Booklet on Colonoscopy Preparation in Veterans
Brennan Spiegel, MD, MSHS
Assessing VA Mental Health Intensive Case Management: Program Effects on Mental Health Services Use
Eric Slade, PhD
10:15am – 10:45am /

Break

10:45am – 12:15pm / Concurrent Workshops
Implementation Research Methods and Frameworks: An Introductory Workshop
Brian Mittman, PhD
Reducing Dependency on Manual Chart Review through Automated Information Extraction Methods
Jennifer Garvin, PhD, MBA
An Introduction to Conducting and Interpreting Meta-Analyses
Donna White, PhD, MPH
Implementing a Randomized Trial of a Peer Support Recovery Group for Veterans with Mental Illness
Susan Eisen, PhD
Designing Mixed Methods Studies in Health Services Research
John Creswell, PhD
Research Access to VA Data
Denise Hynes, PhD, MPH, RN
Demystifying the Scientific Review Process
Martha Bryan, EdD
12:30pm – 2:15pm
1:00pm – 1:15pm
1:15pm – 2:15pm / Luncheon Presentation
Welcoming Remarks
Joel Kupersmith, MD
Chief Research and Development Officer
Department of Veterans Affairs, Washington, DC

Keynote Speaker

David Cutler, PhD
Otto Eckstein Professor of Applied Economics
Kennedy School of Government
Harvard University
2:30pm – 3:45pm /

Concurrent Paper Sessions

Chronic Illness
Moderator: Michael Fischer, MD, MSPH
2:30 – 2:45pm
Longitudinal Differences in Glycemic Control by Race/Ethnicity in Veterans with Type 2 DM
Leonard Egede, MD, MS
2:45 – 3:00pm
Quality of Diagnosis and Evaluation-Related Care in Patients with Chronic Hepatitis C Virus Infection
Fasiha Kanwal, MBBS
3:00 – 3:15pm
Evaluating Drug Safety in VA: Cardiovascular Disease Risks with Rosiglitazone or Pioglitazone Use
Donald Miller, ScD
3:15 – 3:30pm
Diabetes and Medication Adherence: Understanding the Association between Perceived Drug Costs and Dimensions of the Therapeutic Alliance
John Zeber, PhD
3:30 – 3:45pm
Multiple Uncontrolled Comorbid Conditions and Medication Intensification
Amanda Salanitro, MD
Management/Implementation
Moderator: Carolyn Turvey, PhD
2:30 – 2:45pm
Structural Influences on Cost-Effectiveness in VA Stroke Rehabilitation
Bruce Vogel, PhD
2:45 – 3:00pm
Changes in Service Delivery Arrangements for Women Veterans: Findings from the VHA Surveys of Women Veterans Health Programs and Practices, 2001-2007
Danielle Rose, PhD, MPH
3:00 – 3:15pm
Effects of Specialized Centers on Processes of Chronic Care Delivery for Patients with Parkinson's Disease
Martin Charns, DBA
3:15 – 3:30pm
Using Stakeholder Assessments to Improve Implementation of the VA Uniform Service Package
Matthew Chinman, PhD
3:30 – 3:45pm
Evaluating Organizational Context and Readiness for Change: EQUIP Results at Eight VA Medical Centers
Amy Cohen, PhD
Costs/Economic Analysis
Moderator: Jean Yoon, PhD, MHS
2:30 – 2:45pm
Why Cost-Offset Studies Do Not Convince Medical Centers to Provide Substance Use Disorder Treatment
Todd Wagner, PhD
2:45 – 3:00pm
VHA Healthcare Expenditures and Incident and Prevalent Depression among Veteran Health Administration Clinic Users with Diabetes
Usha Sambamoorthi, PhD
3:00 – 3:15pm
A Cost-Effectiveness Analysis of ACE-inhibitors vs. Angiotensin Receptor Blockers for Treatment of Hypertension
Benjamin Powers, MD
3:15 – 3:30pm
An Effectiveness and Cost-Effectiveness Analysis of Surveillance Colonoscopy in Patients with a Personal History of Adenomas
Sameer Saini, MD
3:30 – 3:45pm
Overlooking Contextual Information in Medical Decision Making: A Source of Medical Error and Avoidable Cost
Saul Weiner, MD
End of Life and Long-Term Care
Moderator:Aanand Naik, MD
2:30 – 2:45pm
The Changing Mental Health Profile of VA Nursing Home Patients
Sonne Lemke, PhD
2:45 – 3:00pm
Prognosis-Based Palliative Care Management: Impact on End of Life Resource Use
Kenneth Rosenfeld,MD
3:00 – 3:15pm
Treatment Intensification in Patients with Diabetes and Limited Life Expectancy
LeChauncy Woodard, MD, MPH
3:15 – 3:30pm
Measuring Quality of Family Experience at End of Life
Karen Steinhauser, PhD
3:30 – 3:45pm
Do Living Wills Work in Practice?
Maria Silveira, MD, MPH
Vulnerable Populations
Moderator: Cheryl Lynch, MD, MPH
2:30 – 2:45pm
Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines: Results of a National Survey of Veterans
Diana Burgess, PhD
2:45 – 3:00pm
Veterans’ Access to Internet Varies by Race and Age: Potential Impact on VHA Electronic Health Communication Efforts
Kirsha Gordon, MS
3:00 – 3:15pm
The Impact of Neighborhood Environment on Veteran Health Status
Karin Nelson, MD, MSHS
3:15 – 3:30pm
Examining Disparities in Colon Cancer Treatment: Length of Time to Chemotherapy Initiation
Elizabeth Tarlov, PhD, RN
3:30 – 3:45pm
Gender and Equity in the VA: Does Quality of Care Look the Same by Gender?
Bevanne Bean-Mayberry, MD, MHS
Mental Health
Moderator: Alex Sox-Harris, PhD
2:30 – 2:45pm
Mental Illness, Substance Use Disorders and Mortality among Veteran Clinic Users with Spinal Cord Injury
Patricia Findley, DrPH, MSW
2:45 – 3:00pm
Psychiatric Illnesses and Adherence to Lifestyle Recommendations in Hypertensive Veterans: Impact on Diet and Mediating Effect of Perceived Stress
Vanessa D’Orio, BA
3:00 – 3:15pm
Depression, Anxiety Disorders and Risk of Incident Heart Disease in a National Cohort of Veterans Health Administration Patients
Jeffrey Scherrer, PhD
3:15 – 3:30pm
Last Contact with the VA Health Care System and Suicide among Veterans in Depression Treatment
Eric Smith, MD, MPH
3:30 – 3:45pm
The Long-Term Impact of PTSD Service Connection on Symptom Severity and Functioning
Maureen Murdoch, MD, MPH
Quality Measurement
Moderator: Lynn Soban, PhD, MPH, RN
2:30 – 2:45pm
Follow-Up for Veterans after an Elevated Prostate Specific Antigen (PSA)
Steven Zeliadt, PhD, MPH
2:45 – 3:00pm
Automating Performance Measurement of Congestive Heart Failure: Development of a Gold Standard to Train and Test a Natural Language Processing Tool
Jennifer Garvin, PhD, MBA
3:00 – 3:15pm
Engaging VA Patients in Telephone Counseling for Smoking Cessation: Results of a Telephone Care Coordination Program
Scott Sherman, MD, MPH
3:15 – 3:30pm
Effect of Comorbidities and Incomplete Evaluation on Elective Surgery Cancellation: A Case for Coordinated Multidisciplinary Preoperative Evaluation
Joshua Argo, MD, MSPH
3:30 – 3:45pm
Do Changes in Population Subgroups Distort Cross-Sectional Trends in A1c as a Quality Improvement Measure?
Leonard Pogach, MD, MBA
3:45pm – 4:15pm /

Break

4:15pm – 5:45pm /

Concurrent Workshops

Emerging Research on Caregiving
John Piette, PhD
Explaining Variable Outcomes from Implementation Trials: Studying Implementation Processes through Formative and Process Evaluation
Alison Brown, PhD
Ensuring Patient Safety and Confidentiality in Multi-Site Quality Improvement Research: A Proactive Partnership Approach to Risk Management
Edmund Chaney, PhD
Transforming and Integrating Qualitative Themes into Statistical Models: A “How To” Approach
Susan Zickmund, PhD
Effectively Integrating Women Veterans into VA Health Services Research
Elizabeth Yano, PhD, MSPH
Back to the Future? The Role of Peer Review in Health System Quality
Joseph Francis, MD, MPH
Understanding Human Error: A Human Factors Perspective
Frank Drews, PhD
6:00pm – 7:30pm /

Poster Session B/Reception

Friday, February 13

TIME

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EVENT

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LOCATION

7:00am – 8:00am / Continental Breakfast
7:00am – 8:00am / Special Interest Group Breakfast Sessions
8:15am – 9:45am /

Plenary Session/Panel

Rod Hayward, MD
Center for Clinical Management Research

VA Ann Arbor Health Care System

Recognition of Post-Doctoral Poster Award

Seth Eisen, MD, MSc
Director, HSR&D
Department of Veterans Affairs, Washington, DC
9:45am – 10:15am /

Break

10:15am-11:45am /

Concurrent Paper Sessions

Chronic Illness
Moderator: Diana Burgess, PhD
10:15 – 10:30am
The Contribution of Patient Background, Cognitive, and Environmental Factors to Colorectal Cancer Screening Adherence
Melissa Partin, PhD
10:30 – 10:45am
Effectiveness of Group Medical Visits in Diabetes and Hypertension: A Two-Site Randomized Controlled Trial
David Edelman, MD, MHS
10:45 – 11:00am
Outcomes from the Veterans Walk for Health Trial: A Randomized Controlled Trial Comparing Three Walking Strategies for Weight Loss
Caroline Richardson, MD
11:00 – 11:15am
Pharmacist-Led Group Medical Visits for Multiple Cardiovascular Risk Reduction in Patients with Type 2 Diabetes
Kristina Prachanronarong, MS
11:15 – 11:30am
Racial Differences in Bisphosphonate Use among Patients Diagnosed with Osteoporosis after Hip Fracture
Mary Vaughan Sarrazin, PhD
11:30 – 11:45am
Patient-Provider Concordance in Prioritization of Health Conditions: The Role of Competing Demands for Patients with Complex Chronic Conditions
Donna Zulman, MD
Inpatient Care and Surgery
Moderator: Joseph Ross, MD, MHS
10:15 – 10:30am
Is Better Performance on Leapfrog’s Safe Practices Survey Associated with Lower Inpatient Mortality?
Leslie Kernisan, MD
10:30 – 10:45am
Outcomes for Inpatients with Abnormal Troponin
Patricia Sinnott, PhD, MPH, PT
10:45 – 11:00am
Can Readmissions Serve as a Quality Indicator?
Susan Loveland, MA
11:00 – 11:15am
Association of Timely Administration of Prophylactic Antibiotics for Major Surgical Procedures and Surgical Site Infection
Catherine Vick, MS
11:15 – 11:30am
Diagnosis of Lung Cancer after Hospitalization for Community-Acquired Pneumonia
Eric Mortensen, MD
11:30 – 11:45am
Interruptions and Patient Hazards in the ICU
Frank Drews, PhD
Geriatrics
Moderator: Patricia Findley, DrPH, MSW
10:15 – 10:30am
Costs of Care for VA Nursing Home Patients with Substance Use Disorders
Mark Smith, PhD
10:30 – 10:45am
Electronic Clinical and Administrative Data Can Be Used to Predict Patients At Risk of Fragility Fracture
Joanne LaFleur, PharmD
10:45 – 11:00am
VA Long-Term Care Planning Model: Validation and Update of Nursing Home Use
Bruce Kinosian, MD
11:00 – 11:15am
Validation of Home Telehealth for Diagnosis and Assessment of Pressure Ulcers in Patients with Spinal Cord Injury
Ruth Cronkite, PhD
11:15 – 11:30am
Anticonvulsant Medication Use and Risk of Fractures among Older VA Patients
Briana Mezuk, PhD
11:30 – 11:45am
National Economic Implications of PPI Gastroprotection among Elderly Nonsteroidal Anti-Inflammatory Drug Users
Neena Abraham, MD
Preventive Medicine
Moderator: Ben Powers, MD, MHS
10:15 – 10:30am
Results from a Study of Telephone Care Coordination for Smoking Cessation
Scott Sherman, MD, MPH
10:30 – 10:45am
Physical Activity in a National Sample of Veterans
Alyson Littman, PhD, MPH
10:45 – 11:00am
Guideline-Adherent Genomic Services for Hereditary Non-Polyposis Colon Cancer in VA
Sara Knight, PhD
11:00am – 11:15am
Regional Rollout of a Program to Improve HIV Testing Rates
Matthew Goetz, MD
11:15 – 11:30am
Distribution and Predictors of Colorectal Cancer Screening Mode Preferences among US Veterans
Adam Powell, PhD, MBA
11:30 – 11:45am
Determinants of Time to Diagnosis of Colorectal Cancer in the VA System
Deborah Fisher, MD, MHS
Research Methods
Moderator: Lisa McAndrew, PhD
10:15 – 10:30am
Improving Patient Race and Ethnicity Information in VA Studies: Agreement Between VA and Medicare Data
Thomas Haywood, MPH
10:30 – 10:45am
Estimating Dementia Prevalence Using Administrative Versus Prospective Data
John Williams, MD
10:45 – 11:00am
Benefits of "Repeat Back" within a Computer-Based Informed Consent Program
Aaron Fink, MD
11:00 – 11:15am
Development of a Nurse Staffing Model: Linking Integrative Review and Expert Panel
DiJon Fasoli, PhD, MBA, MSN
11:15 – 11:30am
Implications of Treatment-Response Heterogeneity for the Use of Intermediate Outcomes in Diabetes Quality Measurement
Justin Timbie, PhD
11:30 – 11:45am
Findings from a Validation of the Elixhauser Comorbidity Measure in a Cohort of Patients with Congestive Heart Failure
Jennifer Garvin, PhD, MBA
OEF/OIF
Moderator: Jeffrey Harrow, MD, PhD
10:15 – 10:30am
Post-Deployment Adjustment Concerns of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Reserve and National Guard Servicewomen
Anne Sadler, PhD, RN
10:30 – 10:45am
Reintegration Problems and Treatment Preferences among Veterans Returning from Iraq and Afghanistan with and without Probable PTSD
Nina Sayer, PhD
10:45 – 11:00am
PTSD and Other Psychiatric Comorbidities in OEF/OIF VA Users with TBI
Kathleen Carlson, PhD
11:00 – 11:15am
PTSD Status Differentiates Neurobehavioral Symptom Inventory (NSI) Responses and Attention Scores in OEF/OIF Veterans Who Screen Positive for TBI
Kerry Donnelly, PhD
11:15 – 11:30am
Dyadic Adjustment and PTSD Symptoms among OIF Veterans: Symptom Clusters and Pre to Post-Deployment Functioning
Laura Meis, PhD
11:30 – 11:45am
Female Veterans Returning from Iraq and Afghanistan: Stress-Related Behaviors and Coping Mechanisms
Kristin Mattocks, PhD
Mental Health
Moderator: Kara Zivin, PhD
10:15 – 10:30am
A Preliminary Look at Perceived Mental Health Treatment Needs in a National Sample of Veterans with PTSD
Michele Spoont, PhD
10:30 – 10:45am
Open Trial of Prolonged Exposure for PTSD Delivered Via Telepsychiatry vs. in Person
Peter Tuerk, PhD
10:45 – 11:00am
Improving Long-Term Quality of Care for Serious Mental Illness through Collaborative Care Models
Mark Bauer, MD
11:00 – 11:15am
Adoption of Primary Care - Mental Health Integrated Care Models, FY99-04: Associations with Suicide Risks among Patients with Depression
John McCarthy, PhD, MPH
11:15 – 11:30am
Continuity of Care Practices: Impact on Inpatient/Residential Substance Use Disorder Patients’ Engagement in Continuing Care and Abstinence
Jeanne Schaefer, RN, PhD
11:30 – 11:45am
Glucose Monitoring and Management in Veterans with Psychosis Started on New Antipsychotic Medications
Jeffrey Smith, PhD Candidate