Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Seattle-Denver Center of Innovation (COIN)

Menu
Menu

Quick Links

Veterans Crisis Line Badge
My healthevet badge
 

COIN Investigators & Staff

COIN Investigators

 

Linnaea Schuttner, MD, MS
Title: Investigator Seattle-Denver COIN
Acting Instructor, Medicine, University of Washington
Contact: linnaea.schuttner@va.gov
Location: Seattle
University of Washington webpage
See Dr. Schuttner's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
My research interests focus on the patient-centeredness, appropriateness, and quality of primary care delivered to patients, particularly high-risk and complex patients with multimorbidity (multiple chronic diseases).

The following images visualize Dr. Schuttner's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Schuttner's publication titles indicate his primary work is care of Veterans
Word cloud from pub titles
Dr. Schuttner's collaborations are primarily from the University of Washington
Research collaboration map
The following research fields have been used to summarize Dr. Schuttner's publications and grants. The categories are based on 27 publications and no grants (yet!).
Publications Grants
Clinical Research  
Health Services  
Prevention  
Behavioral and Social Science  
Cancer  
Cardiovascular  
Aging  
Digestive Diseases  
Colo-Rectal Cancer  
Clinical Trials and Supportive Activities  

Return to Top

Recent Publications

 

2022

 

Schuttner L, Guo R, Wong E, Jimenez E, Klein M, Roy S, Rosland AM, Chang ET. High-Risk Patient Experiences Associated With an Intensive Primary Care Management Program in the Veterans Health Administration. J Ambul Care Manage. 2022 Aug 27. doi: 10.1097/JAC.0000000000000428. Epub ahead of print. PMID: 36036980.
Learn more about this publication on Dimensions

Schuttner L, Hockett Sherlock S, Simons CE, Johnson NL, Wirtz E, Ralston JD, Rosland AM, Nelson K, Sayre G. My Goals Are Not Their Goals: Barriers and Facilitators to Delivery of Patient-Centered Care for Patients with Multimorbidity. J Gen Intern Med. 2022 May 23:1–8. doi: 10.1007/s11606-022-07533-1. Epub ahead of print. PMCID: PMC9126696. PMID: 35606644.
Learn more about this publication on Dimensions

Schuttner L, Hockett Sherlock S, Simons C, Ralston JD, Rosland AM, Nelson K, Lee JR, Sayre G. Factors affecting primary care physician decision-making for patients with complex multimorbidity: a qualitative interview study. BMC Prim Care. 2022 Feb 5;23(1):25. doi: 10.1186/s12875-022-01633-x. PMID: 35123398.
Learn more about this publication on Dimensions

2021

 

Schuttner L, Haraldsson B, Maynard C, Helfrich CD, Reddy A, Parikh T, Nelson KM, Wong E. Factors Associated With Low-Value Cancer Screenings in the Veterans Health Administration. JAMA Netw Open. 2021 Oct 1;4(10):e2130581. doi: 10.1001/jamanetworkopen.2021.30581. PMID: 34677595.

Beste LA, Chen A, Geyer J, Wilson M, Schuttner L, Wheat C, Rojas J, Nelson K, Reddy A. Best Practices for an Equitable Covid-19 Vaccination Program. NEJM Catal Innov Care Deliv. 2021 Sep 15;2(10):10.1056/CAT.21.0238. doi: 10.1056/CAT.21.0238. PMCID: PMC8443122.

Schuttner L, Coleman K, Ralston J, Parchman M. The role of organizational learning and resilience for change in building quality improvement capacity in primary care. Health Care Manage Rev. 2021 Apr-Jun 01;46(2):E1-E7. doi: 10.1097/HMR.0000000000000281. PMCID: PMC7541444. PMID: 33630509.

2020

 

Schuttner L, Wong ES, Rosland AM, Nelson K, Reddy A. Association of the Patient-Centered Medical Home Implementation with Chronic Disease Quality in Patients with Multimorbidity. J Gen Intern Med. 2020 Oct;35(10):2932-2938. doi: 10.1007/s11606-020-06076-7. Epub 2020 Aug 6. PMCID: PMC7572962. PMID: 32767035.

Hoerster KD, Collins MP, Au DH, Lane A, Epler E, McDowell J, Barón AE, Rise P, Plumley R, Nguyen T, Schooler M, Schuttner L, Ma J. Testing a self-directed lifestyle intervention among veterans: The D-ELITE pragmatic clinical trial. Contemp Clin Trials. 2020 Aug;95:106045. doi: 10.1016/j.cct.2020.106045. Epub 2020 May 28. PMID: ; PMCID: PMC7253950. PMID: 32473403

Schonberg MA, Karamourtopoulos M, Jacobson AR, Aliberti GM, Pinheiro A, Smith AK, Davis RB, Schuttner LC, Hamel MB. A Strategy to Prepare Primary Care Clinicians for Discussing Stopping Cancer Screening With Adults Older Than 75 Years. Innov Aging. 2020 Jul 7;4(4):igaa027. doi: 10.1093/geroni/igaa027. PMCID: PMC7413618. PMID: 32793815

Schuttner L, Gunnink E, Sylling P, Taylor L, Fihn SD, Nelson K. Components of the Patient-Centered Medical Home Associated with Perceived Access to Primary Care. J Gen Intern Med. 2020 Jun;35(6):1736-1742. doi: 10.1007/s11606-020-05668-7. Epub 2020 Jan 28. PMCID: PMC7280463. PMID: 31993947

Schuttner L, Reddy A, White AA, Wong ES, Liao JM. Quality in the Context of Value: Reliability of Quality Metrics in an Academic Health System Shifting Toward Value-Based Payments. Am J Med Qual. 2020 Dec;35(6):465-473. doi: 10.1177/1062860620917205. Epub 2020 May 5. PMID: 32367726

Schuttner L, Reddy A, Rosland AM, Nelson K, Wong ES. Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity. J Gen Intern Med. 2020 Jan;35(1):119-125. doi: 10.1007/s11606-019-05429-1. Epub 2019 Oct 30. PMCID: PMC6957610. PMID: 31667750

Wong ES, Schuttner L, Reddy A. Does machine learning improve prediction of VA primary care reliance? Am J Manag Care. 2020 Jan;26(1):40-44. doi: 10.37765/ajmc.2020.42144. PMID: 31951358

2019

 

Marcotte LM, Schuttner L, Liao JM. Measuring low-value care: learning from the US experience measuring quality. BMJ Qual Saf. 2020 Feb;29(2):154-156. doi: 10.1136/bmjqs-2019-010191. Epub 2019 Oct 24. PMID: 31649163

Parchman ML, Anderson ML, Coleman K, Michaels LA, Schuttner L, Conway C, Hsu C, Fagnan LJ. Assessing quality improvement capacity in primary care practices. BMC Fam Pract. 2019 Jul 25;20(1):103. doi: 10.1186/s12875-019-1000-1. PMCID: PMC6657073. PMID: 31345167

Return to Top

Media (Video, Podcast, Other)

 

VHA Primary Care Analytics Team
Low-value Cancer Screenings in the Veterans Health Administration: Rates and Factors Associated with Overuse of Breast, Cervical, Colorectal, and Prostate Cancer Testing

by Linnaea Schuttner, MD, MS
Seminar date: 1/19/2022

Description: Abstract: This presentation reviews findings from a recent observational study of low-value (i.e., guideline-discordant) cancer screening for four common cancers in the VHA: breast, cervical, colorectal, and prostate cancer. In this study, the presenters will examine rates of low-value testing occurring among VHA-enrolled patients screened for cancer, using validated definitions of low-value cancer testing. The presenters will evaluate multilevel factors potentially associated with low-value testing at the individual patient, clinician, and system-level, including domains of the VHA’s patient-centered medical home (PACT model). Target Audience: Clinicians, health system leadership, health system researchers.

DOWNLOAD: PDF handout | Audio only (mp3) | transcript will be available at HSR&D webpage