Seattle-Denver Center of Innovation (COIN)

COIN Investigators & Staff

COIN Investigators

Paul L. Hebert, PhD

Title: Core Investigator
Research Professor, University of Washington School of Public Health

Contact: Paul.Hebert2@va.gov

Location: Seattle

University of Washington webpage

Research Interests

Dr. Hebert is a Core Investigator and economist with HSR and was previously Assistant Professor, Department of Health Policy, Mount Sinai School of Medicine. His research interests include racial disparities in health, chronic disease management, and comparative effectiveness analysis. He received his PhD in Health Systems Research from the University of Minnesota and a BA in economics from Georgetown University.

See Dr. Hebert's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials

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

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Grants & Funding

Multiphase Optimization Trial of Incentives for Veterans to Encourage Walking

Role: Co-PI with Katherine Hoerster
Regular physical activity is associated with reduced risk of several diseases important to Veterans, including cardiovascular disease and diabetes. Physical activity is also associated with better mental health. Walking is a safe and effective way to get the recommended amount of physical activity.
Unfortunately, more than 1 in 3 Veterans over age 45 meet the definition of physically inactive. Behavioral economics suggests that our inability to start and stick to an exercise routine may result from “present bias,” which is a tendency to value the immediate reward of remaining sedentary over large rewards of long-run physical activity. Patient incentives may overcome present bias by moving the rewards for healthy behaviors forward in time.
In the proposed study, we will determine the optimal design for an incentive program that gives Veterans tangible, timely rewards for walking an average target number of steps per day. If effective, an incentive program may be an economical way to improve Veterans’ physical and mental health without taxing the healthcare delivery system.
Funder: Veterans Affairs
NIH website

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Recent Publications

2024

Hebert PL, Kumbier KE, Smith VA, Hynes DM, Govier DJ, Wong E, Kaufman BG, Shepherd-Banigan M, Rowneki M, Bohnert ASB, Ioannou GN, Boyko EJ, Iwashyna TJ, O'Hare AM, Bowling CB, Viglianti EM, Maciejewski ML; VA COVID-19 Observational Research Collaboratory (CORC). Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans. JAMA Netw Open. 2024 Feb 5;7(2):e2355387. doi: 10.1001/jamanetworkopen.2023.55387. PMCID: PMC10858406.
PMID: 38334995.
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2023

Hynes DM, Niederhausen M, Chen JI, Shahoumian TA, Rowneki M, Hickok A, Shepherd-Banigan M, Hawkins EJ, Naylor J, Teo A, Govier DJ, Berry K, McCready H, Osborne TF, Wong E, Hebert PL, Smith VA, Bowling CB, Boyko EJ, Ioannou GN, Iwashyna TJ, Maciejewski ML, O'Hare AM, Viglianti EM, Bohnert AS. Risk of Suicide-Related Outcomes After SARS-COV-2 Infection: Results from a Nationwide Observational Matched Cohort of US Veterans. J Gen Intern Med. 2023 Oct 26. doi: 10.1007/s11606-023-08440-9. Epub ahead of print.
PMID: 37884839.
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Janevic T, Tomalin LE, Glazer KB, Boychuk N, Kern-Goldberger A, Burdick M, Howell F, Suarez-Farinas M, Egorova N, Zeitlin J, Hebert P, Howell EA. Development of a prediction model of postpartum hospital use using an equity-focused approach. Am J Obstet Gynecol. 2023 Oct 23:S0002-9378(23)00769-X. doi: 10.1016/j.ajog.2023.10.033. Epub ahead of print.
PMID: 37879386.
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Pattock AM, Locke ER, Hebert PL, Simpson T, Battaglia C, Trivedi RB, Swenson ER, Edelman J, Fan VS. Predictors of Patient-Reported and Pharmacy Refill Measures of Maintenance Inhaler Adherence in Veterans with COPD. Ann Am Thorac Soc. 2023 Sep 29. doi: 10.1513/AnnalsATS.202211-975OC. Epub ahead of print.
PMID: 37774091.
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2022

Smith VA, Berkowitz TSZ, Hebert P, Wong ES, Niederhausen M, Pura JA, Berry K, Green P, Korpak A, Fox A, Baraff A, Hickok A, Shahoumian TA, Bohnert ASB, Hynes DM, Boyko EJ, Ioannou GN, Iwashyna TJ, Bowling CB, O'Hare AM, Maciejewski ML. Design and analysis of outcomes following SARS-CoV-2 infection in veterans. BMC Med Res Methodol. 2023 Apr 4;23(1):81. doi: 10.1186/s12874-023-01882-z. PMCID: PMC10071454.
PMID: 37016340.
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Admon AJ, Wander PL, Iwashyna TJ, Ioannou GN, Boyko EJ, Hynes DM, Bowling CB, Bohnert ASB, O'Hare AM, Smith VA, Pura J, Hebert PL, Wong ES, Niederhausen M, Maciejewski ML. Consensus elements for observational research on COVID-19-related long-term outcomes. Medicine (Baltimore). 2022 Nov 18;101(46):e31248. doi: 10.1097/MD.0000000000031248.
PMID: 36401423.
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Sterling RA, Liu CF, Hebert PL, Fortney JC, Swankoski KE, Katon JG, Wong ES. How did Veterans' Reliance on Veterans Health Administration Outpatient Care Change After Expansion of the Veterans Community Care Program? Med Care. 2022 Aug 11. doi: 10.1097/MLR.0000000000001764. Epub ahead of print.
PMID: 35950930.
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O'Hare AM, Butler CR, Laundry RJ, Showalter W, Todd-Stenberg J, Green P, Hebert PL, Wang V, Taylor JS, Van Eijk M, Matthews KL, Crowley ST, Carey E. Implications of Cross-System Use Among US Veterans With Advanced Kidney Disease in the Era of the MISSION Act: A Qualitative Study of Health Care Records. JAMA Intern Med. 2022 May 16. doi: 10.1001/jamainternmed.2022.1379. Epub ahead of print.
PMID: 35576068.
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Beckman KL, Williams EC, Hebert P, Hawkins EJ, Littman AJ, Lehavot K. The impact of military sexual trauma and gender on receipt of evidence-based medication treatment among veterans with opioid use disorder. J Subst Abuse Treat. 2022 Mar 18:108775. doi: 10.1016/j.jsat.2022.108775. Epub ahead of print.
PMID: 35317959
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Locke ER, Young JP, Battaglia C, Simpson TL, Trivedi R, Simons C, Fortney JC, Hebert P, Swenson ER, Edelman J, Fan VS. Care-seeking and delay of care during COPD exacerbations. NPJ Prim Care Respir Med. 2022 Feb 15;32(1):7. doi: 10.1038/s41533-022-00269-9.
PMID: 35169140
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Keyhani S, Cheng EM, Hoggatt K, Austin PC, Madden E, Hebert PL, Halm EA, Naseri A, Johanning J, Abraham A, Bravata DM. Comparative Effectiveness of Carotid Stenting to Medical Therapy Among Patients With Asymptomatic Carotid Stenosis. Stroke. 2022 Feb 15:STROKEAHA121036178. doi: 10.1161/STROKEAHA.121.036178. Epub ahead of print.
PMID: 35164531.
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2021

Beckman KL, Williams EC, Hebert PL, Frost MC, Rubinsky AD, Hawkins EJ, Littman AJ, Lehavot K. Associations Among Military Sexual Trauma, Opioid Use Disorder, and Gender. Am J Prev Med. 2021 Nov 3:S0749-3797(21)00505-5. doi: 10.1016/j.amepre.2021.08.020. Epub ahead of print.
PMID: 34742619.

Saeed F, Butler C, Clark C, O'Loughlin K, Engelberg R, Hebert P, Lavallee D, Vig E, Kurella Tamura M, Curtis JR, O'Hare A. Family Members' Understanding of the End-of-Life Wishes of People Undergoing Maintenance Dialysis. Clin J Am Soc Nephrol. 2021 Sep 10:CJN.04860421. doi: 10.2215/CJN.04860421. Epub ahead of print.
PMID: 34507967.

Glazer KB, Zeitlin J, Egorova NN, Janevic T, Balbierz A, Hebert PL, Howell EA. Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications. Pediatrics. 2021 Aug 24:e2020024091. doi: 10.1542/peds.2020-024091. Epub ahead of print.
PMID: 34429339

Scherer JS, Milazzo KC, Hebert PL, Engelberg RA, Lavallee DC, Vig EK, Kurella Tamura M, Roberts G, Curtis JR, O'Hare AM. Association Between Self-reported Importance of Religious or Spiritual Beliefs and End-of-Life Care Preferences Among People Receiving Dialysis. JAMA Netw Open. 2021 Aug 2;4(8):e2119355. doi: 10.1001/jamanetworkopen.2021.19355. PMCID: PMC8339933.
PMID: 34347059

Hebert PL. Enhancing the Collaborative Experience of a Collaborative Game to Achieve Lifestyle Change. JAMA Netw Open. 2021 May 3;4(5):e2110308. doi: 10.1001/jamanetworkopen.2021.10308.
PMID: 34028555

Janevic T, Zeitlin J, Egorova NN, Hebert P, Balbierz A, Stroustrup AM, Howell EA. Racial and Economic Neighborhood Segregation, Site of Delivery, and Morbidity and Mortality in Neonates Born Very Preterm. J Pediatr. 2021 Mar 29:S0022-3476(21)00293-6. doi: 10.1016/j.jpeds.2021.03.049. Epub ahead of print.
PMID: 33794221

2020

Butler CR, Wightman A, Richards CA, Laundry RS, Taylor JS, Hebert PL, Liu CF, O'Hare AM. Thematic Analysis of the Health Records of a National Sample of US Veterans With Advanced Kidney Disease Evaluated for Transplant. JAMA Intern Med. 2020 Nov 23:e206388. doi: 10.1001/jamainternmed.2020.6388. Epub ahead of print. PMCID: PMC7684522.
PMID: 33226419

Keyhani S, Cheng EM, Hoggatt KJ, Austin PC, Madden E, Hebert PL, Halm EA, Naseri A, Johanning JM, Mowery D, Chapman WW, Bravata DM. Comparative Effectiveness of Carotid Endarterectomy vs Initial Medical Therapy in Patients With Asymptomatic Carotid Stenosis. JAMA Neurol. 2020 Sep 1;77(9):1110-1121. doi: 10.1001/jamaneurol.2020.1427. Erratum in: doi: 10.1001/jamaneurol.2020.2784. PMCID: PMC7265126.
PMID: 32478802

O'Hare AM, Butler CR, Taylor JS, Wong SPY, Vig EK, Laundry RS, Wachterman MW, Hebert PL, Liu CF, Rios-Burrows N, Richards CA. Thematic Analysis of Hospice Mentions in the Health Records of Veterans with Advanced Kidney Disease. J Am Soc Nephrol. 2020 Nov;31(11):2667-2677. doi: 10.1681/ASN.2020040473. Epub 2020 Aug 6. PMCID: PMC7608965.
PMID: 32764141

Hebert PL, Wong ES, Reddy A, Batten A, Gunnink E, Wagner TH, Liu CF. Events Associated With Changes in Reliance on the Veterans Health Administration Among Medicare-eligible Veterans. Med Care. 2020 Aug;58(8):710-716. doi: 10.1097/MLR.0000000000001328.
PMID: 32265354

Howell EA, Janevic T, Blum J, Zeitlin J, Egorova NN, Balbierz A, Hebert PL. Double Disadvantage in Delivery Hospital for Black and Hispanic Women and High-Risk Infants. Matern Child Health J. 2020 Jun;24(6):687-693. doi: 10.1007/s10995-020-02911-9. PMCID: PMC7265984.
PMID: 32303940

Janevic T, Zeitlin J, Egorova N, Hebert PL, Balbierz A, Howell EA. Neighborhood Racial And Economic Polarization, Hospital Of Delivery, And Severe Maternal Morbidity. Health Aff (Millwood). 2020 May;39(5):768-776. doi: 10.1377/hlthaff.2019.00735.
PMID: 32364858

Liu CF, Hebert PL, Douglas JH, Neely EL, Sulc CA, Reddy A, Sales AE, Wong ES. Outcomes of primary care delivery by nurse practitioners: Utilization, cost, and quality of care. Health Serv Res. 2020 Apr;55(2):178-189. doi: 10.1111/1475-6773.13246. Epub 2020 Jan 13. PMCID: PMC7080399.
PMID: 31943190

Hernandez SE, Sylling PW, Mor MK, Fine MJ, Nelson KM, Wong ES, Liu CF, Batten AJ, Fihn SD, Hebert PL. Developing an Algorithm for Combining Race and Ethnicity Data Sources in the Veterans Health Administration. Mil Med. 2020 Mar 2;185(3-4):e495-e500. doi: 10.1093/milmed/usz322.
PMID: 31603222

Howell EA, Egorova NN, Janevic T, Brodman M, Balbierz A, Zeitlin J, Hebert PL. Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities. Obstet Gynecol. 2020 Feb;135(2):285-293. doi: 10.1097/AOG.0000000000003667. PMCID: PMC7117864.
PMID: 31923076

Liu CF, Hebert P, Wong ES, Nelson K, Maynard C. Midlife mortality in White non-Hispanic male veterans enrolled in Department of Veterans Affairs primary care, 2003-2014. Heliyon. 2020 Jan 31;6(1):e03328. doi: 10.1016/j.heliyon.2020.e03328. PMCID: PMC7002889.
PMID: 32051882

2019

Katon JG, Bossick AS, Doll KM, Fortney J, Gray KE, Hebert P, Lynch KE, Ma EW, Washington DL, Zephyrin L, Callegari LS. Contributors to Racial Disparities in Minimally Invasive Hysterectomy in the US Department of Veterans Affairs. Med Care. 2019 Dec;57(12):930-936. doi: 10.1097/MLR.0000000000001200.
PMID: 31730567

Butler CR, Vig EK, O'Hare AM, Liu CF, Hebert PL, Wong SPY. Ethical Concerns in the Care of Patients with Advanced Kidney Disease: a National Retrospective Study, 2000-2011. J Gen Intern Med. 2020 Apr;35(4):1035-1043. doi: 10.1007/s11606-019-05466-w. Epub 2019 Oct 25. PMCID: PMC7174459.
PMID: 31654358

Rymer JA, O'Donnell CI, Plomondon ME, Hess PL, Donahue M, Hebert PL, Shroff A, Swaminathan RV, Waldo SW, Seto AH, Helfrich CD, Rao SV. Same-day discharge among patients undergoing elective PCI: Insights from the VA CART Program. Am Heart J. 2019 Dec;218:75-83. doi: 10.1016/j.ahj.2019.09.003. Epub 2019 Sep 12.
PMID: 31707331

Zeitlin J, Egorova NN, Janevic T, Hebert PL, Lebreton E, Balbierz A, Howell EA. The Impact of Severe Maternal Morbidity on Very Preterm Infant Outcomes. J Pediatr. 2019 Dec;215:56-63.e1. doi: 10.1016/j.jpeds.2019.07.061. Epub 2019 Sep 10. PMC6981241
PMID: 31519443

Richards CA, Liu CF, Hebert PL, Ersek M, Wachterman MW, Reinke LF, Taylor LL, O'Hare AM. Family Perceptions of Quality of End-of-Life Care for Veterans with Advanced CKD. Clin J Am Soc Nephrol. 2019 Sep 6;14(9):1324-1335. doi: 10.2215/CJN.01560219. Epub 2019 Aug 29. PMC6730503
PMID: 31466952

Wong ES, Maciejewski ML, Hebert PL, Reddy A, Liu CF. Predicting Primary Care Use Among Patients in a Large Integrated Health System: The Role of Patient Experience Measures. Med Care. 2019 Aug;57(8):608-614. doi: 10.1097/MLR.0000000000001155.
PMID: 31295190

Howell EA, Hebert PL, Zeitlin J. Racial Segregation and Inequality of Care in Neonatal Intensive Care Units Is Unacceptable. JAMA Pediatr. 2019 May 1;173(5):420-421. doi: 10.1001/jamapediatrics.2019.0240.
PMID: 30907946

Wong ES, Maciejewski ML, Hebert PL, Fortney JC, Liu CF. Spillover Effects of Massachusetts Health Reform on Mental Health Use by VA and Medicare Dual Enrollees. Adm Policy Ment Health. 2019 Mar;46(2):145-153. doi: 10.1007/s10488-018-0900-z.
PMID: 30343347

Wong SPY, McFarland LV, Liu CF, Laundry RJ, Hebert PL, O'Hare AM. Care Practices for Patients With Advanced Kidney Disease Who Forgo Maintenance Dialysis. JAMA Intern Med. 2019 Mar 1;179(3):305-313. doi: 10.1001/jamainternmed.2018.6197. PMC6439687
PMID: 30667475

Hebert PL, Katon JG. Repurposing of Administrative Data for Research: Still Useful but for How Much Longer?. Pediatrics. 2019 Feb;143(2):e20183293. doi: 10.1542/peds.2018-3293. Epub 2019 Jan 9.
PMID: 30626623

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Media (Webinars, podcasts, etc.)

Access and Virtual Care COREs: Complementary Initiatives to Speed the Research Cycle

3 March 2021

Watch: Access and Virtual Care COREs: Complementary Initiatives to Speed the Research Cycle

The Veterans Access Research Consortium (VARC) and the Virtual Care Consortium of Research (VC CORE) are Consortia of Research (COREs) that support distinct VA research priorities, though they often work synergistically. As a CORE, VARC seeks to improve access by leveraging better measures of access and examining how various interventions, including those involving health information technologies, impact access. The VC CORE aims to investigate the ability of virtual care modalities to increase Veteran access to services, improve workflow and workload of VA clinical team members, and engage and support Veterans to participate in their own care.

During this Cyberseminar, Dr. Stephanie Shimada (VARC) and Dr. Timothy Hogan (VC CORE) will explore the differences between the two COREs and identify opportunities for synergy and collaboration. The Cyberseminar will also feature work from three VA researchers in the CORE research networks:

• Dr. Paul Hebert will present the results of an Office of Primary Care-funded study examining the impact of incorporating Nurse Practitioners into VA call centers on healthcare use, cost, and timeliness of care.
• Dr. Jolie Haun will present results from her study developing implementation strategies to promote PACT team adoption of virtual medical modalities such as My HealtheVet, telehealth, and mobile applications.
• Dr. Charlie Wray, Associate Investigator with the VC CORE, will present the aims of his newly funded HSR Career Development Award aimed at improving access to care by identifying, describing, and engaging Veterans who would most benefit from VA Video Connect in order to reduce “no-shows” (missed appointments) in primary care.

Tracking the Effects of COVID-19 Using Data on Symptoms Reported by Veterans on Calls to VA Clinical Call Centers

2/17/2021

Description: When a Veteran calls a VA Clinical Call Center, the symptoms they report as the reason for the call are stored as text notes in the Corporate Data Warehouse. Investigators are using these data to monitor calls for COVID-related symptoms at the VA Medical Center level, and to monitor calls for non-COVID symptoms that might be a consequence of the economic or social fallout of the pandemic. Intended Audience: Clinicians and researchers interested in trends in the burden of symptoms before and during the pandemic.

Watch: Tracking the Effects of COVID-19 Using Data on Symptoms Reported by Veterans on Calls to VA Clinical Call Centers

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