COIN Investigators & Staff
COIN Investigators
-
Karin M. Nelson, MD, MSHS
- Title: Core Investigator
Professor, University of Washington, School of Medicine; Co-Director, NRSA GIM fellowship program, University of Washington - Contact: Karin.Nelson@va.gov
- Location: Seattle
- University of Washington webpage
- See Dr. Nelson's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
Research Interests
Karin (“Kari”) Nelson, MD, MSHS, is a general internist and health systems researcher at the VA Puget Sound Health Care System. She is a Professor of Medicine in the University of Washington (UW) School of Medicine, Adjunct Professor in the UW School of Public Health and core investigator at the Seattle Health Systems Research (HSR) Center of Innovation (COIN).
Dr. Nelson is the director of the Primary Care Analytics Team (PCAT) for the VHA’s Office of Primary Care. As an investigator for the PACT national evaluation, she won the 2015 VHA HSRs Best Research Paper of the Year Award for Nelson, et al. “Implementation of the Patient Centered Medical Home (PCMH) in the Veterans Health Administration (VHA)” published in JAMA Internal Medicine. Her primary research focus is in improving disease self-management, focusing on peer support interventions. She actively mentors many junior faculty and is the former Co-Director for the MD fellowship program in the Seattle HSR COIN. She is a primary care physician at the VA Puget Sound. Dr. Nelson received her medical degree from the University of Minnesota, and her Masters in Health Services from UCLA.
Grants & Funding
Telehealth-delivered peer support to improve quality of life among Veterans with multimorbidity
Co-PI with Kristen Gray
Multimorbidity is common among Veterans and results in poor health-related quality of life (HRQoL). It contributes to high health care utilization and costs. Patients with multimorbidity need to engage in self-management for many of their chronic conditions. Patients with multimorbidity experience significant barriers to self-management. Due to the limitations of traditional primary care visits, they need additional support to engage in self-management optimally. Peer support delivered by trained Veteran peer health coaches is well-suited to fill this need. Limited research has evaluated the effectiveness of peer support in multimorbidity.
The proposed study evaluates whether a telehealth-delivered peer health coaching intervention improves HRQoL compared to usual VA care among high-risk patients with multimorbidity. It also aims to understand barriers and facilitators to implement the program in VA if it is effective.
This research may enhance VA’s ability to provide services to Veterans with multimorbidity and improve health outcomes.
Funder: Veterans Administration
NIH website
Developing a New Method to Improve Primary Care Workforce Management
The Department of Veterans Affairs (VA) provides primary care to over 5.7 million Veterans. In 2010, VA primary care moved to a medical model called the Patient Aligned Care Team (PACT). In PACT, Veterans are assigned or “empaneled” to a primary care provider and team. Current VA panel size estimates are based on historical means.
A recent HSR Evidence Synthesis Program (ESP) report calls for more research to manage the primary care workforce of 7,995 VHA primary care physicians and providers.
The proposed project adopts a previous method to calculate supply and demand for primary care services by using time estimates to describe overflow, where demand would exceed supply for primary care services.
The results of this study have a high probability of immediate impact on the VA by informing primary care workforce management, in addition to providing evidence that longitudinal patient histories are useful in estimating time and workload for primary care panels.
Funder: Veterans Administration
NIH website
Vet-COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health)
The Vet-COACH (Veteran Peer Coaches Optimizing and Advancing Cardiac Health) study will test the effectiveness of a peer health coach intervention that provides health education and linkages to community and clinic-based resources to improve the control of cardiovascular disease (CVD) risk factors.
Given that the majority of Veterans have one or more CV risks, cost-effective mechanisms are needed to manage the burden of CVD risk.
Veteran peer health coaches may be one such mechanism; however, models of this type of intervention have not been tested within VHA.
Utilizing Veteran health peer coaches may improve the VA’s ability to provide community outreach and in-home services for Veterans with poor CVD risk factor control and ultimately link Veterans to the VA health care system to improve health outcomes and decrease health care costs and utilization.
Funder: Veterans Administration
website
Publications of note:
— Veteran peer Coaches Optimizing and Advancing Cardiac Health (Vet-COACH); design and rationale for a randomized controlled trial of peer support among Veterans with poorly controlled hypertension and other CVD risks.
Recent Publications
2024
Rao M, Maciejewski ML, Nelson K, Cohen AJ, Wolfe HL, Marcotte L, Zulman DM. The Social Risk ACTIONS Framework: Characterizing Responses to Social Risks by Health Care Delivery Organizations. Popul Health Manag. 2024 Nov 25. doi: 10.1089/pop.2024.0162. Epub ahead of print.
PMID: 39585781.
Reddy A, Geyer J, Wheat C, Schuttner L, Chen A, Deeds S, Liao JM, Agrawal N, Nelson KM. Behaviorally Informed Text Message Nudges to Schedule COVID-19 Vaccinations: A Randomized Controlled Trial. J Gen Intern Med. 2024 Nov 4. doi: 10.1007/s11606-024-09170-2. Epub ahead of print.
PMID: 39496851.
Reddy A, Gunnink EJ, Rojas J, Nelson K, Wong ES. Impact of Home Telehealth Expansion on High-Cost Utilization Among Veterans Health Administration Patients with Diabetes. J Gen Intern Med. 2024 Oct 31. doi: 10.1007/s11606-024-09169-9. Epub ahead of print.
PMID: 39482477.
Kramer CB, Nelson KM, Sayre G, Williams JL, Spruill L, Fennell T, Gray KE, Weiner BJ, Fan V, Jones-Smith J, Rao M. "Veteran to Veteran, There's Automatically a Trust": A Qualitative Study of Veterans' Experiences in a Peer Health-Coaching Program for Hypertension. AJPM Focus. 2024 Jul 3;3(6):100257. doi: 10.1016/j.focus.2024.100257. PMID: 39415799; PMCID: PMC11481613.
PMID: 39415799.
Marcotte LM, Wheat CL, Rao M, Wong ES, Hebert P, Nelson K, Rojas J, Gunnink EJ, Reddy A. Evaluating equity in a national virtual care management intervention: Delivery and outcomes by race/ethnicity among Veterans with hypertension and diabetes. Health Serv Res. 2024 Jul 30. doi: 10.1111/1475-6773.14352. Epub ahead of print.
PMID: 39079749.
Schuttner L, Mayfield B, Jaske E, Theis M, Nelson K, Reddy A. Primary Care Telehealth Initiation and Engagement Among Veterans at High Risk, 2019-2022. JAMA Netw Open. 2024 Jul 1;7(7):e2424921. doi: 10.1001/jamanetworkopen.2024.24921. PMID: 39083271; PMCID:
PMC11292453.
Bradley Kramer, Karin M. Nelson, George Sayre, Jennifer L Williams, Leon Spruill, Tiffanie Fennell, Kristen E. Gray, Bryan J. Weiner, Vincent Fan, Jessica Jones-Smith, Mayuree Rao. “Veteran to Veteran, there's automatically a trust”: A qualitative study of Veterans’ experiences in a peer health coaching program for hypertension., AJPM Focus, 2024, 100257, ISSN 2773-0654.
DOI: 10.1016/j.focus.2024.100257.
Tran LD, Wagner TH, Shekelle P, Nelson KM, Fihn SD, Newberry S, Ghai I, Curtis I, Rubenstein LV. Assessing and Improving Productivity in Primary Care: Proof of Concept Results for a Novel Value-Based Metric. J Gen Intern Med. 2024 Jun 26. doi: 10.1007/s11606-024-08710-0. Epub ahead of print.
PMID: 38926317.
Staloff J, Gunnink E, Rojas J Jr, Wong ES, Nelson K, Reddy A. Identifying Patterns of Primary Care In-Person and Telemedicine Use in the Veterans Health Administration: A Latent Class Analysis. J Gen Intern Med. 2024 Apr 15. doi: 10.1007/s11606-024-08751-5. Epub ahead of print.
PMID: 38619738.
Wheat CL, Wong ES, Gray KE, Stockdale SE, Nelson KM, Reddy A. Factors Associated With Use of the Preventive Health Inventory in US Veterans. JAMA Netw Open. 2024 Mar 4;7(3):e242717. doi: 10.1001/jamanetworkopen.2024.2717. PMID: 38497962
2023
Apaydin EA, Rose DE, McClean MR, Mohr DC, Yano EM, Shekelle PG, Nelson KM, Guo R, Yoo CK, Stockdale SE. Burnout, employee engagement, and changing organizational contexts in VA primary care during the early COVID-19 pandemic. BMC Health Serv Res. 2023 Nov 27;23(1):1306. doi: 10.1186/s12913-023-10270-8.
PMID: 38012726
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O'Connor AW, Helfrich CD, Nelson KM, Sears JM, Jensen PK, Engstrom C, Wong ES. Full practice authority and burnout among primary care nurse practitioners. Nurs Outlook. 2023 Oct 17;71(6):102056. doi: 10.1016/j.outlook.2023.102056. Epub ahead of print.
PMID: 37856902
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Deeds S, Schuttner L, Wheat C, Gunnink E, Geyer J, Beste L, Chen A, Dominitz JA, Nelson K, Reddy A. Automated Reminders Enhance Mailed Fecal Immunochemical Test Completion Among Veterans: a Randomized Controlled Trial. J Gen Intern Med. 2023 Sep 20. doi: 10.1007/s11606-023-08409-8. Epub ahead of print.
PMID: 37731137.
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Marcotte LM, Deeds S, Wheat C, Gunnink E, Gray K, Rojas J, Finch C, Nelson K, Reddy A. Automated Opt-Out vs Opt-In Patient Outreach Strategies for Breast Cancer Screening: A Randomized Clinical Trial. JAMA Intern Med. 2023 Sep 11. doi: 10.1001/jamainternmed.2023.4321. Epub ahead of print.
PMID: 37695621.
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Rose DE, Leung LB, McClean M, Nelson KM, Curtis I, Yano EM, Rubenstein LV, Stockdale SE. Associations Between Primary Care Providers and Staff-Reported Access Management Challenges and Patient Perceptions of Access. J Gen Intern Med. 2023 Aug 2. doi: 10.1007/s11606-023-08172-w. Epub ahead of print.
PMID: 37532877.
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Rubenstein LV, Curtis I, Wheat CL, Grembowski DE, Stockdale SE, Kaboli PJ, Yoon J, Felker BL, Reddy AS, Nelson KM. Learning from national implementation of the Veterans Affairs Clinical Resource Hub (CRH) program for improving access to care: protocol for a six year evaluation. BMC Health Serv Res. 2023 Jul 25;23(1):790. doi: 10.1186/s12913-023-09799-5.
PMID: 37488518.
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Rao M, Greene L, Nelson K, Maciejewski ML, Zulman DM. Associations Between Social Risks and Primary Care Utilization Among Medically Complex Veterans. J Gen Intern Med. 2023 Jun 27. doi: 10.1007/s11606-023-08269-2. Epub ahead of print.
PMID: 37369890
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Trivedi R, Hirayama SK, Risbud R, Suresh M, Humber MB, Butler K, Razze A, Timko C, Nelson K, Zulman DM, Asch SM, Humphreys K, Piette JD. Adapting a Telephone-Based, Dyadic Self-management Program to Be Delivered Over the Web: Methodology and Usability Testing. JMIR Form Res. 2023 Jun 16;7:e43903. doi: 10.2196/43903.
PMID: 37327057.
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Deeds S, Liu T, Schuttner L, Wheat C, Gunnink E, Geyer J, Beste L, Chen A, Dominitz JA, Nelson K, Reddy A. A Postcard Primer Prior to Mailed Fecal Immunochemical Test Among Veterans: a Randomized Controlled Trial. J Gen Intern Med. 2023 Jun 8:1–7. doi: 10.1007/s11606-023-08248-7. Epub ahead of print. PMCID: PMC10249919.
PMID: 37291363.
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Nelson KM, Taylor L, Williams JL, Rao M, Gray KE, Kramer CB, Epler E, Fennell T. Effect of a Peer Health Coaching Intervention on Clinical Outcomes Among US Veterans With Cardiovascular Risks: The Vet-COACH Randomized Clinical Trial. JAMA Netw Open. 2023 Jun 1;6(6):e2317046. doi: 10.1001/jamanetworkopen.2023.17046. PMCID: PMC10245194.
PMID: 37278999
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Burnett K, Stockdale SE, Yoon J, Ragan A, Rogers M, Rubenstein LV, Wheat C, Jaske E, Rose DE, Nelson K. The Clinical Resource Hub Initiative: First-Year Implementation of the Veterans Health Administration Regional Telehealth Contingency Staffing Program. J Ambul Care Manage. 2023 Apr 21. doi: 10.1097/JAC.0000000000000468. Epub ahead of print.
PMID: 37079357
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Reddy A, Maynard C, Kaboli P, Rinne ST, Henrikson NB, Nelson KM, Liu CF, Sterling R, Wong E. Identifying Individual and Clinic Characteristics Associated With Primary Care Provider Turnover During Implementation of the Veterans Health Administration Patient-Centered Medical Home. J Ambul Care Manage. 2023 Apr 7. doi: 10.1097/JAC.0000000000000469. Epub ahead of print.
PMID: 37026706
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Wheat CL, Gunnink EJ, Rojas J, Shah A, Nelson KM, Wong ES, Gray KE, Stockdale SE, Rosland AM, Chang ET, Reddy A. Changes in Primary Care Quality Associated With Implementation of the Veterans Health Administration Preventive Health Inventory. JAMA Netw Open. 2023 Apr 3;6(4):e238525. doi: 10.1001/jamanetworkopen.2023.8525.
PMID: 37067799
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O'Connor AW, Wong ES, Nelson KM, Sears JM, Helfrich CD. Patient Enrollment Growth and Burnout in Primary Care at the Veterans Health Administration. J Gen Intern Med. 2023 Jan 25. doi: 10.1007/s11606-023-08034-5. Epub ahead of print.
PMID: 36697928
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O'Connor AW, Helfrich CD, Nelson KM, Sears JM, Singh H, Wong ES. Changes in electronic notification volume and primary care provider burnout. Am J Manag Care. 2023 Jan;29(1):57-63. doi: 10.37765/ajmc.2023.89304.
PMID: 36716155
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2022
Spece LJ, Weppner WG, Weiner BJ, Collins M, Adamson R, Berger DB, Nelson KM, McDowell J, Epler E, Carvalho PG, Woo DM, Donovan LM, Feemster LC, Au DH, Au DH, Sayre G. Primary Care Provider Experience With Proactive E-Consults to Improve COPD Outcomes and Access to Specialty Care. Chronic Obstr Pulm Dis. 2022 Dec 5. doi: 10.15326/jcopdf.2022.0357. Epub ahead of print.
PMID: 36472622.
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Gray KE, Silvestrini M, Ma EW, Nelson KM, Bastian LA, Voils CI. Gender differences in social support for diabetes self-management: A qualitative study among veterans. Patient Educ Couns. 2022 Nov 23;107:107578. doi: 10.1016/j.pec.2022.107578. Epub ahead of print.
PMID: 36463824.
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Schuttner L, Lee JR, Hockett Sherlock S, Ralston JD, Rosland AM, Nelson K, Simons C, Sayre GG. Primary Care Physician Perspectives on the Influence of Patient Values, Health Priorities, and Preferences on Clinical Decision-Making for Complex Patients with Multimorbidity: A Qualitative Study. Risk Manag Healthc Policy. 2022 Nov 16;15:2135-2146. doi: 10.2147/RMHP.S380021. PMCID: PMC9675988.
PMID: 36415219.
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Deeds SA, Moore CB, Gunnink EJ, Wheat CL, Robinson AE, Bomsztyk MD, Geyer JR, Chen A, Godbout RM, Nelson KM, Dominitz JA, Reddy A. Implementation of a mailed faecal immunochemical test programme for colorectal cancer screening among Veterans. BMJ Open Qual. 2022 Nov;11(4):e001927. doi: 10.1136/bmjoq-2022-001927. PMCID: PMC9670919.
PMID: 36384879
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Callegari L, Benson S, Mahorter S, Nelson K, Arterburn D, Hamilton A, Taylor L, Hunter-Merrill R, Gawron L, Dehlendorf C, Borrero S. Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial. Contemp Clin Trials. 2022 Sep 27:106940. doi: 10.1016/j.cct.2022.106940. Epub ahead of print.
PMID: 36179982
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Hagan S, Nelson K. Are Current Guidelines Perpetuating Weight Stigma? A Weight-Skeptical Approach to the Care of Patients with Obesity. J Gen Intern Med. 2022 Sep 22. doi: 10.1007/s11606-022-07821-w. Epub ahead of print.
PMID: 36138274
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Chen A, Beste LA, Strack K, Geyer J, Wheat C, Nelson K, Reddy A. COVID-19 Vaccinations Among US Veterans with Mental Illness: a Retrospective Cohort Study. J Gen Intern Med. 2022 Aug 15. doi: 10.1007/s11606-022-07763-3. Epub ahead of print.
PMID: 35970960
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Medich M, Rose D, McClean M, Nelson K, Stewart G, Ganz DA, Yano EM, Stockdale SE. Predictors of VA Primary Care Clerical Staff Burnout Using the Job Demands-Resources Model. J Ambul Care Manage. 2022 Aug 4. doi: 10.1097/JAC.0000000000000431. Epub ahead of print.
PMID: 35943358
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Stockdale SE, Rose DE, McClean M, Rosland AM, Chang ET, Zulman DM, Stewart G, Nelson KM. Factors Associated With Patient-Centered Medical Home Teams' Use of Resources for Identifying and Approaches for Managing Patients With Complex Needs. J Ambul Care Manage. 2022 Jul-Sep 01;45(3):171-181. doi: 10.1097/JAC.0000000000000418.
PMID: 35612388.
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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.
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Leung LB, Rubenstein LV, Jaske E, Wheat CL, Nelson KM, Felker BL. Contrasting Care Delivery Modalities Used by Primary Care and Mental Health Specialties in VA's Telehealth Contingency Staffing Program During the COVID-19 Pandemic. J Gen Intern Med. 2022 Apr 19:1–4. doi: 10.1007/s11606-022-07527-z. Epub ahead of print. PMCID: PMC9017959.
PMID: 35441301
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Au DH, Collins MP, Berger DB, Carvalho PG, Nelson KM, Reinke LF, Goodman RB, Adamson R, Woo DM, Rise PJ, Coggeshall SS, Plumley RB, Epler EM, Moss BR, McDowell JA, Weppner WG. Health System Approach to Improve COPD Care After Hospital Discharge: Stepped Wedge Clinical Trial. Am J Respir Crit Care Med. 2022 Mar 25. doi: 10.1164/rccm.202107-1707OC. Epub ahead of print.
PMID: 35333140.
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Gray KE, Rao M, Gunnink E, Eschenroeder L, Geyer JR, Nelson KM, Reddy A. Home Telehealth in the Veterans Health Administration: Trends and Correlates of Length of Enrollment from 2010 to 2017. J Gen Intern Med. 2022 Mar 1:1–8. doi: 10.1007/s11606-022-07452-1. Epub ahead of print. PMCID: PMC8886698.
PMID: 35230624
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Edmonds AT, Rhew IC, Jones-Smith J, Chan KCG, Nelson K, Williams EC. Patient-centered primary care and receipt of evidence-based alcohol-related care in the national Veterans Health Administration. J Subst Abuse Treat. 2022 Feb 2:108709. doi: 10.1016/j.jsat.2021.108709. Epub ahead of print.
doi:10.1016/j.jsat.2021.108709
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Leung LB, Rubenstein LV, Jaske E, Taylor L, Post EP, Nelson KM, Rosland AM. Association of Integrated Mental Health Services with Physical Health Quality Among VA Primary Care Patients. J Gen Intern Med. 2022 Feb 9. doi: 10.1007/s11606-021-07287-2. Epub ahead of print.
PMID: 35141854.
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Moldestad M, Sayre G, Rinne S, Kaboli PJ, Reddy A, Sanders KM, Mao J, Henrikson NB, Sterling R, Nelson KM, Wong ES. Perspectives on Training and Working in the VHA: Implications for Primary Care Physician Recruitment and Retention. Acad Med. 2022 Feb 8. doi: 10.1097/ACM.0000000000004619. Epub ahead of print.
PMID: 35139527.
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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.
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Hysong SJ, Arredondo K, Hughes AM, Lester HF, Oswald FL, Petersen LA, Woodard L, Post E, DePeralta S, Murphy DR, McKnight J, Nelson K, Haidet P. An evidence-based, structured, expert approach to selecting essential indicators of primary care quality. PLoS One. 2022 Jan 18;17(1):e0261263. doi: 10.1371/journal.pone.0261263. PMCID: PMC8765671.
PMID: 35041671.
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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.
Gray KE, Hoerster KD, Taylor L, Krieger J, Nelson KM. Improvements in physical activity and some dietary behaviors in a community health worker-led diabetes self-management intervention for adults with low incomes: results from a randomized controlled trial. Transl Behav Med. 2021 Aug 23:ibab113. doi: 10.1093/tbm/ibab113. Epub ahead of print.
PMID: 34424331.
Apaydin EA, Rose DE, McClean MR, Yano EM, Shekelle PG, Nelson KM, Stockdale SE. Association between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey. BMC Health Serv Res. 2021 Aug 13;21(1):809. doi: 10.1186/s12913-021-06769-7. PMCID: PMC8361617.
PMID: 34384398
Sterling R, Rinne ST, Reddy A, Moldestad M, Kaboli P, Helfrich CD, Henrikson NB, Nelson KM, Kaminetzky C, Wong ES. Identifying and Prioritizing Workplace Climate Predictors of Burnout Among VHA Primary Care Physicians. J Gen Intern Med. 2021 Jul 29:1–8. doi: 10.1007/s11606-021-07006-x. Epub ahead of print. PMCID: PMC8321506.
PMID: 34327656
Reddy A, Nelson KM, Wong ES. Primary Care Spending in the Veterans Health Administration in 2014 and 2018. JAMA Netw Open. 2021 Jul 1;4(7):e2117533. doi: 10.1001/jamanetworkopen.2021.17533.
PMID: 34279651
Nelson K, Reddy A, Stockdale SE, Rose D, Fihn S, Rosland AM, Stewart G, Denietolis A, Curtis I, Mori A, Rubenstein L. The Primary Care Analytics Team: Integrating research and clinical care within the Veterans Health Administration Office of Primary Care. Healthc (Amst). 2021 Jun;8 Suppl 1:100491. doi: 10.1016/j.hjdsi.2020.100491. Epub 2021 Jun 23.
PMID: 34175100
Callegari LS, Nelson KM, Arterburn DE, Dehlendorf C, Magnusson SL, Benson SK, Schwarz EB, Borrero S. Development and Pilot Testing of a Patient-Centered Web-Based Reproductive Decision Support Tool for Primary Care. J Gen Intern Med. 2021 Feb 4. doi: 10.1007/s11606-020-06506-6. Epub ahead of print.
PMID: 33538956
2020
Slightam C, Risbud R, Guetterman TC, Nevedal AL, Nelson KM, Piette JD, Trivedi RB. Patient, caregiving partner, and clinician recommendations for improving heart failure care in the Veterans Health Administration. Chronic Illn. 2020 Oct 28:1742395320966366. doi: 10.1177/1742395320966366. Epub ahead of print.
PMID: 33115281
Deeds SA, Hagan SL, Geyer JR, Vanderwarker C, Grandjean MW, Reddy A, Nelson KM. Leveraging an electronic health record note template to standardize screening and testing for COVID-19. Healthc (Amst). 2020 Sep;8(3):100454. doi: 10.1016/j.hjdsi.2020.100454. Epub 2020 Jul 22. PMCID: PMC7375319.
PMID: 32919584
Simonetti JA, Clinton WL, Taylor L, Mori A, Fihn SD, Helfrich CD, Nelson K. The impact of survey nonresponse on estimates of healthcare employee burnout. Healthc (Amst). 2020 Sep;8(3):100451. doi: 10.1016/j.hjdsi.2020.100451. Epub 2020 Aug 2.
PMID: 32919589
Reddy A, Gunnink E, Deeds SA, Hagan SL, Heyworth L, Mattras TF, Nelson KM. A rapid mobilization of 'virtual' primary care services in response to COVID-19 at Veterans Health Administration. Healthc (Amst). 2020 Dec;8(4):100464. doi: 10.1016/j.hjdsi.2020.100464. Epub 2020 Aug 18. PMCID: PMC7434426.
PMID: 32992109
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
Chang ET, Zulman DM, Nelson KM, Rosland AM, Ganz DA, Fihn SD, Piegari R, Rubenstein LV. Use of General Primary Care, Specialized Primary Care, and Other Veterans Affairs Services Among High-Risk Veterans. JAMA Netw Open. 2020 Jun 1;3(6):e208120. doi: 10.1001/jamanetworkopen.2020.8120. PMCID: PMC7324956.
PMID: 32597993
Yoon J, Leung LB, Rubenstein LV, Nelson KM, Rose DE, Chow A, Stockdale S. Greater Patient-Centered Medical Home Implementation Was Associated with Lower Attrition from VA Primary Care. Healthcare. 2020 Jun;8(2):100429. doi: 10.1016/j.hjdsi.2020.100429. Epub 2020 May 11.
PMID: 32553525
Batten AJ, Augustine MR, Nelson KM, Kaboli PJ. Development of a novel metric of timely care access to primary care services. Health Serv Res. 2020 Apr;55(2):301-309. doi: 10.1111/1475-6773.13255. Epub 2020 Jan 14. PMCID: PMC7080389.
PMID: 31943208
Simonetti JA, Piegari R, Maynard C, Brenner LA, Mori A, Post EP, Nelson K, Trivedi R. Characteristics and Injury Mechanisms of Veteran Primary Care Suicide Decedents with and without Diagnosed Mental Illness. J Gen Intern Med. 2020 Mar 26. doi: 10.1007/s11606-020-05787-1. Online ahead of print.
PMID: 32219647
Hoerster KD, Tanksley L, Simpson T, Saelens BE, Unützer J, Black M, Greene P, Sulayman N, Reiber G, Nelson K. Development of a Tailored Behavioral Weight Loss Program for Veterans With PTSD (MOVE!+UP): A Mixed-Methods Uncontrolled Iterative Pilot Study. Am J Health Promot. 2020 Jul;34(6):587-598. doi: 10.1177/0890117120908505. Epub 2020 Mar 12. PMCID: PMC7478932.
PMID: 32162528
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
Reddy A, Gunnink E, Taylor L, Wong E, Batten AJ, Fihn SD, Nelson KM. Association of High-Cost Health Care Utilization With Longitudinal Changes in Patient-Centered Medical Home Implementation. JAMA Netw Open. 2020 Feb 5;3(2):e1920500. doi: 10.1001/jamanetworkopen.2019.20500.
PMID: 32022880
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
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, 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
Trivedi RB, Post EP, Piegari R, Simonetti J, Boyko EJ, Asch SM, Mori A, Arnow BA, Fihn SD, Nelson KM, Maynard C. Mortality Among Veterans with Major Mental Illnesses Seen in Primary Care: Results of a National Study of Veteran Deaths. J Gen Intern Med. 2020 Jan;35(1):112-118. doi: 10.1007/s11606-019-05307-w. Epub 2019 Oct 30. PMCID: PMC6957595.
PMID: 31667746
2019
Hatef E, Kharrazi H, Nelson K, Sylling P, Ma X, Lasser EC, Searle KM, Predmore Z, Batten AJ, Curtis I, Fihn S, Weiner JP. The Association Between Neighborhood Socioeconomic and Housing Characteristics with Hospitalization: Results of a National Study of Veterans. J Am Board Fam Med. 2019 Nov-Dec;32(6):890-903. doi: 10.3122/jabfm.2019.06.190138. PMID: 31704758
Maynard C, Nelson K. Compensation for Veterans With Service Connected Disabilities: Current Findings and Future Implications. Journal of Disability Policy Studies. Sept 2020;31(1):57-62. doi:10.1177/1044207319875070
Trivedi RB, Slightam C, Nevedal A, Guetterman TC, Fan VS, Nelson KM, Rosland AM, Heidenreich PA, Timko C, Asch SM, Piette JD. Comparing the Barriers and Facilitators of Heart Failure Management as Perceived by Patients, Caregivers, and Clinical Providers. J Cardiovasc Nurs. 2019 Sep/Oct;34(5):399-409. doi: 10.1097/JCN.0000000000000591. PMID: 31365440.
Nelson KM, Chang ET, Zulman DM, Rubenstein LV, Kirkland FD, Fihn SD. Using Predictive Analytics to Guide Patient Care and Research in a National Health System. J Gen Intern Med. 2019 Aug;34(8):1379-1380. doi: 10.1007/s11606-019-04961-4. PMID: 31011959. PMC6667597
Browne KC, Hoerster KD, Piegari R, Fortney JC, Nelson KN, Post EP, Fihn SD, Mori AM, Trivedi RB. Clinical Care Quality Among Veterans Health Administration Patients With Mental Illness Following Medical Home Implementation. Psychiatr Serv. 2019 Sep 1;70(9):816-823. doi: 10.1176/appi.ps.201800474. Epub 2019 Jul 16. PMID: 31310189.
Augustine MR, Nelson KM, Wong ES. Low and Higher Wage Workers Report No Differences in Four Barriers to Primary Care Access. Popul Health Manag. 2020 Apr;23(2):115-123. doi: 10.1089/pop.2019.0028. Epub 2019 Jul 9. PMID: 31287772.
Hatef E, Predmore Z, Lasser EC, Kharrazi H, Nelson K, Curtis I, Fihn S, Weiner JP. Integrating social and behavioral determinants of health into patient care and population health at Veterans Health Administration: a conceptual framework and an assessment of available individual and population level data sources and evidence-based measurements. AIMS Public Health. 2019 Jul 3;6(3):209-224. doi: 10.3934/publichealth.2019.3.209. PMID: 31637271; PMCID: PMC6779595.
Hoerster KD, Campbell S, Dolan M, Stappenbeck CA, Yard S, Simpson T, Nelson KM. PTSD is associated with poor health behavior and greater Body Mass Index through depression, increasing cardiovascular disease and diabetes risk among U.S. veterans. Prev Med Rep. 2019 Jun 28;15:100930. doi: 10.1016/j.pmedr.2019.100930. eCollection 2019 Sep. PMID: 31338278. PMC6627033
Augustine MR, Nelson KM, Fihn SD, Wong ES. Patient-Reported Access in the Patient-Centered Medical Home and Avoidable Hospitalizations: an Observational Analysis of the Veterans Health Administration. J Gen Intern Med. 2019 Aug;34(8):1546-1553. doi: 10.1007/s11606-019-05060-0. Epub 2019 Jun 3. PMID: 31161568. PMC6667567
Hatef E, Searle KM, Predmore Z, Lasser EC, Kharrazi H, Nelson K, Sylling P, Curtis I, Fihn SD, Weiner JP. The Impact of Social Determinants of Health on Hospitalization in the Veterans Health Administration. Am J Prev Med. 2019 Jun;56(6):811-818. doi: 10.1016/j.amepre.2018.12.012. Epub 2019 Apr 17. PMID: 31003812.
Callegari LS, Tartaglione EV, Magnusson SL, Nelson KM, Arteburn DE, Szarka J, Zephyrin L, Borrero S. Understanding Women Veterans' Family Planning Counseling Experiences and Preferences to Inform Patient-Centered Care. Womens Health Issues. 2019 May-Jun;29(3):283-289. doi: 10.1016/j.whi.2019.03.002. Epub 2019 Apr 10. PMID: 30981559.
Maynard C, Nelson K, Fihn SD. Characteristics of younger women Veterans with service connected disabilities. Heliyon. 2019 Mar 1;5(3):e01284. doi: 10.1016/j.heliyon.2019.e01284. PMID: 30886930; PMCID: PMC6401532.
Media (CyberSeminars, Podcasts, etc.)
Overview of Primary Care Analytics Team (PCAT)
by Karin Nelson, MD, MSHS
Seminar date: 6/21/2023
Description: Primary Care Analytics Team (PCAT) provides analytic resources for the Office of Primary Care for program evaluation, program planning, and innovation development. PCAT mission is to execute analysis related to VHA Primary Care and respond to the needs of Office of Patient Care (OPC)’s priorities (Fidelity to the PACT model, high risk patients, virtual care). This presentation will provide an overview of PCAT work and highlight select projects.
