Healthcare Delivery

Hutchins F, Rosland AM, Zhao X, Zhang H, Thorpe JM. The Impact of Dual VA-Medicare Use on a Data-Driven Clinical Management Tool for Older Veterans with Multimorbidity. J Am Geriatr Soc. 2023 Sep 29. doi: 10.1111/jgs.18608. Epub ahead of print. PMID: 37775961.

Jia-Richards M, Williams EC, Rosland AM, Boudreaux-Kelly MY, Luther JF, Mikolic J, Chinman MJ, Daniels K, Bachrach RL. Unhealthy Alcohol Use and Brief Intervention Rates Among High and Low Complexity Veterans Seeking Primary Care Services in the Veterans Health Administration. J Subst Use Addict Treat. 2023 Sep;152:209117. doi: 10.1016/j.josat.2023.209117. Epub 2023 Jun 23. PMID: 37355154; PMCID: PMC10527472.

Yoon J, Chen C, Chao S, Wong E, Rosland AM. Adherence to Diabetes Medications and Health Care Use During the COVID-19 Pandemic Among High-Risk Patients. J Am Board Fam Med. 2023 Apr 3;36(2):289-302. doi: 10.3122/jabfm.2022.220319R1. Epub 2023 Mar 3. PMID: 36868867.

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; PMCID: PMC10111181.

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. 2023 Jan-Mar 01;46(1):45-53. doi: 10.1097/JAC.0000000000000428. Epub 2022 Aug 27. PMID: 36036980; PMCID: PMC9691513.

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 Dec;37(16):4189-4196. doi: 10.1007/s11606-022-07533-1. Epub 2022 May 23. PMID: 35606644; PMCID: PMC9126696.

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. PMID: 36415219; PMCID: PMC9675988.

Hutchins F, Thorpe J, Zhao X, Zhang H, Rosland AM. Two-Year Change in Latent Classes of Comorbidity Among High-Risk Veterans in Primary Care: A Brief Report. BMC Health Serv Res. 2022 Nov 12;22(1):1341. doi: 10.1186/s12913-022-08757-x. PMID: 36371216; PMCID: PMC9652993.

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; PMCID: PMC9178911.

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 Oct;37(13):3331-3337. doi: 10.1007/s11606-021-07287-2. Epub 2022 Feb 9. PMID: 35141854; PMCID: PMC9550947.

Hutchins F, Thorpe J, Maciejewski ML, Zhao X, Daniels K, Zhang H, Zulman DM, Fihn S, Vijan S, Rosland AM. Clinical Outcome and Utilization Profiles Among Latent Groups of High-Risk Patients: Moving from Segmentation Towards Intervention. J Gen Intern Med. 2022 Aug;37(10):2429-2437. doi: 10.1007/s11606-021-07166-w. Epub 2021 Nov 3. PMID: 34731436; PMCID: PMC9360385.

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; PMCID: PMC8817776.

Arnold J, Thorpe J, Mains-Mason J, Rosland AM. Empiric Segmentation of High-Risk Patients: A Structured Literature Review. Am J Manag Care. 2022 Feb 1;28(2):e69-e77. doi: 10.37765/ajmc.2022.88752. PMID: 35139299; PMCID: PMC9623575.

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.

Blalock DV, Maciejewski ML, Zulman DM, Smith VA, Grubber J, Rosland AM, Weidenbacher HJ, Greene L, Zullig LL, Whitson HE, Hastings SN, Hung A. Subgroups of High-Risk Veterans Affairs Patients Based on Social Determinants of Health Predict Risk of Future Hospitalization. Med Care. 2021 May 1;59(5):410-417. doi: 10.1097/MLR.0000000000001526. PMID: 33821830; PMCID: PMC8034377.

Parikh RB, Linn KA, Yan J, Maciejewski ML, Rosland AM, Volpp KG, Groeneveld PW, Navathe AS. A Machine Learning Approach to Identify Distinct Subgroups Of Veterans at Risk For Hospitalization or Death Using Administrative and Electronic Health Record Data. PLoS One. 2021 Feb 19;16(2):e0247203. doi: 10.1371/journal.pone.0247203. PMID: 33606819; PMCID: PMC7894856.

Batten AJ, Thorpe J, Piegari RI, Rosland AM. A Resampling Based Grid Search Method to Improve Reliability and Robustness of Mixture-Item Response Theory Models of Multimorbid High-Risk Patients. IEEE J Biomed Health Inform. 2020 Jun;24(6):1780-1787. doi: 10.1109/JBHI.2019.2948734. Epub 2019 Nov 4. PMID: 31689220.

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. PMID: 32597993; PMCID: PMC7324956.

Rosland AM, Kieffer EC, Tipirneni R, Kullgren JT, Kirch M, Arntson EK, Clark SJ, Lee S, Solway E, Beathard E, Ayanian JZ, Goold SD. Diagnosis and Care of Chronic Health Conditions Among Medicaid Expansion Enrollees: A Mixed-Methods Observational Study. J Gen Intern Med. 2019 Nov;34(11):2549-2558. doi: 10.1007/s11606-019-05323-w. Epub 2019 Sep 11. PMID: 31512184; PMCID: PMC6848397.

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. PMID: 31667750; PMCID: PMC6957610.

Chang ET, Piegari R, Wong ES, Rosland AM, Fihn SD, Vijan S, Yoon J. Which Patients are Persistently High-Risk for Hospitalization? Am J Manag Care. 2019 Sep 1;25(9):e274-e281. PMID: 31518099.

Prenovost KM, Fihn SD, Maciejewski ML, Nelson K, Vijan S, Rosland AM. Using Item Response Theory with Health System Data to Identify Latent Groups of Patients With Multiple Health Conditions. PLoS One. 2018 Nov 26;13(11):e0206915. doi: 10.1371/journal.pone.0206915. PMID: 30475823; PMCID: PMC6261016.

Wong ES, Yoon J, Piegari RI, Rosland AM, Fihn SD, Chang ET. Identifying Latent Subgroups of High-Risk Patients Using Risk Score Trajectories. J Gen Intern Med. 2018 Dec;33(12):2120-2126. doi: 10.1007/s11606-018-4653-x. Epub 2018 Sep 17. PMID: 30225769; PMCID: PMC6258600.

Rosland AM, Wong E, Maciejewski M, Zulman D, Piegari R, Fihn S, Nelson K. Patient-Centered Medical Home Implementation and Improved Chronic Disease Quality: A Longitudinal Observational Study. Health Serv Res. 2018 Aug;53(4):2503-2522. doi: 10.1111/1475-6773.12805. Epub 2017 Nov 20. PMID: 29154464; PMCID: PMC6052009.

Annis AM, Harris M, Kim HM, Rosland AM, Krein SL. Trends in Primary Care Encounters Across Professional Roles in PCMH. Am J Manag Care. 2018 Jul 1;24(7):e222-e229. PMID: 30020758.