2017
Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration
Damush TM, Miech EJ, Sico JJ, Phipps MS, Arling G, Ferguson J, Austin C, Myers L, Baye F, Luckhurst C, Keating AB, Moran E, Bravata DM. Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration. Neurology 2017, 89: 2422-2430. PMID: 29117959, PMCID: PMC5729798, DOI: 10.1212/wnl.0000000000004739.Peer-Reviewed Original ResearchMeSH KeywordsAftercareAttitude of Health PersonnelContinuity of Patient CareCross-Sectional StudiesEmergency MedicineGuideline AdherenceHealth Services AccessibilityHospitalistsHumansIschemic Attack, TransientLeadershipMedical Staff, HospitalNeuroimagingNeurologistsNursesOphthalmologistsPhysiciansPractice Guidelines as TopicQualitative ResearchQuality of Health CareRadiologistsSurgeonsUnited StatesUnited States Department of Veterans AffairsConceptsTIA careVeterans Health AdministrationNurse coordinatorClinical staffNational Veterans Health AdministrationInadequate staff educationSystem-level facilitatorsGuideline-based careVeterans Healthcare AdministrationHealth care facilitiesSystem-level factorsTIA patientsVHA hospitalsTimely followEmergency departmentEvidence-based practiceCare coordinationInpatient settingObservational studyIndividual patientsContinuous careStaff educationCare facilitiesHealth AdministrationPatient careDevelopment and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke
Bravata DM, Myers LJ, Cheng E, Reeves M, Baye F, Yu Z, Damush T, Miech EJ, Sico J, Phipps M, Zillich A, Johanning J, Chaturvedi S, Austin C, Ferguson J, Maryfield B, Snow K, Ofner S, Graham G, Rhude R, Williams LS, Arling G. Development and Validation of Electronic Quality Measures to Assess Care for Patients With Transient Ischemic Attack and Minor Ischemic Stroke. Circulation Cardiovascular Quality And Outcomes 2017, 10: e003157. PMID: 28912200, DOI: 10.1161/circoutcomes.116.003157.Peer-Reviewed Original ResearchConceptsTransient ischemic attackElectronic quality measuresMinor ischemic strokeProportion of patientsIschemic attackIschemic strokeEHR dataDeep vein thrombosis prophylaxisVeterans Health Administration facilitiesCoronary risk assessmentInternational normalized ratioElectronic health record dataIschemic stroke careHealth record dataQuality of careSubstance abuse referralAntihypertensive classesMedication intensificationThrombosis prophylaxisLipid managementChart reviewStroke careAtrial fibrillationNeurology consultationNormalized ratio
2016
Increase in migraine diagnoses and guideline-concordant treatment in veterans, 2004–2012
Altalib H, Fenton B, Sico J, Goulet J, Bathulapalli H, Mohammad A, Kulas J, Driscoll M, Dziura J, Mattocks K, Kerns R, Brandt C, Haskell S. Increase in migraine diagnoses and guideline-concordant treatment in veterans, 2004–2012. Cephalalgia 2016, 37: 3-10. PMID: 26950804, DOI: 10.1177/0333102416631959.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesicsFemaleGuideline AdherenceHumansMaleMiddle AgedMigraine DisordersVeteransConceptsBurden of migraineMigraine diagnosisVeterans Health Administration electronic health recordsGuideline-concordant treatmentGuideline-concordant careMigraine-specific medicationsICD-9 codesChi-square testHealth care systemNumber of veteransElectronic health recordsTriptan prescriptionMigraine preventionGuideline adherenceMigraine medicationsComorbid conditionsNational health care systemMigraine headacheMedicationsMigraineTime-series studyLogistic regressionCare systemPreventive medicineHealth administrators