Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System

Kathryn M McDonald¹, Sara J Singer^{2

3}, Sherri Sheinfeld Gorin^{4

5}, David A Haggstrom^{6

7}, Denise M Hynes^{8

9}, Martin P Charns^{10

11}, Elizabeth M Yano^{12

13}, Michelle A Lucatorto¹⁴, Donna M Zulman^{2

15}, Michael K Ong^{12

13

16}, R Neal Axon^{17

18}, Donna Vogel¹⁴, Mark Upton¹⁹

Affiliations

¹ Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford University, Stanford, CA, USA. Kathryn.McDonald@stanford.edu.
² Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
³ Stanford University Graduate School of Business, Stanford, CA, USA.
⁴ New York Physicians against Cancer (NYPAC), New York, NY, USA.
⁵ The University of Michigan Medical School, Ann Arbor, MI, USA.
⁶ Indianapolis VA Medical Center, Indianapolis, IN, USA.
⁷ Indiana University School of Medicine, Indianapolis, IN, USA.
⁸ Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, OR, USA.
⁹ College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA.
¹⁰ VA HSR&D Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA.
¹¹ Boston University School of Public Health, Boston, MA, USA.
¹² VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹³ Department of Health Policy & Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
¹⁴ VA Office of Nursing Services, Washington, DC, USA.
¹⁵ VA Palo Alto, Palo Alto, CA, USA.
¹⁶ Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
¹⁷ Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
¹⁸ Medical University of South Carolina, Charleston, SC, USA.
¹⁹ VHA Office of Community Care, Denver, CO, USA.

PMID: 31098965
PMCID: PMC6542860
DOI: 10.1007/s11606-019-04969-w

Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System

Kathryn M McDonald et al. J Gen Intern Med. 2019 May.

. 2019 May;34(Suppl 1):24-29.

doi: 10.1007/s11606-019-04969-w.

Authors

Affiliations

¹ Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford University, Stanford, CA, USA. Kathryn.McDonald@stanford.edu.
² Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
³ Stanford University Graduate School of Business, Stanford, CA, USA.
⁴ New York Physicians against Cancer (NYPAC), New York, NY, USA.
⁵ The University of Michigan Medical School, Ann Arbor, MI, USA.
⁶ Indianapolis VA Medical Center, Indianapolis, IN, USA.
⁷ Indiana University School of Medicine, Indianapolis, IN, USA.
⁸ Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, OR, USA.
⁹ College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA.
¹⁰ VA HSR&D Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA.
¹¹ Boston University School of Public Health, Boston, MA, USA.
¹² VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹³ Department of Health Policy & Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
¹⁴ VA Office of Nursing Services, Washington, DC, USA.
¹⁵ VA Palo Alto, Palo Alto, CA, USA.
¹⁶ Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
¹⁷ Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
¹⁸ Medical University of South Carolina, Charleston, SC, USA.
¹⁹ VHA Office of Community Care, Denver, CO, USA.

PMID: 31098965
PMCID: PMC6542860
DOI: 10.1007/s11606-019-04969-w

Abstract

This perspective paper seeks to lay out an efficient approach for health care providers, researchers, and other stakeholders involved in interventions aimed at improving care coordination to partner in locating and using applicable care coordination theory. The objective is to learn from relevant theory-based literature about fit between intervention options and coordination needs, thereby bringing insights from theory to enhance intervention design, implementation, and troubleshooting. To take this idea from an abstract notion to tangible application, our workgroup on models and measures from the Veterans Health Administration (VA) State of the Art (SOTA) conference on care coordination first summarizes our distillation of care coordination theoretical frameworks (models) into three common conceptual domains-context of an intervention, locus in which an intervention is applied, and specific design features of the intervention. Then we apply these three conceptual domains to four cases of care coordination interventions ("use cases") chosen to represent various scopes and stages of interventions to improve care coordination for veterans. Taken together, these examples make theory more accessible and practical by demonstrating how it can be applied to specific cases. Drawing from theory offers one method to anticipate which intervention options match a particular coordination situation.

Keywords: care coordination; integrated care; theoretical framework; theoretical model.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

References

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Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System

Affiliations

Incorporating Theory into Practice: Reconceptualizing Exemplary Care Coordination Initiatives from the US Veterans Health Delivery System

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical