Modernization of a Large Spinal Cord Injuries and Disorders Registry: The Veterans Administration Experience

Sippel, Jennifer L.; Daly, Jennifer E.; Poggensee, Linda; Ristau, Kim D.; Eberhart, Adam C.; Tam, Katharine; Evans, Charlesnika T.; Lancaster, Betsy; Wickremasinghe, Itala Manosha; Burns, Stephen P.; Goldstein, Barry; Smith, Bridget

doi:10.1016/j.arrct.2022.100237

Cited by 6 publications

(2 citation statements)

References 39 publications

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“…Veterans encompassed in our analyses include individuals with SCI/D who received specialty inpatient, outpatient, home care, and/or telehealth services in the VHA SCI/D System of Care during fiscal years (FY) 2017, 2018, and/or 2019, and were included in the VHA SCI/D Registry ( 22 ).…”

Section: Methodsmentioning

confidence: 99%

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Utilization of whole health services among veterans with spinal cord injuries and disorders (SCI/D): Early insights from the VA SCI/D system of care

Wallén

Sippel

Park

et al. 2023

The Journal of Spinal Cord Medicine

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Context/Objective Our objective was to describe early participation in Whole Health programs across the Veterans Health Administration (VHA) Spinal Cord Injuries and Disorders (SCI/D) System of Care. Design Retrospective analysis of VHA administrative data. Setting The VHA SCI/D System of Care. Participants Veterans with SCI/D included in the FY2019 cumulative VHA SCI/D Registry cohort with living status during FY2017, FY2018, and FY2019. Interventions N/A. Outcome Measures We assessed the number of encounters and unique Veterans with SCI/D, and the percent of Veterans with SCI/D, who utilized each Whole Health (WH) program available in VA. Results Utilization of WH Pathway and well-being Programs increased from 62 encounters to 1703 encounters between FY2017 and FY2019 (representing 0.09% to 3.13% of Veterans with SCI/D). Utilization of chiropractic care rose from 130 encounters to 418 encounters during the same time period. Similarly, utilization of complementary and integrative health programs increased from 886 encounters to 2655 encounters (representing 1.09% to 3.11% of Veterans; FY2017 to 2019). We also report utilization of specific WH programs. Conclusion Participation in WH services has been increasing among Veterans with SCI/D who receive health care from the VHA SCI/D System of Care. However, utilization among Veterans with SCI/D remains low overall, and targeted efforts to increase WH program reach are needed. Additional information about the relative effectiveness of different strategies to support WH implementation is also needed, to ensure strategies likely to have the most impact are prioritized.

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Section: Methodsmentioning

confidence: 99%

“…Veterans with SCI/D were identified through VHA's SCI/D Registry (VSR) ( 22 ). Data on Veteran utilization of Whole Health services were obtained from the VHA administrative healthcare workload data in the VHA Corporate Data Warehouse.…”

Section: Methodsmentioning

confidence: 99%