Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans
Objective To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post‐9/11 Veterans' VA enrollment and retention. Data Sources and Study Setting Interviews conducted from March–May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 s...
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| Veröffentlicht in: | Health services research 2024-10, Vol.59 (5), p.e14351-n/a |
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| creator | Brown, Todd Fagerlin, Angela Samore, Matthew H. Harris, Alex H. S. Galyean, Patrick Zickmund, Susan Pettey, Warren B. P. Vanneman, Megan E. |
| description | Objective
To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post‐9/11 Veterans' VA enrollment and retention.
Data Sources and Study Setting
Interviews conducted from March–May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 sites, using stratified sampling based on VAMC characteristics: enrollment rates, number of recently separated Veterans in catchment area, and state Medicaid expansion status.
Study Design
Interview questions were developed using Petersen et al.'s Factors Influencing Choice of Healthcare System framework as a guide. Interviews were transcribed verbatim, and two coders analyzed the interviews using Atlas.ti, a qualitative software program. Coders followed the qualitative coding philosophy developed by Crabtree and Miller, a process of developing codes for salient concepts as they are identified during the analysis process.
Data Collection/Extraction Methods
Two coders analyzed 22% (N = 6) of the interviews and discussed and adjudicated any discrepancies. One coder independently coded the remainder of the interviews.
Principal Findings
Several key themes were identified regarding facilitators and barriers for VA enrollment including reputation for high‐quality VA care, convenience of VA services, awareness of VA services and benefits, and VA mental health services. Nearly every VA leader actively used tools and data to understand enrollment and retention rates and sought to enroll and retain more Veterans. To improve the management of enrollment and retention, VA leaders would like data shared in an easily understandable format and the capability to share data between the VA and community healthcare systems.
Conclusions
Enrollment and retention information is important for healthcare leaders to guide their health system decisions. Various tools are currently being used to try to understand the data. However, a multifunctional tool is needed to better aggregate the data to provide VA leadership with key information on Veterans' enrollment and retention. |
| doi_str_mv | 10.1111/1475-6773.14351 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3085691114</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3099386777</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2561-d4ae71199153f6d61f6e731374df874d48f7168ee041950eeded36f92ac063003</originalsourceid><addsrcrecordid>eNqFkctOAyEUhonR2HpZuzMkbtyM5RQGhqUxak2aaLxtCc6c0TYzoDDVdOcj-Iw-idRWF25kAQS-8-XkP4TsATuCtAYgVJ5JpfgRCJ7DGun_vqyTPmOgMg1D0SNbMU4ZYwUvxCbpcc0UHwLvk3jhah9a2028o9ZVNGD0s1BipPfH9Alt0z3ROI8dtrRBW2GI1CFWtPO0tc4-IkUXfNO06LqVoEvXhS6J6ZWP3ef7hx4A0Nf0E6yLO2Sjtk3E3dW5Te7OTm9PRtn48vzi5HiclcNcQlYJiwpAa8h5LSsJtUTFgStR1UXaRFErkAUiE6BzlprCistaD23JJGeMb5PDpfc5-JcZxs60k1hi01iHfhYNZ0UudYpRJPTgDzpNKbjUXaK05kVKVCVqsKTK4GMMWJvnMGltmBtgZjEPs0jfLNI33_NIFfsr7-yhxeqX_xlAAuQSeJs0OP_PZ0anN9dL8xeIh5UA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3099386777</pqid></control><display><type>article</type><title>Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans</title><source>Sociological Abstracts</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Brown, Todd ; Fagerlin, Angela ; Samore, Matthew H. ; Harris, Alex H. S. ; Galyean, Patrick ; Zickmund, Susan ; Pettey, Warren B. P. ; Vanneman, Megan E.</creator><creatorcontrib>Brown, Todd ; Fagerlin, Angela ; Samore, Matthew H. ; Harris, Alex H. S. ; Galyean, Patrick ; Zickmund, Susan ; Pettey, Warren B. P. ; Vanneman, Megan E.</creatorcontrib><description>Objective
To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post‐9/11 Veterans' VA enrollment and retention.
Data Sources and Study Setting
Interviews conducted from March–May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 sites, using stratified sampling based on VAMC characteristics: enrollment rates, number of recently separated Veterans in catchment area, and state Medicaid expansion status.
Study Design
Interview questions were developed using Petersen et al.'s Factors Influencing Choice of Healthcare System framework as a guide. Interviews were transcribed verbatim, and two coders analyzed the interviews using Atlas.ti, a qualitative software program. Coders followed the qualitative coding philosophy developed by Crabtree and Miller, a process of developing codes for salient concepts as they are identified during the analysis process.
Data Collection/Extraction Methods
Two coders analyzed 22% (N = 6) of the interviews and discussed and adjudicated any discrepancies. One coder independently coded the remainder of the interviews.
Principal Findings
Several key themes were identified regarding facilitators and barriers for VA enrollment including reputation for high‐quality VA care, convenience of VA services, awareness of VA services and benefits, and VA mental health services. Nearly every VA leader actively used tools and data to understand enrollment and retention rates and sought to enroll and retain more Veterans. To improve the management of enrollment and retention, VA leaders would like data shared in an easily understandable format and the capability to share data between the VA and community healthcare systems.
Conclusions
Enrollment and retention information is important for healthcare leaders to guide their health system decisions. Various tools are currently being used to try to understand the data. However, a multifunctional tool is needed to better aggregate the data to provide VA leadership with key information on Veterans' enrollment and retention.</description><identifier>ISSN: 0017-9124</identifier><identifier>ISSN: 1475-6773</identifier><identifier>EISSN: 1475-6773</identifier><identifier>DOI: 10.1111/1475-6773.14351</identifier><identifier>PMID: 39073213</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Attrition ; Catchment areas ; Coders ; Community health care ; Data collection ; Design factors ; Discrepancies ; enrollment ; Enrollments ; Extraction ; Health care ; Health care facilities ; Health care industry ; Health services ; Health status ; informatics ; Information ; Information management ; Information systems ; Interviews ; Leadership ; Medicaid ; Mental health services ; Military hospitals ; post‐9/11 veterans ; Qualitative analysis ; Retention ; Software ; VA health care ; Veterans</subject><ispartof>Health services research, 2024-10, Vol.59 (5), p.e14351-n/a</ispartof><rights>Published 2024. This article is a U.S. Government work and is in the public domain in the USA.</rights><rights>2024 Health Research and Educational Trust</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2561-d4ae71199153f6d61f6e731374df874d48f7168ee041950eeded36f92ac063003</cites><orcidid>0000-0003-3013-1362 ; 0000-0001-7267-3077 ; 0000-0002-3302-8144</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1475-6773.14351$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1475-6773.14351$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,33774,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39073213$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, Todd</creatorcontrib><creatorcontrib>Fagerlin, Angela</creatorcontrib><creatorcontrib>Samore, Matthew H.</creatorcontrib><creatorcontrib>Harris, Alex H. S.</creatorcontrib><creatorcontrib>Galyean, Patrick</creatorcontrib><creatorcontrib>Zickmund, Susan</creatorcontrib><creatorcontrib>Pettey, Warren B. P.</creatorcontrib><creatorcontrib>Vanneman, Megan E.</creatorcontrib><title>Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans</title><title>Health services research</title><addtitle>Health Serv Res</addtitle><description>Objective
To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post‐9/11 Veterans' VA enrollment and retention.
Data Sources and Study Setting
Interviews conducted from March–May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 sites, using stratified sampling based on VAMC characteristics: enrollment rates, number of recently separated Veterans in catchment area, and state Medicaid expansion status.
Study Design
Interview questions were developed using Petersen et al.'s Factors Influencing Choice of Healthcare System framework as a guide. Interviews were transcribed verbatim, and two coders analyzed the interviews using Atlas.ti, a qualitative software program. Coders followed the qualitative coding philosophy developed by Crabtree and Miller, a process of developing codes for salient concepts as they are identified during the analysis process.
Data Collection/Extraction Methods
Two coders analyzed 22% (N = 6) of the interviews and discussed and adjudicated any discrepancies. One coder independently coded the remainder of the interviews.
Principal Findings
Several key themes were identified regarding facilitators and barriers for VA enrollment including reputation for high‐quality VA care, convenience of VA services, awareness of VA services and benefits, and VA mental health services. Nearly every VA leader actively used tools and data to understand enrollment and retention rates and sought to enroll and retain more Veterans. To improve the management of enrollment and retention, VA leaders would like data shared in an easily understandable format and the capability to share data between the VA and community healthcare systems.
Conclusions
Enrollment and retention information is important for healthcare leaders to guide their health system decisions. Various tools are currently being used to try to understand the data. However, a multifunctional tool is needed to better aggregate the data to provide VA leadership with key information on Veterans' enrollment and retention.</description><subject>Attrition</subject><subject>Catchment areas</subject><subject>Coders</subject><subject>Community health care</subject><subject>Data collection</subject><subject>Design factors</subject><subject>Discrepancies</subject><subject>enrollment</subject><subject>Enrollments</subject><subject>Extraction</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Health status</subject><subject>informatics</subject><subject>Information</subject><subject>Information management</subject><subject>Information systems</subject><subject>Interviews</subject><subject>Leadership</subject><subject>Medicaid</subject><subject>Mental health services</subject><subject>Military hospitals</subject><subject>post‐9/11 veterans</subject><subject>Qualitative analysis</subject><subject>Retention</subject><subject>Software</subject><subject>VA health care</subject><subject>Veterans</subject><issn>0017-9124</issn><issn>1475-6773</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkctOAyEUhonR2HpZuzMkbtyM5RQGhqUxak2aaLxtCc6c0TYzoDDVdOcj-Iw-idRWF25kAQS-8-XkP4TsATuCtAYgVJ5JpfgRCJ7DGun_vqyTPmOgMg1D0SNbMU4ZYwUvxCbpcc0UHwLvk3jhah9a2028o9ZVNGD0s1BipPfH9Alt0z3ROI8dtrRBW2GI1CFWtPO0tc4-IkUXfNO06LqVoEvXhS6J6ZWP3ef7hx4A0Nf0E6yLO2Sjtk3E3dW5Te7OTm9PRtn48vzi5HiclcNcQlYJiwpAa8h5LSsJtUTFgStR1UXaRFErkAUiE6BzlprCistaD23JJGeMb5PDpfc5-JcZxs60k1hi01iHfhYNZ0UudYpRJPTgDzpNKbjUXaK05kVKVCVqsKTK4GMMWJvnMGltmBtgZjEPs0jfLNI33_NIFfsr7-yhxeqX_xlAAuQSeJs0OP_PZ0anN9dL8xeIh5UA</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Brown, Todd</creator><creator>Fagerlin, Angela</creator><creator>Samore, Matthew H.</creator><creator>Harris, Alex H. S.</creator><creator>Galyean, Patrick</creator><creator>Zickmund, Susan</creator><creator>Pettey, Warren B. P.</creator><creator>Vanneman, Megan E.</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3013-1362</orcidid><orcidid>https://orcid.org/0000-0001-7267-3077</orcidid><orcidid>https://orcid.org/0000-0002-3302-8144</orcidid></search><sort><creationdate>202410</creationdate><title>Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans</title><author>Brown, Todd ; Fagerlin, Angela ; Samore, Matthew H. ; Harris, Alex H. S. ; Galyean, Patrick ; Zickmund, Susan ; Pettey, Warren B. P. ; Vanneman, Megan E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2561-d4ae71199153f6d61f6e731374df874d48f7168ee041950eeded36f92ac063003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Attrition</topic><topic>Catchment areas</topic><topic>Coders</topic><topic>Community health care</topic><topic>Data collection</topic><topic>Design factors</topic><topic>Discrepancies</topic><topic>enrollment</topic><topic>Enrollments</topic><topic>Extraction</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Health status</topic><topic>informatics</topic><topic>Information</topic><topic>Information management</topic><topic>Information systems</topic><topic>Interviews</topic><topic>Leadership</topic><topic>Medicaid</topic><topic>Mental health services</topic><topic>Military hospitals</topic><topic>post‐9/11 veterans</topic><topic>Qualitative analysis</topic><topic>Retention</topic><topic>Software</topic><topic>VA health care</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, Todd</creatorcontrib><creatorcontrib>Fagerlin, Angela</creatorcontrib><creatorcontrib>Samore, Matthew H.</creatorcontrib><creatorcontrib>Harris, Alex H. S.</creatorcontrib><creatorcontrib>Galyean, Patrick</creatorcontrib><creatorcontrib>Zickmund, Susan</creatorcontrib><creatorcontrib>Pettey, Warren B. P.</creatorcontrib><creatorcontrib>Vanneman, Megan E.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brown, Todd</au><au>Fagerlin, Angela</au><au>Samore, Matthew H.</au><au>Harris, Alex H. S.</au><au>Galyean, Patrick</au><au>Zickmund, Susan</au><au>Pettey, Warren B. P.</au><au>Vanneman, Megan E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>2024-10</date><risdate>2024</risdate><volume>59</volume><issue>5</issue><spage>e14351</spage><epage>n/a</epage><pages>e14351-n/a</pages><issn>0017-9124</issn><issn>1475-6773</issn><eissn>1475-6773</eissn><abstract>Objective
To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post‐9/11 Veterans' VA enrollment and retention.
Data Sources and Study Setting
Interviews conducted from March–May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 sites, using stratified sampling based on VAMC characteristics: enrollment rates, number of recently separated Veterans in catchment area, and state Medicaid expansion status.
Study Design
Interview questions were developed using Petersen et al.'s Factors Influencing Choice of Healthcare System framework as a guide. Interviews were transcribed verbatim, and two coders analyzed the interviews using Atlas.ti, a qualitative software program. Coders followed the qualitative coding philosophy developed by Crabtree and Miller, a process of developing codes for salient concepts as they are identified during the analysis process.
Data Collection/Extraction Methods
Two coders analyzed 22% (N = 6) of the interviews and discussed and adjudicated any discrepancies. One coder independently coded the remainder of the interviews.
Principal Findings
Several key themes were identified regarding facilitators and barriers for VA enrollment including reputation for high‐quality VA care, convenience of VA services, awareness of VA services and benefits, and VA mental health services. Nearly every VA leader actively used tools and data to understand enrollment and retention rates and sought to enroll and retain more Veterans. To improve the management of enrollment and retention, VA leaders would like data shared in an easily understandable format and the capability to share data between the VA and community healthcare systems.
Conclusions
Enrollment and retention information is important for healthcare leaders to guide their health system decisions. Various tools are currently being used to try to understand the data. However, a multifunctional tool is needed to better aggregate the data to provide VA leadership with key information on Veterans' enrollment and retention.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>39073213</pmid><doi>10.1111/1475-6773.14351</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3013-1362</orcidid><orcidid>https://orcid.org/0000-0001-7267-3077</orcidid><orcidid>https://orcid.org/0000-0002-3302-8144</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0017-9124 |
| ispartof | Health services research, 2024-10, Vol.59 (5), p.e14351-n/a |
| issn | 0017-9124 1475-6773 1475-6773 |
| language | eng |
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| source | Sociological Abstracts; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Attrition Catchment areas Coders Community health care Data collection Design factors Discrepancies enrollment Enrollments Extraction Health care Health care facilities Health care industry Health services Health status informatics Information Information management Information systems Interviews Leadership Medicaid Mental health services Military hospitals post‐9/11 veterans Qualitative analysis Retention Software VA health care Veterans |
| title | Information and resources VA health system leaders need to manage enrollment and retention for Post‐9/11 veterans |
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