Randall Rupper
Biographic Data
| ID | 5534821 |
|---|---|
| NAME | Randall Rupper |
| GIVEN NAMES | Randall |
| FAMILY NAME | Rupper |
| SIGNATURE | RUPPER R |
| AFFILIATIONS | VA Salt Lake City Healthcare System |
| VERIFIED | No |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
Combining Machine Learning and Comparative Effectiveness Methodology to Study Primary Care Pharmacotherapy Pathways for Veterans With Depression
OBJECTIVES: To demonstrate an innovative method combining machine learning with comparative effectiveness research techniques and to investigate a hitherto unstudied question about the effectiveness of common prescribing patterns. DATA SOURCES: United States Veterans Health Administration Corporate Data Warehouse. STUDY DESIGN: For Operation Enduring Freedom/Operation Iraqi Freedom veterans with major depressive disorder, we generate pharmacother…
Sex differences in unmet needs between male and female older Veterans
Aging Veterans face complex needs across multiple domains. However, the needs of older female Veterans and the degree to which unmet needs differ by sex are unknown. We analyzed responses to the HERO CARE survey from 7,955 Veterans aged 55 years and older (weighted N = 490,148), 93.9% males and 6.1% females. We evaluated needs and unmet needs across the following domains: activities of daily living (ADLs), instrumental ADLs (IADLs), health manage…
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services
INTRODUCTION: The passage of the Veterans Access, Choice, and Accountability Act of 2014 has expanded the non-Veteran Affairs (VA) care options for eligible US Veterans. In order for these new arrangements to provide the best care possible for Veterans, it is important to understand the relationship between VA and non-VA care options. The purpose of this study was to use another recent VA policy change, one that increased the reimbursement rate t…
Supporting Caregivers of Rural Veterans Electronically (SCORE)
BACKGROUND: The increasing prevalence of dementia, including among rural veterans, highlights the improved outcomes possible for caregivers who receive effective support. However, providing these complex interventions in rural areas presents challenges. Internet-based and telephone-based caregiver support can potentially expand access to effective support. METHODS: We designed a multisite intervention for caregivers of veterans with dementia. Car…
Rurality or distance to care and the risk of homelessness among Afghanistan and Iraq veterans
Purpose Several risk factors have been identified in ongoing efforts by the US Department of Veterans Affairs (VA) to mitigate high rates of homelessness among veterans. To date, no studies have examined the relationship of rurality and distance to nearest VA facility to risk of homelessness. Due to challenges in accessing available services, the hypothesis was that rural-residing veterans are at greater risk for homelessness. The paper aims to d…
Utilization of Travel Reimbursement in the Veterans Health Administration
PURPOSE: To improve access to care, the Veterans Health Administration (VHA) increased its patient travel reimbursement rate from 11 to 28.5 cents per mile on February 1, 2008, and again to 41.5 cents per mile on November 17, 2008. We identified characteristics of veterans more likely to receive travel reimbursements and evaluated the impact of these increases on utilization of the benefit. METHODS: We examined the likelihood of receiving any rei…
The Effect of Increased Travel Reimbursement Rates on Health Care Utilization in the VA
Purpose : The reimbursement rate that eligible veterans receive for travel to Department of Veterans Affairs (VA) facilities increased from 11 to 28.5 cents per mile on February 1, 2008. We examined the effect of this policy change on utilization of outpatient, inpatient, and pharmacy services, stratifying veterans based on distance from a VA facility. Methods : We compared health care utilization and costs on a sample of VA patients in the 10.5 …
Reaching Out to Older Veterans in Need
CONTEXT: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. PURPOSE: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic. The clinic, located in Elko, Nevada, was created to meet the health care needs of veterans who expre…
Developing Indicators of Inpatient Adverse Drug Events Through Nonlinear Analysis Using Administrative Data
BACKGROUND: Because of uniform availability, hospital administrative data are appealing for surveillance of adverse drug events (ADEs). Expert-generated surveillance rules that rely on the presence of International Classification of Diseases, 9th Revision Clinical Modification (ICD-9-CM) codes have limited accuracy. Rules based on nonlinear associations among all types of available administrative data may be more accurate. OBJECTIVES: By applying…
Out-of-Pocket Pharmacy Expenditures for Veterans Under Medicare Part D
OBJECTIVES: Because the VA pharmacy benefit is deemed equivalent coverage to Medicare Part D, veterans can use either or both of these Federal benefits. We sought to determine how these programs' different benefit structures and low-income assistance thresholds would affect pharmacy out-of-pocket expenses for veterans. METHODS: We reviewed income and asset tests performed at the Salt Lake City VA in fiscal year 2005, and estimated the number of i…
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Developing Indicators of Inpatient Adverse Drug Events Through Nonlinear Analysis Using Administrative Data
BACKGROUND: Because of uniform availability, hospital administrative data are appealing for surveillance of adverse drug events (ADEs). Expert-generated surveillance rules that rely on the presence of International Classification of Diseases, 9th Revision Clinical Modification (ICD-9-CM) codes have limited accuracy. Rules based on nonlinear associations among all types of available administrative data may be more accurate. OBJECTIVES: By applying…
Out-of-Pocket Pharmacy Expenditures for Veterans Under Medicare Part D
OBJECTIVES: Because the VA pharmacy benefit is deemed equivalent coverage to Medicare Part D, veterans can use either or both of these Federal benefits. We sought to determine how these programs' different benefit structures and low-income assistance thresholds would affect pharmacy out-of-pocket expenses for veterans. METHODS: We reviewed income and asset tests performed at the Salt Lake City VA in fiscal year 2005, and estimated the number of i…
Reaching Out to Older Veterans in Need
CONTEXT: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. PURPOSE: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic. The clinic, located in Elko, Nevada, was created to meet the health care needs of veterans who expre…
The Effect of Increased Travel Reimbursement Rates on Health Care Utilization in the VA
Purpose : The reimbursement rate that eligible veterans receive for travel to Department of Veterans Affairs (VA) facilities increased from 11 to 28.5 cents per mile on February 1, 2008. We examined the effect of this policy change on utilization of outpatient, inpatient, and pharmacy services, stratifying veterans based on distance from a VA facility. Methods : We compared health care utilization and costs on a sample of VA patients in the 10.5 …
Utilization of Travel Reimbursement in the Veterans Health Administration
PURPOSE: To improve access to care, the Veterans Health Administration (VHA) increased its patient travel reimbursement rate from 11 to 28.5 cents per mile on February 1, 2008, and again to 41.5 cents per mile on November 17, 2008. We identified characteristics of veterans more likely to receive travel reimbursements and evaluated the impact of these increases on utilization of the benefit. METHODS: We examined the likelihood of receiving any rei…
Supporting Caregivers of Rural Veterans Electronically (SCORE)
BACKGROUND: The increasing prevalence of dementia, including among rural veterans, highlights the improved outcomes possible for caregivers who receive effective support. However, providing these complex interventions in rural areas presents challenges. Internet-based and telephone-based caregiver support can potentially expand access to effective support. METHODS: We designed a multisite intervention for caregivers of veterans with dementia. Car…
Rurality or distance to care and the risk of homelessness among Afghanistan and Iraq veterans
Purpose Several risk factors have been identified in ongoing efforts by the US Department of Veterans Affairs (VA) to mitigate high rates of homelessness among veterans. To date, no studies have examined the relationship of rurality and distance to nearest VA facility to risk of homelessness. Due to challenges in accessing available services, the hypothesis was that rural-residing veterans are at greater risk for homelessness. The paper aims to d…
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services
INTRODUCTION: The passage of the Veterans Access, Choice, and Accountability Act of 2014 has expanded the non-Veteran Affairs (VA) care options for eligible US Veterans. In order for these new arrangements to provide the best care possible for Veterans, it is important to understand the relationship between VA and non-VA care options. The purpose of this study was to use another recent VA policy change, one that increased the reimbursement rate t…
Sex differences in unmet needs between male and female older Veterans
Aging Veterans face complex needs across multiple domains. However, the needs of older female Veterans and the degree to which unmet needs differ by sex are unknown. We analyzed responses to the HERO CARE survey from 7,955 Veterans aged 55 years and older (weighted N = 490,148), 93.9% males and 6.1% females. We evaluated needs and unmet needs across the following domains: activities of daily living (ADLs), instrumental ADLs (IADLs), health manage…
Combining Machine Learning and Comparative Effectiveness Methodology to Study Primary Care Pharmacotherapy Pathways for Veterans With Depression
OBJECTIVES: To demonstrate an innovative method combining machine learning with comparative effectiveness research techniques and to investigate a hitherto unstudied question about the effectiveness of common prescribing patterns. DATA SOURCES: United States Veterans Health Administration Corporate Data Warehouse. STUDY DESIGN: For Operation Enduring Freedom/Operation Iraqi Freedom veterans with major depressive disorder, we generate pharmacother…
Medicine (10 works) · Family medicine (7 works) · Health care (7 works) · Veterans Affairs (6 works) · Gerontology (5 works) · Primary Care and Health Outcomes (5 works) · Cohort (4 works) · Demography (4 works) · Nursing (4 works) · Internal Medicine (3 works)