Thomas P O’Toole
Biographic Data
| ID | 5543881 |
|---|---|
| NAME | Thomas P O’Toole |
| GIVEN NAMES | Thomas P |
| FAMILY NAME | O’Toole |
| SIGNATURE | O’TOOLE T P |
| AFFILIATIONS | Brown University |
| VERIFIED | No |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 11 |
| WORKS AS AUTHOR | 7 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Connecting Veterans in Supported Housing to Primary Care in the Veterans Affairs Healthcare System
Background The U.S. Department of Housing and Urban Development‐Veterans Affairs Supportive Housing (HUD‐VASH) program is the largest supported housing program in the country and seeks to provide direct access to supported housing for homeless veterans, many of whom need primary care. Objective This study examined the proportion of veterans in HUD‐VASH empaneled in VA primary care and factors associated with empanelment. Design A retrospective co…
Mixed methods analysis of a national implementation of a medical respite program in transitional housing settings for veterans experiencing homelessness
Hospital to Housing (H2H) is a Department of Veteran Affairs (VA) program providing medical respite care to veteran's experiencing homelessness. The program partners community organizations providing transitional housing with local VA facilities delivering medical care for post-hospitalization veterans for clinical stabilization and ultimately, permanent housing. The program was launched October 2017 at 43 sites. Using mixed methods, we aim to as…
Persistent Super-Utilization of Acute Care Services Among Subgroups of Veterans Experiencing Homelessness
BACKGROUND: Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE: The objective of the study was to identify those more likely to be persistent super-utilizers of acute care services. RESEARCH DESIGN: We conducted a latent class analysis of secondary data from the Veterans Health Administration Corp…
Patient-aligned Care Team Engagement to Connect Veterans Experiencing Homelessness With Appropriate Health Care
BACKGROUND: Veterans experiencing homelessness frequently use emergency and urgent care (ED). OBJECTIVE: To examine the effect of a Patient-aligned Care Team (PACT) model tailored to the unique needs of Veterans experiencing homelessness (H-PACT) on frequency and type of ED visits in Veterans Health Administration (VHA) medical facilities. RESEARCH DESIGN: During a 12-month period, ED visits for 3981 homeless Veterans enrolled in (1) H-PACT at 20…
Retaining Homeless Veterans in Outpatient Care
Objectives. We examined the feasibility of using mobile phone text messaging with homeless veterans to increase their engagement in care and reduce appointment no-shows. Methods. We sent 2 text message reminders to participants (n = 20) before each of their outpatient appointments at an urban Veterans Affairs medical center. Evaluation included pre- and postsurvey questionnaires, open-ended questions, and review of medical records. We estimated c…
New to Care
Objectives. We compared service use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use among homeless veterans associated with reductions in emergency department (ED) use. Methods. We used case–control matching with a nested cohort analysis to measure 6-month health services use, new diagnoses, and care use patterns in veterans at the Providence, Rhode Island, Veterans Affairs Medical Cen…
The Effect of Integrated Medical-Substance Abuse Treatment During an Acute Illness on Subsequent Health Services Utilization
BACKGROUND: The acute care hospital provides a context for engaging difficult to reach patients in substance abuse treatment (SAT); however, little is known regarding the effects of such engagement on subsequent health services utilization. We examined whether a structured day hospital (DH) intervention integrating SAT and medical care during an acute medical hospitalization would reduce subsequent emergency department (ED) use and rehospitalizat…
New to Care
Objectives. We compared service use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use among homeless veterans associated with reductions in emergency department (ED) use. Methods. We used case–control matching with a nested cohort analysis to measure 6-month health services use, new diagnoses, and care use patterns in veterans at the Providence, Rhode Island, Veterans Affairs Medical Cen…
Retaining Homeless Veterans in Outpatient Care
Objectives. We examined the feasibility of using mobile phone text messaging with homeless veterans to increase their engagement in care and reduce appointment no-shows. Methods. We sent 2 text message reminders to participants (n = 20) before each of their outpatient appointments at an urban Veterans Affairs medical center. Evaluation included pre- and postsurvey questionnaires, open-ended questions, and review of medical records. We estimated c…
The Effect of Integrated Medical-Substance Abuse Treatment During an Acute Illness on Subsequent Health Services Utilization
BACKGROUND: The acute care hospital provides a context for engaging difficult to reach patients in substance abuse treatment (SAT); however, little is known regarding the effects of such engagement on subsequent health services utilization. We examined whether a structured day hospital (DH) intervention integrating SAT and medical care during an acute medical hospitalization would reduce subsequent emergency department (ED) use and rehospitalizat…
New to Care
Objectives. We compared service use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use among homeless veterans associated with reductions in emergency department (ED) use. Methods. We used case–control matching with a nested cohort analysis to measure 6-month health services use, new diagnoses, and care use patterns in veterans at the Providence, Rhode Island, Veterans Affairs Medical Cen…
Retaining Homeless Veterans in Outpatient Care
Objectives. We examined the feasibility of using mobile phone text messaging with homeless veterans to increase their engagement in care and reduce appointment no-shows. Methods. We sent 2 text message reminders to participants (n = 20) before each of their outpatient appointments at an urban Veterans Affairs medical center. Evaluation included pre- and postsurvey questionnaires, open-ended questions, and review of medical records. We estimated c…
Persistent Super-Utilization of Acute Care Services Among Subgroups of Veterans Experiencing Homelessness
BACKGROUND: Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE: The objective of the study was to identify those more likely to be persistent super-utilizers of acute care services. RESEARCH DESIGN: We conducted a latent class analysis of secondary data from the Veterans Health Administration Corp…
Patient-aligned Care Team Engagement to Connect Veterans Experiencing Homelessness With Appropriate Health Care
BACKGROUND: Veterans experiencing homelessness frequently use emergency and urgent care (ED). OBJECTIVE: To examine the effect of a Patient-aligned Care Team (PACT) model tailored to the unique needs of Veterans experiencing homelessness (H-PACT) on frequency and type of ED visits in Veterans Health Administration (VHA) medical facilities. RESEARCH DESIGN: During a 12-month period, ED visits for 3981 homeless Veterans enrolled in (1) H-PACT at 20…
Mixed methods analysis of a national implementation of a medical respite program in transitional housing settings for veterans experiencing homelessness
Hospital to Housing (H2H) is a Department of Veteran Affairs (VA) program providing medical respite care to veteran's experiencing homelessness. The program partners community organizations providing transitional housing with local VA facilities delivering medical care for post-hospitalization veterans for clinical stabilization and ultimately, permanent housing. The program was launched October 2017 at 43 sites. Using mixed methods, we aim to as…
Connecting Veterans in Supported Housing to Primary Care in the Veterans Affairs Healthcare System
Background The U.S. Department of Housing and Urban Development‐Veterans Affairs Supportive Housing (HUD‐VASH) program is the largest supported housing program in the country and seeks to provide direct access to supported housing for homeless veterans, many of whom need primary care. Objective This study examined the proportion of veterans in HUD‐VASH empaneled in VA primary care and factors associated with empanelment. Design A retrospective co…
Homelessness and Social Issues (6 works) · Medicine (6 works) · Health care (5 works) · Psychiatry (5 works) · Family medicine (4 works) · Geriatric Care and Nursing Homes (4 works) · Gerontology (4 works) · Veterans Affairs (4 works) · Emergency department (3 works) · Gerontology (3 works)