Denise M Hynes
Dados Biográficos
| ID | 351399 |
|---|---|
| NOME | Denise M Hynes |
| PRENOMES | Denise M |
| SOBRENOME | Hynes |
| ASSINATURA | HYNES D M |
| AFILIAÇÕES | Edward Hines, Jr. VA Hospital |
| ORCID | 0000-0002-6436-7157 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAÇÕES | 9 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Chronic Condition Burden by Veteran Status, Veterans Health Administration Enrollment, and Age Using Nationally Representative Survey Data
BACKGROUND: Historically, US Veterans have reported higher chronic disease burden than non-Veterans. However, whether Veteran and Veterans Affairs (VA) coverage status continue to be associated with chronic disease burden or how these associations vary by age, especially among younger Veterans, is unknown. OBJECTIVE: To examine the number of chronic conditions among male Veterans with and without VA coverage, and male non-Veterans, overall and by…
Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration
BACKGROUND: The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. Yet, evidence detailing the characteristics of and who receives VHA CC is limited. OBJECTIVES: We examined intensity, timing, setting, and factors associated with VHA CC among high-risk Veterans. RESEARCH DESIGN: We conducted a retrospective observational cohort study, following V…
A Qualitative Study of VA Entrants’ Experiences Discussing Community Care With Veterans
We conducted interviews with clinicians and staff involved in Veterans’ decisions about where to receive their health care to assess experiences with community care coordination and identify areas for improvement. Insufficient time and knowledge were cited as barriers to assisting Veterans in making decisions about whether to use community care resources. Concerns regarding quality of community care and lack of patient understanding on the implic…
Does Community Outsourcing Improve Timeliness of Care for Veterans With Obstructive Sleep Apnea
BACKGROUND: Providing timely access to care has been a long-standing priority for the Veterans Affairs Healthcare System. Recent strategies to reduce long wait times have focused on purchasing community care by a fee-for-service model. Whether outsourcing Veterans Affairs (VA) specialty care to the community improves access is unclear. OBJECTIVES: We compared time from referral to treatment among Veterans whose care was provided by VA versus comm…
Partnership Forum
In response to concerns about Veterans’ access to Veterans Affairs (VA) health care services, Congress passed the Veterans Access, Choice and Accountability Act of 2014 (Choice), which broadened Veterans’ eligibility to receive health care delivered by non-VA community providers paid for by VA (ie, Community Care).1 Specifically, the Veterans Choice Program (VCP) allowed Veterans waiting longer than 30 days for specific services in VA, who lived …
Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice
Health Information Technology and Implementation Science
BACKGROUND: The Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) has demonstrated how implementation science can enhance the quality of health care. During this time an increasing number of implementation research projects have developed or utilized health information technology (HIT) innovations to leverage the VA's electronic health record and information systems. OBJECTIVE: To describe the HIT approaches used…
Health Information Technology in VHA Quality Improvement Research Overview
This supplement focuses on the use and impact of health information technology (HIT) in quality improvement (QI) research conducted in the Veterans Health Administration (VHA). Articles in this supplement highlight a range of specific HIT approaches, including innovative and interactive uses of the VHA’s electronic health record, databases, and information systems; and applications of automated systems for intervention, evaluation, and tracking p…
How Are Iraq/Afghanistan-Era Veterans Faring in the Labor Market
This study examines labor market status of Veterans of the Iraq/Afghanistan-era and previous eras, and variations by age and by health status, using the Current Population Survey (CPS) March supplement from 2006 to 2011. Although this observational study does not demonstrate a causal effect of military service on labor market outcomes, the authors find that Iraq/Afghanistan-era service among the youngest Veterans (ages 18-24) was associated with …
Comparing VA and Private Sector Healthcare Costs for End-stage Renal Disease
BACKGROUND: Healthcare for end-stage renal disease (ESRD) is intensive, expensive, and provided in both the public and private sector. Using a societal perspective, we examined healthcare costs and health outcomes for Department of Veterans Affairs (VA) ESRD patients comparing those who received hemodialysis care at VA versus private sector facilities. METHODS: Dialysis patients were recruited from 8 VA medical centers from 2001 through 2003 and …
Predialysis Nephrology Care and Costs in Elderly Patients Initiating Dialysis
BACKGROUND: Access to nephrology care before initiation of chronic dialysis is associated with improved outcomes after initiation. Less is known about the effect of predialysis nephrology care on healthcare costs and utilization. METHODS: We conducted retrospective analyses of elderly patients who initiated dialysis between January 1, 2000 and December 31, 2001 and were eligible for services covered by the Department of Veterans Affairs. We used …
Comparison of health-related quality of life measures for chronic renal failure
Effect of Increased Copayments on Pharmacy Use in the Department of Veterans Affairs
OBJECTIVES: In February 2002, the Department of Veterans Affairs (VA) raised medication copayments from $2 to $7 per 30-day supply of medication for certain veteran groups. We examined the impact of the copayment increase on medication acquisition from VA. METHODS: This was a retrospective cohort study using data from national VA databases from February 2001 through February 2003. We took a random sample of over 5% of male VA users in 2001. Of 14…
Veterans’ Access to and Use of Medicare and Veterans Affairs Health Care
OBJECTIVES: We examined the impact of access to care characteristics on health care use patterns among those veterans dually eligible for Medicare and Veterans Affairs (VA) services. METHODS: We used a retrospective, cross-sectional design to identify veterans who were eligible to use VA and Medicare health care in calendar year 1999. We analyzed national VA utilization and Medicare claims data. We used descriptive and multivariable generalized o…
Patient Satisfaction and Use of Veterans Affairs Versus Non-Veterans Affairs Healthcare Services by Veterans
OBJECTIVES: Chronically ill patients who are not satisfied with their care may change healthcare providers or systems, which could disrupt continuity of care and impede management of their conditions. We examined whether patient satisfaction affected subsequent use of non-Veterans Affairs (VA) services among chronically ill veterans discharged from VA hospitals. METHODS: The data used in this study came from a multicenter trial of increased acces…
Database and Informatics Support for Queri
Objectives. Our primary objective is to provide an overview of database and informatics support for the Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI). Methods. We discuss the role of information technology resources in the QUERI process. We also review current VA information systems and specific databases in terms of strengths and weaknesses for addressing the QUERI goals. A synthesis of the issues and strate…
Measuring Costs in Multisite Randomized Controlled Trials
OBJECTIVES: The interest in the economic impact of new health care interventions has increased dramatically over recent years; however, the results can be highly variable depending upon the economic assumptions made and the approaches taken in collecting the data and in conducting the analyses. This paper describes experiences from the VA Cooperative Studies Program in measuring health care utilization and costs for studies that evaluate clinical…
The Quality of Breast Cancer Care in Local Communities
Despite many advances in the treatment of breast cancer during the last decade, many breast cancer patients still do not receive appropriate treatment. The year 2000 cancer control objectives for the nation require a 50% decrease in breast cancer mortality. This goal cannot be achieved unless appropriate care is provided to all women with breast cancer. This study examines the role of patient characteristics, health insurance, physician character…
How Are Iraq/Afghanistan-Era Veterans Faring in the Labor Market
This study examines labor market status of Veterans of the Iraq/Afghanistan-era and previous eras, and variations by age and by health status, using the Current Population Survey (CPS) March supplement from 2006 to 2011. Although this observational study does not demonstrate a causal effect of military service on labor market outcomes, the authors find that Iraq/Afghanistan-era service among the youngest Veterans (ages 18-24) was associated with …
The Quality of Breast Cancer Care in Local Communities
Despite many advances in the treatment of breast cancer during the last decade, many breast cancer patients still do not receive appropriate treatment. The year 2000 cancer control objectives for the nation require a 50% decrease in breast cancer mortality. This goal cannot be achieved unless appropriate care is provided to all women with breast cancer. This study examines the role of patient characteristics, health insurance, physician character…
Measuring Costs in Multisite Randomized Controlled Trials
OBJECTIVES: The interest in the economic impact of new health care interventions has increased dramatically over recent years; however, the results can be highly variable depending upon the economic assumptions made and the approaches taken in collecting the data and in conducting the analyses. This paper describes experiences from the VA Cooperative Studies Program in measuring health care utilization and costs for studies that evaluate clinical…
Database and Informatics Support for Queri
Objectives. Our primary objective is to provide an overview of database and informatics support for the Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI). Methods. We discuss the role of information technology resources in the QUERI process. We also review current VA information systems and specific databases in terms of strengths and weaknesses for addressing the QUERI goals. A synthesis of the issues and strate…
Patient Satisfaction and Use of Veterans Affairs Versus Non-Veterans Affairs Healthcare Services by Veterans
OBJECTIVES: Chronically ill patients who are not satisfied with their care may change healthcare providers or systems, which could disrupt continuity of care and impede management of their conditions. We examined whether patient satisfaction affected subsequent use of non-Veterans Affairs (VA) services among chronically ill veterans discharged from VA hospitals. METHODS: The data used in this study came from a multicenter trial of increased acces…
Effect of Increased Copayments on Pharmacy Use in the Department of Veterans Affairs
OBJECTIVES: In February 2002, the Department of Veterans Affairs (VA) raised medication copayments from $2 to $7 per 30-day supply of medication for certain veteran groups. We examined the impact of the copayment increase on medication acquisition from VA. METHODS: This was a retrospective cohort study using data from national VA databases from February 2001 through February 2003. We took a random sample of over 5% of male VA users in 2001. Of 14…
Veterans’ Access to and Use of Medicare and Veterans Affairs Health Care
OBJECTIVES: We examined the impact of access to care characteristics on health care use patterns among those veterans dually eligible for Medicare and Veterans Affairs (VA) services. METHODS: We used a retrospective, cross-sectional design to identify veterans who were eligible to use VA and Medicare health care in calendar year 1999. We analyzed national VA utilization and Medicare claims data. We used descriptive and multivariable generalized o…
Comparison of health-related quality of life measures for chronic renal failure
Predialysis Nephrology Care and Costs in Elderly Patients Initiating Dialysis
BACKGROUND: Access to nephrology care before initiation of chronic dialysis is associated with improved outcomes after initiation. Less is known about the effect of predialysis nephrology care on healthcare costs and utilization. METHODS: We conducted retrospective analyses of elderly patients who initiated dialysis between January 1, 2000 and December 31, 2001 and were eligible for services covered by the Department of Veterans Affairs. We used …
Comparing VA and Private Sector Healthcare Costs for End-stage Renal Disease
BACKGROUND: Healthcare for end-stage renal disease (ESRD) is intensive, expensive, and provided in both the public and private sector. Using a societal perspective, we examined healthcare costs and health outcomes for Department of Veterans Affairs (VA) ESRD patients comparing those who received hemodialysis care at VA versus private sector facilities. METHODS: Dialysis patients were recruited from 8 VA medical centers from 2001 through 2003 and …
Health Information Technology and Implementation Science
BACKGROUND: The Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) has demonstrated how implementation science can enhance the quality of health care. During this time an increasing number of implementation research projects have developed or utilized health information technology (HIT) innovations to leverage the VA's electronic health record and information systems. OBJECTIVE: To describe the HIT approaches used…
Health Information Technology in VHA Quality Improvement Research Overview
This supplement focuses on the use and impact of health information technology (HIT) in quality improvement (QI) research conducted in the Veterans Health Administration (VHA). Articles in this supplement highlight a range of specific HIT approaches, including innovative and interactive uses of the VHA’s electronic health record, databases, and information systems; and applications of automated systems for intervention, evaluation, and tracking p…
How Are Iraq/Afghanistan-Era Veterans Faring in the Labor Market
This study examines labor market status of Veterans of the Iraq/Afghanistan-era and previous eras, and variations by age and by health status, using the Current Population Survey (CPS) March supplement from 2006 to 2011. Although this observational study does not demonstrate a causal effect of military service on labor market outcomes, the authors find that Iraq/Afghanistan-era service among the youngest Veterans (ages 18-24) was associated with …
Does Community Outsourcing Improve Timeliness of Care for Veterans With Obstructive Sleep Apnea
BACKGROUND: Providing timely access to care has been a long-standing priority for the Veterans Affairs Healthcare System. Recent strategies to reduce long wait times have focused on purchasing community care by a fee-for-service model. Whether outsourcing Veterans Affairs (VA) specialty care to the community improves access is unclear. OBJECTIVES: We compared time from referral to treatment among Veterans whose care was provided by VA versus comm…
Partnership Forum
In response to concerns about Veterans’ access to Veterans Affairs (VA) health care services, Congress passed the Veterans Access, Choice and Accountability Act of 2014 (Choice), which broadened Veterans’ eligibility to receive health care delivered by non-VA community providers paid for by VA (ie, Community Care).1 Specifically, the Veterans Choice Program (VCP) allowed Veterans waiting longer than 30 days for specific services in VA, who lived …
Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice
A Qualitative Study of VA Entrants’ Experiences Discussing Community Care With Veterans
We conducted interviews with clinicians and staff involved in Veterans’ decisions about where to receive their health care to assess experiences with community care coordination and identify areas for improvement. Insufficient time and knowledge were cited as barriers to assisting Veterans in making decisions about whether to use community care resources. Concerns regarding quality of community care and lack of patient understanding on the implic…
Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration
BACKGROUND: The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. Yet, evidence detailing the characteristics of and who receives VHA CC is limited. OBJECTIVES: We examined intensity, timing, setting, and factors associated with VHA CC among high-risk Veterans. RESEARCH DESIGN: We conducted a retrospective observational cohort study, following V…
Chronic Condition Burden by Veteran Status, Veterans Health Administration Enrollment, and Age Using Nationally Representative Survey Data
BACKGROUND: Historically, US Veterans have reported higher chronic disease burden than non-Veterans. However, whether Veteran and Veterans Affairs (VA) coverage status continue to be associated with chronic disease burden or how these associations vary by age, especially among younger Veterans, is unknown. OBJECTIVE: To examine the number of chronic conditions among male Veterans with and without VA coverage, and male non-Veterans, overall and by…
Medicine (16 obras) · Health care (13 obras) · Primary Care and Health Outcomes (10 obras) · Political science (8 obras) · Family medicine (7 obras) · Internal Medicine (7 obras) · Veterans Affairs (7 obras) · Business (6 obras) · Healthcare Policy and Management (6 obras) · Internal Medicine (6 obras)