Journal of Rehabilitation Research & Development

Articles from Vol. 47, No. 8, December 30

Accuracy of External Cause-of-Injury Coding in VA Polytrauma Patient Discharge Records
INTRODUCTION Traumatic injuries are the leading cause of hospitalization among Active Duty military personnel [1]. Injuries are also a leading diagnosis among veterans of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) seeking care...
Advancing Veterans' Healthcare Using Electronic Data: Lessons Learned from Researchers in the Field
The Department of Veterans Affairs (VA) provides nationwide access, lifetime coverage, and an integrated care structure to its enrollees. Those key aspects of VA healthcare--together with data contained in VA's electronic information systems supporting...
Are VHA Administrative Location Codes Valid Indicators of Specialty Substance Use Disorder Treatment?
INTRODUCTION The ability to accurately identify the occurrence of specific healthcare events is central to many quality improvement and research efforts. Does a patient with diabetes receive an annual foot exam [1]? Is the patient in the emergency...
Brief Report: Comparison of Methods to Identify Iraq and Afghanistan War Veterans Using Department of Veterans Affairs Administrative Data
INTRODUCTION More than 2 million servicemembers have served in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) and nearly 1.2 million have been discharged as veterans. Veterans from these conflicts have experienced multiple deployments...
Can Administrative Data Identify Active Diagnoses for Long-Term Care Resident Assessment?
INTRODUCTION Rehabilitation for patients with disabilities is increasingly being provided in skilled nursing facilities [1], now known in the Department of Veterans Affairs (VA) as Community Living Centers (CLCs). Critical to assessing and improving...
Creating a Sampling Frame for Population-Based Veteran Research: Representativeness and Overlap of VA and Department of Defense Databases
INTRODUCTION Although the majority of veterans obtain healthcare outside the Department of Veterans Affairs (VA), most veteran research is conducted in VA healthcare settings [1-2]. While the VA databases currently in use provide useful data on...
Matching Prosthetics Order Records in VA National Prosthetics Patient Database to Healthcare Utilization Databases
INTRODUCTION In fiscal year (FY) 2008, the Department of Veterans Affairs (VA) provided prosthetic and sensory devices, repairs, and related services to over 1.9 million veterans at a cost of more than $1.6 billion [1]. The VA Prosthetics and Sensory...
Mental Illness-Related Disparities in Length of Stay: Algorithm Choice Influences Results
INTRODUCTION Health services researchers often use administrative data for characterizing length of stay (LOS) to address a range of objectives. For example, they may examine how LOS (as a dependent variable) varies as a function of patient characteristics...
Transformation of VHA Health Data into Clinically Useful Information to Provide Quality Veteran Care
The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, caring for nearly 6 million of the nation's 23 million veterans annually. VHA provides a full range of primary care, mental health, medical specialty,...
Use of Medicare and DOD Data for Improving VA Race Data Quality
INTRODUCTION Race/ethnicity-based differences in healthcare and health status in the United States are well known and continue to receive much research attention. Research has demonstrated that U.S. minorities, particularly African-American and...
Using the Medicare Current Beneficiary Survey to Conduct Research on Medicare-Eligible Veterans
INTRODUCTION Subject to eligibility guidelines, veterans who have served on Active Duty in the U.S. Armed Forces, in the military reserves, or in the National Guard are entitled to receive medical care through a nationwide network of Veterans Health...
Using VA Data for Research in Persons with Spinal Cord Injuries and Disorders: Lessons from SCI QUERI
INTRODUCTION Of the estimated 250,000 individuals in the United States with serious spinal cord injuries and disorders (SCI/D), approximately 42,000 are veterans [1]. At present, the Department of Veterans Affairs (VA) provides care to more than...
Validation of Erythropoietin Use Data on Medicare's End-Stage Renal Disease Medical Evidence Report
INTRODUCTION The incidence and prevalence of end-stage renal disease (ESRD) continue to increase substantially in the United States [1-2]. Prior analyses have found that veterans are at high risk for developing chronic kidney disease (CKD), the...
VHA Corporate Data Warehouse Height and Weight Data: Opportunities and Challenges for Health Services Research
INTRODUCTION Obesity is associated with significant morbidity and is a modifiable risk factor for a variety of chronic illnesses, including several leading causes of death, such as cardiovascular disease, diabetes, and some cancers [1-6]. Obesity...
What Can Medicaid Data Add to Research on VA Patients?
INTRODUCTION The Department of Veterans Affairs (VA) has increasingly recognized the importance of the Medicare program to its patient population [1]. In 1999, 53 percent of VA patients were also enrolled in Medicare [2], and that proportion has...