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Abstract

Improving Cancer Care Delivery for Indiana Veterans: Health Services Research

The overall goal is to measure the added value of combining Veterans Health Administration (VHA) and non-VHA electronic medical record (EMR) data resources, versus VHA data alone, in assessing care delivery for Indianapolis veterans with lung, prostate, or colorectal cancer who utilize Roudebush Veterans Administration Medical Center (RVAMC) services in Indianapolis, Indiana.

We seek to accomplish this goal by linking VHA EMR data with Indiana Network for Patient Care (INPC) data. Linkage of VHA and INPC data will provide an opportunity to determine the degree to which Indianapolis veterans utilize non-VA care for treatment, surveillance testing, preventive services, disease prevention, and medications. VHA healthcare will be assessed using EMR data (CPRS VistA) and RVAMC cancer registry information. Care delivered outside the RVAMC will be assessed using INPC data.

Due to the groundwork performed in establishing the INPC, we have the unique opportunity to assess the type of care veterans receive in private sector settings. Creation of a VA-INPC data link is important for multiple reasons. The measurement of care delivered outside the VHA would improve the capture of performance data in both the RVAMC and INPC facilities and would identify unnecessary or duplicate testing. These data will help inform visualization of healthcare EMR. Furthermore, successful linkage of VA and INPC data will provide the VHA with convincing empiric evidence concerning the need for data sharing between VHA and the private sector.

  • Specific Aim 1: To obtain approval for linking VA and INPC data for veterans with prostate, lung, or colorectal cancer in Indianapolis.
  • Specific Aim 2: To develop and pilot data linkage algorithms for combining VA and INPC data, among veterans with prostate, lung, or colorectal cancer and appropriate controls.
  • Specific Aim 3: To assess the validity of the linked VA and INPC dataset regarding receipt of necessary preventive services, management of chronic disease, and resource use among veterans with prostate, lung, or colorectal cancer in comparison to controls without cancer.
Contributor Ann Christine Catlin
  • super-administrator
Cite this work

Researchers should cite this work as follows:

  • (2008), "Health Services Research," http://ccehub.org/resources/106.

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In This Series

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    29 Aug 2008 | Teaching Materials | Contributor(s): Ann Christine Catlin

    The presentation title is "Developing a Hierarchical System Based Approach to Improving Cancer Care: Establishing an Indiana Prototype for Next-generation Colorectal Cancer Care". The Cancer Care Engineering (CCE) hierarchy of projects proposes a methology for improving cancer care and directing …

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    19 Jun 2008 | Online Presentations | Contributor(s): Seza Orcun

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  3. Predicting Patient-specific CRC Incidence from Polyp Prevalence

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    16 Jun 2008 | Tools | Contributor(s): Eric Sherer, Mohd Haziq Rahmad

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