Lynette Kelley
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View article: THE RIGHT STRATEGY, THE RIGHT PERSON, THE RIGHT TIME: DEVELOPING AN ADVOCACY FIELD GUIDE FOR RURAL GERIATRICS
THE RIGHT STRATEGY, THE RIGHT PERSON, THE RIGHT TIME: DEVELOPING AN ADVOCACY FIELD GUIDE FOR RURAL GERIATRICS Open
The need to expand rural geriatric services has received increasing attention within and outside the VHA, yet medical center leaders are often challenged to prioritize expanding these services among myriad competing needs. To better unders…
View article: “THE HARDEST JOB IS A HOSPITAL DIRECTOR”: LEADERSHIP PERSPECTIVES PRIORITIZING RURAL GERIATRICS IN THE VA
“THE HARDEST JOB IS A HOSPITAL DIRECTOR”: LEADERSHIP PERSPECTIVES PRIORITIZING RURAL GERIATRICS IN THE VA Open
The Veterans Health Administration, like other health systems, faces the challenge of meeting older rural Veterans’ needs. VA leaders must balance these complex needs with other local priorities, and, at the same time, a large number of na…
View article: IDENTIFYING AND MAPPING RURAL VETERANS’ GERIATRIC NEEDS AND RESOURCES
IDENTIFYING AND MAPPING RURAL VETERANS’ GERIATRIC NEEDS AND RESOURCES Open
Veterans in rural areas often lack access to specialized geriatric care and may struggle to reach distant VA facilities for treatment. To better understand the regional needs of aging rural Veterans, this project aims to identify regional …
View article: Can telemedicine reach rural, older veterans on the edge of or caught in the digital divide? – Unique considerations for two distinct populations
Can telemedicine reach rural, older veterans on the edge of or caught in the digital divide? – Unique considerations for two distinct populations Open
GRECC Connect, a national program with interprofessional teams at urban-based VA medical facilities, partner with VA community-based outpatient clinics (CBOCs) to provide geriatric specialty care via telemedicine to rural, older Veterans. …
View article: An implementation strategy postmortem method developed in the VA rural Transitions Nurse Program to inform spread and scale-up
An implementation strategy postmortem method developed in the VA rural Transitions Nurse Program to inform spread and scale-up Open
Background High-quality implementation evaluations report on intervention fidelity and adaptations made, but a practical process for evaluating implementation strategies is needed. A retrospective method for evaluating implementation strat…
View article: HEALTH SYSTEM LEADERSHIP PERSPECTIVES AND PRIORITIES ON CARE FOR OLDER ADULTS
HEALTH SYSTEM LEADERSHIP PERSPECTIVES AND PRIORITIES ON CARE FOR OLDER ADULTS Open
Innovative care models for older adults such as non-institutional and home-based care have the potential to improve quality and efficiency of healthcare, but adoption of these models requires resources from health systems. Health systems l…
View article: Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination
Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination Open
Background: High-quality transitional care at discharge is essential for improved patient outcomes. Registered nurses (RNs) play integral roles in transitions; however, few receive structured training. Purpose: We sought to create, impleme…
View article: IMPROVING VIDEO DEVICE USAGE AMONG OLDER RURAL VETERANS WITH USER-CENTERED DESIGN
IMPROVING VIDEO DEVICE USAGE AMONG OLDER RURAL VETERANS WITH USER-CENTERED DESIGN Open
The Veterans Administration (VA) established pathways to provide VA-issued tablets and increased access to internet for Veterans without these resources. Veterans aged above 65, experience barriers with telemedicine such as access and usab…
View article: Primary Care Evolution: Clinic Staff and Patient Perspectives of the Rapid Upscale of Virtual Primary Care during the <scp>COVID</scp>‐19 Pandemic
Primary Care Evolution: Clinic Staff and Patient Perspectives of the Rapid Upscale of Virtual Primary Care during the <span>COVID</span>‐19 Pandemic Open
Research Objective The Veterans Health Administration (VA) offers virtual care options including telephone and video‐based care to supplement face‐to‐face visits, with the goal of expanding access to care for Veterans. Across the Rocky Mou…
View article: Understanding adaptations in the Veteran Health Administration’s Transitions Nurse Program: refining methodology and pragmatic implications for scale-up
Understanding adaptations in the Veteran Health Administration’s Transitions Nurse Program: refining methodology and pragmatic implications for scale-up Open
Background When complex health services interventions are implemented in real-world settings, adaptations are inevitable. Adaptations are changes made to an intervention, implementation strategy, or context prior to, during, and after impl…
View article: Patient Experiences with Telehealth in Sleep Medicine: A Qualitative Evaluation
Patient Experiences with Telehealth in Sleep Medicine: A Qualitative Evaluation Open
Rationale: The field of sleep medicine has been an avid adopter of telehealth, particularly during the COVID-19 pandemic. While numerous randomized trials support the efficacy of telehealth to treat conditions such as obstructive sleep apn…
View article: Training registered nurses to conduct pre-implementation assessment to inform program scale-up: an example from the rural Transitions Nurse Program
Training registered nurses to conduct pre-implementation assessment to inform program scale-up: an example from the rural Transitions Nurse Program Open
Objectives Adapting evidence-based practices to local settings is critical for successful implementation and dissemination. A pre-implementation assessment evaluates local context to inform implementation, but there is little published gui…
View article: Additional file 1 of Understanding adaptations in the Veteran Health Administration’s Transitions Nurse Program: refining methodology and pragmatic implications for scale-up
Additional file 1 of Understanding adaptations in the Veteran Health Administration’s Transitions Nurse Program: refining methodology and pragmatic implications for scale-up Open
Additional file 1. Appendix 1. Real time TNP database structure.
View article: Mapping the reach of a rural Transitions Nurse Program for veterans with geographic information systems
Mapping the reach of a rural Transitions Nurse Program for veterans with geographic information systems Open
Purpose Rural Veterans who receive inpatient care at a Veterans Health Administration (VA) tertiary facility can face significant barriers to a safe transition home. The VA rural Transitions Nurse Program (TNP) is a national, intensive car…
View article: Brainwriting Premortem
Brainwriting Premortem Open
Background: Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification of barriers. The brainwriting premortem technique is the silent sharing of written ideas about w…
View article: Implementation and dissemination of a transition of care program for rural veterans: a controlled before and after study
Implementation and dissemination of a transition of care program for rural veterans: a controlled before and after study Open
The use of PRISM to inform pre-implementation evaluation and synthesize data from multiple sources, coupled with internal and external facilitation, is a novel approach to engaging sites in adapting interventions while promoting fidelity t…