Continuing the transformation: charting the path for the future delivery of Veteran emergency care

Author:

Ward Michael J.123ORCID,Kessler Chad45,Abel Erica A.67,Ahern Justin89,Bravata Dawn M.10111213

Affiliation:

1. Geriatric Research, Education, and Clinical Center (GRECC) Tennessee Valley Healthcare System Nashville Tennessee USA

2. Department of Emergency Medicine Vanderbilt University Medical Center Nashville Tennessee USA

3. Department of Biomedical Informatics Vanderbilt University Medical Center Nashville Tennessee USA

4. Department of Emergency Medicine Duke University Durham North Carolina USA

5. Durham VA Health Care System VA Durham North Carolina USA

6. Pain Research, Informatics, Multimorbidities and Education (PRIME) Center VA Connecticut Healthcare System West Haven Connecticut USA

7. Department of Psychiatry Yale School of Medicine New Haven Connecticut USA

8. VA Maine Healthcare System Togus Maine USA

9. Veterans Rural Health Resource Center‐Gainesville (VRHRC‐GNV) Gainesville Florida USA

10. HSR&D Center for Health Information and Communication (CHIC) Richard L. Roudebush VA Medical Center Indianapolis Indiana USA

11. Department of Internal Medicine Indiana University School of Medicine Indianapolis Indiana USA

12. Department of Neurology Indiana University School of Medicine Indianapolis Indiana USA

13. Regenstrief Institute Indianapolis Indiana USA

Abstract

AbstractImportant changes in the delivery of Veteran emergency care in the early 2000s in the Department of Veteran Affairs (VA) emergency departments and urgent care clinics substantially elevated the role of emergency medicine (EM) in Veteran health care. Focused on enhancing the quality of care, emergency care visits in both VA and non‐VA (community) care locations have nearly doubled from the 1980s to more than 3 million visits in Fiscal Year 2022. Recognizing the need to plan for continued growth and the opportunity to address key research priorities, the VA Office of Emergency Medicine, together with the VA Health Services Research and Development Service, collaborated to convene a State of the Art Conference on Veteran Emergency Medicine (SAVE) in the winter of 2022. The goal of this conference was to identify research gaps and priorities for implementation of policies for three priority groups: geriatric Veterans, Veterans with mental health and substance use complaints, and Veterans presenting to non‐VA (community) emergency care sites. In this article we discuss the rationale for the SAVE conference including a brief history of VA EM and the planning process and conclude with next steps for findings from the conference.

Publisher

Wiley

Subject

Emergency Medicine,General Medicine

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