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2023 HSR&D/QUERI National Conference Abstract

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3009 — Disrupted Care National Project Workshop

Lead/Presenter: Karen McNamara
All Authors: McNamara K, HSR&D; Davies L, White River Junction VAMC; Vashi A, Palo Alto VAMC;

Workshop Objectives:
At the conclusion of the session, participants will be able to: 1)Describe the structure and major findings to date of the Disrupted Care National Project (DCNP) 2)Identify how they could apply /use the shared resources of the DCNP in their own work 3)Develop ideas for studying the effects (both positive and negative) of COVID related disruptions to care in their own work or more broadly

Activities:
The first half of the session will be three ten minute talks followed by time for questions. The talks will bring the group to a shared level of knowledge to inform the second half activities and will cover 1) the structure and aims of the DCNP, currently funded areas of work and known gaps 2) the findings related to excess mortality and 3) the conceptual models being developed and used to understand and ask research questions in the disrupted care area, and the importance of and approach to community care metrics, attention to denominators and key questions of importance to operational stakeholders in creating study questions and cohorts. In the second half, workshop participants will be broken up into small groups of 5 or more people for discussion. Each group will have one of the workshop leaders as a scribe/discussion leader. Participants will receive a paper copy of the conceptual models for reference. They will discuss, build on, and consider the conceptual models as they relate to health equity for underserved and at-risk populations, their own work and context, and how they might begin to approach the research questions in this area broadly or in their own work. The session will close out with the last several minutes to share major findings from each small group and sharing of information on the DCNP website and other resources for research related to disruptions in care.

Target Audience:
Investigators and study staff interested in learning about and/or developing work related to understanding the effects of the COVID pandemic on non-COVID health care in the VA, to identify lessons learned to prepare for future disruptions, and areas where efforts should be concentrated in the recovery from the pandemic.

Assumed Audience Familiarity with Topic:
The target audience will have basic knowledge of research approaches and methods for using data from the VA Corporate data warehouse and clinical epidemiology, and familiarity with the VA healthcare system.