CCMR e-news


Accomplishments and Impacts Newsletter January/February 2014


Jan Adams-Watson achieved VHA mentor certification at the resident level. This certification recognizes the contribution and stewardship made by actively engaging in a mentor, coach or preceptor role.

Laura Damschroder was recognized at the Planetree Silver Merit Patient Centered Care Award Ceremony as a Planetree Facilitator.

Karen Fowler was recognized at the Planetree Silver Merit Patient Centered Care Award Ceremony as a Veteran Centered Care grant recipient.


Helen Kales, Sameer Saini and Sanjay Saint were listed in the "Best Doctors in America List". The list is compiled every two years by Boston-based Best Doctors, Inc., and is based on an in-depth survey.

In the News

Phil Schoenfeld was quoted by NPR discussing irritable bowel syndrome and the impact it has on the lives of Veterans.

Deb Levine's research on infection-triggered strokes in black Americans was featured in US News and World Report.

Sameer Saini's work on colorectal cancer screening quality measures that take into account a patient’s health status, as well as their age, was featured by

National Conference Presentations

  • Iwashyna, TJ. Costs of PICS to families and societies. Oral Presentation. Society of Critical Care Medicine Annual Congress SCCM 43, San Francisco, CA., January 10, 2014
  • Richardson CR . Using Theory in Implementation Science. 35th Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine. Oral Presentation Philadelphia, PA April 23, 2014
  • Saint S . The Art and Science of Leadership and Followership in Preventing Infection. The Australasian College for Infection Prevention and Control, Opening Plenary. Queensland, Australia October 1, 2013
  • Saint S . Implementing and Sustaining an Infection Prevention Initiative: Tales from the Trenches. The Australasian College for Infection Prevention and Control, Oral Presentation. Queensland, Australia October 1, 2013
  • Saint S . The Technical and Socio-adaptive Aspects of Preventing Catheter Associated Urinary Tract Infection. The Australasian College for Infection Prevention and Control, Oral Presentation. Queensland, Australia October 2, 2013
  • Schoenfeld AJ , Bader JO, Belmont PJ. The Value of the Military Spine Surgeon: Prognostications Regarding Incidence Rates and Risk Factors for Spinal Trauma in the Combat Environment. North American Spine Society. Poster Presentation. New Orleans, LA October 9, 2013
  • Schoenfeld AJ , Bader JO, Bono CM. Patient Factors, Co-morbidities and Surgical Characteristics that Increase Mortality and Complication Risk following Spinal Arthrodesis. North American Spine Society. Oral Presentation. New Orleans, LA October 11, 2013.

Grants Submitted

PI: Helen Kales and Laura Gitlin (Johns Hopkins), RFA, NIH
Title: Integrating Evidence-Based Dementia Behavior Management into Routine Primary Care
Team members: Laura Struble, Constantine Lyketsos (Johns Hopkins), Mary Blazek, Donovan Maust, Myra Kim, Kristen Barry, Tiffany Bishop, Anna Tolis, Claire Stano, Claire Chiang, Elizabeth Spencer

Papers Published

Aikens JE, Zivin K, Trivedi R, Piette JD. Diabetes self-management support using mHealth and enhanced informal caregiving. J Diabetes Complications. 2013 Nov 27.

Aliu O, Corlew SD, Heisler ME, Pannucci CJ, Chung KC. Building surgical capacity in low-resource countries: a qualitative analysis of task shifting from surgeon volunteers' perspectives Ann Plast Surg. 2014 Jan;72(1):108-12

Bedi AO, Kwon RS, Rubenstein JH, Piraka CR, Elta GH, Scheiman JM, Elmunzer BJ. A survey of expert follow-up practices after successful endoscopic eradication therapy for Barrett's esophagus with high-grade dysplasia and intramucosal adenocarcinoma. Gastrointestinal endoscopy. 2013 Nov 1; 78(5):696-701.

Bonar EE, Bohnert AS, Ilgen MA, Sanborn ML, Chermack ST. Physical assault victimization and coping among adults in residential substance use disorder treatment. Violence Vict. 2013;28(5):849-64.

Bonar EE, Walton MA, Cunningham RM, Chermack ST, Bohnert AS, Barry KL, Booth BM, Blow FC. Computer-enhanced interventions for drug use and HIV risk in the emergency room: preliminary results on psychological precursors of behavior change. Journal of substance abuse treatment. 2014 Jan 1; 46(1):5-14.

Burke JF, Hayward RA, Nelson JP, Kent DM. Using internally developed risk models to assess heterogeneity in treatment effects in clinical trials. Circ Cardiovasc Qual Outcomes. 2014 Jan 1;7(1):163-9.

Burnett-Zeigler I, Kim HM, Chiang C, Kavanagh J, Zivin K, Rockefeller K, Sirey JA, Kales HC. The association between race and gender, treatment attitudes, and antidepressant treatment adherence. International journal of geriatric psychiatry. 2014 Feb 1; 29(2):169-77.

Chenoweth CE, Gould CV, Saint S . Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am. 2014 Mar;28(1):105-119. doi: 10.1016/j.idc.2013.09.002. Epub 2013 Dec 8.

Chopra V , Ratz D, Kuhn L, Lopus T, Chenoweth C, Krein S. Peripherally inserted central catheter-associated bloodstream infections: prevalence, patterns and predictors. Am J Med. 2014 Jan 16.

Darden D, Richardson C , Jackson EA. Physical activity and exercise for secondary prevention among patients with cardiovascular disease.Curr Cardiovasc Risk Rep. 2013 Dec;7(6).

Davydow DS, Zivin K , Langa KM . Hospitalization, depression and dementia in community-dwelling older Americans: findings from the National Health and Aging Trends Study. Gen Hosp Psychiatry. 2013 Dec 4. pii: S0163-8343(13)00345-9.

DeBenedet AT, Elmunzer BJ, McCarthy ST, Elta GH, Schoenfeld PS . Intraprocedural quality in endoscopic retrograde cholangiopancreatography: a meta-analysis. The American journal of gastroenterology. 2013 Nov 1; 108(11):1696-704

Fazel R, Curtis J, Wang Y, Einstein AJ, Smith-Bindman R, Tsai TT, Chen J, Shah ND, Krumholz HM, Nallamothu BK . Determinants of fluoroscopy time for invasive coronary angiography and percutaneous coronary intervention: insights from the NCDR(®). Catheterization and Cardiovascular Interventions : Official Journal of The Society For Cardiac Angiography & Interventions. 2013 Dec 1; 82(7):1091-105.

Fore AM, Karvonen-Gutierrez CA, Talsma A, Duffy SA . Nurses' delivery of the Tobacco Tactics intervention at a Veterans Affairs Medical Center. J Clin Nurs. 2014 Jan 7.

Foulk MA, Ingersoll-Dayton B, Kavanagh J, Robinson E, Kales HC . Mindfulness-based cognitive therapy with older adults: an exploratory study. J Gerontol Soc Work. 2013 Dec 13. [Epub ahead of print]

Fraker J, Kales HC , Blazek M, Kavanagh J, Gitlin LN. The role of the occupational therapist in the management of neuropsychiatric symptoms of dementia in clinical settings. Occup Ther Health Care. 2014 Jan;28(1):4-20.

Friese CR, Martinez KA, Abrahamse P, Hamilton AS, Graff JJ, Jagsi R, Griggs JJ, Hawley ST , Katz SJ. Providers of follow-up care in a population-based sample of breast cancer survivors. Breast Cancer Res Treat. 2014 Jan 31. [Epub ahead of print]

Giladi AM, Shauver MJ, Ho A, Zhong L, Kim HM , Chung KC. Variation in the incidence of distal radius fractures in the u.s. Elderly as related to slippery weather conditions. Plast Reconstr Surg. 2014 Feb;133(2):321-32.

Gilbert SM, Lee CT, Lavieri MS, Helm JE, Hollenbeck BK, Skolarus TA . Sharpening the focus on causes and timing of readmission after radical cystectomy for bladder cancer. Cancer. 2014 Jan 29. doi: 10.1002/cncr.28586. [Epub ahead of print]

Girotra S, Nallamothu BK , Chan PS. Using risk prediction tools in survivors of In-hospital cardiac arrest. Curr Cardiol Rep. 2014 Mar;16(3):457.

Govani SM, Waljee AK , Higgins PD. Anti-adhesion therapies and the rule of 3 for rare events. Am J Gastroenterol. 2013 Dec;108(12):1831-2.

Haas L, Maryniuk M, Beck J, Cox CE, Duker P, Edwards L, Fisher EB, Hanson L, Kent D, Kolb L, McLaughlin S, Orzeck E, Piette JD , Rhinehart AS, Rothman R, Sklaroff S, Tomky D, Youssef G; 2012 Standards Revision Task Force. National standards for diabetes self-management education and support. Diabetes Care. 2014 Jan;37 Suppl 1:S144-53.

Henry SG, Czarnecki D, Kahn VC, Chou WY, Fagerlin A , Ubel PA, Rovner DR, Alexander SC, Knight SJ, Holmes-Rovner M. Patient-physician communication about early stage prostate cancer: analysis of overall visit structure. Health Expect. 2013 Dec 22. doi: 10.1111/hex.12168. [Epub ahead of print]

Hong O, Duffy SA , Choi SH, Chin DL. The association between occupational exposures and cigarette smoking among operating engineers. Arch Environ Occup Health. 2014;69(3):172-9.

Hu M, Jacobs BL, Montgomery JS, He C, Ye J, Zhang Y, Brathwaite J, Morgan TM, Hafez KS, Weizer AZ, Ivers NM, Sales A , Colquhoun H, Michie S, Foy R, Francis JJ, Grimshaw JM. No more 'business as usual' with audit and feedback interventions: towards an agenda for a reinvigorated intervention. Implement Sci. 2014 Jan 17;9(1):14.

Jacobs BL, Zhang Y, Skolarus TA , Wei JT, Montie JE, Miller DC, Hollenbeck BK. Comparative effectiveness of external-beam radiation approaches for prostate cancer. European Urology. 2014 Jan 1; 65(1):162-8.

Jaguszewski M, Radovanovic D, Nallamothu BK , Lüscher TF, Urban P, Eberli FR, Bertel O, Pedrazzini GB, Windecker S, Jeger R, Erne P. Multivessel versus culprit vessel percutaneous coronary intervention in ST-elevation myocardial infarction: is more worse? EuroIntervention. 2013 Dec 23;9(8):909-15.

Janney CA, Fagiolini A, Swartz HA, Jakicic JM, Holleman RG, Richardson CR . Are adults with bipolar disorder active? Objectively measured physical activity and sedentary behavior using accelerometry. Journal of affective disorders. 2014 Jan 1; 152-154:498-504.

Klimkiewicz A, Jakubczyk A, Wnorowska A, Klimkiewicz J, Bohnert A , Ilgen MA , Brower KJ, Wojnar M. Violent behavior and driving under the influence of alcohol: prevalence and association with impulsivity among individuals in treatment for alcohol dependence in Poland. Eur Addict Res. 2013 Dec 14;20(3):151-158. [Epub ahead of print]

Kroep S, Lansdorp-Vogelaar I, Rubenstein JH, Lemmens VE, van Heijningen EB, Aragonés N, van Ballegooijen M, Inadomi JM. Comparing trends in esophageal adenocarcinoma incidence and lifestyle factors between the United States, Spain, and The Netherlands. Am J Gastroenterol. 2013 Dec 17. doi: 10.1038/ajg.2013.420. [Epub ahead of print]

Lee T, Singal AG, Sussman J, Waljee AK. At the "heart" of inflammatory bowel diseases. Gastroenterology. 2013 Dec;145(6):1486-8.

Levenson JE, Kaul DR, Saint S, Nallamothu BK, Gurm HS. Clinical problem-solving. A shocking development. N Engl J Med. 2013 Dec 5;369(23):2253-8.

Levine DA, Morgenstern LB, Langa KM, Skolarus LE, Smith MA, Lisabeth LD. Does socioeconomic status or acculturation modify the association between ethnicity and hypertension treatment before stroke? Stroke. 2013 Nov;44(11):3243-5.

Levine DA, Walter JM, Karve SJ, Skolarus LE, Levine SR, Mulhorn KA. Smoking and mortality in stroke survivors: can we eliminate the paradox? J Stroke Cerebrovasc Dis. 2014 Jan 15.

Levy H, Ubel PA, Dillard AJ, Weir DR, Fagerlin A. Health numeracy: the importance of domain in assessing numeracy. Medical Decision Making. 2014 Jan 1; 34(1):107-15.

Likosky DS, Zhou W, Malenka DJ, Borden WB, Nallamothu BK, Skinner JS. Growth in medicare expenditures for patients with acute myocardial infarction: a comparison of 1998 through 1999 and 2008. JAMA internal medicine. 2013 Dec 1; 173(22):2055-61.

Lillie SE, Janz NK, Friese CR, Graff JJ, Schwartz K, Hamilton AS, Gay BB, Katz SJ, Hawley ST.Racial and ethnic variation in partner perspectives about the breast cancer treatment decision-making experience. Oncol Nurs Forum. 2014 Jan 1;41(1):13-20.

Manojlovich M, Harrod M, Holtz B, Hofer T , Kuhn L, Krein SL . The use of multiple qualitative methods to characterize communication events between physicians and nurses. Health Commun. 2014 Jan 31. [Epub ahead of print]

Mashour GA, Sharifpour M, Freundlich RE, Tremper KK, Shanks A, Nallamothu BK, Vlisides PE, Weightman A, Matlen L, Merte J, Kheterpal S. Perioperative metoprolol and risk of stroke after noncardiac surgery. Anesthesiology. 2013 Dec 1; 119(6):1340-6.

Maust DT, Oslin DW, Marcus SC. Effect of age on the profile of psychotropic users: results from the 2010 National Ambulatory Medical Care Survey. J Am Geriatr Soc. 2014 Jan 13. [Epub ahead of print]

McCarthy JF, Ilgen MA, Austin K, Blow FC, Katz IR. Associations between body mass index and suicide in the veterans affairs health system. Obesity (Silver Spring). 2014 Jan 1; 22(1):269-76.

McMahon LF Jr, Chopra V. Introducing forensic health services research. Am J Manag Care. 2013 Feb 1;19(2):e71-3.

Nallamothu BK, Tommaso CL, Anderson HV, Malenka DJ, Anderson JL, Maniu CV, Cleveland JC Jr, McCabe KW, Dudley RA, Mortimer JD, Duffy PL, Patel MR, Faxon DP, Persell SD, Gurm HS, Rumsfeld JS, Hamilton LA, Shunk KA, Jensen NC, Smith SC Jr, Josephson RA, Stanko SJ, Watts B. ACC/AHA/SCAI/AMA-Convened PCPI/NCQA 2013 Performance measures for adults undergoing percutaneous coronary intervention: a report of the American College of Cardiology /American Heart Association Task Force on Performance Measures, the Society for Cardiovascular Angiography and Interventions, the American Medical Association-Convened Physician Consortium for Performance Improvement, and the National Committee for Quality Assurance. J Am Coll Cardiol. 2013 Dec 17. pii: S0735-1097(13)06497-8. [Epub ahead of print]

Nicklett EJ, Heisler ME, Spencer MS, Rosland AM. Direct social support and long-term health among middle-aged and older adults with type 2 diabetes mellitus. J Gerontol B Psychol Sci Soc Sci. 2013 Nov;68(6):933-43.

Odden AJ, Rohde JM, Bonham C, Kuhn L, Malani PN, Chen LM, Flanders SA, Iwashyna TJ. Functional outcomes of general medical patients with severe sepsis. BMC Infect Dis. 2013 Dec 12;13:588.

O'Donnell AN, Williams BC, Eisenberg D, Kilbourne AM. Mental health in ACOs: missed opportunities and low-hanging fruit. The American journal of managed care. 2014 Jan 21; 19(3):180-4.

O'Donnell AN, Williams M, Kilbourne AM. Overcoming roadblocks: current and emerging reimbursement strategies for integrated mental health services in primary care. Journal of general internal medicine. 2013 Dec 1; 28(12):1667-72.

O'Rourke HM, Fraser KD, Boström AM, Baylon MA, Sales AE. Regulated provider perceptions of feedback reports. Journal of nursing management. 2013 Nov 1; 21(8):1016-25.

Park TW, Bohnert AS, Austin KL, Saitz R, Pizer SD. Datapoints: regional variation in benzodiazepine prescribing for patients on opioid agonist therapy. Psychiatr Serv. 2014 Jan 1;65(1):4.

Patel A, Max J, Singal AG, Waljee AK. Herpes zoster and IBD: are we being brash about a rash? Gastroenterology. 2013 Dec 14. pii: S0016-5085(13)01792-7.

Piette JD, Resnicow K, Choi H, Heisler M. A diabetes peer support intervention that improved glycemic control: mediators and moderators of intervention effectiveness. Chronic Illness. 2013 Dec 1; 9(4):258-67.

Reineck LA, Pike F, Le TQ, Cicero BD, Iwashyna TJ, Kahn JM. Hospital factors associated with discharge bias in ICU performance measurement. Crit Care Med. 2014 Jan 3. [Epub ahead of print]

Rubenstein JH, Inadomi JM, Scheiman J, Schoenfeld P, Appelman H, Zhang M, Metko V, Kao JY. Association Between Helicobacter pylori and Barrett's Esophagus, Erosive Esophagitis, and Gastroesophageal Reflux Symptoms. Clinical Gastroenterology and Hepatology. 2014 Feb 1; 12(2):239-45.

Rubenstein JH, Morgenstern H, Chey WD, Murray J, Scheiman JM, Schoenfeld P, Appelman HD, McMahon L, Metko V, Kellenberg J, Kalish T, Baker J, Inadomi JM. Protective role of gluteofemoral obesity in erosive oesophagitis and Barrett's oesophagus. Gut. 2014 Feb 1; 63(2):230-5.

Rubenstein JH, Morgenstern H, McConell D, Scheiman JM, Schoenfeld P, Appelman H, McMahon LF, Kao JY, Metko V, Zhang M, Inadomi JM. Associations of diabetes mellitus, insulin, leptin, and ghrelin with gastroesophageal reflux and Barrett's esophagus. Gastroenterology. 2013 Dec 1; 145(6):1237-44.e1-5.

Rubenstein JH. Improving the efficiency of Barrett's esophagus management: do biomarkers hit the mark? Gastrointest Endosc. 2014 Feb;79(2):257-9.

Saini SD. Dedicated outreach Is effective in increasing uptake of colorectal cancer screening in an underserved population. Gastroenterology. 2013 Dec 16. pii: S0016-5085(13)01795-2 [Epub ahead of print]

Saini SD, Vijan S, Schoenfeld P, Powell AA, Moser S, Kerr EA. Role of quality measurement in inappropriate use of screening for colorectal cancer: retrospective cohort study. BMJ. 2014 Feb 26;348:g1247.

Schonberg MA, Hamel MB, Davis RB, Griggs MC, Wee CC, Fagerlin A, Marcantonio ER. Development and evaluation of a decision aid on mammography screening for women 75 years and older. JAMA Intern Med. 2013 Dec 30. [Epub ahead of print].

Singal AG, Higgins PD, Waljee AK. A primer on effectiveness and efficacy trials. Clin Transl Gastroenterol. 2014 Jan 2;5:e45.

Singal AG, Manjunath H, Yopp AC, Beg MS, Marrero JA, Gopal P, Waljee AK. The effect of PNPLA3 on fibrosis progression and development of hepatocellular carcinoma: A meta-analysis. Am J Gastroenterol. 2014 Jan 21.

Singer E, Couper MP, Fagerlin A, Fowler FJ, Levin CA, Ubel PA, Van Hoewyk J, Zikmund-Fisher BJ. The role of perceived benefits and costs in patients' medical decisions. Health Expectations. 2014 Feb 1; 17(1):4-14.

Skolarus LE, Sanchez BN, Levine DA, Baek J, Kerber KA, Morgenstern LB, Smith MA, Lisabeth LD. Association of body mass index and mortality after acute ischemic stroke. Circ Cardiovasc Qual Outcomes. 2013 Dec 10. [Epub ahead of print]

Sun GH, Aliu O, Moloci NM, Mondschein JK, Burke JF, Hayward RA. Association between hospital case volume and the use of bronchoscopy and esophagoscopy during head and neck cancer diagnostic evaluation. Cancer. 2014 Jan 1; 120(1):61-7.

Sussman J, Vijan S, Hayward R. Using benefit-based tailored treatment to improve the use of antihypertensive medications. Circulation. 2013 Nov 19;128(21):2309-17.

Teo AR, Choi H, Valenstein M. Social relationships and depression: ten-year follow-up from a nationally representative study. PLoS ONE. 2013 Dec 2; 8(4):e62396.

Ullrich PM, Smith BM, Blow FC, Valenstein M, Weaver FM. Depression, healthcare utilization, and comorbid psychiatric disorders after spinal cord injury. The journal of spinal cord medicine. 2014 Jan 1; 37(1):40-5.

Waljee AK, Higgins PD, Singal AG. A primer on predictive models. Clin Transl Gastroenterol. 2014 Jan 2;5:e44

Waljee AK, Stidham RW, Higgins PD, Vijan S, Saini SD. Point-counterpoint: Are we overtreating patients with mild ulcerative colitis?. Journal of Crohn's & colitis. 2014 Jan 1; 8(1):80-4.

Walton MA, Resko S, Barry KL, Chermack ST, Zucker RA, Zimmerman MA, Booth BM, Blow FC. A randomized controlled trial testing the efficacy of a brief cannabis universal prevention program among adolescents in primary care. Addiction. 2013 Dec 25. doi: 10.1111/add.12469. [Epub ahead of print]

Warner KE, McCammon RJ, Fries BE, Langa KM. Impact of cigarette smoking on utilization of nursing home services. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2013 Nov 1; 15(11):1902-9.

Winnik S, Speer T, Raptis DA, Walker JH, Hasun M, Clavien PA, Komajda M, Bax JJ, Tendera M, Fox K, Van de Werf F, Mundow C, Lüscher TF, Ruschitzka F, Nallamothu BK, Matter CM. The wealth of nations and the dissemination of cardiovascular research. Int J Cardiol. 2013 Nov 5;169(3):190-5.

Woolford SJ, Clark SJ, Butchart A, Geiger JD, Davis MM, Fagerlin A. To pay or not to pay: public perception regarding insurance coverage of obesity treatment. Obesity (Silver Spring). 2013 Dec 1; 21(12):E709-14.

Xiang YT, Wang G, Guo T, Hu C, Ungvari GS, Kilbourne AM, Lai KY, Wong SY, Si TM, Zheng QW, Chen DF, Fang YR, Lu Z, Yang HC, Hu J, Chen ZY, Huang Y, Sun J, Wang XP, Li HC, Zhang JB, Chiu HF. Gender differences in demographic and clinical features and prescribing patterns of psychotropic medications in patients with major depressive disorder in China. Comprehensive psychiatry. 2013 Nov 1; 54(8):1198-202.

Zivin K, Pfeiffer PN, Bohnert AS, Ganoczy D, Blow FC, Nallamothu BK, Kales HC. Safety of high-dosage citalopram. Am J Psychiatry. 2014 Jan 1;171(1):20-2

Zivin K, Pirraglia PA, McCammon RJ, Langa KM, Vijan S. Trends in depressive symptom burden among older adults in the United States from 1998 to 2008. Journal of general internal medicine. 2013 Dec 1; 28(12):1611-9.


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