Martin P. Charns
United States Department of Veterans Affairs
Mental healthHealth administrationBusinessHealth informaticsPsychologyNursingHealth carePhysical therapyEmergency medicineProcess managementVeterans AffairsMEDLINEQuality (business)Health services researchVeterans healthPublic relationsFamily medicineProgram evaluationKnowledge managementQuality managementMedicine
Publications 96
#1Leigh EvansH-Index: 3
#2Nancy J. WewiorskiH-Index: 11
Last. Martin P. CharnsH-Index: 25
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#1Rendelle E. Bolton (VA: United States Department of Veterans Affairs)H-Index: 9
#2Barbara G. Bokhour (UMMS: University of Massachusetts Medical School)H-Index: 30
Last. Stephanie L. Taylor (VA: United States Department of Veterans Affairs)H-Index: 21
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Objectives: Healthcare organization leaders' support is critical for successful implementation of new practices, including complementary and integrative health (CIH) therapies. Yet little is known about how to garner this support and what motivates leaders to support these therapies. We examined reasons leaders provided or withheld support for CIH therapy implementation, using a multilevel lens to understand motivations influenced by individual, interpersonal, organizational, and system determin...
BACKGROUND: The Veterans Health Administration piloted a nationwide Lean Enterprise Transformation program to optimize delivery of services to patients for high value care. PURPOSE: Barriers and facilitators to Lean implementation were evaluated. METHODS: Guided by the Lean Enterprise Transformation evaluation model, 268 interviews were conducted, with stakeholders across 10 Veterans Health Administration medical centers. Interview transcripts were analyzed using thematic analysis techniques. RE...
2 CitationsSource
#1Hillary J. Mull (BU: Boston University)H-Index: 14
#2Amy K. RosenH-Index: 53
Last. Steven D. PizerH-Index: 17
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BACKGROUND: Emergency department (ED) use following outpatient surgery may be associated with a surgery-related patient safety problem. We characterized ED use within 7 days of general, urology, orthopedic, ear/nose/throat, and podiatry surgical procedures and assessed factors associated with these visits by specialty. METHODS: We calculated the 2011-2013 postoperative ED visit rate for Veterans older than 65 years dually enrolled in the Veterans Health Administration (VA) and Medicare, examined...
1 CitationsSource
#1Leigh EvansH-Index: 3
#2Martin P. Charns (BU: Boston University)H-Index: 25
Last. M. Patricia Fabian (BU: Boston University)H-Index: 10
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OBJECTIVE: To examine geographic access to community health centers (CHC accessibility) before and after Health Center Program expansion in three Southern states. DATA SOURCES: Community health center data were from the Health Resources and Services Administration (1967-2016). Population estimates and sociodemographic characteristics were from the American Community Survey (2006-2015). STUDY DESIGN: We used the two-step floating catchment area method to calculate CHC accessibility for census tra...
#1Nancy J. WewiorskiH-Index: 11
#2Jay A. GormanH-Index: 3
Last. Martin P. Charns (VA Boston Healthcare System)H-Index: 25
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OBJECTIVE: A site visit protocol was developed to assess recovery promotion in the organizational climate and culture of programs for veterans with serious mental illnesses. METHOD: The protocol was pilot-tested in 4 programs: 2 that had scored high on the pilot version of a staff survey measure of program-level recovery promotion and 2 that had scored low. Two-person teams conducted onsite visits and assigned global and organizational domain ratings. Interrater agreement was assessed by examini...
1 CitationsSource
#1Kathryn M. McDonald (Stanford University)H-Index: 58
#2Sara J. Singer (Stanford University)H-Index: 42
Last. Mark UptonH-Index: 1
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This perspective paper seeks to lay out an efficient approach for health care providers, researchers, and other stakeholders involved in interventions aimed at improving care coordination to partner in locating and using applicable care coordination theory. The objective is to learn from relevant theory-based literature about fit between intervention options and coordination needs, thereby bringing insights from theory to enhance intervention design, implementation, and troubleshooting. To take ...
4 CitationsSource
#1Lakshmana Swamy (BU: Boston University)H-Index: 5
#2Renda Soylemez Wiener (BU: Boston University)H-Index: 38
Last. Seppo T. Rinne (BU: Boston University)H-Index: 8
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#1Justin K. Benzer (University of Texas at Austin)H-Index: 14
#2Sara J. Singer (Stanford University)H-Index: 42
Last. Martin P. Charns (BU: Boston University)H-Index: 3
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Background Multiple comorbidities thought to be associated with poor coordination due to the need for shared treatment plans and active involvement of patients, among other factors. Cardiovascular and mental health comorbidities present potential coordination challenges relative to diabetes.
5 CitationsSource
#1David C. Mohr (BU: Boston University)H-Index: 91
#2Justin K. Benzer (University of Texas at Austin)H-Index: 14
Last. Martin P. Charns (BU: Boston University)H-Index: 3
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Background Delivering care to patients with complex healthcare needs benefits from coordination among healthcare providers. Greater levels of care coordination have been associated with more favorable patient experiences, cost management, and lower utilization of services. Organizational approaches consider how systems, practices, and relationships influence coordination and associated outcomes.
6 CitationsSource