Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 8, 2013
   Pages 1047 — 1068

Abstract — Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

Kevin T. Stroupe, PhD;1–2* Bridget M. Smith, PhD;1–3 Timothy P. Hogan, PhD;4 Justin R. St. Andre, MA;5 Theresa Pape, DrPH, MA;1,6–7 Monica L. Steiner, MD;6 Eric Proescher, PsyD;8 Zhiping Huo, MS;1 Charlesnika T. Evans, MPH, PhD1,3,9

1Center for Management of Complex Chronic Care, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Hines, IL; 2Program in Health Services Research, Stritch School of Medicine, Loyola University Chicago, Maywood, IL; 3Spinal Cord Injury Quality Enhancement Research Initiative (QUERI), Edward Hines Jr. VA Hospital, Hines, IL; 4Center for Health Quality, Outcomes and Economic Research & eHealth QUERI, National eHealth QUERI Coordinating Center, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; and Division of Health Informatics and Implementation Science, University of Massachusetts Medical School, Worcester, MA; 5Health Research & Educational Trust, Chicago, IL; 6Physical Medicine and Rehabilitation, Edward Hines Jr. VA Hospital, Hines, IL; 7Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; 8Jesse Brown VA Medical Center, Chicago, IL; 9Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL

Abstract — Approximately 15% of casualties in the Afghanistan (Operation Enduring Freedom [OEF]) and Iraq (Operation Iraqi Freedom [OIF]) conflicts received mild traumatic brain injury (TBI). To identify Veterans who may benefit from treatment, the Department of Veterans Affairs (VA) implemented a national clinical reminder in 2007 to screen for TBI. Veterans who screen positive are referred for a comprehensive TBI evaluation. We conducted a national retrospective study of OIF/OEF Veterans receiving care at VA facilities between 2007 and 2008. We examined the association of the TBI screen with healthcare costs over a 12 mo period following the initial evaluation. Of the Veterans, 164,438 met inclusion criteria: 31,627 screened positive, 118,545 screened negative, and 14,266 received no TBI screening. Total healthcare costs of Veterans who screened positive, screened negative, or had no TBI screening were $9,610, $5,184, and $3,399, respectively (p < 0.001). Understanding these healthcare utilization and cost patterns will assist policymakers to address the ongoing and future healthcare needs of these returning Veterans.

Key words: cost analysis, Department of Veterans Affairs, evaluation, head injury, healthcare costs, healthcare utilization, Operation Enduring Freedom, Operation Iraqi Freedom, traumatic brain injury, Veterans.

View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 8
This article and all supplementary material should be cited as follows:
Stroupe KT, Smith BM, Hogan TP, St. Andre JR, Pape T, Steiner ML, Proescher E, Huo Z, Evans CT. Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury. J Rehabil Res Dev. 2013; 50(8):1047–68.
Researcher ID/ORCID: Theresa Pape, DrPH, MA: G-3591-2012

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Last Reviewed or Updated  Wednesday, December 11, 2013 9:37 AM

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