Military and Veterans Studies Commons^™

Recommendations For The Evaluation Of Cross-System Care Coordination From The Va State-Of-The-Art Working Group On Va/Non-Va Care, Kristin M. Mattocks, Kristin Cunningham, A. Rani Elwy, Erin P. Finley, Clinton Greenstone, Michelle A. Mengeling, Steven D. Pizer, Megan E. Vanneman, Michael Weiner, Lori A. Bastian

Kristin M. Mattocks

In response to widespread concerns regarding Veterans' access to VA care, Congress enacted the Veterans Access, Choice and Accountability Act of 2014, which required VA to establish the Veterans Choice Program (VCP). Since the inception of VCP, more than two million Veterans have received care from community providers, representing approximately 25% of Veterans enrolled in VA care. However, expanded access to non-VA care has created challenges in care coordination between VA and community health systems. In March 2018, the VA Health Services Research and Development Service hosted a VA State of the Art conference (SOTA) focused on care coordination. The …

Improving Care Coordination For Veterans Within Va And Across Healthcare Systems, Kristina M. Cordasco, Denise M. Hynes, Kristin M. Mattocks, Lori A. Bastian, Hayden B. Bosworth, David Atkins

Kristin M. Mattocks

The VA faces a plethora of care coordination challenges. Many Veterans have multiple conditions and providers, and many get a portion of their care in the community, a number that will only grow as recent legislation expands options for private care. These challenges have spawned new VA initiatives for redesigning care to meet them, described in this supplement in an editorial by Hosenfeld and colleagues. The VA Health Services Research and Development (HSR&D) service, in partnership with VA’s Office of Primary Care, and Office of Community Care, sponsored a State of the Art (SOTA) conference with the goals of (a) …

Understanding Maternity Care Coordination For Women Veterans Using An Integrated Care Model Approach, Kristin M. Mattocks, Aimee Kroll-Desrosiers, Rebecca L. Kinney, Sara Singer

Kristin M. Mattocks

BACKGROUND: An increasing number of women veterans are using VA maternity benefits for their pregnancies. However, because the VA does not offer obstetrical care, women must seek maternity care from non-VA providers. The growing number of women using non-VA care has increased the importance of understanding how this care is integrated with ongoing VA medical and mental health services and how perceptions of care integration impact healthcare utilization. Therefore, we sought to understand these relationships among a sample of postpartum veterans utilizing VA maternity benefits.

METHODS: We fielded a modified version of the Patient Perceptions of Integrated Care survey among …

Physical Screening And Testing: From Purpose To Research To Application, Rob Orr

Rob Marc Orr

Session Objectives:

•Discuss the purposes of different physical assessments

•Designing measures useful for assessing tactical personnel

•Applying assessments in the field

Musculoskeletal Fitness As A Predictor Of Injury During Police Academy Training: A Retrospective Cohort Study, Rob Orr, Matthew Stewart, Rodney P. Pope, Michael Stierli, Ben Hinton

Rob Marc Orr

Introduction:

• Tactical training institutions (like those for military, law enforcement and firefighting) often implement intensive training regimes to adequately prepare their candidates (Bullock et al. 2010)

• Recruit training physical fitness assessment items are performed to determine baseline fitness of each recruit

• Previous research has investigated fitness measures as a positive injury predictor among tactical recruits during basic training (Bedno et al., 2013; Knapik et al., 2001; O’connor et al., 2011; Rosendal, et al., 2003)

• However protocols generally include aerobic fitness as part of the process with predominantly military recruit populations (Lisman, et al. 2013: Knapik et …

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Ben Schram

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Rob Marc Orr

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Rodney P Pope

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Ben Schram

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Wayne Hing

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik

Rob Marc Orr

Tactical operators, encompassing military, law enforcement, fire and other emergency personnel, can be found in all climatic zones. These tactical operators may be deployed at short notice to tropical environments, often with limited time to acclimatise if based in more temperate zones. They are then expected to undertake arduous tactical tasks, often repeatedly and for extended periods in the tropical area. These demands combine with harsh environments, personal protective equipment (PPE), tactical loads, threats to life, and responsibility for the safety and survival of others to place immense physical and mental stresses on tactical operators. Managing the resulting risks is …

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Profiling The Incidents And Injuries Of Part-Time And Full-Time Soldiers In The Australian Army, Dylan Macdonald, Rodney Pope, Rob Orr

Rodney P Pope

Aim •To profile the incidents & injuries reported in Part-time compared to Full-time soldiers serving in the Australian Army Methods •Retrospective cohort study, covering 01 Jul 2012 –30 Jun 2014 •Incident data for ARES & ARA extracted from WHSCAR database by system administrators & made non-identifiable •Inclusion Criteria: –Incident or injury sustained by Part-time or Full-time personnel –Incident or injury occurred during 01 July 2012-30 June 2014 •Exclusion Criteria: –Foreign defence service on secondment –Missing data •Population sizes ascertained from annual Defence Agency Resources & Planned Performance reports •Total annual numbers of ARES days served provided by AHQ •Data analysis: …

Age-Related Differences In Upper-Body Muscular Endurance Amongst Male Law Enforcement Officers: A Comparison To Civilian Population Norms, Rob Orr, Rodney Pope, Jay Dawes

Rodney P Pope

Download a PDF of the Conference Abstracts. Access the abstract on page 30-31.

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rodney P Pope

Access abstract in the Conference Abstract E-book, page 115

Incidence Rates Of Reported Work Health & Safety Incidents & Injuries In Part-Time & Full-Time Australian Army Personnel, Rodney Pope, Dylan Macdonald, Rob Orr

Rodney P Pope

Aims: 1. To investigate & compare the incidence rates of WHS incidents & injuries in ARES & ARA populations, reported in the WHSCAR database 2. To compare these injury incidence rates to injury rates reported by other injury surveillance systems for comparable army populations

Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope

Rodney P Pope

Aim of the Review •…to critically appraise and discuss the findings of existing research that has compared the physical characteristics and physical performance capacities of PT and FT tactical personnel This research was supported by a grant from the Defence Health Foundation Methods 1. Literature databases searched: PubMed, CINAHL, EBSCO, and Web of Science were searched using key search terms. (“full-time” OR "part-time” OR "reserve”) AND ("home guard" OR "army" OR "defence" OR "defense" OR “police" OR "military" OR "soldiers" OR “firefighters" OR "first responder") 2. Reference lists of included articles were manually searched 3. Colleagues with expertise in the …

The Perceived Effect Of Load Carriage On Marksmanship In The Tactical Athlete., D Poke, Rob Orr, Michael Stierli, Ben Hinton

Rob Marc Orr

Abstract published in the Journal of Science and Medicine in Sport – Supplement, 18(6), pp. 98. Access abstract

Australian Soldier Load Carriage: From Gallipoli To Afghanistan, Rob Orr

Rob Marc Orr

Background: •From the early Assyrian spearman of antiquity (circa 800 B.C.), soldiers have been required to carry external loads consisting of weaponry, equipment and food (Orr, 2010; Knapicket al., 2012:2004) •Downstream effects of these loads have been shown to impact on the tactics of warfare, cause injury and reduce fighting force size (Lee, 2007; Breen, 2002;Lothian , 1921)

A Functional Movement Screen Profile Of An Australian Police Force, Rob Orr, Michael Stierli, Ben Hinton

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 116

The Impact Of Two Different Conditioning Programs On Fitness Characteristics Of Police Academy Cadets, Charles Cocke, Jay Dawes, Rob Orr

Rob Marc Orr

Abstract published in the Journal of Science and Medicine in Sport – Supplement, 18(6), pp. 98. Access the abstract

Profiling The Incidents And Injuries Of Part-Time And Full-Time Soldiers In The Australian Army, Dylan Macdonald, Rodney Pope, Rob Orr

Rob Marc Orr

Aim •To profile the incidents & injuries reported in Part-time compared to Full-time soldiers serving in the Australian Army Methods •Retrospective cohort study, covering 01 Jul 2012 –30 Jun 2014 •Incident data for ARES & ARA extracted from WHSCAR database by system administrators & made non-identifiable •Inclusion Criteria: –Incident or injury sustained by Part-time or Full-time personnel –Incident or injury occurred during 01 July 2012-30 June 2014 •Exclusion Criteria: –Foreign defence service on secondment –Missing data •Population sizes ascertained from annual Defence Agency Resources & Planned Performance reports •Total annual numbers of ARES days served provided by AHQ •Data analysis: …

Australian Army Recruit Training: Course Length And Recruit Injury Rates, Georgina Dawson, Ryan Broad, Rob Orr

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Age-Related Differences In Upper-Body Muscular Endurance Amongst Male Law Enforcement Officers: A Comparison To Civilian Population Norms, Rob Orr, Rodney Pope, Jay Dawes

Rob Marc Orr

Download a PDF of the Conference Abstracts. Access the abstract on page 30-31.

Leg Power As An Indicator For Risk Of Injury Or Illness In Police Recruits, Rob Orr, Rodney Pope, Samantha Peterson, Michael Stierli, Ben Hinton

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 123

Incidence Rates Of Reported Work Health & Safety Incidents & Injuries In Part-Time & Full-Time Australian Army Personnel, Rodney Pope, Dylan Macdonald, Rob Orr

Rob Marc Orr

Aims: 1. To investigate & compare the incidence rates of WHS incidents & injuries in ARES & ARA populations, reported in the WHSCAR database 2. To compare these injury incidence rates to injury rates reported by other injury surveillance systems for comparable army populations

Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope

Rob Marc Orr

Aim of the Review •…to critically appraise and discuss the findings of existing research that has compared the physical characteristics and physical performance capacities of PT and FT tactical personnel This research was supported by a grant from the Defence Health Foundation Methods 1. Literature databases searched: PubMed, CINAHL, EBSCO, and Web of Science were searched using key search terms. (“full-time” OR "part-time” OR "reserve”) AND ("home guard" OR "army" OR "defence" OR "defense" OR “police" OR "military" OR "soldiers" OR “firefighters" OR "first responder") 2. Reference lists of included articles were manually searched 3. Colleagues with expertise in the …

Understanding Reproductive Healthcare And Outcomes Among Women Veterans: A Review Of Recent Research And Future Opportunities, Kristin M. Mattocks, Laurie Zephyrin

Kristin M. Mattocks

Presentation focused on reproductive health issues among women Veterans in VA care. In particular, examines patterns of healthcare utilization for gender-specific conditions among women Veterans, as well as beliefs and preferences for reproductive health care services within the VA healthcare system. Then explores innovative new research aimed at better understanding reproductive health services and outcomes among women Veterans.

Sourcebook: Women Veterans In The Veterans Health Administration. Volume 2: Sociodemographics And Use Of Vha And Non-Va Care (Fee), Susan M. Frayne, Kristin M. Mattocks

Kristin M. Mattocks

Describes sociodemographic characteristics and health care utilization patterns of women Veteran patients in the VHA. Its primary purpose is to present data to inform policy and program planning as VHA implements and evaluates new ways of providing care to women Veterans. Provides data about women residing in rural versus urban areas and by examining use of health care through VHA’s “Non-VA Care (Fee)” system, which is comprised of services provided to Veterans by non-VHA providers but reimbursed through VHA. Produced by the Women’s Health Evaluation Initiative, Women’s Health Services, Veterans Health Administration, Department of Veterans Affairs, Washington DC.

Pregnancy And Mental Health Care Among Women Veterans Returning From Iraq And Afghanistan, Kristin M. Mattocks, Melissa Skanderson, Joseph Goulet, Sally Haskell, Elizabeth M. Yano, Erin Krebs, Amy Justice, Cynthia Brandt

Kristin M. Mattocks

Presentation looking at pregnancy and mental health care in the VA system. Documents a study examining the prevalence of pregnancy care and comparing the mental health diagnoses among pregnant and non-pregnant women in VA care. Then examining the degree to which pregnant veterans receive VA mental health care during their pregnancy. Concludes that pregnant women veterans using VA care have a substantial mental health burden.