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

Kevin T. Stroupe, Bridget M. Smith, Timothy P. Hogan, Justin R. St. Andre, Theresa Pape, Monica L. Steiner, Eric Proescher, Zhiping Huo, Charlesnika T. Evans

Research output: Contribution to journalArticle

21 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1047-1068
Number of pages22
JournalJournal of Rehabilitation Research and Development
Volume50
Issue number8
DOIs
StatePublished - Dec 26 2013
Externally publishedYes

Fingerprint

Veterans
Health Care Costs
2003-2011 Iraq War
Afghan Campaign 2001-
Brain Concussion
Afghanistan
Iraq
Traumatic Brain Injury
Retrospective Studies
Delivery of Health Care

Keywords

  • Cost analysis
  • Department of Veterans affairs
  • Evaluation
  • Head injury
  • Healthcare costs
  • Healthcare utilization
  • Operation enduring freedom
  • Operation Iraqi freedom
  • Traumatic brain injury
  • Veterans

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury. / Stroupe, Kevin T.; Smith, Bridget M.; Hogan, Timothy P.; St. Andre, Justin R.; Pape, Theresa; Steiner, Monica L.; Proescher, Eric; Huo, Zhiping; Evans, Charlesnika T.

In: Journal of Rehabilitation Research and Development, Vol. 50, No. 8, 26.12.2013, p. 1047-1068.

Research output: Contribution to journalArticle

Stroupe, KT, Smith, BM, Hogan, TP, St. Andre, JR, Pape, T, Steiner, ML, Proescher, E, Huo, Z & Evans, CT 2013, 'Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury', Journal of Rehabilitation Research and Development, vol. 50, no. 8, pp. 1047-1068. https://doi.org/10.1682/JRRD.2012.06.0107
Stroupe, Kevin T. ; Smith, Bridget M. ; Hogan, Timothy P. ; St. Andre, Justin R. ; Pape, Theresa ; Steiner, Monica L. ; Proescher, Eric ; Huo, Zhiping ; Evans, Charlesnika T. / Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury. In: Journal of Rehabilitation Research and Development. 2013 ; Vol. 50, No. 8. pp. 1047-1068.
@article{ff78128e256a4d4d8b939ecaa8b3a93b,
title = "Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury",
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.",
keywords = "Cost analysis, Department of Veterans affairs, Evaluation, Head injury, Healthcare costs, Healthcare utilization, Operation enduring freedom, Operation Iraqi freedom, Traumatic brain injury, Veterans",
author = "Stroupe, {Kevin T.} and Smith, {Bridget M.} and Hogan, {Timothy P.} and {St. Andre}, {Justin R.} and Theresa Pape and Steiner, {Monica L.} and Eric Proescher and Zhiping Huo and Evans, {Charlesnika T.}",
year = "2013",
month = "12",
day = "26",
doi = "10.1682/JRRD.2012.06.0107",
language = "English (US)",
volume = "50",
pages = "1047--1068",
journal = "Journal of rehabilitation R&D",
issn = "0748-7711",
publisher = "Rehabilitation Research and Development Service",
number = "8",

}

TY - JOUR

T1 - Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

AU - Stroupe, Kevin T.

AU - Smith, Bridget M.

AU - Hogan, Timothy P.

AU - St. Andre, Justin R.

AU - Pape, Theresa

AU - Steiner, Monica L.

AU - Proescher, Eric

AU - Huo, Zhiping

AU - Evans, Charlesnika T.

PY - 2013/12/26

Y1 - 2013/12/26

N2 - 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.

AB - 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.

KW - Cost analysis

KW - Department of Veterans affairs

KW - Evaluation

KW - Head injury

KW - Healthcare costs

KW - Healthcare utilization

KW - Operation enduring freedom

KW - Operation Iraqi freedom

KW - Traumatic brain injury

KW - Veterans

UR - http://www.scopus.com/inward/record.url?scp=84890841493&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890841493&partnerID=8YFLogxK

U2 - 10.1682/JRRD.2012.06.0107

DO - 10.1682/JRRD.2012.06.0107

M3 - Article

C2 - 24458891

AN - SCOPUS:84890841493

VL - 50

SP - 1047

EP - 1068

JO - Journal of rehabilitation R&D

JF - Journal of rehabilitation R&D

SN - 0748-7711

IS - 8

ER -