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Center for Health Equity Research and Promotion

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From hospital to SNF for older Veterans

Transitions from hospital to SNF

“Discretionary health care decisions that are not based on relevant evidence create opportunities for disparities in care and result in increases in health care spending. Despite the attention focused on post–acute care, there is little discussion about how discharge decision making and variation in post–acute care settings contribute to disparities and what this might mean for patients and payment reforms.” (from recent JAMA commentary by Drs. Robert Burke and Said Ibrahim

By VA Center for Health Equity Research and Promotion
Friday, May 4, 2018

The VA Center for Health Equity Research and Promotion has welcomed new Core Investigator Robert E. Burke, MD, MS.  Dr. Burke holds an HSR&D Career Development award and recently moved to CHERP in Philadelphia from the VA Center for Veteran-Centered and Value-Driven Care in Denver.  https://www.seattledenvercoin.research.va.gov/


Robert E. Burke MD, MS, is the inaugural Director of Research in Hospital Medicine at the University of Pennsylvania, an academic hospitalist at the Corporal Michael Crescenz VAMC and Core Investigator with the VA Center for Health Equity Research and Promotion (CHERP).  He has received funding from the VA, NIH, and the Hartford Foundation to explore hospital and nursing home relationships, focusing on transitions of older adults from hospital to skilled nursing facility care.  He also directed the dissemination of a large transitional care program for rural Veterans in partnership with the VA Office of Rural Health and Office of Nursing Services, and has completed additional training in implementation science.  He is currently serving as a 2017-18 Health and Aging Policy Fellow placed in the Medicare-Medicaid Coordination Office at the Centers of Medicare and Medicaid Services to improve his ability to contribute to effective health policy as it relates to older adult populations. He is active in quality improvement work and serves as an Associate Editor of BMJ Quality & Safety.

VA HSR&D Career Development Award: Improving transitional care for Veterans


Recent JAMA article by Dr. Burke and CHERP’s Said Ibrahim, MD, MPH, MBA
Discharge Destination and Disparities in Postoperative Care https://jamanetwork.com/journals/jama/fullarticle/2673740
“Discretionary health care decisions that are not based on relevant evidence create opportunities for disparities in care and result in increases in health care spending. Despite the attention focused on post–acute care, there is little discussion about how discharge decision making and variation in post–acute care settings contribute to disparities and what this might mean for patients and payment reforms.”

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