Center for Health Equity Research and Promotion
Bruce Kinosian, MD
CHERP COIN Investigator
Staff physician, Home Based Primary Care, Philadelphia VAMC, Philadelphia
Associate Professor of Medicine, University of Pennsylvania
Dr. Kinosian's work stems from research initially funded by VA HSR&D, the Aging Health Policy Model (IIR 02-159), which has led to ways to link rigorous research methods with VA and other data to meet VA operational needs. The Aging Health Policy Model served as VA’s Long Term Care (LTC) planning model until 2010, when VA began to use an internal, budget driven model. With that process, it was recognized that links to non-VA data were still required to understand the environment in which VA delivers LTC, and developed the GEC-DAC to integrate VA clinical, utilization and cost data with Medicare, Medicaid, and selected state data, to provide a full picture of Veteran use of long term care services.
Using non-VA sources led to a doubling of growth targets, compared to the base Policy and Planning LTC model. GEC-DAC is now providing evaluations of the T21 non-institutional care initiatives, the medical foster home, and the Minnesota Case-Mix index for GEC, as well as developing longitudinal performance measures. His research has also used the validated Aging Health Policy Model's "expected" institutional use compared to observed care to demonstrate the impact of VA's investment in non-institutional care in producing a net savings in excess of $1B in 2012.
- Aging Health Policy