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Long COVID has challenged healthcare systems to organise care for a large group of complex patients at scale. Yet, despite these problems, the evidence base for long COVID care remains scant, with little criteria-standard, evidence-based practices to solve these problems. Therefore, we characterise how each facility within the large, multifacility Veterans Health Administration (VHA) healthcare system, one of the largest integrated healthcare systems in the USA serving over nine million veterans, approached the development, staffing and referral patterns of long COVID programmes.
This project integrates two workstreams for information: (1) the Long COVID Environmental Scan and (2) the VHA Long COVID Learning Collaborative. The Long COVID Environmental Scan was developed from engagement with VHA subject matter experts and review of Centers for Disease Control and Prevention (CDC) documentation and additional authoritative guidance. Initiated through the Veterans Affairs (VA) Office of Innovation and Discovery, the 41-question survey focused …
Footnotes
AMG and TLE are joint first authors.
MA and AP are joint senior authors.
Twitter @MPLS_CCDOR, @tammyeaton17
Contributors All authors made substantial contributions to the conception or design of the work; acquisition, analysis or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; final approval of the version to be published; and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Funding This work was supported by the Agency for Healthcare Research and Quality (AHRQ) and Patient-Centered Outcomes Research Institute (PCORI) (grant K12HS026379); the National Institutes of Health’s National Center for Advancing Translational Sciences (grant KL2TR002492); and the Veterans Administration Health Services Research and Development COVID-19 Observational Research Collaboratory (C19-21-278) and IIR 17-045. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US Government, AHRQ, PCORI or Minnesota Learning Health System Mentored Career Development Program (MN-LHS).
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.