Geriatrics and Extended Care
Geriatrics and Extended Care Data and Analysis Center
Orna Intrator, Director of the Geriatrics and Extended Care Data and Analysis Center
Dr. Intrator is a long-term care researcher at the Canandaigua VA Medical Center and the University of Rochester. Trained in statistics and applied mathematics, one of the foci of Dr. Intrator’s VA research is Veteran’s use of nursing homes across health care systems and the quality of care delivered, with particular attention to the implications for health policies and organizational management. Dr. Intrator and her team developed the VA Residential History File (RHF) which pulls together claims and assessment data from VA, Medicare and Medicaid enrollment, claims, utilization and assessments, as well as other data sets. These data sets are then standardized and organized along a timeline to facilitate analyses. Dr. Intrator is currently examining the system-wide impact of provision of geriatrics and extended care services.
Bruce Kinosian, MD, Associate Director of Geriatrics and Extended Care Data and Analysis Center
Dr. Kinosian is a general internist and geriatrician practicing at the VA Medical Center in Philadelphia where he works in the Home Based Primary Care (HBPC) and the Hospital In Home (HIH) programs. Dr. Kinosian also practices medicine in the Division of Geriatrics at The University of Pennsylvania’s Perelman School of Medicine and is a Senior Fellow at the Leonard Davis Institute of Health Economics. He's part of the Independence at Home Learning Collaborative leadership, which has worked collaboratively with CMS to develop the IAH model for extending HBPC into Medicare. His research interests include program evaluation, risk adjustment, metric development, and prognostic models.
Ciaran S. Phibbs, PhD, Associate Director of Geriatrics and Extended Care Data and Analysis Center
Dr. Phibbs is a research economist whose primary research interests include the interaction of hospital competition with costs, demand and outcomes; and perinatal and neonatal care. These interests have led him to study how hospitals and patient characteristics affect the demand for hospital services, and define hospital markets, hospital scale economies and capacity utilization; how Neonatal Intensive Care Units care effects neonatal mortality, the effects of nurse staffing on patient outcomes; the effectiveness of clinical interventions; and the demand for VA services and Veterans’ choice between VA and non-VA services. Dr. Phibbs is also a professor in the Department of Pediatrics – Neonatal and Developmental Medicine at Stanford University.
Steering Committee Members
Scotte R. Hartronft, MD, MBA, FACHE, Acting Executive Director, Office of Geriatrics and Extended Care (10NC4)
After graduating medical school, Dr. Hartronft went onto active duty in the U.S. Army and completed both an internship and residency in Internal Medicine and completed the joint VA/DoD Geriatric Medicine fellowship program. He has previously been the Chief of Staff of VA Greater Los Angeles Healthcare System (VAGLAHCS), Deputy Chief of Staff for the VA Puget Sound Health Care System, and Associate Chief of Staff for Geriatrics and Extended Care at the South Texas Veterans Health Care System (STVHCS). Dr. Hartronft has also been a Clinical Professor and Associate Dean at the UCLA David Geffen School of Medicine. He is board certified in Internal Medicine, Geriatric Medicine and Hospice and Palliative Medicine. He is also a Certified Physician Executive (CPE) in Medical Management, a Fellow of the American College of Physicians (FACP) and a Fellow in the American College of Health Care Executives (FACHE).
Marianne Shaughnessy, PhD, CRNP, Acting Director, Innovation, Diffusion and Communication, Office of Geriatrics and Extended Care (10NC4)
Before joining the GEC Central Office, Dr. Shaughnessy served as the Associate Director for Education and Evaluation for the Baltimore Geriatric Research, Education, and Clinical Center (GRECC), and held an academic appointment as Associate Professor at the University of Maryland at Baltimore School of Nursing. She previously served as faculty in the Schools of Nursing at the University of Pennsylvania and the University of North Carolina at Greensboro. She has clinical nursing experience in multiple settings including subacute rehabilitation, stroke chronic and acute care, primary care for adults with developmental disabilities, intensive and acute care. Dr. Shaughnessy has served in national leadership roles of professional organizations, on editorial boards, has been an invited speaker, and has more than 40 published peer-reviewed journal articles and other publications.
Barbara Hyduke, MSA, Associate Executive Director, Geriatrics and Extended Care.
Ms. Hyduke, previously VHA Deputy Chief of Staff, has demonstrated exceptional leadership in her 23-year career at the Department of Veterans Affairs. She began her VA career as a Medical Technologist (ASCP) at the Aleda E. Lutz VA Medical Center in Saginaw, Michigan where she held progressively responsible positions as a Quality Management Specialist and Laboratory and Respiratory Care Supervisory Health Care Specialist before moving to the VISN in Ann Arbor as a Health Systems Specialist for the Geriatrics and Extended Care (GEC) Service Line. She assumed increasing responsibility at the VISN and became the Director, VISN 11 GEC Service Line. She was chosen as the national lead for the transformational Initiative, Patient Centered Alternatives to Institutional Care, and served in the senior leadership role as the Associate Chief Patient Care Services Officer at VA Central Office before becoming the VHA Deputy Chief of Staff. A former Marcia Beck-Goodwin Award winner, Ms. Hyduke is recognized nationally as an innovative healthcare leader with a strong clinical and administrative background and holds a Master of Science Degree in Health Care Administration. In her new role as the Associate Executive Director, Office of Geriatrics and Extended Care, Ms. Hyduke will continue to lead VHA’s efforts to ensure that we provide our Nation’s Veterans with the exceptional health care they deserve.
Thomas E. Edes, MD, MS, Director, Comprehensive Care Programs, Office of Geriatrics and Extended Care (10NC4)
Prior to taking his current position, Dr. Edes was Chief of Geriatrics and Extended Care at the Harry S Truman Memorial VA Medical Center and Associate Professor of Medicine at the University of Missouri in Columbia, where he was actively involved in developing Geriatric Evaluation and Management inpatient and outpatient programs, Subacute Care and Hospice units, a Geriatric Fellowship program, and the Advanced Disease Planning initiative. Dr. Edes also served as Medical Director of the VA Nursing Home Care Unit and the Home Based Primary Care program, Associate Director of the 1995 White House Conference on Aging Office, was past president of the American Academy of Home Care Medicine, and served for the Secretary on the Policy Committee for the 2005 White House Conference on Aging. His research interests included clinical nutrition, enhancing outcomes in home care, end of life care, cancer detection and prevention, and improving care for persons with chronic disabling disease.
James Rudolph, MD, Director, Center of Innovation on Long-Term Services and Supports (LTSS COIN) (Providence VAMC)
Prior to serving as Director of LTSS COIN, Dr. Rudolph served as the Boston Site Director of the New England GRECC, the acting VABHS Chief of Geriatrics and Palliative Care, and the Director of the Delirium Patient Safety Center of Inquiry. Dr. Rudolph’s research interests focused on improving the care of older patients, especially identifying high-risk patients at a vulnerable time in their lives. Dr. Rudolph’s research, teaching, program innovation, and clinical work has all been directed towards developing innovative clinical tools, resulting in measurable improvements in the care of older patients at the local, regional, and national levels.
John Parkhurst, Administrative Officer (Providence VAMC)
John is responsible for facilitating and coordinating GECDAC operations, including finances, personnel, equipment and security. In addition, John is developing a strategic plan to grow GECDAC.
Sarah Wesgate, Health Research Specialist (Canandaigua VAMC)
Sarah is responsible for creating efficiencies in program operation, creating and maintaining databases to track program tasks and activities, managing the GECDAC bimonthly seminar series, and creating and maintaining data use agreements, among other tasks as needed. If you would like additional information about GECDAC programs or databases, please contact Sarah at firstname.lastname@example.org
Shubing Cai, PhD
Dr. Cai is an Assistant Professor of Public Health Sciences at the University of Rochester Medical Center. Dr. Cai’s research is mainly focused on quality of care and impact of regulations and financial incentives on quality of care received among older adults in the long term care settings.
Susan Miller, PhD
Dr. Miller is a Professor of Health Services, Practice and Policy at the Center for Gerontology and Health Care Research, Brown University School of Public Health. Dr. Miller’s primary research interests include nursing home palliative and end-of-life care, culture change in nursing homes, and long-term care quality and utilization.
Peter Veazie, PhD
Dr. Veazie is an Associate Professor in the Department of Public Health at the University of Rochester. Dr. Veazie's research interests include decision behavior of health care providers and patient, health outcomes, the influence of social and organizational systems on such behavior and outcomes, and statistical methods.
Darryl Wieland, PhD, MPH
Dr. Wieland is a Senior Research Scientist at the Center for Population Health and Aging at Duke Population Research Institute. The career interests of Dr. Wieland include geriatrics and gerontology, with a specific focus on health and social services for older people. As a part-time analyst at the Geriatrics and Extended Care Data and Analysis Center through the Durham VAMC, Dr. Wieland's work focuses on VA non-institutional care programs. Dr. Wieland is also a Senior Fellow at the Duke Center for Aging and Human Development, and Senior Research Scientist in the Center for Population Health and Aging, conducting further PACE research, and evaluating new federal initiatives on geriatric workforce development.
Sharon Dally, MS
Sharon is a Research Associate for the VA Health Economics Resource Center (HERC). Ms. Dally's research interests include efficient coding techniques for management and analysis of administrative health care data.
Rajesh Makineni, MSc
Rajesh is a Senior Programmer and Statistical Analyst for the Center for Gerontology and Healthcare Research at Brown University.
Winifred Scott, MPH, BS
Winifred is a programmer at the Health Economics Resource Center (HERC) located on the VA Palo Alto Health Care System’s Menlo Park, CA, campus. Winifred’s research interests include measuring health care quality, hospital acquired infections, and the impact of the Veterans Choice Program on health care utilization.