COIN Investigators & Staff - Seattle-Denver Center of Innovation (COIN)
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Seattle-Denver Center of Innovation (COIN)

Menu
Menu

Quick Links

Veterans Crisis Line Badge
My healthevet badge
 

COIN Investigators & Staff

COIN Investigators

 

Evan Paul Carey, PhD, MS
Title: COIN investigator and lead quantitative efforts for VACE
Assistant Professor, Department of Biostatistics and Informatics
Contact: evan.carey@va.gov
Location: Denver
University of Colorado webpage
See Dr. Carey's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
I am a quantitative scientist who works in research and operations roles to understand how different models of care impact access to care and quality of care for US Veterans. I implement modern methods in causal inference and high-capacity modeling to understand population health.
I work to improve the health of our nations Veterans to serve those who have served us.
I hope to generate quantitative tools that enable the efficient and equitable delivery of health care for our nations Veterans, thereby reducing health inequalities.

The following images visualize Dr. Carey's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Carey's publication titles indicate his primary work is care of Veterans
Word cloud from pub titles
Dr. Carey's collaborations are primarily from the University of Colorado
Research collaboration map
The following research fields have been used to summarize Dr. Carey's publications and grants. The categories are based on 35 publications and 5 grants.
Publications Grants
Clinical Research Health Services
Health Services Clinical Research
Cardiovascular Cardiovascular
Heart Disease Heart Disease
Patient Safety Comparative Effectiveness Research
Clinical Trials and Supportive Activities  
Mental Health  
Behavioral and Social Science  
Prevention  
Pain Research  

Return to Top

Recent Publications

 

2022

 

Smilowitz NR, Carey EP, Shah B, Hartigan PM, Plomondon ME, Maron DJ, Maddox TM, Spertus JA, Mancini GBJ, Chaitman BR, Weintraub WS, Sedlis SP, Boden WE; COURAGE Trial Investigators and VA CART CL. Comparison of Characteristics and Outcomes of Veterans With Stable Ischemic Heart Disease Enrolled in the COURAGE Trial Versus the Veterans Affairs Clinical Assessment, Reporting, and Tracking Program. Am J Cardiol. 2022 Jul 30:S0002-9149(22)00699-3. doi: 10.1016/j.amjcard.2022.06.049. Epub ahead of print. PMID: 35918234.
Learn more about this publication on Dimensions

O'Hare AM, Butler CR, Laundry RJ, Showalter W, Todd-Stenberg J, Green P, Hebert PL, Wang V, Taylor JS, Van Eijk M, Matthews KL, Crowley ST, Carey E. Implications of Cross-System Use Among US Veterans With Advanced Kidney Disease in the Era of the MISSION Act: A Qualitative Study of Health Care Records. JAMA Intern Med. 2022 May 16. doi: 10.1001/jamainternmed.2022.1379. Epub ahead of print. PMID: 35576068.
Learn more about this publication on Dimensions

Fortney JC, Carey EP, Rajan S, Rise PJ, Gunzburger EC, Felker BL. A Comparison of Patient-Reported Mental Health Outcomes for the Department of Veterans Affairs' Regional Telehealth and Community Care Programs. Health Serv Res. 2022 Apr 25. doi: 10.1111/1475-6773.13993. Epub ahead of print. PMID: 35467011
Learn more about this publication on Dimensions

Horn CB, O'Malley JF, Carey EP, Culhane JT. Hospital-Acquired Condition Rate of Admitting Facility Does Not Predict Mortality in Traumatically Injured Patients. Cureus. 2022 Apr 7;14(4):e23908. doi: 10.7759/cureus.23908. PMCID: PMC9088883. PMID: 35547464
Learn more about this publication on Dimensions

Carey E, Chen HP, Baker D, Blankenhorn R, Vega RJ, Ho M, Munro S. The Association between Non-Ventilator Associated Hospital Acquired Pneumonia and Patient Outcomes Among U.S. Veterans. Am J Infect Control. 2022 Feb 26:S0196-6553(22)00102-X. doi: 10.1016/j.ajic.2022.02.023. Epub ahead of print. PMID: 35231564.
Learn more about this publication on Dimensions

Seal KH, Bertenthal D, Carey E, Grunfeld C, Bikle DD, Lu CM. Association of Vitamin D Status and COVID-19-Related Hospitalization and Mortality. J Gen Intern Med. 2022 Jan 1:1–9. doi: 10.1007/s11606-021-07170-0. Epub ahead of print. PMCID: PMC8723909. PMID: 34981368.
Learn more about this publication on Dimensions

2021

 

Munro SC, Baker D, Giuliano KK, Sullivan SC, Haber J, Jones BE, Crist MB, Nelson RE, Carey E, Lounsbury O, Lucatorto M, Miller R, Pauley B, Klompas M. Nonventilator hospital-acquired pneumonia: A call to action. Infect Control Hosp Epidemiol. 2021 Aug;42(8):991-996. doi: 10.1017/ice.2021.239. Epub 2021 Jun 9. PMID: 34103108.

Carey E, Blankenhorn R, Chen P, Munro S. Non-Ventilator Associated Hospital Acquired Pneumonia Incidence and Health Outcomes Among U.S. Veterans from 2016-2020. Am J Infect Control. 2021 Jun 8:S0196-6553(21)00399-0. doi: 10.1016/j.ajic.2021.06.001. Epub ahead of print. PMID: 34116083.

Griffith MF, Chen HP, Bekelman DB, Feemster LC, Spece LJ, Donovan LM, Au DH, Carey EP. Comorbid Anxiety and Depression, Though Underdiagnosed, Are Not Associated with High Rates of Low-Value Care in Patients with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2021 Mar;18(3):442-451. doi: 10.1513/AnnalsATS.201912-877OC. PMCID: PMC7919148. PMID: 33306930.

2020

 

Frank JW, Carey E, Nolan C, Hale A, Nugent S, Krebs EE. Association Between Opioid Dose Reduction Against Patients' Wishes and Change in Pain Severity. J Gen Intern Med. 2020 Dec;35(Suppl 3):910-917. doi: 10.1007/s11606-020-06294-z. Epub 2020 Nov 3. PMCID: PMC7728978. PMID: 33145690.

2019

 

Donovan LM, Coggeshall SS, Spece LJ, Griffith MF, Palen BN, Parsons EC, Todd-Stenberg JA, Glorioso TJ, Carey EP, Feemster LC, Zeliadt SB, Kirsh S, Au DH. Use of In-Laboratory Sleep Studies in the Veterans Health Administration and Community Care. Am J Respir Crit Care Med. 2019 Sep 15;200(6):779-782. doi: 10.1164/rccm.201902-0313LE. PMCID: PMC7330508. PMID: 31206308.

Frank JW, Carey E, Nolan C, Kerns RD, Sandbrink F, Gallagher R, Ho PM. Increased Nonopioid Chronic Pain Treatment in the Veterans Health Administration, 2010-2016. Pain Med. 2019 May 1;20(5):869-877. doi: 10.1093/pm/pny149. PMID: 30137520.

Return to Top

Media (Video, Podcast, Other)

 

The Arranged Marriage between Innovation and Research: Lessons Learned from the FLOW3/VACE Partnership

18 May 2020

by Evan Carey, PhD ; Jeffrey Heckman, DO ; Chelsea Leonard, PhD

Description: FLOW3 is a VA developed innovation that leverages VA EMR infrastructure to incorporate and streamline the step-wise process for prosthetic limb care. The purpose of FLOW3 is to 1) improve accuracy, efficiency, consistency, and timeliness of the provision of artificial limbs to Veterans with limb loss, 2) improve data systems that manage and report on artificial limb provision, 3) improve employee satisfaction, and 4) improve the Veteran patient experience. To understand and evaluate implementation and impacts of FLOW3 on prosthetic limb care as it spread enterprise-wide, the FLOW3 operations team partnered with an evaluation team. Our partnership has resulted in a nuanced understanding of how a research-operational partnership can contribute to the use of data in a Learning Healthcare System, including identification of data sources to evaluate various aspects of an operations or clinical initiative and describing a standardized process for using and validating electronic health record data. Further, we have developed insight into the synergy of research-operational partnership; both research and operations are enhanced by understanding perspectives and methods of the other.

Objectives:
-Present experiential learning of the FLOW3 operations team in development and implementation of a novel program at VA.
-Describe impact of incorporating RE-AIM framework for understanding and development of high value data metrics
-Discuss lessons learned from operationalizing a dashboard using VA data and information systems to monitor and facilitate implementation.

DOWNLOAD: PDF handout | Audio only (mp3)

 

Caring for Veterans reporting Chronic pain: Provider experiences and trends in the prevalence of chronic pain

by Evan Carey, PhD ; Chelsea Leonard, PhD
Seminar date: 4/3/2018

Watch on HSR&D website

Return to Top

Grants & Funding

 

VA Diffusion of Excellence: VA Polypharmacy and VIONE Evaluation

Role: PI
Period: 10/01/2021 – 9/30/2023
Funding: $379,516
Description: This mixed methods evaluation will identify the impact of polypharmacy on Veteran outcomes, as well as de-prescribing efforts in the VA and the impact on Veteran outcomes.

 

Office of Rural Health: Oral Telemedicine Evaluation

Role: Quantitative Methodologist
Period: 10/1/2021 - 9/31/2022
Funding: $208,463.00
Description: The goal of oral telemedicine is to provide all veterans across the nation with expert consultation from board certified specialists in oral pathology, oral medicine, and oral and maxillofacial surgery. This unique service is currently only available at the San Francisco VAHCS due to the scarcity of oral pathology and oral medicine specialists. The Evaluation will explore the implementation of the Oral Telemedicine using the Re-AIM framework and provide barriers and facilitators to enhance the implementation across VHA.

 

VA QUERI Partnered Evaluation Initiative (PEC 21-128): Evaluating the National Implementation of Virtual Interdisciplinary Pain Care Teams – TelePain

Role: Co-I
Number: I50 HX003430
Period: 4/2021 – 3/2024
Funding: $150,000.00
Description: The proposed evaluation uses a rigorous prospective design to evaluate the impact of virtual interdisciplinary pain management teams (TelePain) on clinical outcomes for veterans, access to care, and costs to VA.

 

VA HSRD / OCC: Understanding and Overcoming the Digital Divide in Specialty Care Following the onset of COVID-19

Role: PI
Number: OCC-21-06
Period: 1/1/2021 - 9/30/2022
Funding: $379,516.00
Description: The OCC_DigitalDivide project will leverage machine learning modeling to identify segments of the Veteran population who are at an increased risk of losing access to chronic pain care related outpatient care in the context of shifts to virtual care in the COVID-19 era.

 

Virtual Care QUERI Program: Implementing and Evaluating Technology Facilitated Clinical Interventions to Improve Access to High Quality Specialty Care for Rural Veterans.

Role: Co-I, rapid response team lead
Number: QUE 20-07
Period: 10/1/2020 - 9/30/2025

 

VA: Community Care for Veterans with Advanced Kidney Disease

Role: Co-I
Number: IIR 18-032
Period: 12/1/2019 - 11/30/2023
Description: The goal of this study is to quantify the impact of contemporary VA community care policy on care and outcomes for Veterans with advanced kidney disease and identify opportunities to improve care coordination.

 

VA Office of Rural Health: Project Atlas Rural Telehealth National Evaluation & Review (PARTNER)

Role: Quantitative Methodologist
Period: 10/1/2019 - 9/30/2022
Funding: $900,000.00

 

VA HSR&D: Denver-Seattle Center of Innovation for Veteran-centric and Value driven care

Role: Methodologist
Number: CIN 13-402
Period: 10/1/2013 – 9/30/2023
Description: This is a VA HSR&D Center of Innovation (COIN) funded to conduct outstanding health services research that promotes Veteran-centered and value-driven care, generate and disseminate knowledge that contributes to the well-being of Veterans, partner with VA policy and operational leaders to implement research findings into clinical care, and train the next generation of health services researchers and leaders.