Given persistent gaps in coordination of care for medically complex primary care patients, efficient strategies are needed to promote better care coordination.
 
  The Coordination Toolkit and Coaching project compared two toolkit-based strategies of differing intensity to improve care coordination at VA primary care clinics.
 
  Multi-site, cluster-randomized QI initiative.
 
  Twelve VA primary care clinics matched in 6 pairs.
 
  We used a computer-generated allocation sequence to randomize clinics within each pair to two implementation strategies. Active control clinics received an online toolkit with evidence-based tools and QI coaching manual. Intervention clinics received the online toolkit plus weekly assistance from a distance coach for 12 months.
 
  We quantified patient experience of general care coordination using the Health Care System Hassles Scale (primary outcome) mailed at baseline and 12-month follow-up to serial cross-sectional patient samples. We measured the difference-in-difference (DiD) in clily significant; coaching did not improve patient experience of care coordination relative to the toolkit alone.
 
  Although coached clinics attempted more or more complex QI projects and used more tools than non-coached clinics, coaching provided no additional benefit versus the online toolkit alone in patient-reported outcomes.
 
  ClinicalTrials.gov identifier NCT03063294.
 ClinicalTrials.gov identifier NCT03063294.
  Junior to mid-career medical faculty often move into administrative and leadership roles without formal leadership training. Many national leadership training programs target senior rather than junior faculty.
 
  To address the leadership development needs of junior and mid-career faculty.
 
  Sessions at annual meetings combined with online learning, independent work, and leadership coaching.
 
  79 junior-mid-career general internal medicine (GIM) faculty enrolled in five consecutive annual cohorts from 2014 to 2018.
 
  LEAD scholars participate in a full-day anchor session followed by selected workshops during the annual meeting. They then participate in monthly online sessions, complete a project, interview a senior leader, and receive leadership coaching from senior GIM faculty.
 
  Post-program evaluation indicated the LEAD program was effective in helping participants understand what it means to be a good leader (93%, 37/40), become a more reflective leader (90%, 35/39), and apply principles of leadership to increase effectiveness in their role (88%, 34/39).
 
  LEAD provides junior-mid-career medical faculty an opportunity to learn effective leadership skills and build a network.
 LEAD provides junior-mid-career medical faculty an opportunity to learn effective leadership skills and build a network.
  In the US, the median age of adults experiencing homelessness and incarceration is increasing. Little is known about risk factors for incarceration among older adults experiencing homelessness.  https://www.selleckchem.com/products/anidulafungin-ly303366.html  To develop targeted interventions, there is a need to understand their risk factors for incarceration.
 
  To examine the prevalence and risk factors associated with incarceration in a cohort of older adults experiencing homelessness.
 
  Prospective, longitudinal cohort study with interviews every 6 months for a median of 5.8 years.
 
  We recruited adults ≥50 years old and homeless at baseline (n=433) via population-based sampling.
 
  Our dependent variable was incident incarceration, defined as one night in jail or prison per 6-month follow-up period after study enrollment. Independent variables included socioeconomic status, social, health, housing, and prior criminal justice involvement.
 
  Participants had a median age of 58 years and were predominantly men (75%) and Black (80%). Seventy percent had at least one chroniness.
 Older adults experiencing homelessness have a high risk of incarceration. There is a need for targeted interventions addressing substance use, homelessness, and reforming parole and probation in order to abate the high ongoing risk of incarceration among older adults experiencing homelessness.
  VA clerks, or medical support assistants (MSAs), are a critical part of patients' primary care (PC) experiences and are often the first points of contact between Veterans and the healthcare system. Despite the important role they might play in assisting Veterans with accessing care, research is lacking on the specific tasks they perform and what training and preparation they receive to perform their roles.
 
  Our primary aim in this study was to document MSA perceptions of their roles, the tasks they undertake helping Veterans with accessing healthcare, and additional training they may need to optimally perform their role.
 
  Thematic analysis of semi-structured qualitative interviews with VA call center and PC MSAs (n=29) collected as part of in-person site visits from August to October 2019.
 
  MSAs at administrative call centers and primary care clinics in one large VA regional network representing 8 healthcare systems serving nearly 1.5 million Veterans.
 
  We identified three key findings from the interviel be increasingly important for shaping patient experiences. Our research suggests that MSAs may need better training and preparation for the roles they perform assisting Veterans with accessing care, coupled with an intentional approach by healthcare systems to address MSAs' concerns about recognition/compensation. Future research should explore the potential for enhanced MSA customer service training to improve the Veteran patient experience.
  Diabetes mellitus (DM) is a leading contributor to morbidity and mortality in the United States (US). Prior DM prevalence estimates in Asian Americans are predominantly from Asians aggregated into a single group, but the Asian American population is heterogenous.
 
  To evaluate self-reported DM prevalence in disaggregated Asian American subgroups to inform targeted management and prevention.
 
  Serial cross-sectional analysis.
 
  Respondents to the US Behavioral Risk Factor Surveillance System surveys who self-identify as non-Hispanic Asian American (NHA, N=57,001), comprising Asian Indian (N=11,089), Chinese (N=9458), Filipino (N=9339), Japanese (N=10,387), and Korean Americans (N=2843), compared to non-Hispanic White (NHW, N=2,143,729) and non-Hispanic Black (NHB, N=215,957) Americans.
 
  Prevalence of self-reported DM. Univariate Satterthwaite-adjusted chi-square tests compared the differences in weighted DM prevalence by sociodemographic and health status.
 
  Self-reported fully adjusted DM prevalence was 8.