Evaluating spoke facilitation costs of implementing TelePain in the Veterans Health Administration
At spoke sites where patients were consistently referred and reached, costs were relatively modest, particularly compared to the high cost of untreated chronic pain, suggesting the potential impact of this model at scale. However, in spoke sites where referrals and encounters were low during initial implementation, cost per patient was high. Findings highlight the need for better methods for tailoring of facilitation interventions to spoke site's individual needs to maximize impact.
Authors
- Jess Indresano
- Steven B. Zeliadt (ORCID: https://orcid.org/0000-0003-3900-743X)
- Alexandra L. Rose (ORCID: https://orcid.org/0000-0001-9689-0834)
- Jessica A. Chen (ORCID: https://orcid.org/0000-0003-0415-3701)
- Shaina Coogan
Institutions
- University of Washington (US)
- VA Puget Sound Health Care System (US)
- Department of Health (TW)
- University of Maryland, College Park (US)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1186/s43058-025-00729-6
- Primary Topic
- Telemedicine and Telehealth Implementation
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Quality Enhancement Research Initiative