Accepted for Publication: May 21, 2013.
Published Online: September 11, 2013. doi:10.1001/jamasurg.2013.3580.
Study concept and design: Bakaeen, Kelly, Chu, Ward, Holman.
Acquisition of data: Bakaeen.
Analysis and interpretation of data: Bakaeen, Kelly, Chu, Jessen, Holman.
Drafting of the manuscript: Bakaeen, Kelly, Holman.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Bakaeen, Jessen.
Obtained funding: Bakaeen.
Administrative, technical, or material support: Bakaeen, Kelly, Ward, Holman.
Study supervision: Bakaeen, Chu, Holman.
Conflict of Interest Disclosures: None reported.
Funding/Support: The Michael E. DeBakey VA Medical Cardiovascular Center of Excellence funded this study. The CICSP-X study (the cardiac portion of VASQIP) was initially funded by VA Health Services Research and Development grant IHY 99214-1 (Laurie Shroyer, PhD, principal investigator), with ongoing support from the Office of Patient Care Services, VA Central Office, Washington, DC. This project was supported in part by the Offices of Research and Development at the Northport and Eastern Colorado Health Care System Denver Veterans Affairs Medical Centers. Special acknowledgment is given to Randy Johnson, MS, Lisa Schade, MSHA, and Missy Bell, MBA, MSHA, the team members responsible for the CICSP-X access to care report sections, working under the leadership of Gerald McDonald, MD (VA Central Office).
Role of the Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Previous Presentation: This study was presented at the Association of VA Surgeons Meeting; April 22, 2013; Milwaukee, Wisconsin.
Disclaimer: The opinions expressed are those of the authors and not necessarily those of the Department of Veterans Affairs or the US government.
Additional Contributions: We acknowledge the members of the VA Surgical Quality Data Use Group for their role as scientific advisors and for critical review of data use and analysis presented in this article. Stephen N. Palmer, PhD, ELS, of the Section of Scientific Publications at the Texas Heart Institute, contributed to the editing of the manuscript.