Date of Award
Summer 8-1-2025
Embargo Period
9-1-2027
Document Type
Dissertation - MUSC Only
Degree Name
Doctor of Health Administration
Department
Health Administration
College
College of Health Professions
First Advisor
Jillian Harvey
Second Advisor
Kit Simpson
Third Advisor
Daniel Brinton
Abstract
Veterans aged 55+ face higher self-inflicted mortality (SIM) risks, worsened by chronic conditions, adverse social determinants of health (SDoH), and fragmented care. This doctoral project proposes a Positive Sum Model of Care integrating Chronic Care Special Needs Plans (C-SNPs) with value-based interventions to enhance chronic disease management and reduce SIM. A mixed-methods study, including a scoping review and expert focus groups, examines model effectiveness, barriers, and stakeholder collaboration. Findings highlight multidisciplinary teams, telehealth, and SDOH-focused benefits, increasing engagement (40% rural access) and reducing costs (20% hospitalizations). CMS policy expansion for veteran-specific C-SNPs is recommended.
Recommended Citation
Blackwell, Roger W., "Mitigating Self-Inflicted Mortality Among Senior Veterans Aged 55 and Older with Chronic Conditions: An Exploration of an Innovative Positive-Sum Model Framework Leveraging Chronic Condition Special Needs Plans for Evidence-Based, Multidisciplinary Coordinated Care" (2025). MUSC Theses and Dissertations. 1076.
https://medica-musc.researchcommons.org/theses/1076
Rights
Copyright is held by the author. All rights reserved.