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Virtual Integrated Practice

VIP News and Announcements

In 2004, the second VIP protocol for a chronic condition was implemented for urinary incontinence. Rush physical therapy and occupational therapy staff met to design the identification and intervention protocols for this condition. Patients in VIP intervention practices who are identified as having urinary incontinence or otherwise express such concerns to their physician are being referred to physical and occupational therapists with special training for treating this condition. A number of physicians have used this VIP intervention and therapists report the treatment process has gone well for referred patients.

Recent Dissemination Activities


Four articles on the VIP Program authored by project investigators have been published or are scheduled for publication.

An article on VIP, "Virtual Integrated Practice: Integrating teams and technology to manage chronic disease in primary care," appeared in the February 2003 issue of the Journal of Medical Systems. The article was co-authored by Steven Rothschild, MD, principal investigator, and Stan Lapidos, project manager.

In January of 2004, an article on the role dietitians have played in the VIP Project appeared in Today’s Dietitian. The article described how implementation of the VIP process has improved communication and collaboration between physicians and dietitians leading to increased patient compliance and adherence to dietetic counseling for weight loss and other conditions.

Two other articles have also just been published. The June 2004 issue of the Journal of Clinical Outcomes Management features an article entitled "Using virtual teams to improve the care of chronically ill patients." The article, which VIP investigators were invited to submit, provides an overview of how the VIP process works and what has been achieved and shown to work since implementation.

The July, 2004 issue of Managed Care Interface includes an article on the VIP program authored by Stan Lapidos and Steven Rothschild, MD. The article describes the VIP approach to chronic disease management in primary care settings.


Presentation and information activities on VIP have been have been given by a number of project investigators over the past year.

In 2003, Steven Rothschild, MD Presented on the VIP at the University of Alabama –Birmingham Center for Health Services 3rd annual symposium in Destin, Fla. In December of 2003, Dr. Rothschild presented at the International Conference on Aging and Disability and Independence in Washington, DC. Sponsored by the American Society on Aging.

In September of 2003, project investigator Dr. Lois Halstead gave a presentation on the VIP at the National Conference of Geriatric Nurse Practitioners annual meeting in West Palm Beach, Fla.

Information on the VIP project has also been shared with professionals and colleagues in other countries. Stan Lapidos, VIP project manager, has presented on the VIP to geriatric professionals in Israel and England for the past three years. In 2003, he presented on the VIP project to geriatric staff at Hadassah Hospital in Jerusalem and Western Galilee Hospital in Nahariya, Israel. He also met with staff from the National Health Service in the United Kingdom to share information on the VIP. In August of 2004, Stan Lapidos gave a presentation to social workers representing a half dozen Israeli hospitals and medical clinics at Tel Aviv University.

In June of 2004, Dr. Ann Minnick, a VIP project research investigator, did a poster presentation on the role of nurse coaches in the VIP at the annual meeting of the National Association of Nurse Practitioners in New Orleans.

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