scholarly journals Preventing Hospitalization with Veterans Affairs Home-Based Primary Care: Which Individuals Benefit Most?

2017 ◽  
Vol 65 (8) ◽  
pp. 1676-1683 ◽  
Author(s):  
Samuel T. Edwards ◽  
Somnath Saha ◽  
Julia C. Prentice ◽  
Steven D. Pizer
Keyword(s):  
Primary Care ◽  
Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based

scholarly journals Preparedness and response activities of the US Department of Veterans Affairs (VA) home-based primary care program around the fall 2017 hurricane season

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tamar Wyte-Lake ◽  
Claudia Der-Martirosian ◽  
Karen Chu ◽  
Rachel Johnson-Koenke ◽  
Aram Dobalian
Keyword(s):  
Primary Care ◽  
Large Scale ◽  
Care Program ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based ◽  
Early Implementation ◽  
Hurricane Season ◽  
At Risk Populations

Abstract Background Large-scale natural disasters disproportionally affect both the medically complex and the older old, groups that are responsible for most medical surge after a disaster. To understand how to ameliorate this surge, we examined the activities of the nine US Department of Veterans Affairs (VA) Home Based Primary Care (HBPC) programs impacted during the 2017 Fall Hurricane Season. Methods Convergent mixed methods design, incorporating independently conducted qualitative and quantitative analyses. Phase One: 34 clinical staff were interviewed from the nine VA HBPC programs impacted by Hurricanes Harvey, Irma, and Maria to examine the experiences of their HBPC programs in response to the Hurricanes. Phase Two: Secondary quantitative data analysis used the VA’s Corporate Data Warehouse (CDW) to examine the electronic health records of patients for these same nine sites. Results The emergency management activities of the HBPC programs emerged as two distinct phases: preparedness, and response and recovery. The early implementation of preparedness procedures, and coordinated post-Hurricane patient tracking, limited disruption in care and prevented significant hospitalizations among this population. Conclusions Individuals aged 75 or older, who often present with multiple comorbidities and decreased functional status, typically prefer to age in their homes. Additionally, as in-home medical equipment evolves, more medically vulnerable individuals are able to receive care at home. HBPC programs, and similar programs under Medicare, connect the homebound, medically complex, older old to the greater healthcare community. Engaging with these programs both pre- and post-disasters is central to bolstering community resilience for these at-risk populations.

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home‐Based Primary Care Teams Apply to Keep Veterans at Home

2019 ◽  
Vol 67 (12) ◽  
pp. 2511-2518 ◽  
Author(s):  
Leah M. Haverhals ◽  
Chelsea Manheim ◽  
Carrie Gilman ◽  
Jurgis Karuza ◽  
Tobie Olsan ◽  
...  
Keyword(s):  
Primary Care ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based ◽  
Primary Care Teams ◽  
At Home

National Structural Survey of Veterans Affairs Home-Based Primary Care Programs

2017 ◽  
Vol 65 (12) ◽  
pp. 2697-2701 ◽  
Author(s):  
Jurgis Karuza ◽  
Suzanne M. Gillespie ◽  
Tobie Olsan ◽  
Xeuya Cai ◽  
Stuti Dang ◽  
...  
Keyword(s):  
Primary Care ◽  
Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based
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