Veterans Health Administration Models of Community-Based Long-Term Care: State of the Science

McConnell, Eleanor S.; Xue, Tingzhong; Levy, Cari

doi:10.1016/j.jamda.2022.10.012

Cited by 7 publications

(4 citation statements)

References 44 publications

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“…Our results are in line with several programmes tested in the primary care teams in the North American continent that have shown the importance of the proactivity of intensive primary care monitoring schemes [16]. One of the best-implemented and validated models is the one used by the US Department of Veterans Affairs [17], which has managed to improve results for patients with high health and social needs. Its most solid model is Home-Based Primary Care [18], which they have shown better accessibility, higher quality and lower costs, mainly resulting from the reduction of hospitalizations.…”

Section: Increased Primary Care Proactivitysupporting

confidence: 86%

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

Mas,

Miralles,

Ulldemolins

et al. 2023

International Journal of Integrated Care

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Introduction:The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain. Methods:We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months prepost impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay.Findings: 264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05). Conclusion:Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (-37.2%) and hospital stays (-38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of -46.3%.

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Section: Increased Primary Care Proactivitysupporting

confidence: 86%

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

Mas,

Miralles,

Ulldemolins

et al. 2023

International Journal of Integrated Care

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“…First, VHA is a leader in developing and testing novel models of care to optimize older adults' health and wellbeing across care settings. [5][6][7] Second, VHA is a leader in translating scientific discoveries and integrating technology into the care of older veterans, and the advancement in telehealth allows for the delivery of evidence-based telehealth delivery to veterans living in rural settings. 8 Third, implementation and dissemination of these innovations occur more rapidly within VHA's integrated health system and have greater opportunity for national impact.…”

Section: Vha Research Is Embedded Within An Integrated Health Systemmentioning

confidence: 99%

“…This model has specific benefits for conducting aging‐focused research. First, VHA is a leader in developing and testing novel models of care to optimize older adults' health and wellbeing across care settings 5–7 . Second, VHA is a leader in translating scientific discoveries and integrating technology into the care of older veterans, and the advancement in telehealth allows for the delivery of evidence‐based telehealth delivery to veterans living in rural settings 8 .…”

Section: Introductionmentioning

confidence: 99%

Veterans Health Administration research in aging: Opportunities for high impact across the academic career

Vaughan

Brown

Hastings

et al. 2023

J American Geriatrics Society

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“…While medication reconciliation is well-established in hospital settings, its implementation in community-based healthcare settings, such as primary care clinics, pharmacies, and long-term care facilities, has been limited (Khartabil, et. al., 2024, McConnell, Xue & Levy, 2022. This gap in care poses significant risks to patient safety, as transitions between healthcare settings are often accompanied by medication changes and potential for errors.…”

Section: Introductionmentioning

confidence: 99%

Implementing community-based medication reconciliation programs in the USA: Enhancing continuity of care and reducing errors

Queen-Mary Akudo Ebugosi,

Janet Aderonke Olaboye

2024

imsrj

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This concept paper proposes the implementation of community-based medication reconciliation programs in the USA to improve continuity of care and reduce medication errors. By engaging patients, caregivers, and healthcare providers in medication reconciliation processes, this paper aims to promote medication safety and enhance healthcare coordination within the community. Community-based medication reconciliation programs are critical for improving healthcare outcomes in the United States by enhancing continuity of care and reducing medication errors. This concept paper explores the implementation of such programs, focusing on their benefits, challenges, and strategies for successful execution. The paper emphasizes the importance of medication reconciliation in preventing adverse drug events and improving patient safety. It reviews existing literature to provide a comprehensive understanding of the subject and identifies gaps in current community-based medication reconciliation programs. Key components of successful implementation are highlighted, including stakeholder engagement, technological support, and patient education. The paper also discusses the role of healthcare providers, pharmacists, and patients in ensuring the effectiveness of these programs. Overall, this concept paper provides valuable insights into the design and implementation of community-based medication reconciliation programs in the USA. By implementing these programs, healthcare organizations can significantly enhance continuity of care, improve patient safety, and reduce medication errors. Keywords: Medication, Community, Care, Patients, Safety, Error, USA.

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Veterans Health Administration Models of Community-Based Long-Term Care: State of the Science

Cited by 7 publications

References 44 publications

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

Veterans Health Administration research in aging: Opportunities for high impact across the academic career

Implementing community-based medication reconciliation programs in the USA: Enhancing continuity of care and reducing errors

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