Successful Discharge of Short Stay Veterans from VA Community Living Centers

被引：0
|
作者：
Gozalo, Pedro L. [1 ,2 ]
Inrator, Orna [3 ,4 ]
Phibbs, Ciaran S. [5 ,6 ,7 ]
Kinosian, Bruce [8 ,9 ]
Allen, Susan M. [1 ,2 ]
机构：
[1] US Dept Vet Affairs Med Ctr, Ctr Innovat Long Term Serv & Supports, Providence, RI 02907 USA
[2] Brown Univ, Sch Publ Hlth, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA
[3] Univ Rochester, Sch Med & Dent, Dept Publ Hlth Sci, Rochester, NY USA
[4] Canandaigua VA Med Ctr, Geriatr & Extended Care Data & Anal Ctr GEC DAC, Canandaigua, NY USA
[5] Palo Alto VA Hlth Care Syst, Hlth Econ Resource Ctr, Palo Alto, CA USA
[6] Stanford Univ, Sch Med, Ctr Innovat Implementat, Palo Alto, CA 94304 USA
[7] Palo Alto VA Hlth Care Syst, Geriatr & Extended Care Data & Anal Ctr, Palo Alto, CA USA
[8] Univ Penn, Div Geriatr, Philadelphia, PA 19104 USA
[9] Corporal Michael Crescenz Vet Affairs Med Ctr, Geriatr & Extended Care Data & Anal Ctr GEC DAC, Philadelphia, PA USA
来源：
JOURNAL OF AGING & SOCIAL POLICY | 2022年 / 34卷 / 05期
关键词：
Veterans Health Administration; long-term care; community living centers; Veterans; successful discharge; LONG-TERM-CARE; HOME; FACILITIES; QUALITY;
D O I：
10.1080/08959420.2022.2111169
中图分类号：
R4 [临床医学]; R592 [老年病学];
学科分类号：
1002 ; 100203 ; 100602 ;
摘要：
The Veterans Health Administration (VHA) long-term care rebalancing initiative encouraged VA Community Living Centers (CLCs) to shift from long-stay custodial-focused care to short-stay skilled and rehabilitative care. Using all VA CLC admissions during 2007-2010 categorized as needing short-stay rehabilitation or skilled nursing care, we assessed the patient and facility rates of successful discharge to the community (SDC) of these short-stay Veterans. We found large variation in inter- as well as intra- facility SDC rates across the rehabilitation and skilled nursing short-stay cohorts. We discuss how our results can help guide VHA policy directed at delivering high-quality short-stay CLC care for Veterans.
引用
收藏
页码：690 / 706
页数：17
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