• Author: Mary T. Ersek
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Life-sustaining treatment decisions and family evaluations of end-of-life care for Veteran decedents in Department of Veterans Affairs nursing homes

Abstract: Background: Modeled after the Physician Orders for Life Sustaining Treatment program, the Veterans Health Administration (VA) implemented the Life-Sustaining Treatment …

Nursing home star ratings and end-of-life care quality: Lessons learned from the Veterans Health Administration

Abstract: Objectives: More than 25% of deaths among older adults occur in nursing homes. Thus, assessments of nursing home quality, including the widely used 5-star rating systems, …

Associations between Veterans Health Administration nursing home star ratings and quality end of life care

Abstract: Outcomes: 1. Describe gaps in five-star quality rating system in measuring nursing home end-of-life care quality. 2. Identify two areas for improvement and/or active …

Evaluating Feedback Reports to Support Documentation of Veterans’ Care Preferences in Home Based Primary Care

Abstract: Background: To evaluate the effectiveness of delivering feedback reports to increase completion of LST notes among VA Home Based Primary Care (HBPC) teams. The Life …

A comparison of end-of-life care quality for Veterans receiving hospice in VA nursing homes and community nursing homes

Abstract: BACKGROUND: While the Veterans Health Administration (VA) has long provided hospice care within VA community living centers (CLCs, i.e., VA nursing homes), an increasing …

They did not know how to talk to us and it seems that they didn't care: narratives from bereaved family members of black Veterans

Abstract: Racial disparities in the quality of health care services, including end of life (EOL) care, are well-documented. While several explanations for these inequities have …

Barriers and facilitators to goals of care conversations with Veteran residents of community nursing homes

Abstract: Despite evidence that structured goals of care conversations (GoCCs) and documentation of life-sustaining treatment (LST) preferences improve the delivery of …

VA Nursing Home Compare Metrics as an Indicator of Skilled Nursing Facility Quality for Veterans

Abstract: The Veterans Administration (VA) provides several post-acute care (PAC) options for Veterans, including VA-owned nursing homes (called Community Living Centers, CLCs). …

Family Perceptions of Quality of End-of-Life Care for Veterans with Advanced CKD

Abstract: Little is known about the quality of end-of-life care for patients with advanced Chronic Kidney Disease (CKD). The authors describe the relationship between patterns of …

Association of Expanded VA Hospice Care With Aggressive Care and Cost for Veterans With Advanced Lung Cancer

Abstract: Importance: Medicare hospice beneficiaries discontinue disease-modifying treatments because the hospice benefit limits access. While veterans have concurrent access to …