Developing a community of practice to provide care coordination and address health-related social needs for Veterans receiving care in community-based settings: Program development and survey study

Abstract: BACKGROUND: Approximately half of US veterans receive care outside of US Department of Veterans Affairs (VA) Veterans Health Administration facilities-a proportion …

Risk of hospital readmissions and association with receipt of post-hospitalization care coordination services among high-risk Veterans

Abstract: OBJECTIVE: To examine associations between receipt of post-hospitalization care coordination and VA-delivered, VA-purchased, and Medicare fee-for-service hospital …

Veterans’ needs in aged care: Final report

Abstract: This research was undertaken to identify and synthesise existing research on older veterans, and their families’ experiences and needs in aged care. The project was …

Examining the impact of the Veterans Affairs community care program on mental healthcare in rural Veterans: A qualitative study

Abstract: Objective: To investigate provider and administrators' perspectives about the impact of the Department of Veterans Affairs' (VA) Community Care program on acute and …

Evaluating the effectiveness of social workers as lead community care coordinators of a large integrated Veteran Affairs health care system in the Southeast region

Abstract: A Veteran Affairs Health Care System (VAHCS) in the Southeast region implemented the Social Workers as Lead Community Care Coordinators (SWLCCC) program to prevent delays …

The landscape of care for women Veterans with cancer: An evidence map

Abstract: Background: Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this …

Intensity, characteristics, and factors associated with receipt of care coordination among high-risk Veterans in the Veterans Health Administration

Abstract: Background: The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. …

Evaluating an enterprise-wide initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework

Abstract: Introduction: The Veterans Health Administration (VA) Office of Rural Health (ORH) and Office of Women's Health Services (OWH) in FY21 launched a three-year …

Implementation of VA care coordination program to improve transitional care for Veterans post-non-VA hospital discharge: an incremental cost analysis

Abstract: BACKGROUND: The Veterans Affairs (VA) Healthcare System Community Hospital Transitions Program (CHTP) was implemented as a nurse-led intervention to reduce barriers that …

A multilevel analysis of the effect of burnout, workload, and job satisfaction on nursing and organizational outcomes within the Veterans Affairs’ Patient Aligned Care Teams

Abstract: Veterans within the Veterans Health Administration (VHA) experience higher rates of chronic disease and poorer health than non-veterans (Balbale et al., 2016). The …

Patient, caregiving partner, and clinician recommendations for improving heart failure care in the Veterans Health Administration

Abstract: Heart Failure (HF) care requires substantial care coordination between patients, patients' informal caregivers, and clinicians, but few studies have examined …

Veteran families with complex needs: a qualitative study of the veterans’ support system

Abstract: Background: Families with complex needs face significant challenges accessing and navigating health and social services. For veteran families, these challenges are …