Abstract: BACKGROUND: The Veterans Affairs Frailty Index (VA-FI) has been implemented in subgroups of U.S. Veterans. The objectives were to operationalize the VA-FI in long-term …
Abstract: PURPOSE: To implement an Age-Friendly Health System (AFHS) in a Veterans Health Administration nursing home using shared decision-making and goal-concordant care, achieve …
Abstract: Objectives: Identifying people with possible dementia in health care systems is important to study outcomes and target improvements in care. This study sought to compare …
Abstract: Background: Modeled after the Physician Orders for Life Sustaining Treatment program, the Veterans Health Administration (VA) implemented the Life-Sustaining Treatment …
Abstract: Introduction: Older adults who are homebound and those in skilled nursing facilities (SNFs) often have limited access to point of care imaging to inform clinical decision …
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 …
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 …
Abstract: Importance: Limited evidence exists on the association between initiation of antihypertensive medication and risk of fractures in older long-term nursing home residents. …
Abstract: Background: Unconfirmed penicillin allergies are common and may contribute to adverse outcomes, especially in frail older patients. Evidence-based clinical pathways for …
Abstract: Guidelines recommend nursing home (NH) residents with cognitive impairment receive less intensive glycemic treatment and less frequent fingerstick monitoring. Our …
Abstract:Â The Veterans Administration (VA) provides several post-acute care (PAC) options for Veterans, including VA-owned nursing homes (called Community Living Centers, CLCs). …
Abstract:Â Sustained implementation of new programs in complex care systems like nursing homes is challenging. This prospective qualitative evaluation examined factors affecting …