Learning from mental health provider perspectives about Veterans Affairs community living center mental health integration and teamwork during the pandemic

Abstract: The Department of Veterans Affairs requires integrated mental health (MH) services across programs, including 132 facility nursing homes (community living centers, CLCs). …

Nursing home to home pilot program: Supporting Veterans by facilitating and monitoring return to the community

Abstract: OBJECTIVES: As the US veteran population rapidly ages, the Department of Veterans Affairs (VA) is exploring innovative approaches to ensure veterans age at home. In 2023, …

Implementing a new multidisciplinary, remote, dementia staff training program for Veterans affairs nursing homes

Abstract: Background: Preventing Loss of Independence through Exercise (PLIÉ) is a group program for people living with dementia that combines movements to support daily function …

Equity and inclusion for LGBTQ+ residents: Lessons learned from the initial long-term care equality index (LEI)

Abstract: Objectives: Most older adults with lesbian, gay, bisexual, queer, questioning, transgender, and related identities (LGBTQ+) are concerned about receiving lower-quality …

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, …

Improving safety and preventing falls using an evidence-based, front-line staff huddling practice: protocol for a pragmatic trial to increase quality of care in state Veterans homes

Abstract: INTRODUCTION: Falls in nursing homes are a major cause for decreases in residents' quality of life and overall health. This study aims to reduce resident falls by …

Covid-19 infection and mortality in state Veterans homes: A multilevel approach

Abstract: Objectives: Some state veterans homes (SVHs) received media attention in the wake of the COVID-19 pandemic because of allegations of poor infection control and excess …

Factors related to higher and lower performance and adherence in STAR-VA program sustainment in Department of Veterans Affairs (VA) Community Living Centers (CLCs)

Abstract: OBJECTIVES: We identify factors associated with sustainment of an intervention (STAR-VA) to address distress behaviors in dementia (DBD), guided by the Organizational …

Implementation lessons learned: Distress behaviors in dementia intervention in Veterans Health Administration

Abstract: BACKGROUND AND OBJECTIVES: Evidence-based practices to manage distress behaviors in dementia (DBD) are not consistently implemented despite demonstrated effectiveness. …

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 …

Quality improvement efforts in VA community living centers following public reporting of performance

Abstract: For two decades, the U.S. government has publicly reported performance measures for most nursing homes, spurring some improvements in quality. Public reporting is new, …

Systolic blood pressure, antihypertensive treatment, and cardiovascular and mortality risk in VA nursing home residents

Abstract: Optimal systolic BP (SBP) control in nursing home residents is uncertain, largely because this population has been excluded from clinical trials. We examined the …