Between July 2003 and December 2007, the Veterans Health Administration (VHA) introduced a national home telehealth program, Care Coordination/Home Telehealth (CCHT). Its purpose was to coordinate care of veteran patients with chronic conditions avoid their unnecessary admission long-term institutional care. Demographic changes in population necessitate VHA increase its noninstitutional (NIC) services 100% above 2007 level provide for 110,000 NIC by 2011. By 2011, CCHT will meet 50% VHA's...

The Rural Home Care Project is one of eight clinical demonstration pilots in an initiative the Veterans Health Administration (VHA) Sunshine Network Florida and Puerto Rico. In this project three care coordinators consisting two nurse practitioners a social worker collaborate with primary providers management high-risk, high-cost veterans multiple chronic diseases such as diabetes heart failure. staff uses home telehealth devices to monitor educate patients prevent health crises. evaluation...

The Veterans Administration (VA’s) telerehabilitation program, Low Activities of Daily Living Monitoring Program (LAMP), was evaluated for its effects on healthcare costs. Patients in this program receive adaptive equipment use the home. LAMP coordinators monitored their patients remotely and provided self-management strategies. This group compared to a that received standard VA care. Using actual costs analyses, increase clinic visits post-intervention with decreases hospital nursing stays....

Beginning in April 2000, eight clinical demonstration projects were funded for 2 years within the Sunshine Network of Veterans Health Administration (VHA) to test disease management principles, care coordinator role, and effective use technology maintain veterans their homes. Five these focused on complex medical/chronic populations. Seven hundred ninety-one recruited five enrolled Community Care Coordination Service (CCCS). The program was conceptualized around designed by network field...

This study examined the effectiveness of a veterans affairs (VA) patient-centered care coordination/home-telehealth (CC/HT) program as an adjunct to treatment for with diabetes. Using adapted version Chronic Care Model, we analyzed differences in healthcare service use between cohort 400 diabetes who were enrolled VA CC/HT and matched comparison received no intervention. Propensity scores used improve balance groups. Service outcomes assessed at 12 months before after enrollment. A...

We evaluated a Veterans Health Administration (VHA) care coordination/ home-telehealth (CC/HT) program on the utilization of health services and health-related quality life (HRQL) in veterans with diabetes. Administrative records 445 diabetes were reviewed to compare service 1-year period before post-enrollment also examined self-reported HRQL at enrollment 1 year later. Multivariate analyses indicated statistically significant reduction proportion patients who hospitalized (50% reduction),...

The 2001 Institute of Medicine report indicted that the US healthcare system fails to provide high-quality care, and offered 6 aims improvement would redesign delivery care for 21st century. This study compared use Department Veterans Affairs (VA) inpatient outpatient services cancer patients enrolled in a Cancer Care Coordination/Home-Telehealth (CCHT) program involved remote management symptoms (eg, emotional distress, pain) via home-telehealth technologies control group receiving standard...

This study compared health-related outcomes, during a 1-year period, for two groups of frail elders—one that received care coordination via distance monitoring (home-telehealth) and one no intervention. A case-control design was employed. The home telehealth intervention group made up 111 male veterans who were enrolled in Veterans Health Administration project. control consisted 115 men referred from either senior service agencies or hospital rehabilitation programs, but did not receive...

Although technology has sometimes been the cause of rising healthcare costs, telemedicine proposed as a means to increase productivity in workplace and reduce resource utilization for high-risk populations. The Veterans Health Administration (VHA) April 2000, implemented an expansive initiative its Sunshine Network, covering veterans south Georgia, Florida, Puerto Rico, Virgin Islands through Community Care Coordination Service (CCCS). uses home telehealth support veteran healthcare....

Purpose. The study purpose was to implement a stroke-specific, care coordination home telehealth (CCHT) programme for US veterans with stroke and their family caregivers.

We examined the feasibility of a Cancer Care Dialogues Model, with daily telehealth interactions between patients at home and their care coordinator, who acted as an adjunct to oncologist. The patient coordinator used messaging device, connected via ordinary telephone network. Thirty-four new diagnosis cancer whose treatment plan included chemotherapy taken single clinic were enrolled followed for six months. device collected information on common symptoms associated chemotherapy. On...

We assessed a home monitoring/care coordination programme for veterans with diabetes. Patients enrolled in the ( n = 387) were followed four years and compared retrospective control group 387). Each patient intervention used messaging device that was connected by conventional telephone line. Care coordinators monitored answers from devices daily so early interventions could be made. There significantly more deaths 102, 26%) 75, 19%). longer survival versus (mean time 1348 vs 1278 days; P...

The Advanced Illness/Palliative Care (AIPC) program started as a 2-year pilot project to determine if telehealth model of care would benefit veteran patients with life-limiting illness. goals the were manage physical, emotional, functional, and spiritual needs during last 2 years patients’ lives foster an earlier enrollment into hospice by educating providers about palliative care. AIPC partners skills expertise both medical practitioners, along cutting-edge home devices improve symptom...

The Community Care Coordination Service (CCCS) program was implemented in April, 2000, at the Veterans Integrated Network (VISN 8). goals of CCCS were to improve coordination care for clinically complex patients, referred as veterans, and increase their access while reducing complications, hospital admissions, emergency room (ER) visits. This used a coordinated approach, process whereby veterans followed throughout continuum care. information presented this case study is specific three...

This article describes how the Veterans Health Administration's Community Care Coordination Service developed a technology algorithm to identify patients' specific telehealth needs and benchmark best practices. Patient satisfaction was extremely high, patients used without much difficulty, acceptance greater than expected.

The cancer care dialogues model emphasizes daily telehealth interactions between patients and a coordinator (a registered nurse serving as liaison to the oncologist) assist in management of common chemotherapy-related symptoms at home. We examined impact on age-related differences health-related quality life (HRQOL) among newly diagnosed receiving chemotherapy. assessed HRQOL 34 patients, including 15 older adults (65 years or older) 19 younger who were followed for 6 months. Older...

By its very nature, telehealth relies on technology. Throughout history, as new technologies emerged and afforded people the ability to send information across distances, it was not long before this capability applied most basic need of all: maintaining health. While much early work in driven by technology (e.g., making opportunistic use systems devices that were available at time), recent trends are beginning push demand for development specific individual needs applications. The future...

Organizations that provide training for their employees are interested in translating expenditures into benefits. Even though there several common methodologies used to train employees, finding the right methodology stimulate learning and develop a competent workforce while reducing fiscal burdens can be challenging. One such method continues grow popularity is e-learning. For purpose of this discussion, e-learning refers Internet-based or online training. The Veterans Health...

Patients are exposed to iatrogenic injury when hospitalized. In the Tech Care Coordination Program, older veterans with chronic diseases and high healthcare utilization were followed an in-home technology device, Health Buddy, risk management software. Program staff could identify at-risk patients based on their responses a series of questions about symptoms, behavior, knowledge. in program for at least 6 months experienced 45% decrease hospital admissions, 67% nursing home 54% emergency...

Properly designed randomized controlled trials (RCTs) are the gold standard to use when examining effectiveness of telehealth interventions on clinical outcomes. Some published studies have employed well-designed RCTs. However, such methods not always feasible and practical in particular settings. This white paper addresses only need for properly RCTs, but also offers alternative research designs, as quasi-experimental statistical techniques that can be rigorously assess studies. further...

Abstract Objective: The Veterans Health Administration has one of the largest remote patient monitoring programs in United States and is supported by an enterprise-wide infrastructure for providers, clinicians, staff, Veterans, caregivers. COVID-19 pandemic, however, presented new challenges: a sudden need to provide large-scale disease that did not yet have management protocol. VHA needed be ready within weeks this daily hundreds — even thousands Veterans. Methods: U.S. Department Affairs...