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Care Coordination/Home Telehealth to Support the Care of Veteran Patients with Chronic Conditions

Care Coordination/Home Telehealth to Support the Care of Veteran Patients with Chronic Conditions. Adam Darkins, Chief Consultant for Care Coordination, The Department of Veterans Affairs December 17, 2008. Care Coordination/Home Telehealth.

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Care Coordination/Home Telehealth to Support the Care of Veteran Patients with Chronic Conditions

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  1. Care Coordination/Home Telehealth to Support the Careof Veteran Patients with Chronic Conditions Adam Darkins, Chief Consultant for Care Coordination, The Department of Veterans Affairs December 17, 2008

  2. Care Coordination/Home Telehealth • Mission: To ensure the right patient receives the right care in the right place at the right time. • Vision: To change the location of care whenever safe, appropriate and cost-effective with the intent of making the home and local community the preferred place of care for veteran patients if this is their preference.

  3. TELEHEALTH IN VHA General “Real-Time” Telehealth (CCGT) Home Telehealth (CCHT) Store-and-Forward (CCSF)

  4. Veteran Population Age 85 and Over2000-2020

  5. AUTHORITY AND ELIGIBILITY NON – INSTITUTIONAL CARE • VA is authorized by statute (Eligibility Reform Act, Millennium Act) and required by regulation (38CFR17.38(a)(1)) to provide non-institutional home and community-based extended care as part of the VA medical benefits package. • VA policy is to provide non-institutional services to all enrolled veterans who need them. • Eligibility is not restricted by age. • All enrolled veterans who need such services are entitled to have access to them regardless of priority status • VA policy is to provide care in the least restrictive setting that is safe for the veteran. • Some veterans may be required to pay a co-payment for certain services.

  6. Care Coordination/Home Telehealth Vital sign data Disease management data E-health information HOME National VHA Care Coordination Infrastructure Telecom server Databases Health data repository Data is linked to Intranet and sent to VistA Ethernet 56k DSL Cable VSB Patient Caregiver or Care Provider takes measurements Firewall Encryption PKI Intranet Hospital Internet

  7. Utilization Measure = Bed Days of Care

  8. Utilization Measure = Bed Days of Care

  9. Summary Outcomes Outcomes data for a cohort of 17,025 CCHT patients comparing 6 months post entry into program with previous indices. Source routine CCHT data for program management

  10. SUPPORTING INFRASTRUCTURE

  11. COLLABORATIONS PCS OQP DSS EES ORH ONS OIT CCS

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