Abstract:
:The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from providing long-term custodial care to short-term rehabilitative and post-acute care, with safe and timely discharge to the community. However, a concurrent VA hospice and palliative care expansion resulted in an increase in hospice stays, the most notable change in type of stay during this time period. Nevertheless, outcomes for Veterans with non-hospice short and long stays, such as successful discharge to the community, improved. We discuss the implications of our results for simultaneous implementation of two initiatives in VA CLCs.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Thomas KS,Cote D,Makineni R,Intrator O,Kinosian B,Phibbs CS,Allen SMdoi
10.1080/08959420.2017.1414538subject
Has Abstractpub_date
2018-03-01 00:00:00pages
93-108issue
2eissn
0895-9420issn
1545-0821journal_volume
30pub_type
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