Senior Coordinated Referral Study

Completed

Conditions studied: Aged

In brief

Long-term care (LTC) can be defined as the range of institutional and home and community-based services that support individuals needing chronic care. The defining values of LTC in the VA include caring for patients in the "least restrictive environment consistent with meeting a patient's needs". VA faces an increasing demand for these services with the growing number of veterans 85 years and older, those most in need of LTC. Yet in fiscal year 2007, 87% of the 3.5 billion total VA dollars spent on LTC went to institutional care rather than the less restrictive Home and Community Based Services (HCBS). VA Central Office has formally committed to tripling the proportion of LTC that is HCBS between 1999 and 2011. Study Objectives: (1) Develop and test measures of patient/caregiver and provider satisfaction. (2) Develop and test measures of process and cost of the LTC referrals. Methods: Three VAMCs in VISN 11 are the study setting. This study was conducted from October 2007-June 2010 and utilized a variety of data sources throughout this timeframe. Data sources included: the Geriatric Extended Care form, telephone and in-person interviews, online and paper surveys, Extended Care Screening Committee meeting minutes, and technical reports from the Health Economics Resource Center. Status: Complete.

Key facts

Study ID

NCT00404118

Run by

VA Office of Research and Development

People needed

543

Starts

2007-09-25

Expected to finish

2010-06-30

Last updated by the study team

2017-06-06

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Veteran with completed Geriatrics and Extended Care Referral Form in data base at study site

You may not qualify if…

• Inability to complete telephone interview

Where it is running

• VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
• Battle Creek VA Medical Center, Battle Creek, MI — Battle Creek, Michigan, United States
• John D. Dingell VA Medical Center, Detroit, MI — Detroit, Michigan, United States
• VA Puget Sound Health Care System Seattle Division, Seattle, WA — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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