Health Services Research & Development

• Maust DT, Kim HM, Chiang C, Kales HC. Association of the Centers for Medicare & Medicaid Services' National Partnership to Improve Dementia Care With the Use of Antipsychotics and Other Psychotropics in Long-term Care in the United States From 2009 to 2014. JAMA internal medicine. 2018 May 1; 178(5):640-647.
• Sales AE, Ersek M, Intrator OK, Levy C, Carpenter JG, Hogikyan R, Kales HC, Landis-Lewis Z, Olsan T, Miller SC, Montagnini M, Periyakoil VS, Reder S. Correction to: Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol. Implementation science : IS. 2018 Feb 9; 13(1):29.
• Thomas KS, Cote D, Makineni R, Intrator O, Kinosian B, Phibbs CS, Allen SM. Change in VA Community Living Centers 2004-2011: Shifting Long-Term Care to the Community. Journal of Aging & Social Policy. 2018 Mar 1; 30(2):93-108.
• Brown KA, Daneman N, Jones M, Nechodom K, Stevens V, Adler FR, Goetz MB, Mayer J, Samore M. The Drivers of Acute and Long-term Care Clostridium difficile Infection Rates: A Retrospective Multilevel Cohort Study of 251 Facilities. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2017 Oct 15; 65(8):1282-1288.
• Burdsall DP, Gardner SE, Cox T, Schweizer M, Culp KR, Steelman VM, Herwaldt LA. Exploring inappropriate certified nursing assistant glove use in long-term care. American journal of infection control. 2017 Sep 1; 45(9):940-945.

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• Impact of Comprehensive Caregiver Support Program on VA Healthcare Utilization and Cost
  The Program of Comprehensive Assistance for Family Caregivers (PCAFC) supports caregivers of Veterans from the post-9/11 era who need assistance with activities of daily living (ADLs) or supervision or protection because of the residual effect of injuries sustained during their service. A monthly stipend is provided to caregivers based on Veterans’ care needs. In this study, investigators examined...
  
  Date: April 1, 2017
• Stewardship Intervention Reduces Overuse of Antibiotics in the Treatment of Asymptomatic Bacteriuria among Veterans
  The Kicking CAUTI: The No Knee-Jerk Antibiotics Campaign intervention to reduce asymptomatic bacteriuria (ASB) overtreatment features case-based audit and feedback and an actionable algorithm to distinguish ASB from catheter-associated urinary tract infection (CAUTI). This study evaluated the effectiveness of the Kicking CAUTI intervention in two VAMCs between July 2010 and June 2013. Findings sho...
  
  Date: July 1, 2015
• Some VA Polytrauma Team Members Caring for Veterans with Traumatic Brain Injury at Risk for Job Burnout
  This study sought to examine the extent of job burnout among VA polytrauma team members engaged in the diagnosis and treatment of traumatic brain injury – and to identify their coping strategies for dealing with job-related stress. Findings showed that VA polytrauma team members experienced moderate levels of emotional exhaustion, low levels of depersonalization, and high levels of personal accomp...
  
  Date: March 1, 2013
• Significant Financial Burden for Caregivers of Veterans with Polytrauma and Traumatic Brain Injury
  This study (conducted prior to the implementation of stipends from the Caregivers and Veterans Omnibus Health Services Act) evaluated the prevalence of financial strain as measured by asset depletion and/or debt accumulation, and labor force exit among caregivers of Veterans with polytrauma and traumatic brain injury (TBI). Findings showed that financial strain is common for caregivers: 62% report...
  
  Date: February 1, 2013
• Unintended Consequences of Advance Directive Law
  This study sought to identify the unintended legal consequences of advance directive law that may prevent patients from communicating end-of-life preferences. Findings show that unintended negative consequences of advance directive legal restrictions may prevent all patients, vulnerable patients in particular, from making and communicating their end-of-life wishes and having them honored. Five ov...
  
  Date: January 18, 2011

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• HSR&D Impacts
  ...incidence monitored at long-term care facilities A new case-mix adjustment model for predicting pressure ulcers has revolutionized quality improvement...
  
  
• HSR&D Impacts
  ...Substance Abuse and Addictive Disorders Aging and Age-Related Changes Pressure ulcer incidence monitored at long-term care facilities. A new case-...
  
  
• HSR&D Impacts
  ...evaluate and improve care in VA long-term care settings VA cares for a large number of long-term care residents so assessment of the quality of...
  
  
• April 2008 FORUM
  ...the long-term care needs of an aging veteran population. In response, VA developed capabilities to meet these needs by building long-term care...
  
  
• April 2008 FORUM
  ...assisted living services to moderate and low income individuals. Long known as a leader in providing an extensive continuum of long-term care...
  
  

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Other Resources

• Visit the Collaborative Research to Enhance and Advance Transformation and Excellence (CREATE) website to learn more about projects focused on long-term care.
• VisitVA's Geriatrics and Extended Care website for more information on long-term care options for Veterans.
• Watch these videos describing VA's home-based long-term care program.