Health Services Research & Development

• Trautner BW, Naik AD. Taking a Ride on the Stewardship Side of Long-term Care: The Cadillac and the Camry. JAMA Network Open. 2019 Sep 4; 2(9):e199515.
• Childs A, Zullo AR, Joyce NR, McConeghy KW, van Aalst R, Moyo P, Bosco E, Mor V, Gravenstein S. The burden of respiratory infections among older adults in long-term care: a systematic review. BMC geriatrics. 2019 Aug 5; 19(1):210.
• Abid SA, Gravenstein S, Nanda A. Anemia in the Long-Term Care Setting. Clinics in geriatric medicine. 2019 Aug 1; 35(3):381-389.
• Bosco E, Zullo AR, McConeghy KW, Moyo P, van Aalst R, Chit A, Mor V, Gravenstein S. Long-term Care Facility Variation in the Incidence of Pneumonia and Influenza. Open forum infectious diseases. 2019 Jun 1; 6(6):ofz230.
• Shireman TI, Ogarek J, Gozalo P, Zhang T, Mor V, Davidson HE, Han L, Taljaard M, Gravenstein S. Cost Benefit of High-Dose vs Standard-Dose Influenza Vaccine in a Long-Term Care Population During an A/H1N1-Predominant Influenza Season. Journal of The American Medical Directors Association. 2019 Jul 1; 20(7):874-878.

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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-...
  
  
• FORUM, April 2008: Aging Veterans
  ...the landmark 1998 report, VA Long Term Care at the Crossroads, which urged a shift in long-term care from inpatient facilities to home- and communitybased...
  
  
• 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...
  
  
• FORUM, April 2008: Aging Veterans
  ...Long known as a leader in providing an extensive continuum of long-term care services, VA was authorized in Public Law 106-117 to provide these...
  
  

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Other Resources

• Learn more about the work of the VA HSR&D-funded Elizabeth Dole Center for Dole Center of Excellence for Veteran and Caregiver Research.
• Visit VA'sGeriatrics and Extended Care website for more information on long-term care options for Veterans. 
• VA’s home-based care program provides dependent veterans and those who care for them with a range of proven new choices for staying connected with their families, their communities. Learn more about the program in this video series.