Uncertainty in Home Health Care for Older Veterans: VA Perspectives on Agency Selection and Contracting
2024

Understanding Home Health Care for Older Veterans

Sample size: 39 publication

Author Information

Author(s): Leonard Chelsea, Magid Kate, De Motta Lexus Ujano, Daus Marguerite, Levy Cari, Jones Christine

Primary Institution: VA Eastern Colorado Healthcare System

Hypothesis

What are the perspectives of VA personnel on the process of home health care agency selection and financing for Veterans?

Conclusion

Providing clear information on home health agency quality and guidance on Veterans' roles may improve home health care delivery.

Supporting Evidence

  • The study involved 29 interviews with 39 personnel at 6 VA Medical Centers.
  • Four themes of uncertainty were identified regarding agency and payor selection.
  • VA roles in the selection process were found to be siloed and unclear.
  • Local VAMCs have developed strategies to assess home health agency quality.

Takeaway

This study looked at how Veterans get home health care and found that there are many unclear steps in the process. Making this information clearer can help Veterans get better care.

Methodology

A sequential mixed methods study design with in-person and virtual site visits and interviews at six VA Medical Centers.

Participant Demographics

VA personnel from six VA Medical Centers.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3914

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