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ADULT DAY HEALTH CARE (ADHC). GOALThe Department of Veterans Affairs (VA) is committed to providing a continuum of long term care services for veterans at risk of institutionalizationProvide that care in the safest and least restrictive environmentIncrease the number of ADHC in state home program
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1. State veterans homeClinical & Survey OversightNancy QuestChief, State Veterans Home programClinical & Survey Oversight
2. ADULT DAY HEALTH CARE (ADHC) GOAL
The Department of Veterans Affairs (VA) is committed to providing a continuum of long term care services for veterans at risk of institutionalization
Provide that care in the safest and least restrictive environment
Increase the number of ADHC in state home programs
3. ADULT DAY HEALTH CARE (ADHC)
CHALLENGES
Barriers to increasing the number of programs:
Current regulations resemble nursing home guidelines
Current regulations limit the flexibility to determine the type of program to be established - Medical or Social Model
4. ADULT DAY HEALTH CARE (ADHC) ACTIONS
Revise the current regulations by:
Changing language to remove the requirement to establish a program with care delivered by an inter-disciplinary health care team
Eliminating the comprehensive Home Care assessment
Changing the staffing & space requirement
COLLABORATION = SYNERGY
SVH & VHA Representatives work groups
5. DOMICILIARY (DOM) GOAL
The Department of Veterans Affairs (VA) is committed to providing a continuum of long term care services for veterans at risk of institutionalization
Provide that care in the safest and least restrictive environment
Increase the number of DOM in state home programs
6. DOMICILIARY (DOM) CHALLENGES
Barriers to increasing the number of DOM programs:
Current standards are too restrictive and resemble nursing home care standards
Lack of flexibility to determine the type of program to be established - Medical or Social Model
7. DOMICILIARY (DOM) ACTIONS
Revise the current guidelines to provide the flexibility to establish either a medical or social model program.
Request your support in our efforts to increase the number of DOM programs.
COLLABORATION = SYNERGY
SVH & VHA Representatives work groups
8. MINIMUM DATA SET (MDS) MDS data transmissions to Austin Automation Center
Secure web portal established to capture data
Alpha & Beta testing
Conducted October 2008 thru January 2009
Quality Indicator (QI)/Quality Monitor (QM) Reports and Resource Utilization Group (RUGS) Reports
Assist efforts to improve quality of care and services provided
Collaboration
SVH facilities participated in alpha and beta testing
9. NATIONAL CONFERENCES State Veterans Home Training
National training conference is planned for
July 21 24, 2009
VA MDS 3.0 National Training
National training conference is planned for
October 2009