Publications by authors named "T E Edes"
With almost 90% of Americans expressing a desire to age in place in their home, many health systems and communities are challenged to provide the right resources, at the right time, to support What Matters to older adults. In the Department of Veterans Affairs (VA), approximately 50% of Veterans enrolled in VA health care are aged 65 and older, driving an imperative to provide timely, Age-Friendly care through a broad continuum of services. VA has taken a multifaceted approach to shift Long-Term Services and Supports to promote aging in place through innovation pilots, expansion of Home and Community Based Services (HCBS) and adoption of Age-Friendly Health Systems (AFHS) practices [or "framework"].
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- The aging US population necessitates a skilled health care workforce focused on older adults, leading to the establishment of the Age-Friendly Health Systems (AFHS) framework that emphasizes the 4Ms—what matters, medication, mentation, and mobility.
- In the Veterans Health Administration (VHA), 85% to 100% of patients received care aligned with the 4Ms shortly after implementation, highlighting the importance of leadership support, champion identification, and EHR integration for effective data management.
- Successful AFHS adoption across VHA facilities may hinge on leveraging EHR technology to streamline documentation and improve care standardization, with ongoing efforts to embed AFHS practices into VHA system evaluations and metrics.
The rapid expansion of virtual care is driving demand for equitable, high-quality access to technologies that are required to utilize these services. While the Department of Veterans Affairs (VA) is seen as a national leader in the implementation of telehealth, there remain gaps in evidence about the most promising strategies to expand access to virtual care. To address these gaps, in 2022, the VA's Health Services Research and Development service and Office of Connected Care held a "state-of-the-art" (SOTA) conference to develop research priorities for advancing the science, clinical practice, and implementation of virtual care.
View Article and Find Full Text PDFBackground: Interdisciplinary team (IDT) care is central to home-based primary care (HBPC) of frail elders. Traditionally, all HBPC disciplines managed a patient (Full IDT), a costly approach to maintain. The recent PACE (Program of All-inclusive Care for the Elderly) regulation provides for a flexible approach of annual assessments from a core team with involvement of additional disciplines dependent upon patient needs (Core+).
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