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The researchers found that for HBPC users, VA enrollment increased by 22 percent.
"Introducing HBPC to rural areas increased access to long-term care and enrollment for health care benefits, with equitable outcomes in IHS and non-IHS populations," the authors write.
(9) This scale has now been adopted by the HBPC nurse practitioner who documents the assessment at each home visit, providing continuity in monitoring patient functioning and disease progression.
The overall goal of HBPC is to maximize the independence of the patient while reducing preventable emergency room visits and inpatient admissions.
Currently about one-fourth of veterans enrolled in HBPC also are receiving hospice and palliative care services.
The mean age of VA HBPC enrollees is 76.5 years, 96 percent are men, nearly half are dependent in two or more activities of daily living, and the typical patient has eight chronic conditions and takes 12 medications.
Table I shows disease prevalence among veterans enrolled in HBPC. Mental health conditions are notably prevalent, which prompted VA to establish mental health providers as part of every HBPC team beginning in 2007.
Nearly half of HBPC patients are married; one third of the spousal caregivers have limitations in their own activities of daily living.
Though most veterans enrolled in HBPC are elderly, the program is not restricted to the elderly and is also suitable for younger disabled individuals such as those with multiple sclerosis, spinal cord injuries and other diseases.
HBPC programs are able to manage an impressive array of medically complex situations.
MFH is a unique partnership of adult foster home and VA HBPC, operating under Community Residential Care guidelines.
HBPC is an integral component of Medical Foster Home care, and HBPC staff make regular visits to provide patient care, home assessment, and caregiver education.
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