Name
#158 Veterans Health Administration Intermediate Care Technician home visit program allows Veterans to serve Veterans
Speakers
Content Presented on Behalf of
VHA/VA
Services/Agencies represented
Veterans Health Administration/Veterans Affairs (VHA/VA)
Session Type
Posters
Room#/Location
Prince Georges Exhibit Hall A/B
Focus Areas/Topics
Clinical Care
Learning Outcomes
1. Describe the VHA SCOUTS program
2. State Veteran's satisfaction levels with SCOUTS
3. Identify care coordination opportunities afforded by SCOUTS follow up phone calls
2. State Veteran's satisfaction levels with SCOUTS
3. Identify care coordination opportunities afforded by SCOUTS follow up phone calls
Session Currently Live
Description
Introduction:
The VHA SCOUTS (Supporting Community, Outpatient, Urgent care, and Telehealth Services) program focuses on older or medically complex community dwelling adults identified at high risk for functional decline, falls, or hospitalization who have visited a VA or community Emergency Department (ED) or had a VA Tele-Emergency Care visit. More than a million high risk Veterans seek acute care each year and this is often triggered by functional decline, unmet care needs, unmet social needs, or caregiver burden. If these issues are not addressed, patients are at risk for hospitalization, falls, further functional decline, and institutionalization.
Background:
Launched in 2021 as the first acute home visit program utilizing VHA Intermediate Care Technicians (ICTs, former military medics, corpsman, or health technicians) to act as telepresentors. After a Veteran is identified as high risk during an acute encounter, ICTs visit the patient in their home and perform screens for social determinants of health, fall risks, and unmet healthcare needs. The ICT then assists the patient with a video telehealth visit with an acute care provider who can address positive screens, recheck acute issues, and provide a comprehensive short term plan to avoid functional decline and return ED visits. ICTs typically perform 1-2 home visits, while assisting the patient with care navigation and connection to their primary care team. Previous analysis showed Veterans served had decreased hospital admissions and emergency department (ED) return visits. We hypothesized that Veterans would also find benefit in the program, which has expanded from six VA facilities in 2021 to eleven in 2024.
Methods:
SCOUTS patients at 11 medical centers were given an opportunity to provide feedback on the SCOUTS program during follow up phone calls that occurred 1-3 weeks after a SCOUTS visit. These phone calls were performed by ICTs as an opportunity to follow up on care plans and to obtain satisfaction data. Satisfaction data was obtained via standardized questions using Likert Scale responses.
Results: Between May 2021 and September 2024, 2747 Veterans received SCOUTS visits, with care coordination and satisfaction data available on 669 (24%). When asked how the SCOUTS program affected their decision to use the VA for their health care, 59% reported SCOUTS increased the likelihood they would choose the VA in the future (132/224), 39% (88/224) stated it reinforced their decision to choose the VA, 2% (4/224) reported SCOUTS had no effect on their decision to choose the VA, and 0 reported it decreased the likelihood the would choose the VA in the future. Almost all of the patients said they would recommend SCOUTS to friends and family (99%, 643/652)) and said they were satisfied or extremely satisfied with SCOUTS (99%, 644/ 651, 1% neutral (7/651)) . Most said the SCOUTS program increased their knowledge of VA resources ( 95% (617/648)). During the care coordination portion of the phone calls, 4% (22/613) of patients needed reminded of follow up appointments, 21% (53/262) had medications questions the ICTs directed to their primary care team to address, and 20% (52/256) needed additional resources for social determinants of health that were directed to VA social work or primary care teams.
Conclusion: Veterans reported high levels of satisfaction with the Intermediate Care Technician SCOUTS acute care home visit program. Follow up phone calls allowed for additional healthcare navigation and coordination with the Veteran’s primary care teams. SCOUTS patients reported the program increased their knowledge of VA resources.