D. Davis's research while affiliated with United States Department of Veterans Affairs and other places
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Publications (3)
Research Objective
Department of Veterans Affairs (VA) Home‐Based Primary Care (HBPC) employing mobile interdisciplinary teams (IDT: physician/nurse practitioner, nurse, therapist, social worker, dietician, pharmacist, and psychologist) has been reported to be effective at improving care and lowering cost for frail, high‐risk Veterans. The full IDT...
HBPC has expanded to serve 53,000 veterans in 2015. HBPC provides interdisciplinary team (physician, nursing, pharmacy, dietary, therapy, psychology, social work) care at home for frail Veterans (24% annual mortality, average 5 diagnoses based self-care capacity limitations [JEN Frailty index (JFI) mean 5.4]). Applying Independence at Home Qualifyi...
Citations
... In one early study of the Veterans Affairs Home-based Primary Care program [7], it was suggested in a comparison of pre-and post-enrollment utilization patterns that enrollment in HBPC reduced the yearly rate of hospital and ED admissions by 84% and 48% respectively, with commensurate medical cost savings of approximately $10,000 per enrollee. Other similar studies [8,9] suggested a reduction in hospital admissions of 25% and total costs per patient year of $6148 due to HBPC participation. Stall, Nowaczynski and Sinha [10] provide an overview of a variety of early (pre-2014) observational studies of HBPC programs, concluding that most identify similar reductions in utilization for enrollees, with mixed results for medical cost savings. ...
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