Background There is a compelling rationale that effective communication between hospital
allied health and primary care practitioners may improve the quality and continuity of patient …

Objectives Individual‐level social needs have been shown to substantially impact
emergency department (ED) care transitions of older adults. The Geriatric Emergency care …

Introduction Care coordination has been part of social work for some time. It has been
recognized as contributing to care coordination for long-term care for the elderly and mental …

Importance Recently passed legislation aimed at improving access to care has considerably
expanded options for veterans to receive emergency care in community, or non–Veterans …

Background Veterans increasingly utilize both the Veteran's Health Administration (VA) and
non-VA hospitals (dual-users). Dual-users are at increased risk of fragmented care and …

Objective To investigate veteran perspectives on challenges in care coordination between
US Department of Veterans Affairs (VA) clinics and community providers in rural areas …

Objective To investigate challenges in care coordination between US Department of
Veterans Affairs (VA) clinics and community providers serving rural veterans. Methods We …

Abstract Background The Veterans Affairs (VA) Healthcare System Community Hospital
Transitions Program (CHTP) was implemented as a nurse-led intervention to reduce barriers …

Older veterans enrolled in the Veterans Health Administration (VHA) often use both VHA
and non-VHA providers for their care. This dual use, especially around an inpatient visit, can …

Background Care leakage from health systems can affect quality and cost of health care
delivery. Identifying modifiable predictors of care leakage may help health systems avoid …