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Open AccessArticle

Geriatrics Evaluation and Management in the Veterans Administration—An Historical Perspective

1
The Tennessee Valley Healthcare System Geriatrics Research, Education, and Clinical Center, Vanderbilt University School of Medicine, 7159 Vanderbilt Medical Center East, Nashville, TN 37232, USA
2
The San Francisco VA Medical Center, The University of California San Francisco School of Medicine, San Francisco, CA 94121, USA
*
Author to whom correspondence should be addressed.
Geriatrics 2018, 3(4), 84; https://doi.org/10.3390/geriatrics3040084
Received: 24 August 2018 / Revised: 18 November 2018 / Accepted: 21 November 2018 / Published: 25 November 2018
(This article belongs to the Special Issue Geriatric Care Models)
Comprehensive geriatric assessment, defined as an interdisciplinary assessment and development of an overall plan of treatment and follow-up, has become a fundamental part of clinical geriatric care. Since the 1970s, the US Department of Veterans Affairs (VA) has encouraged the development of geriatric evaluation and management programs. Evolution of geriatric evaluation and management has occurred over time and many VA medical centers have transferred inpatient geriatric evaluation programs to long-term care Community Living Centers, home, and outpatient settings. Availability of geriatric resources and trained personnel across the continuum of care as well as administrative collaboration between care components are critical to the successful implementation of geriatric services. Facilities may need to prioritize their resources and utilize the most effective and relevant elements of geriatric evaluation and management according to patient population needs, available space, resources, and institutional priorities. New risk assessment tools derived from the VA’s experience in geriatric evaluation may be useful for targeting services for other high-risk populations. View Full-Text
Keywords: geriatric evaluation and management; Acute Care for Elders; geriatric rehabilitation geriatric evaluation and management; Acute Care for Elders; geriatric rehabilitation
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Powers, J.S.; Eubank, K.J. Geriatrics Evaluation and Management in the Veterans Administration—An Historical Perspective. Geriatrics 2018, 3, 84.

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