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Office of Care Coordination
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VHA defines Care Coordination as "the wider application of care and case management principles to the delivery of health services using health informatics, disease management, and telehealth technologies to facilitate access to care and to improve the health of designated individuals and populations with the specific intent of providing the right care in the right place at the right time. "
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Home Telehealth utilizes disease self management strategies combined with informatics and telehealth technologies to support care for veterans in their homes. Programs are patient centered, are supported by licensed care coordinators, and have a focus on patient self-management. Goals include the medical, functional, psychosocial, and spiritual needs of the patient and family. Program staff work closely with the patient, their family and other caregivers to contribute to patient health. VA Care Coordination models have been shown to increase healthcare access for veterans, reduce emergency room visits, reduce hospital bed days of care, reduce nursing home bed days of care, and reduce staffing and administrative costs.
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