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Outsourcing Veterans for Long Term Care: Comparison of Community and State Veterans' Nursing Homes

Author: ALEXANDRE LABERGE, ROBERT WEECH-MALDONADO, CHRISTOPHER E. JOHNSON, HUANGUANG JIA, and LLOYD DEWALD
Published in JHHSA, Vol. 30 No. 4

This study compares the characteristics of state veterans’
nursing homes and community nursing homes with VA per-diem
residentes between 1999 & 2002. A structure, process, and outcome
model was used to examine whether there was any difference in the
multi-dimensional quality measures among the three types of
community nursing homes (for profit, not-for-profit, and government)
and state veterans’ nursing homes. For profit community nursing
homes were less likely to achieve nurse staffing standards while
government facilities were more likely to achieve CNA staffing standards when compared to the state veterans’ homes. All community
nursing homes had a lower prevelance of tube feeds and catheterization
when compared to state veterans’ nursing homes. Only government
community nursing homes had significantly lower quality of life
deficiencies and pressure sore prevelance when compared to state
veterans’ nursing homes. Vigilant monitoring of all long-term care
facilities utilized by veterans is needed.

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