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Implementing Geographic Information Systems (GIS) into VHA Home Based Primary Care
Jason D Lind1, Jacqueline Fickel2, Bridget A Cotner1
1James A. Haley Veterans' Hospital and Clinics, Research and Development Service, 8900 Grand Oak Circle (151R), Tampa, FL 33637-1022, United States.
Geriatric Nursing (New York, N.Y.)
|November 24, 2019
Summary
Geographic Information Systems (GIS) mapping is feasible for the Veteran's Health Administration (VHA) Home Based Primary Care (HBPC) program. This technology enhances efficiency and effectiveness for nurses providing in-home primary care to elderly veterans.
Area of Science:
- Health Services Research
- Geographic Information Systems
- Nursing Practice
Background:
- The Veteran's Health Administration (VHA) Home Based Primary Care (HBPC) program serves elderly veterans with complex chronic conditions.
- Nurses play vital roles in HBPC, including direct patient care and program leadership.
- Challenges in home-based care include travel, terrain, traffic, and weather, impacting service delivery.
Purpose of the Study:
- To assess the feasibility, acceptability, and outcomes of implementing Geographic Information Systems (GIS) mapmaking in VHA HBPC programs.
- To evaluate the potential of GIS to optimize resource utilization and travel efficiency for HBPC nurses.
- To determine if GIS can improve program capacity and patient safety during emergencies.
Main Methods:
- A mixed-method evaluation was employed to assess the adoption of GIS mapmaking.
- Data collection likely included surveys, interviews, and program utilization metrics.
- The study identified facilitators and barriers to the uptake of GIS technology within HBPC programs.
Main Results:
- GIS mapmaking was found to be feasible within VHA HBPC programs.
- The implementation of GIS mapping demonstrated an increase in the effectiveness of HBPC nurses.
- GIS technology contributed to improved efficiency in the delivery of home-based primary care services.
Conclusions:
- GIS mapmaking is a viable tool for enhancing VHA HBPC operations.
- Implementing GIS can lead to significant improvements in efficiency and effectiveness for home-based care nursing.
- This technology supports better resource management and potentially improved patient outcomes in complex care settings.
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