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  11. Vha Support For Home Health Agency Staff And Patients During Natural Disasters

VHA Support for Home Health Agency Staff and Patients During Natural Disasters

Tamar Wyte-Lake1, Aram Dobalian1,2, Emily Solorzano1

  • 1Veterans Emergency Management Evaluation Center, US Department of Veterans Affairs, North Hills, California.

Federal Practitioner : for the Health Care Professionals of the VA, Dod, and PHS
|January 22, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Home health agencies (HHAs) face challenges during disasters. This study explored partnerships between the Veterans Health Administration (VHA) and HHAs to improve emergency support for older adults and veterans.

Area of Science:

  • Public Health
  • Health Services Research
  • Emergency Preparedness

Background:

  • Home health agencies (HHAs) are crucial for community-based care for older adults.
  • Under-resourced HHAs often lack integration into emergency planning, risking service disruption during disasters.
  • Climate-related disasters increasingly threaten HHA services, prompting policy focus on elder care continuity.

Purpose of the Study:

  • To examine the relationship between the Veterans Health Administration (VHA) and contracted HHAs.
  • To identify opportunities for extending VHA emergency resources to HHAs and their staff during disasters.

Main Methods:

  • Qualitative study involving interviews with 19 stakeholders from 6 Veterans Affairs medical centers.
  • Data analysis conducted using rapid qualitative analysis techniques.

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Main Results:

  • VHA and HHA staff operated with limited awareness of each other's disaster protocols.
  • VHA emergency managers had strong internal clinical partnerships but lacked direct ties to HHA oversight staff.
  • VHA staff expressed interest in collaborating with HHAs to identify shareable emergency resources.

Conclusions:

  • Establishing support pipelines via existing relationships can enhance VHA emergency protections for older adults.
  • Such collaborations can help older adults age safely in place.
  • This model can guide other health systems in partnering with community-based practitioners for disaster resilience.