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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Tertiary Healthcare System01:21

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Updated: Mar 29, 2026

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Participatory Approach to Program Sustainment: Example From a Multisite National Geriatrics Telemedicine Program.

Jessica T Riley1, Eileen M Dryden1,2, Camilla B Pimentel1,3,4

  • 1VA Bedford Healthcare System, Center for Health Optimization and Implementation Research, Bedford, MA, United States.

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|March 27, 2026
PubMed
Summary
This summary is machine-generated.

A 3-phase participatory approach helped 19 Veterans Health Administration sites sustain geriatric care programs. This method facilitated learning, barrier identification, and planning for program longevity.

Keywords:
adaptationagingimplementation sciencemaintenancesustainment planningtelehealth

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Area of Science:

  • Health Services Research
  • Program Implementation Science
  • Geriatric Healthcare Delivery

Background:

  • Sustaining evidence-based programs in evolving healthcare settings is challenging.
  • Large-scale program sustainment in diverse environments needs further study.
  • GRECC Connect, a 19-site VA program, aimed to improve rural geriatric care access.

Purpose of the Study:

  • To describe a novel, participatory 3-phase approach for identifying sustainment strategies.
  • To illustrate the approach's application using the GRECC Connect program as a case study.
  • To provide a framework for sustaining large-scale health programs in complex settings.

Main Methods:

  • A 3-phase participatory approach involving 19 Veterans Health Administration (VA) hub sites.
  • Phase 1: Program Sustainment Assessment Tool completion.
  • Phase 2: Virtual retreat for knowledge exchange; Phase 3: Development of site-specific sustainment plans.

Main Results:

  • High participation across all 19 sites.
  • Sites identified specific barriers and facilitators to sustainment.
  • Most sites found the participatory approach "very useful" for sustainment planning.

Conclusions:

  • The approach provided a framework for peer learning and identifying local sustainment needs.
  • The process was well-received and useful for planning sustainment journeys.
  • This methodology offers a blueprint for sustaining programs across diverse healthcare networks.