Table 1.
Site Context and Adaptations per Site (n = 8)
| Site A | Site B | Site C | Site D | Site E | Site F | Site G | Site H | |
|---|---|---|---|---|---|---|---|---|
| Hospital complexitya | 1A | 3 | 1A | 1A | 1A | 1A | 1B | 1A |
| Relative Star Ratingb 2018 (1–5) | 2 | 3 | 3 | 3 | 3 | 2 | 5 | 3 |
|
Target audience Caregivers of Veterans referred to the following services |
• Bowel and Bladder care caregiver stipend • Home and Community-based consults (HCBS) |
• Respite Care • Caregiver Support Program (CSP) rosters |
• Bowel and Bladder stipend • HCBS consults |
• Transitional Care • Caring for Older Adults and Caregivers at Home (COACH) • HCBS consults |
• Vision Impairment consults • HCBS consults |
• Geriatric clinic rosters • Neurology clinic rosters • HCBS consults |
• HCBS consults | • HCBS consults |
|
Delivery team service lines Comprised of social workers, nurses, and psychologists |
• Transition Case Management • Caregiver Support Program |
• Caregiver Support Program |
• Geriatrics • Social Work service (spinal cord injury, Transitional Case Management) • Psychology • Caregiver Support Program |
• Caregiver Support Program (CSP) |
• Social Work service (Primary care, geriatrics, palliative care spinal cord injury, visual impairment) • Caregiver Support Program |
• Geriatrics • Social Work service (neurology) • Caregiver Support Program |
• Social Work service (primary care, purchased care) • Psychology • Occupational Therapy • Caregiver Support Program |
• Social Work service (inpatient, neurology, primary care) • Chaplaincy • Caregiver Support Program |
| Optional content | Videos, in-person booster sessions after training | Videos | ||||||
| Selected mode of delivery | In-person weekly |
In-person + video conference, 1-day training |
In-person weekly | In-person weekly + 2-day training | In-person weekly + 2-day training | In-person weekly + remote video or teleconference weekly | In-person weekly | In-person weekly |
| Training location | VA Medical Center | Chamber of Commerce, VFW, VA Medical Center | VA Medical Center | Outlying VA outpatient clinics, VA dialysis clinic, VA Medical Center | Outlying VA outpatient clinics, VA Medical Center | VA Medical Center | Outlying VA outpatient clinics | Outlying VA outpatient clinics, VA Medical Center |
| Covid-19 adaptations | • Conference call group trainings | • Conference call group trainings | • Telehealth group trainings | • Conference call group trainings | • Telehealth group trainings | • No adaptations already offering remote options | • Conference call group trainings | • Conference call group trainings |
aComplexity level: A rating that divides Veteran’s health facilities (VA) facilities into five levels (1A, 1B, 1C, 2, 3, highest to lowest), based on levels of patient volume and risk, teaching and research, intensive care units, and physician specialist staffing. b Star rating: A composite indicator of hospital performance relative to other VA medical centers (scale 1 to 5; low to high)