Closing a Home-Based Primary Care Referral Gap: Development and System-Wide Adoption of an Interprofessional Screening Consult for High-Risk Veterans

Austria, Davis; Del Toro, Janeth; Neal Axon, R.; Callaway-Lane, Carol; Josea Kramer, B.; Pope, Charlene

doi:10.1177/10848223261485486

Public

Closing a Home-Based Primary Care Referral Gap: Development and System-Wide Adoption of an Interprofessional Screening Consult for High-Risk Veterans

Shared by NobleBlocks on Sep 7, 2026 • 12:00 AM UTC

Authors:

Davis Austria

Janeth Del Toro

R. Neal Axon

Abstract

Background: Home-based Primary Care (HBPC) programs serve older Veterans with complex, chronic conditions who cannot access clinic-based care, and delayed referrals result in potentially preventable hospitalizations. Despite VA Directive 1411 establishing eligibility criteria, a systematic search id...

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