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Corporal Michael J. Crescenz VAMC

 

Geriatrics and Extended Care

The Geriatrics and Extended Care Program at Philadelphia VA Medical Center is composed of the following areas:

  • Geriatrics Primary Care¬†
  • Philadelphia Veterans Community Living Center¬†
  • Home and Community-Based Care Programs ¬†
  • Community Options Nursing Home Program ¬†

Services Offered

Geriatrics Primary Care

Our primary care program uses an integrated multidisciplinary team approach to provide comprehensive healthcare to our elder veterans encompassing areas as critical as mental health, rehabilitative medicine, and social support. A close interaction between the hospital and home visit teams allows maximum flexibility so that primary care may be delivered either at the veteran's home or in the clinic.  In addition, we have also developed subspecialty clinics that allow for a higher level of care within certain focused areas depending upon clinical needs and available expertise.

The Geriatrics Primary Care Clinic, the Purple Team, operates in collaboration with physicians and nurse practitioners to provide professional health services, medical administration, case management, social services and community referrals.

The Geriatric Rheumatology Clinic evaluates, diagnoses, manages, and treats geriatric patients who have arthritis and related diseases via physician services.

The Nurse Managed Geriatric Clinic provides elderly veterans with continuity of healthcare and health education through the services of a registered nurse with a physician preceptor.

The clinic is located in the Clinical Addition Building, and is open during regular business hours, from 8:00 a.m. to 4:30 p.m., Monday through Friday. 

Important Phone Numbers for the Geriatric Clinic:

Purple Team Nurse:  215-823-5212
Purple Team Social Worker:  215-823-5800, ext. 6383
To schedule or cancel appointments:  215-823-4371
For medical questions:  215-823-4133, press 8 for a nurse
Fax:  215-823-4411


Philadelphia Veterans Community Living Center (CLC)

The CLC is a 135-bed, free-standing facility that delivers primary medical care, nursing care and appropriate sub-specialty care to resident veterans. Read more about our Community Living Center.

Home and Community Community Based Care (HCBC)

The Home and Community Based Care programs have evolved from the glaring need to consolidate our options of managing the care of our elder veterans in the community, so as to increase their opportunities to "age in place."  Our approach is to optimize long-term care expenditures through integrated management of community resources as well as the veteran's insurance portfolio.  Our programs include:

  • Home Based Primary Care (HBPC) - HBPC is comprehensive, longitudinal primary care provided by a physician-supervised interdisciplinary team of VA staff in the homes of veterans with complex, chronic, disabling disease for whom routine clinic-based care is not effective.
  • Purchased Skilled Home Care (PSHC) - Purchased skilled home health services are medically necessary, skilled home care, such as nursing, physical therapy, occupational therapy, speech therapy, and social work.¬† These supportive medical services are prescribed by and are under the direction of the VA physician (or contracted physician). Purchased skilled home healthcare medical service is provided to veterans at home by skilled (non-VA) professionals at VA expense.
  • Home Hospice - Home Hospice is purchased Hospice Care provided in the home at VA expense. Hospice care is defined as care in which the primary goal is treatment of comfort rather than cure in a patient with an advanced disease that is life limiting and refractory to disease modifying treatment.¬† It includes bereavement counseling for the family.
  • Outpatient Respite (OPT Respite) - Outpatient Respite is care provided in a non-institutional setting, i.e. in the home or ADHC setting. Respite care is designed to relieve a caregiver from the physical and emotional burden of caring for a chronically ill and disabled veteran in the home.
  • Homemaker/ Home Health Aide (H/HAA) - H/HHA program provides personal care services in the home obtained from public and private agencies using Contract Nursing home funds, to certain patients who meet the criteria for nursing home placement.
  • Contract Adult Day Health Care (CADHC) -¬†CADHC is a therapeutic day care program, which provides medical and rehabilitation service to disabled veterans in a congregate setting at a non-VA facility purchased at VA expense. CADHC is provided in a protective setting during part of the day, but less than 24-hour care. Individualized programs of care are delivered by healthcare professionals and support staff, with an emphasis on helping participants and their caregivers to develop the knowledge and skills necessary to manage care requirements in the home. Its predominant focus is a therapeutic one, directed at persons with disabling conditions and medical disorders, thus distinguishing CADHC from social day care programs.
  • Care Coordination/ Home Telehealth (CC/HT) - Care Coordination/Home Telehealth (CC/HT) is the wider application of care and case management principles to the delivery of health services using health informatics, disease management, and telehealth technologies to facilitate access to care, and to improve the health of designated individuals and populations with the specific intent of providing the right care in the right place at the right time.

Community Options Nursing Home Program

We contract with several community nursing homes in the Philadelphia area. This program provides the veteran with a limited stay in a community nursing home at VA expense. Eligibility for admission to the Community Nursing Home Program is limited to those veterans who have a service-connected disability or a non-service-connected disability and are hospitalized in a Veterans Affairs Medical Center at the time the need for skilled or intermediate nursing home care is established. Active duty personnel may be placed directly into contract nursing homes. Our goal is to achieve a prudent consolidation of facilities and to improve care coordination and quality through VA providers.

We also have jurisdictional responsibility for the Pennsylvania Delaware Valley Veterans Home that recently opened in Northeast Philadelphia. Although run by the Commonwealth of Pennsylvania and not the federal government, our Medical Center is responsible for inspecting the nursing home.

 

Contact Info

Location

  • Philadelphia VA Medical Center

Contact Number(s)

  • 215-823-5800 Ext. 4371
  • 215-823-5800 Ext. 5212

Hours of Operation

  • 8 a.m. - 4:30 p.m.