providing care to veterans. The reasons for doing telehealth include reducing costs, increasing quality, and improving access. Therefore, the VA’s vision of telehealth is that it should be veteran focused, forward looking, and results oriented.

Telehealth Modalities in the VA

Home Telehealth

The value of home telehealth is based in the care of people with chronic conditions. There is no evidence the traditional outpatient clinic is the most effective way to care for individuals with long-term chronic conditions. The VA uses home telehealth (e.g., video, mobile devices) to provide noninstitutional care across the health care continuum: for chronic care management, acute care management, and health promotion and disease prevention. As shown in Figure 11-1, the census for VA patients receiving home telehealth has grown steadily. In FY 2003, about 800 patients were cared for with home telehealth. By the end of FY2012, the VA estimates 92,000 patients will receive home telehealth services annually.

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FIGURE 11-1 VA home telehealth patient census, FY2008-2011 and projected FY2012.

SOURCE: Reprinted with permission from Adam Darkins (2012).



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