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North Florida/South Georgia Veterans Health System

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Geriatrics and Extended Care

About the Program

The mission of the Geriatrics and Extended Care Service is to enhance the quality of life of aging and chronically ill Veterans. This is accomplished by maximizing functional independence, treating the Veteran in the least restrictive environment, and supporting the caregiver by optimizing the use of physical, technological, and personnel resources. Appropriate care management and continuum of care for Veterans is emphasized. This practice is augmented by research and sustained by education.

Inpatient Programs

Outpatient Programs

We also have a Geriatric Research, Education, and Clinical Center (GRECC).

Patient Education

Please visit this site's Patient Education page for a variety of educational materials, including information about the Gait and Balance Clinic (Falls Prevention and Balance Rehabilitation), Geriatric Evaluation and Management (GEM), Disaster Preparedness, and much more.

We encourage you to check out the new Guide to Long Term Care which provides a “Shared Decision Making” approach to long term care options available to patients, providers, and caregivers.

 


 

Home Care Programs

The goal of VA home care programs is to help patients who have a long term illness, areterminally ill, or very disabled Veterans remain in their homes and avoid hospitalization. To do this, we provide a range of support services in the home on a short or long term basis, based on each Veteran's need.

Frequently Asked Questions About Home Care

How to Reach Home Care

More information is listed below about the various home care programs.

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Home Based Primary Care (HBPC)

Are you:

  • Homebound?
  • Unable to come to VA clinics because of physical disability?

HBPC staff teach Veterans and their caregivers how to take care of themselves. We provide medication, supplies, equipment, and advice to make the care as easy as possible.

A VA nurse practitioner, social worker, rehabilitation therapist, and dietitian visit your home so that you don't have to come to the VA clinics for primary care.

 

Medical Foster Home Program

A Medical Foster Home is an adult foster home where Veterans who are unable to live independently can live in a family-like setting under the care and supervision of a caregiver. Visit our Medical Foster Home Program page to learn more.

Intermittent Skilled Care

This care is usually short-term home care by registered nurses, rehabilitation therapists, and social workers. New problems are addressed, such as wound care after a surgery or rehab after a stroke. The care is provided by a home health agency in your community. Our office coordinates this care. You may choose your home health agency by letting your VA provider or our office know your preference.

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Home Health Aide Program

This is a program for Veterans who need personal care such as help with bathing or hygiene. The care is provided by a home health agency in your community.

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Hospice

This is an in-home health care program for Veterans who are terminally ill, and unlikely to live more than 6 months. Care is provided by a hospice agency in your community, coordinated with VA care through our office.

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Frequently Asked Questions About Home Care

How long do home care services last?

Length of home care services depend on how well the patient is doing. A decision to stop home care is made by the home care staff, VA providers, and the patient.

What is my cost for home care?

Our services are without cost to most Veterans; only Priority 8 veterans may be billed for HBPC visits. Skilled care or hospice services may be paid for by your Medicare or insurance, but you will not be billed.

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How to Reach Home Care

Home Based Primary Care

Phone: 352-374-6005 or 800-324-8387, ext. 106005

Medical Foster Home Program

Phone: 904-396-8770 or 904-396-8768

Intermittent Skilled Care

Phone: 800-324-8387, ext. 106021

Home Health Aide Program

Phone: 800-308-8387, ext. 392046

Hospice

Phone: 800-324-8387, ext. 106021

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Tech Care Coordination Program

Goal

The goal of this initiative is to increase access to care and reduce complications, hospitalizations, unscheduled clinic, and emergency room visits for high-risk veterans though the use of care coordination and state-of-the-art technology.

Target Population

High-risk, frequent utilizers of extended care services with the following chronic conditions: COPD, CHF/Ischemic Heart Disease, Hypertension, Diabetes, and Chronic Pain.

Care Coordination Team

Nurse practitioners, social workers, and program assistants work together as a team coordinating care for a panel of patients using tele-health technology.

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Contact Info

Location

  • North Florida/South Georgia Veterans Health System

Contact Number(s)

  • 352-376-1611
  • 386-755-3016

Hours of Operation

  • Mon-Fri 8:00am-4:30pm