D.17- REACH VET ONE PAGE FLYER.pdf
PDF 764 KB Posted
- Attached to
- Community Based Outpatient Clinic (CBOC): Kingston, NY of the Albany (NY) VA Medical Center in VISN 2.
- Solicitation number
- 36C24225R0047
About this file
This document is a one-page informational flyer about REACH VET (Recovery Engagement and Coordination for Health- Veterans Enhanced Treatment), a predictive modeling tool used by the Veterans Health Administration to identify Veterans at high statistical risk for negative health outcomes. The program utilizes clinical and administrative data from the past two years to calculate a Veteran's risk across multiple metrics, including suicide risk (33x higher in one month, 15x in one year) and mental health/medical inpatient bed days.
The REACH VET process involves monthly releases of names for Veterans in the top 0.1% statistical risk, with a REACH VET Coordinator identifying the primary provider and facilitating a comprehensive review of the Veteran's care. Research from McCarthy et al. (2021) indicates the program's effectiveness, showing increased outpatient appointments, decreased missed appointments, more suicide prevention safety plans, reduced inpatient mental health admissions, and fewer emergency department visits. The program is designed to supplement existing clinical strategies through a holistic, multi-disciplinary approach to Veterans' healthcare.
View the file
Other files
Show all 30
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
REACH VET: Recovery Engagement and Coordination for Health- Veterans Enhanced Treatment
What is REACH VET?
• REACH VET summarizes information from the Veterans Health Record and uses predictive modeling to identify Veterans at statistical risk for suicide and other negative outcomes. This tool supplements clinical strategies used to identify at-risk Veterans and may help providers intervene prior to these negative outcomes occurring.
• The REACH VET program:
o Helps alert facilities of Veterans at the top 0.1% increased statistical risk at each facility o Summarizes past two years of health record data to streamline clinical review o Provides an additional data point for conceptualization and treatment o Offers an opportunity to engage Veterans in their own healthcare and make enhancements, as indicated
The Predictive Model
• Utilizes clinical and administrative data from the past 2 years for each Veteran utilizing VHA health care services
Calculated Risk as compared to overall VHA population
Outcome Top 0.1%
Suicide (one month) 33x
Suicide (one year) 15x
Suicide attempt (one year) 81x
Mental health inpatient bed days of care (one year) 66x
Medical/surgical/rehab inpatient bed days (one year) 6.3x
• Although identified Veterans are at high statistical risk for adverse outcomes, including suicide, this does not necessarily indicate current acute clinical risk for suicide. Therefore, it is critical to reach out to these Veterans to assess current risk and offer support.
REACH VET Process
• REACH VET is intended to supplement, rather than replace, current clinical strategies o REACH VET steps can be integrated into the existing workflow to reduce workload and enhance collaboration and continuity of care (e.g., utilizing BHIP meetings to discuss cases and make decisions).
• Identified Veterans have complex care needs and may be at risk for both adverse medical and mental health outcomes. Providers should take a holistic, multi-disciplinary approach to REACH VET responsibilities:
o Chart reviews should be comprehensive, looking at both medical and mental health aspects of care.
o Ideally, all providers of the Veteran’s treatment team should be aware of the Veteran’s statistical risk and involved in enhancing care when indicated.
Impact of REACH VET
• Findings from McCarthy and others (2021) indicate REACH VET patients complete more outpatient appointments, decreases in the percent of missed appointments, greater initiation of suicide prevention safety plans, decreases in inpatient mental health admissions, reduced Emergency Department visit days and reduction in documented suicide attempts.
Resources
• REACH VET SharePoint: REACH VET Resources (sharepoint.com)
• REACH VET Support email: VHAReachVetSupport@va.gov
• REACH VET Dashboard and Reports: Suicide Risk Identification and Management - Dashboard and Reports - All Documents (sharepoint.com)
REACH VET releases names monthly to alert facility to Veterans within the top 0.1% of statistical risk
REACH VET Coordinator receives the names and identifies the provider that works most closely with the Veteran
REACH VET provider re-evaluates care, considers treatment-enhancement strategies, outreaches the Veteran, and documents using CPRS templates
Attachment D.17 RFP 36C24225R0047 https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F&id=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FREACH%20VET%20Related%20Research%2FMcCarthy%20JAMA%20Net%20Open%2D%2DEval%20of%20REACH%20VET%202021%2Epdf&parent=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FREACH%20VET%20Related%20Research https://dvagov.sharepoint.com/sites/ECH/srsa/SitePages/REACH-VET-Resources.aspx mailto:VHAReachVetSupport@va.gov https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FDashboard%20and%20Reports&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FDashboard%20and%20Reports&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F
File details come from the government source that posted it. Updated .