Improving care transitions for older Veterans after hospital stays

Improving Post-Acute Care Value for Veterans

NIH-funded research Philadelphia VA Medical Center · NIH-11086097

This study is looking to make it easier for older Veterans to move from hospitals to nursing homes by finding the best places that help them recover well and avoid going back to the hospital, so they can get the care they need in a friendly and supportive environment.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionPhiladelphia VA Medical Center NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11086097 on NIH RePORTER

What this research studies

This research focuses on enhancing the transition process for older Veterans moving from hospitals to skilled nursing facilities (SNFs). It aims to identify high-value SNFs that provide the best community discharge rates at the lowest costs, addressing the significant challenges Veterans face during this critical period. By analyzing existing data and matching individual Veteran needs with specific SNF characteristics, the project seeks to improve recovery outcomes and reduce hospital readmissions. The study will also explore the development of an optimal SNF network within the VA system to ensure high-quality post-acute care.

Who could benefit from this research

Good fit: Ideal candidates for this research are older Veterans, particularly those aged 65 and above, who are transitioning from hospital care to skilled nursing facilities.

Not a fit: Patients who are younger than 65 or those who do not require skilled nursing facility care may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could lead to better recovery outcomes and reduced hospital readmissions for older Veterans transitioning to skilled nursing facilities.

How similar studies have performed: Previous research has shown that improving care transitions can significantly enhance patient outcomes, indicating that this approach has potential for success.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.