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![handle is hein.gao/gaobadxwz0001 and id is 1 raw text is:
DOCUNINT BBSUE
04603 - [BO12504]
Revif:vs of VA's Personal -are Residence and Domiciliary Care
Programs. January 11, 1978. 18 pp.
Testimony uefore the Senata Committee on Veterans' Affairs; by
Stephen J. Varholy, Associate Director, Human Resourcem Div.
Issue Area: Health Programs (1200).
Contact: Human Resources Div.
Budget Function: Health: Health C&re Services (551).
Organization Conaerned: Veterans Administration.
Coagressional Relevance: Senate Committee on Veterans' Affairs.
The Veterans administration's (VA) persenal care
residence program provides for community homes with personal
supervision, room, board, and other assistance tc the veteran.
Sponsors have the responsibility of providing or arranging for
adequate acco~modetious, diet, and services. The pervonal care
pcogram can ulp to free hospital beds, helps to rehabilitate
former patients, and is superior to hospitals for certain
chronically ill patients. There is a potentIal for expanding use
of the hones for suitable patients if patients haS sufficient
funds. Obstacles to VA's making effective use of the progra&
are: lack of sufficient management conmitaat and inforaation,
failure to identify all veteraLs suitable ,eor the progrram, need
for adequate staffing and education, need for asistance to
veterans in securing finaacial aid, and A's ]40k of lsgislaz.iTe
authority to pay some costs. Imptoveaents In the prcgra% are
needed in: planning for tzeatment, patient supervision and
treatment, controls over hose operations, and guidance and
controls for rate structures and handling of patients' funds.
There were 44 hospitals that did not report using these programs
as of Jnne 1976. The dcaiiliary care program provides 'Aousing,
medical treatment, food, clothing, and related services to
needy, disabled veterans. The program is in need of better
managenent methods for admisL3on ciiteria, monitoring of medical
care, recreation programs, rehabilltation programs, and
staffing. VA proposals for construection of uew facilities were
not baied on adequate jrojections. Recommendations were made to
correct these shortcomings. (HTU)](ViewImageLocal?handle=hein.gao/gaobadxwz0001&div=1&collection=&method=preview&ext=.png&size=3)