Geriatrics and Extended Care
GECDAC Services and Products
Geriatrics and Extended Care Data and Analysis Center (GECDAC), through its data resources and expertise, curates and analyzes population-based data about Geriatrics and Extended Care (GEC) programs and services, and provides evidence-based information to decision makers. GECDAC also facilitates and supports affiliated clinical researchers, scientists and their staff that engage in research about healthcare and services provided to aging and frail Veterans.
For questions or to contact GECDAC, please e-mail GECDAC@va.gov.
Program Evaluation - GECDAC provides accurate and timely evaluations of program effectiveness and costs.
Program Outreach - Using existing targeting tools, GECDAC assists in identifying Veterans who would likely qualify and benefit from participation in various GEC programs.
Measure & Risk Score Development/Validation - GECDAC designs and validates measures and risk scores for use in predicting need for care, costs, risks and other outcomes.
Analysis Planning and Protocol Development – GECDAC provides guidance and consulting to operations and research groups who require extensive analytic planning and protocol development.
Leadership Data Support – GECDAC provides information and analysis to inform VA Central Office decisions and presents GEC information to external stakeholders.
Data Support to VA Field Offices – GECDAC provides data and analytics on Veteran utilization and costs of Geriatrics and Extended Care health services to support and inform field initiatives.
GEC Data Sharing - GECDAC works with data owners to provide access to GECDAC curated value added data. GECDAC also provides access to data summaries and visualizations, databases and data retrieval macros.
JEN Frailty Index (JFI) - The JFI is a risk score that uses recorded diagnoses to measure the risk of long-term care admissions. GECDAC holds a license from Westat (formerly JEN Associates) to produce JFI scores within VA.
Independence at Home Qualification (IAH-Q) - Independence At Home is a Center for Medicare and Medicaid Services (CMS) demonstration that is modeled after the VA’s Home Based Primary Care (HBPC) program. The demonstration uses criteria collectively called IAH-qualification (IAH-Q). A person meets IAH-Q criteria if they have 2+ chronic conditions, need assistance with 2+ activities of daily living (ADLs), have had a non-elective hospital admission within the last 12 months, and received post-acute services that generated a post-acute care assessment. GECDAC modified the IAH criteria by replacing the ADL requirement with a JFI>5 requirement.
Staffing Data - Monthly CLC-level data of nurse staffing number of hours per patient day for Registered Nurses (RN’s), Licensed Practical Nurses (LPN’s) and Certified Nursing Assistants (CNA’s) providing care in Community Living Centers (CLC’s).
Residential History File (RHF) - The RHF provides daily tracking of an individual’s chronological history of health service utilization and location of care. GECDAC uses the existing RHF infrastructure to develop and build RHFs for its own use and also develops customized RHFs for particular cohorts of interest and specific time frames to share with operational and research colleagues.
GECDAC Core Files (GCF) - The GECDAC Core Files (GCF) is a dataset that includes information of all Veterans who used the Veterans Health Administration in a fiscal year. The per-Veteran, per fiscal year dataset consolidates information from multiple VA and non-VA sources to enable analyses investigating health care utilization patterns, costs, risk factors and outcomes of all Veterans, but primarily pertains to those Veterans receiving GEC services.
GEC Cohort Report - Annual and quarterly summaries of all Veterans using GEC services, nationally, including information on their utilization, VA total and direct costs and Medicare use and costs by categories of GEC service, including institutional and non-institutional care.