Initiative - Domiciliaries and CLCs

[kmariepat-cityfriends]

Background

• Domiciliaries are residential shelters that provide services to homeless Veterans (or to returning service members who may not have a home in the area to which they have returned). They can also provide shelter to rehab patients or victims of domestic violence. They are connected to VAMC facilities, and both VAMCs and Community Resource and Referral Centers (CRRCs), can help connect Veterans to various programs and services, including domiciliary facilities.
• Community Living Centers (CLCs) are VA nursing homes and can be as small as a wing within a larger hospital facility. Therefore, they do not have the official designation of VAMC Facility within the CMS (which would be reserved for the hospital campus itself)

Problems to solve

• Before we can reimagine detail pages or validate potential designs with Veterans, we need to better understand Domiliciaries and Community Living Centers as facilities, such as the services they offer and what information Veterans need to know to visit them.

  • Community Living Centers deliver nursing home level of care, skilled nursing and/or medical care. They can be a temporary or permanent home. They can also provide rehab care/services. But often, they display only one health service accordion: "extended care"

• These facilities may be dedicated/freestanding/unique locations, services provided as a department within the medical center. (i.e. no facility ID, just separate building or floor), or jointly VA-state run locations. These factors impact whether or not they are listed in VAST.

  • There are 300+ CLCs in the country, but only 3 CLCs within the Facilities API -> CLC Location list
  • VAMC Facilities are the only content type that can be included in the left-nav “Locations” menu or on the “Locations” page. If Domiciliaries and CLCs are not identified as a VAMC facility in VAST, they will not be discoverable in the these usual ways.

• KB article(s) may not accurately reflect the situation or the guidance to PAOs (See Edit existing KB article: CLCs and Domiciliary Locations [Facilities] #12659)

• If their CMS pages are unpublished, they do not have a FE url and do not push to Lighthouse. (See What to push for Mobile Clinics and Domiciaries #8839)

Related resources

• Domiciliary product page
• CLC product page
• Links from historical issue to the mural with lofi design suggestions are broken but the recs are available in the discovery folder