Barriers and facilitators to implementation of VA home-based primary care on American Indian reservations: a qualitative multi-case study

Table 2 Variation in target populations for 12 VA medical centers that expanded home-based primary care to rural American Indian reservations

	VAMC 1	VAMC 2	VAMC 3	VAMC 4	VAMC 5	VAMC 6	VAMC 7	VAMC 8	VAMC 9	VAMC 10	VAMC 11	VAMC 12
Population served by:
IHS					x	x	x			x	x	x
THP		x	x	x				x
Population: Multiple Tribes	x			x				x	x		x
Active IHS/THP users at initiation of HBPC expansion^a	<5000^b	10,000–30,000	5000–10,000	<5000	10,000–30,000	<5000	<5000	<5000	5000–10,000	>100,000	>100,000	10,000–30,000
Distance in miles from VAMC to furthest IHS/THP clinics in HBPC catchment area	<50	50–100	50–100	>200	100–200	50–100	100–200	50–100	100–200	100–200	>200	50–100
Existing clinical relationship between VAMC and IHS/THP (e.g., cost sharing, joint privileging)		x							x			x

^aHealthcare Patient Information from Department of Health & Human Services Final User Population Estimates 2010 Report [32]
^bTribes not serviced by IHS or THP

ISSN: 1748-5908