Council on Health Care Economics and Policy

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    Thomas Edes

    Thomas E. Edes, M.D.

    Thomas E. Edes is the Director of Home and Community-Based Care for the Department of Veterans Affairs, Washington, D.C.  As Director, he has national responsibility for the direction and operations of VA’s unique Home-Based Primary Care programs, collaboration with community home health agencies, Adult Day Health Care, Community Residential Care, Medical Foster Homes, and hospice and palliative care.  Under his leadership since 2000, the number of Veterans receiving Home Based Primary Care has tripled, hospice and palliative care has become an established program in every VA medical center, and Medical Foster Home has grown from a pilot project in Little Rock to a national program in 21 states and expanding.  He has also been instrumental in the development of the Independence at Home Act, passed in March 2010, which establishes a Medicare demonstration project for home care specifically for persons with complex chronic disabling disease that is comprehensive, interdisciplinary, and longitudinal.

    Prior to taking this position at VA Headquarters, he was Chief of Geriatrics and Extended Care at the Harry S Truman Memorial VA Medical Center and Associate Professor of Medicine at the University of Missouri in Columbia.  There he was instrumental in developing Geriatric Evaluation and Management inpatient and outpatient programs, Subacute Care and Hospice units, a Geriatric Fellowship program, and the Advanced Disease Planning initiative.  He was Medical Director of the VA Nursing Home Care Unit and the Home Based Primary Care program for 9 years.  Dr. Edes served as Associate Director of the 1995 White House Conference on Aging Office, and served for the Secretary on the Policy Committee for the 2005 White House Conference on Aging.  He was instrumental in the VA End of Life Care national initiative, and was a project manager for the Institute for Healthcare Improvement MediCaring collaborative on improving care for persons in advanced stages of chronic disease.  His research interests have included clinical nutrition, cancer detection and prevention, enhancing outcomes in home care, end of life care, and improving care for persons with chronic disabling disease.  Dr. Edes received his MD degree and MS degree in Nutrition from the University of Illinois in 1981.  He holds board certification in Internal Medicine and in Geriatric Medicine, and is a Fellow of the American College of Physicians and the American College of Nutrition.  In 2010, Dr. Edes was elected as President of the American Academy of Home Care Physicians.

    Presentation

    Transforming VA Care at the End of Life

    Presentation Date

    Princeton Conference XVII: May 20, 2010

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