evidoria

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Good practice

VHA Digital Divide Consult & Connected Device Program

United States of America · Washington · See the United States of America profile

The US Veterans Health Administration's Digital Divide Consult (2020) standardises referrals for free loaned tablets and data. A 2024 cohort study found 119,926 tablet recipients up to 2.95x more likely to use video telehealth, though 37% had no video visit in six months.

119,926
Tablets distributed (Apr 2020-Feb 2023)
2.73-2.95x
Likelihood of monthly video visits vs other VHA patients
63%
Recipients with a video visit within 6 months
93.5%
Medical centres adopting the consult (by Dec 2020)

Details

Maturity
Established
Promoter
Veterans Health Administration (U.S. Department of Veterans Affairs)
Period
2016-present
Keywords
veterans, telehealth, digital equity, healthcare access, tablet distribution

Context

Since 2016 the US Veterans Health Administration has loaned video-capable tablets with cellular data to veterans lacking technology for telehealth. A Digital Divide Consult introduced in September 2020 lets any treating clinician flag a veteran for a free device through the electronic health record, with a VA social worker confirming eligibility; 93.5% of VHA medical centres had adopted the consult by December 2020.

Results

VHA distributed 119,926 tablets between April 2020 and February 2023 (about 2% of active users). A 2024 JMIR cohort study found recipients were 2.73-2.95 times more likely to have monthly video visits than the general VHA population, with 63% completing a video visit within six months - but 37% had none, and uptake was lower among hospice-referred (55.2%) and homebound (58.3%) veterans, evidence that devices alone do not guarantee engagement.

Implementation

Implementation detail (cost, timeline, staffing, conditions for success) is not yet available for this practice.

Data sources

Where this practice's information was retrieved from, and when.

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