I'll answer that question with a few points.
I think the “Keeping the Promise” document gave us a good template, and while it can't be done immediately, some of the key points included making a single integrated health care program. That can't be done overnight, but it can be done probably in a relatively quick period of time if the decisions are made to support that.
Simplification of eligibility is another point. It has been a long-standing barrier to veterans accessing our program.
Another area would be making sure that we have our assessment tools in place to measure care needs and care levels that are as well developed as possible. We do have good tools in place, but we could strengthen those tools over time.
Make the continuum of care more comprehensive. That's also consistent with the “Keeping the Promise” document. There are probably points on the continuum of care where we need to have more options and the flexibility to use those options, such as areas of assisted living.
In the kinds of studies I think Dr. Hollander is working on, he'll probably be able to tell us more about whether there are things we can do right now in terms of opportunities to do more substitution of care. Within our current care model, that would mean asking if there are any additional opportunities to substitute care, and that would mean keeping people home longer if that's where they want to be. I think these studies may help to identify some opportunities in that area as well.
Finally, informal care is an ongoing area, and there are ways we can support informal care. I think our study will help to inform that question as well.