Pasadena City College Veterans Village Proposal Dr. Cynthia Olivo, Dr. Barbara Freund, Patricia D’Orange Martin, Rueben Smith, Jeff Blake, Enrique Robles

Veterans Health & Wellness Serve Assist Promote “Approximately 30% of PCC Veterans (900) report they have a health needs such as hearing loss, post traumatic stress disorder, traumatic brain injury, depression, have experienced military sexual trauma, etc. yet the majority do not use treatment facilities from the Veteran’s Administration (VA). A clinic on campus would make it more convenient and it would afford the opportunity to collaborate with the VA to outreach to these students and increase the use of these services” Patty D’Orange-Martin, PCC Veterans Resource Center

Partners Pasadena City College (PCC) Veteran’s Administration Greater Los Angeles Healthcare System (VAGLAHS) Congresswoman Judy Chu

Goals Take advantage of planned Veterans Resource Center (VRC) expansion from current space in “W” building to modulars which would also house clinic.

Goals Provide comprehensive services to PCC Veterans to address needs related to PCC education, Veterans Administration benefits, health and wellness.

Goals Increase the use of health and wellness services by placing clinic on campus rather than veterans driving to West Los Angeles for clinic services

Goals Serve as a host for PCC Allied Health Students Clinical rotation

Goals Collaborate with Academic Affairs, CTE, Student Affairs: DSP&S, Psychological Services, Health Services, Career Center, to provide student internships in the VA clinic

Goals Meet the needs of family members of veterans in the San Gabriel Valley & potentially increase PCC enrollment

Initial Cost VRC Expansion cost: $400k (District funded) $350k Facilities $50k VRC Additional $250k needed for clinic (fundraise)

Operational Budget VAGLAHS will provide: Patient Aligned Care Team: $500,000-$600,000 annually Los Angeles Ambulatory Care Center Site Manager Physician or high level nurse practitioner Registered Nurse Mental Health Provider: Psychologist, Psychiatrist or mental health social worker Nurse Assistant Clerk Other: Medical Supplies Hazardous waste disposal Tele-health program specialist Internet Computers (for patient privacy) PCC would provide custodial services & utilities

Programs and Clinical Experience Opportunities for Students Nursing Program 250 students: Small group rotations for Intake, Medical Histories, Medication administration, Vaccine administration Medical Assisting Program 40 students per year: Rotations in front and back office, Appointment setting, Intake, Phlebotomy, EKG, Vital Signs Dental Assisting and Dental Hygiene (currently provide free clinic services to Vets) 35 students: Oral screening and referrals to Dental Hygiene clinic

Main services of Veterans Village PCC VRC  Veteran’s Administration monthly visits  Vet Net Ally Training  VA Vocational Rehabilitation Counselor  Vet Club  Vet Learning Community  Tutoring  Academic Coach  Educational Counseling

Main services of Veterans Village VAGLAHS Health Clinic Services  Basic primary medical care including:  Common illness care  Chronic disease care  Appropriate preventative health services and screenings  Coordination of care that is to be provided in other clinical settings  Patient education on maintaining health  Mental health services  Psychiatry  Psychology  Social work  Integrative health and healing therapies such as acupuncture, tai chi, yoga, meditation  Mental health services for family members

Main services of Veterans Village VAGLAHS Women’s Health Program  Services listed on previous slide tailored for women veterans

Future Funding Opportunities Veteran Service Grants and Veteran Education Grants, Department of Veterans Affairs Funding Highlights:  Includes $54.6 billion for veterans’ medical care, supporting continuing improvements in the delivery of mental health care, the development of telehealth technologies, specialized care, for women veterans, and benefits for veterans’ caregivers.  Requests $55.6 billion in 2015 advance appropriations for medical care programs, to ensure continuity of veterans’ health care services.  Provides $1.4 billion to support the Administration’s ongoing efforts to combat veteran homelessness.  Provides $799 million to ensure timely activation of new and renovated medical facilities already under construction. PCC was just awarded a “Vets to Nurses” Grant ($90,000) in July, 2014

Fundraising Partners  Dave Loera, Veterans of Foreign Wars  Gene Sacco, Pasadena American Legion (proceeds from annual gala will be donated to this)  Ron Hansel, Disabled American Veterans  Rotary Clubs  Kiwanis Clubs Rotaries and Kiwanis Clubs

Location

Potential Number of clients 20,000 – 30,000 Veterans could benefit from these services Congresswoman Judy Chu’s 27 th Congressional District there are 22,574 Veterans Congresswoman Grace Napolitano’s 32 nd district at 22,660 VAGLAHS estimates approximately 4,000-5,000 individual veterans per year based upon other business flow at community based outpatient clinics

Congresswoman Judy Chu "I strongly support the VA Greater Los Angeles Healthcare System's (VAGLAHS) efforts to bring a Veteran's Clinic to Pasadena City College (PCC). Our veterans in the San Gabriel Valley have been waiting more than five years to get the resources they need and I commend PCC's leadership in ensuring those needs are met. This type of clinic would be the first of its kind in the nation and it would offer Veterans the unprecedented opportunity to receive the healthcare they deserve and obtain the education benefits they have earned. I am fully committed to working with both VAGLAHS and PCC to ensure that we bring a VA Clinic to the San Gabriel Valley."

Future Plan Sustainability: VAGLAHS budget is based upon number of patients served, so as increase in patient population by opening this clinic guarantees that staffing resources will continue to be provided to VAGLAHS through the national VA budgeting model. 5 year agreement with PCC for the purpose of locating a VA clinic on the PCC campus

Other models While this kind of partnership has never been attempted at this scale, there are numerous examples of direct VA services (specifically Mental Health care) being provided to Veterans on academic campuses. The VA's VITAL program (Veterans Integration To Academic Leadership), established in 2011, has resulted in 24 VA medical centers partnering with more than 30 academic institutions to provide on-campus services to VA beneficiaries. This has been limited to mental health care in the past, but the program leaders of VITAL are thrilled with the prospect of our project becoming a new model for VA healthcare integration in the academic environment. Here's a website for more information about VITAL:

Benefit to community "We believe that the future of healthcare is in community integration: becoming part of the daily lives of our patients and being accessible to them without asking them to interrupt their daily lives. For the hundreds of Veteran students enrolled at Pasadena City College, as well as for the tens of thousands of Veterans who call the San Gabriel Valley home, we are so excited by the prospect of partnering with PCC to provide Veterans with the world- class, integrated healthcare services they deserve, right in their own backyard. Beyond the obvious benefit of the location in Pasadena, our partnership with PCC provides another, more systemic benefit: the opportunity for academic affiliation. Medical and allied health education is a significant part of our mission as an organization, and we believe that in offering PCC students opportunities for hands-on learning in the clinical environment, we will be introducing these future VA providers to the Veterans we are privileged to serve.“ Donna Beiter, RN, MSN, Director of VA Greater Los Angeles Healthcare System

Next Steps  Board Approval  Fundraising efforts publicized. PCC Foundation account established. First fundraiser at end of August, 2014  VRC Expansion and Clinic move  Grand Opening Summer, 2015