VA Defining Health Excellence Care in the 21 st Century 1

Veterans Health Administration (VHA) Mission Statement Honor America’s Veterans by providing exceptional health care that improves their health and well- being. 2

Veterans Health Administration (VHA) VISION STATEMENT VHA will continue to be the benchmark of excellence and value in health care and benefits by providing exemplary services that are both patient centered and evidence based. This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery, and continuous improvement. It will emphasize prevention and population health and contribute to the nation’s well-being through education, research and service in National emergencies. 3

VA Pittsburgh Healthcare System

VA Pittsburgh Locations University Drive Division University Drive Pittsburgh, PA | H. J. Heinz Progressive Care Center 1010 Delafield Road Pittsburgh, PA |

About VA Pittsburgh About Us VA Pittsburgh Healthcare System is an integrated healthcare system that proudly serves the Veteran population throughout the tri-state area of Pennsylvania, Ohio and West Virginia. It is our mission to care for America’s Veterans and provide them with excellent health care. VA Pittsburgh Healthcare System consists of three divisions: a major medical and surgical tertiary care facility, a behavioral health facility, and a community living center and a Veterans recovery center all complemented by community based outpatients clinics Community Based Outpatient Clinics Beaver, PA Greensburg, PA Monaca, PA Uniontown, PA Washington, PA Westmoreland, PA Belmont, OH

Homeless Veterans  There is over 50,000 homeless veterans on any given night. 7

President Obama and Secretary of Veterans Affairs Shinseki’s charge to VA employees: “It is unacceptable for a single veteran to spend the night on the streets of America.” Goal: To move veterans and their families out of homelessness 8

Ending Homelessness Among Veterans Leaning Forward to Reach Zero

VA’s Five Year Plan One of the Secretary’s highest priorities A Veteran-centric “no wrong door” approach Right-size existing programs and services and develop new initiatives that promote transformation efforts and optimize the six integrated pillars: 1. Outreach/Education 2. Treatment Services 3. Prevention Services 4. Housing/Supportive Services 5. Income/Employment/Benefits 6. Community Partnerships

Transformational Model Reaching Zero…and Staying There

Veterans Recovery Center Heinz Campus, 1010 Delafield Road, Pittsburgh

Veterans Recovery Center  HealthCare for Homeless Veteran Program  HCHV Program helps Homeless Veterans who are in need of Medical, Mental Health, Substance Abuse, Housing, and legal issue services.  Psychiatric Residential Rehabilitation Treatment Program  ( )  Vocational Services Program ( )  Domiciliary Residential Rehabilitation & Treatment Program  A Residential Treatment Program to help Homeless Veterans obtain Employment and Housing. ( ) 13 VA Pittsburgh HealthCare System Offers

Domiciliary Residential Rehabilitation & Treatment Program The Domiciliary Care for Homeless Veterans is a program to address the needs of homeless Veterans. Veterans are provided individual counseling and case management as well as groups focusing on sobriety maintenance, problem solving, stress management, vocational assistance and recreational activities. The goal is for Veterans to return to the community as independent productive individuals.

HCHV Umbrella of Services Outreach into the Community Shelter visits, soup kitchens and community visits Stand Down (annual) Summit (annual) CHALENG (annual) Benefit Services Case Management in Housing Health Care Services Contract Residential Program Grant and Per Diem Transitional Coraopolis Supportive Housing VA National Homeless Hotline HUD-VASH Permanent Housing Veterans Justice Outreach Program Veterans Court Re-entry for Incarcerated Veterans 15

Veterans Place Total Current Resident Veterans44 Male Veterans39 Female Veterans5 OEF/OIF/OND Veterans

Shepherd’s Heart Veterans Home 17 Contract Residential Program Current Admissions3 OEF/OIF/OND0 Grant & Per Diem Program Current Admissions12 OEF/OIF/OND1

Mechling-Shakley Vet Center Current Admissions40 OEF/OIF/OND Veterans 7

Coraopolis Supportive Housing 19 Veteran and Family Transitional Housing Currently Serving Veterans and Families Male Veterans 3 Female Veterans 1 Non-Veteran (F) 1

HUD-VASH FY 2011 Total HUD-VASH Vouchers280 Veterans Housed251 Allegheny County203 City of Pittsburgh21 City of McKeesport1 Beaver County5 Westmoreland County6 Fayette County2 Greene County0 Washington County7 Veterans and Families70 Female Veterans40 OEF/OIF Veterans20 20

The Veterans Justice Outreach Initiative – VA Pittsburgh Health System & Allegheny County Veterans Courts Veterans Treatment Courts in Operation: Allegheny County, 61 Veterans, 17 OEF/OIF/OND Beaver County 1 Veteran Fayette County 4 Veterans Washington County, 13 Veterans, 7 OEF/OIF/OND Western District of Pennsylvania Federal Re-Entry Veterans Court, No active cases, 5 planned admissions in the near future, 1 OEF/OIF/OND West Virginia 5 Veterans Graduation: November 2013, 19 Veterans, First female graduate

STAND DOWN 22 Community Partners and the VA working together to help homeless Veterans

Performance Measures Surpassed VISN PM’s for 2013, over 5,100 visits with Veterans, over 1300 uniques. Percentage of Veterans Discharged to Independent Housing HUD VASH Vouchers: Percentage of Veterans Housed Percentage of Veterans Served in HUD VASH Who Meet Chronically Homeless Criteria

VA’s Five Year Plan One of the Secretary’s highest priorities A Veteran-centric “no wrong door” approach Right-size existing programs and services and develop new initiatives that promote transformation efforts and optimize the six integrated pillars: 1. Outreach/Education 2. Treatment Services 3. Prevention Services 4. Housing/Supportive Services 5. Income/Employment/Benefits 6. Community Partnerships