1. VA Health Care Overview
Jeanette Mendy, VA YRRP Liaison
VA Health Care Overview, Version
This title slide includes the date of the most recent version.
This most recent version can be found on:

2. Today’s Veterans Today, there are over 22 Million living Veterans.
Created for VHA Overview Version 1.6/13/2011
We are all VA customers to some extent. We all know veterans and are connected in some way – through parents, grandparents, other relatives, classmates, and colleagues.
Number of Veterans and Survivors Receiving Compensation and Pension Benefits at the End of Fiscal Year 2010 is 4,069,610.
____ received benefits and services from VA
8M+ Veterans are enrolled in the VA health care system
4M+ Veterans and survivors receive VA compensation and pension benefits 2

3. VA’s Mission
To fulfill President Lincoln's promise, “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s Veterans.
Created for VHA Overview Version 1.6/13/2011

4. Integrity Commitment Advocacy Respect Excellence VA Core Values
Created for VHA Overview Version 2.7/18/2011
Because I care, I will act with:
I-ntegrity - Act with high moral principle. Adhere to highest professional standards. Work to maintain trust and confidence of everyone.
C-ommitment - Work diligently to serve Veterans and other beneficiaries. Be driven by an earnest belief in VA’s mission. Fulfill my individual and my organizational responsibilities.
A-dvocacy - Be fully Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries.
R-espect - Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it.
E-xcellence - Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them.”

5. VA’s Administrations
The Veterans Health Administration (VHA) is one of the three major administrations of the Department of Veterans Affairs.
Veterans Health Administration
(VHA)
National Cemetery Administration
(NCA)
Veterans Benefits Administration
(VBA)
Created for VHA Overview Version 2.7/18/2011

6. Mission
Honor America’s Veterans by providing exceptional health care that improves their health and well-being.
Created for VHA Overview Version 1.6/13/2011

7. Hospital System to Health System
In 1996, VA began the creation of Veterans Integrated Service Networks (VISNs) to transform VA Health Care from a “Hospital System” to a “Health System.”
VHA currently has 21 VISNs.
152 Medical Centers
986 Outpatient Clinics Community-Based Hospital-Based Mobile Independent
300 Vet Centers
Created for VHA Overview Version 1.6/13/2011
Updated 8/2/2012 to reflect FY12 2nd Quarter Stats:
________________________________________________________
Updated 3/21/2012 to reflect FY th Quarter pocket card:
70 Mobile Vet Centers
98 Domiciliary Residential Rehabilitation Programs
133 Community Living Centers
Source: FY nd Quarter Pocket Card

8. Vital Statistics FY 2011
Enrollees………………………………………………………………….8.57 Million Unique Patients Treated………………………………… Million Outpatient Visits……………………………………… Million Outpatient Surgeries…………………………………………………..….295,500 Inpatient Admissions………………………………………….……….…692,100 Lab Tests (Inpatient & Outpatient)…………………………266.8 Million Prescriptions Dispensed (30-Day Equivalent)……… Million Prosthetics Services Performed……………………..……… Million
Created for VHA Overview Version 1.7/18/2011
Updated 2/17/2012 to reflect FY thQuarter pocket card:
Source: FY 2011 EOY Pocket Card;

9. VA’s Health Care Expertise
VA is one of the largest civilian employers in the federal government and one of the largest health care employers in the world.
269,000+ Total VHA Employees
83,000+ Veteran Employees
20,000+ Physicians
69,000+ Nurses*
Created for VHA Overview Version 1.6/13/2011
Updated 2/22/12 with FY11 data from HTM.
Nurses data updated 4/8 via 10A1. Total RN's: 55,961 (includes Nurse Practitioners, Clinical Nurse Specialists, Nurse Executive trainees, and Fee Basis); LPNs / LVNs: 13,589
In 2009, AARP (American Association of Retired Persons) named the Veterans Health Administration as a Best Employer for Workers Over 50 Award.
*Includes registered nurses, licensed practical nurses and licensed vocational nurses.

10. VA’s PACT with Veterans
To help increase Veterans’ satisfaction with their care and improve their health outcomes, VA’s health care facilities are implementing the Patient Aligned Care Team (PACT) health care model.
Created for VHA Overview Version 1.6/13/2011
PACT emphasizes teams and coordinated care.

11. Future of VA Health Care
Past VA
Present
Future
“What can I fix?”
“How can we help what is wrong with you?”
“How can we help you live the life you want to live?”
Physician
Clinical Team
Veteran, Family and Health Care Team
Case-Based Paper Medical Record
Disease-Based Electronic Medical Record
Whole-Person Electronic Health Record
“We’ll address your immediate concern.”
“You have a risky problem, please follow this plan to improve by your next visit.”
“We can design your personalized health plan to meet your goals.”
Created for VHA Overview Version 1.6/13/2011
Modified for Version 7/18/2011

12. Better Access, Better Care
Before
After
Hospital System
Health System
Created for VHA Overview Version 1.6/13/2011
Hospitals
Outpatient Clinics
Mobile Clinics
Vet Centers
Mobile Vet Centers
My HealtheVet
Only Hospitals

13. VA/DoD Joint Initiatives
VA and DoD share several joint initiatives aimed at improving the quality, efficiency and effectiveness of the delivery of benefits and services to Veterans, Service Members, military retirees and their families.
Created for VHA Overview Version 10/19/2011
VLER:
What are the future plans for this partnership?
VA and DoD are planning the development of a joint Virtual Lifetime Electronic Record (VLER) to share benefit, personnel and health data from the start of a recruit’s military service through their transition to Veteran status for the remainder of their life.
The VLER initiative will improve care and services to Veterans and active duty Servicemembers by enhancing the flow of benefit and medical information between the two Departments.
VA’s Virtual Lifetime Electronic Record (VLER) is a multi-faceted business and technology initiative that includes a portfolio of health, benefits, personnel, and administrative information sharing capabilities.

14. My HealtheVet
A personal My HealtheVet account provides Veterans with 24/7 online access to a variety of tools to manage their health care.
Created for VHA Overview Version 1.6/13/2011
Communicate with Participating Patient Aligned Care Team Members
View Appointments and Health Information
Refill Prescriptions
Download and Share Personal Health Record

15. Traumatic Brain Injury
VHA provides a nationwide integrated structure of treatment facilities and programs that cared for more than 67,000 Veterans and Servicemembers with Traumatic Brain Injury in FY 2011.
Created for VHA Overview Version 1.6/13/2011
Updated 2/22/12 with FY11 data form PCS.

16. Post-Traumatic Stress Disorder
VHA treated more than 530,000 Veterans for Post-Traumatic Stress Disorder in 2011.
Treatment is customized to the needs of the Veteran:
Inpatient and Outpatient Visits
One-on-One Therapy
Group Therapy
Created for VHA Overview Version 1.6/13/2011
Updated 2/22/2012 with 2011 data from PCS.
Family Therapy
Residential Rehabilitation

17. Increasing Number of Women Veterans
Since 2000, the number of women Veterans receiving VA health care services has more than doubled.
159,000
337,000
Created for VHA Overview Version 1.6/13/2011
Updated 2/17/12
Source (Allocation Resource Center (ARC), VHA Office of Finance (10A3)).
2000
2011

18. Increasing Demands for Women’s Services
The increase of women Veterans means increased demand for VA health care services specific to women.
Created for 9/13/11
Influx of younger women
Maternity care
Service-connected disabilities
Privacy, safety, convenience
Older women (largest sub population of female VA users)
Menopausal needs
Geriatric Care
Inpatient/extended stays

19. Reaching Rural Veterans
VA estimates approximately 43% of all Veterans live in rural areas.
VA continues to expand health access to rural Veterans through:
Fee basis care
Home-based telehealth
Rural health care partnerships
Mobile health clinics
Created for VHA Overview Version 1.6/13/2011

20. Caring for Native American Veterans
VHA is focused on improving the health status of Native American Veterans.
VHA is teaming with the Indian Health Service to implement the following initiatives:
Launch Home Based Primary Care (HBPC) in 14 rural Indian Health Service or tribal clinics
Increase telemedicine services
Support Northport-Riverhead Community Based Outpatient Clinic
Provide traditional healing services
Created for VHA Overview Version 1.10/19/2011

21. Helping Homeless Veterans
VA's major homeless programs constitute the largest integrated network of homeless assistance programs in the country, offering a wide array of services to help Veterans recover from homelessness and live as self-sufficiently and independently as possible.
Prevention Services
Housing and Supportive Services
Treatment
Employment, Income and Benefit Assistance
Outreach and Education
Community Partnerships
Created for VHA Overview Version 1.10/07/2011
VA Photo by April Eilers

22. Saving Lives
In 2007, VA partnered with the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide a call center Crisis Line for Veterans.
Rescues of Actively Suicidal callers to the Veterans Crisis Line
23,000+
650,000+
Callers
Created for VHA Overview Version 1.6/13/2011
Updated 9/10/12 from 2012 Suicide Prevention Month materials.
Saving Lives
In 2007, VA partnered with the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide a call center Crisis Line for veterans.
-540,000+ Callers, as of Dec. 31, 2011 (actual number = 541,360)
-19,000+ Rescues of Actively Suicidal callers to the Veterans Crisis line, as of Dec. 31, 2011 (actual number = 19,823)

23. Supporting Caregivers
Over 50% of Caregivers experience medium to high levels of stress as a result of the demands of their role as a Caregiver.
VA offers Caregivers all this and more:
Caregiver Support Line
Education and Training
Family Support Services
In-Home Care
Respite Care
Aid and Attendance Compensation
Home Adaptation
Automobile Modification
Transportation Assistance
Stipend, CHAMPVA and other special services for Caregivers of eligible post 9/11 Veterans.
Created for VHA Overview Version 1.6/13/2011

24. PDHRA Referrals October 2011 – June 2012
PDHRA Completed
Referrals
Referred to VAMC
Referred to Vet Center
Referred to TRICARE
Referred to MTF
October 2011
6942
2696
282 69
1012 8
November 2011
6131
2340
426 22
802 2
December 2011
8816
3316
696
125
1632
January 2012
8237
2979
468
221
1402 1
February 2012
7380
2409
571
137
587
March 2012
8891
3558
560
156
1406 5
April 2012
9359
3286
417
115
1431
May 2012
7163
2521
335 73
731 9
June 2012
5391
1822
163 27
488 3

25. Contact Information
Jeanette Mendy VA YRRP Liaison Phone: