1. Acquisition and Acquisition Strategies of the Department of Veteran Affairs John Jennings Robert W. Thomale Amy Pitts Joyce M. Ward January 2006

2. P A G E 2 Table of Contents Introduction –Study Objective –Study Approach –Veterans Health Administration (VHA) –Veterans Integrated Service Networks (VISNs) –Key VISN Personnel: Roles and Responsibilities –Generic Procurement Process –Common VISN Service Requirements

3. P A G E 3 Table of Contents (Continued) VISN Reports –VISNs 1 through 23 Summary –Observations –Common Interview Responses –Summary of VA Socioeconomic Accomplishments –VA Service-Disabled Veteran-Owned Small Business Socioeconomic Accomplishments Potential Marketing Strategy

4. P A G E 4 Introduction: Study Objective Obtain actionable information regarding the VA acquisition function –Comprehensive review to support VA National Account Manager Services (VA NAMS) initiative Focuses on VHA—decentralized VA entity with greatest number of procurement opportunities Report provides at the VISN level –Points of contact for requirements and acquisition function »Spend authority, existing contracts, and construction activities –Future plans with respect to the acquisition function

5. P A G E 5 Introduction: Study Approach Established baseline at VISN level –Identified publicly available information VHA is more reluctant than other agencies to publish “public” information Hired Robert Thomale, former Chief of Acquisition and Material Management for the North Texas VA Health Care Center –Relied on his knowledge and contacts Filled in information gaps by Working the phones Making Freedom of Information Act (FOIA) requests to reticent VISN officials Data accuracy

6. P A G E 6 Veterans Health Administration (VHA)

7. P A G E 7 Introduction: Veterans Integrated Health Networks (VISNs) VISN 1 New England Healthcare System VISN 2 Healthcare Network Upstate New York VISN 3* NY/NJ Veterans Healthcare Network VISN 4 Stars & Stripes Healthcare Network VISN 5 Capitol Health Care Network VISN 6* Mid-Atlantic Health Care Network VISN 7 Southeast Network VISN 8 Sunshine Healthcare Network VISN 9* Mid South Healthcare Network VISN 10 Healthcare System of Ohio VISN 11* Veterans In Partnership VISN 12* Great Lakes Health Care System VISN 15* Heartland Network VISN 16 South Central Health Care Network VISN 17 Heart of Texas Health Care Network VISN 18 Southwest Health Care Network VISN 19* Rocky Mountain Network VISN 20 Northwest Network VISN 21 Sierra Pacific Network VISN 22* Desert Pacific Healthcare Network VISN 23 Midwest Health Care Network

8. P A G E 8 Introduction: Key VISN Personnel: Roles and Responsibilities VISN-Wide Responsibilities –Network Director Chief Logistics Officer Network Contracting Manager (NCM) Contracting Personnel Facility-Wide Responsibilities –Facility Director Chief, Acquisition and Material Management (A&MM) Requirements Developers Purchase Card Coordinator (PCC)

9. P A G E 9 Generic Procurement Process

10. P A G E 10 Introduction: Common VISN Service Requirements Custodial Grounds maintenance Uniform Laundry Escort Telephone operator Mail room

11. P A G E 11 VISN Report For each VISN, we provide –An introductory chart –A VISN leadership chart –An acquisition workforce chart –Charts for all major facilities within the VISN –An interview summary

12. P A G E 12 VISN 1 New England Healthcare System 200 Springs Road, Building 61 Bedford, MA 01720; (781) 687-3400 P A G E 12

13. P A G E 13 VISN 1 Leadership

14. P A G E 14 VISN 1 Acquisition Work Force

15. P A G E 15 VISN 1 Acquisition Work Force (Continued)

16. P A G E 16 VISN 1 VA Connecticut Healthcare System, West Haven Campus

17. P A G E 17 VISN 1 Edith Nourse Rogers Memorial Veterans Hospital, Bedford MA

18. P A G E 18 VISN 1 VA Boston Healthcare System, Boston, MA

19. P A G E 19 VISN 1 Togus VA Medical & Regional Office Center, Augusta, ME

20. P A G E 20 VISN 1 VA Medical Center, White River Junction, VT

21. P A G E 21 VISN 1 Providence VA Medical Center, Providence, RI

22. P A G E 22 VISN 1 Northampton VA Medical Center, Leeds, MA

23. P A G E 23 VISN 1 Manchester VA Medical Center, Manchester, NH

24. P A G E 24 VISN 1 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

25. P A G E 25 VISN 2 Healthcare Network Upstate NY P.O. Box 8980 Albany, NY 12208-0980 (518) 626-4722 P A G E 25

26. P A G E 26 VISN 2 Leadership

27. P A G E 27 VISN 2 Acquisition Work Force

28. P A G E 28 VISN 2 Acquisition Work Force (Continued)

29. P A G E 29 VISN 2 VA Medical Center, Albany, NY

30. P A G E 30 VISN 2 VA Medical Center, Bath, NY

31. P A G E 31 VISN 2 VA Medical Center, Canandaigua, NY

32. P A G E 32 VISN 2 VA Medical Center, Syracuse, NY

33. P A G E 33 VISN 2 Western New York Healthcare System

34. P A G E 34 VISN 2 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

35. P A G E 35 VISN 3 NY/NJ Veteran Healthcare Network 130 W. Kingsbridge Road, Building 16 Bronx, NY 10486 (718) 741-41100 P A G E 35

36. P A G E 36 VISN 3 Leadership

37. P A G E 37 VISN 3 Acquisition Work Force

38. P A G E 38 VISN 3 VA Medical Center, Bronx, NY

39. P A G E 39 VISN 3 NY Harbor Healthcare System, Brooklyn Campus

40. P A G E 40 VISN 3 VA Hudson Valley Healthcare System, Montrose, NY

41. P A G E 41 VISN 3 VA Medical Center, Northport, NY

42. P A G E 42 VISN 3 VA New Jersey Healthcare System, East Orange, NJ

43. P A G E 43 VISN 3 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

44. P A G E 44 VISN 4 Stars & Stripes Healthcare Network C/O VA Medical Center Delafield Road Pittsburg, PA 15240 (412) 784-3939 P A G E 44

45. P A G E 45 VISN 4 Leadership

46. P A G E 46 VISN 4 Acquisition Work Force

47. P A G E 47 VISN 4 Acquisition Work Force (Continued)

48. P A G E 48 VISN 4 James E. Van Zandt VA Medical Center, Altoona, PA

49. P A G E 49 VISN 4 VA Medical Center, Butler, PA

50. P A G E 50 VISN 4 Louis A. Johnson VA Medical Center, Clarksburg, WV

51. P A G E 51 VISN 4 VA Medical Center, Coatesville, PA

52. P A G E 52 VISN 4 Erie VA Medical Center, Erie, PA

53. P A G E 53 VISN 4 VA Medical Center, Lebanon, PA

54. P A G E 54 VISN 4 VA Medical Center, Philadelphia, PA

55. P A G E 55 VISN 4 VA Pittsburgh Healthcare System, Pittsburgh, PA

56. P A G E 56 VISN 4 VA Medical Center, Wilkes Barre, PA

57. P A G E 57 VISN 4 VA Regional Office and Medical Center, Wilmington, DE

58. P A G E 58 VISN 4 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

59. P A G E 59 VISN 5 Capital Healthcare Network 849 International Drive Suite 275 Linthicum, MD 21090 (410) 691-1131 P A G E 59

60. P A G E 60 VISN 5 Leadership

61. P A G E 61 VISN 5 Acquisition Work Force

62. P A G E 62 VISN 5 VA Medical Center, Baltimore, MD

63. P A G E 63 VISN 5 VA Medical Center, Washington, DC

64. P A G E 64 VISN 5 VA Medical Center, Martinsburg, WV

65. P A G E 65 VISN 5 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

66. P A G E 66 VISN 6 Mid-Atlantic Network 300 W. Morgan Street Suite 1402 Durham, NC 27701 (919) 956-5541 P A G E 66

67. P A G E 67 VISN 6 Leadership

68. P A G E 68 VISN 6 Acquisition Work Force

69. P A G E 69 VISN 6 Acquisition Work Force (Continued)

70. P A G E 70 VISN 6 VA Medical Center, Asheville, NC

71. P A G E 71 VISN 6 VA Medical Center, Beckley, WV

72. P A G E 72 VISN 6 VA Medical Center, Durham, NC

73. P A G E 73 VISN 6 VA Medical Center, Fayetteville, NC

74. P A G E 74 VISN 6 VA Medical Center, Hampton, VA

75. P A G E 75 VISN 6 Hunter Homes McGuire VA Medical Center, Richmond, VA

76. P A G E 76 VISN 6 VA Medical Center, Salem, VA

77. P A G E 77 VISN 6 W. G. “Bill” Hefner VA Medical Center, Salisbury, NC

78. P A G E 78 VISN 6 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

79. P A G E 79 VISN 7 The Atlanta Network 3700 Crestwood Parkway, NW Suite 500 Duluth, GA 30096-5585 (678) 924-5700 P A G E 79

80. P A G E 80 VISN 7 Leadership

81. P A G E 81 VISN 7 Acquisition Work Force

82. P A G E 82 VISN 7 Acquisition Work Force (Continued)

83. P A G E 83 VISN 7 Atlanta VA Medical Center, Decatur, GA

84. P A G E 84 VISN 7 Augusta VA Medical Center, Augusta, GA

85. P A G E 85 VISN 7 VA Medical Center, Birmingham, AL

86. P A G E 86 VISN 7 Central Alabama Veterans Health Care System, Montgomery, AL

87. P A G E 87 VISN 7 Carl Vinson VA Medical Center, Dublin, GA

88. P A G E 88 VISN 7 William Jennings Bryan VA Medical Center, Columbia, SC

89. P A G E 89 VISN 7 Ralph H. Johnson VA Medical Center, Charleston, SC

90. P A G E 90 VISN 7 VA Medical Center, Tuscaloosa, AL

91. P A G E 91 VISN 7 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

92. P A G E 92 VISN 8 Sunshine Healthcare Network 10000 Bay Pines Blvd P.O. Box 406 Bay Pines, FL 33744 (727) 319-1125 P A G E 92

93. P A G E 93 VISN 8 Leadership

94. P A G E 94 VISN 8 Acquisition Work Force

95. P A G E 95 VISN 8 Acquisition Work Force (Continued)

96. P A G E 96 VISN 8 Acquisition Work Force (Continued)

97. P A G E 97 VISN 8 VA Medical Center, Miami, FL

98. P A G E 98 VISN 8 James A. Haley VA Medical Center, Tampa, FL

99. P A G E 99 VISN 8 VA Medical Center, West Palm Beach, FL

100. P A G E 100 VISN 8 Malcolm Randall VA Medical Center, Gainesville, FL

101. P A G E 101 VISN 8 VA Medical Center, San Juan, PR

102. P A G E 102 VISN 8 Bay Pines VA Healthcare System, Bay Pines, FL

103. P A G E 103 VISN 8 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

104. P A G E 104 VISN 9 Mid-South Veterans Healthcare Network 1801 West End Avenue Suite 1100 Nashville, TN 37203 (615) 695-2200 P A G E 104

105. P A G E 105 VISN 9 Leadership

106. P A G E 106 VISN 9 Acquisition Work Force

107. P A G E 107 VISN 9 Acquisition Work Force (Continued)

108. P A G E 108 VISN 9 VA Medical Center, Huntington, WV

109. P A G E 109 VISN 9 VA Medical Center, Lexington, KY

110. P A G E 110 VISN 9 VA Medical Center, Louisville, KY

111. P A G E 111 VISN 9 James H. Quillen VA Medical Center, Mountain Home, TN

112. P A G E 112 VISN 9 Tennessee Valley Healthcare System, Nashville, TN

113. P A G E 113 VISN 9 VA Medical Center, Memphis, TN

114. P A G E 114 VISN 9 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

115. P A G E 115 VISN 10 VA Healthcare System of Ohio 11500 Northlake Drive, Suite 200 Cincinnati, OH 45249 (513) 247-4621 P A G E 115

116. P A G E 116 VISN 10 Leadership

117. P A G E 117 VISN 10 Acquisition Work Force

118. P A G E 118 VISN 10 Acquisition Work Force (Continued)

119. P A G E 119 VISN 10 Louis Stokes VA Medical Center, Cleveland OH

120. P A G E 120 VISN 10 VA Medical Center, Chillicothe, OH

121. P A G E 121 VISN 10 VA Medical Center, Cincinnati, OH

122. P A G E 122 VISN 10 VA Medical Center, Dayton, OH

123. P A G E 123 VISN 10 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

124. P A G E 124 VISN 11 Veterans In Partnership P.O. Box 134002 Ann Arbor, MI 48113-4002 (734) 930-5950 P A G E 124

125. P A G E 125 VISN 11 Leadership

126. P A G E 126 VISN 11 Acquisition Work Force

127. P A G E 127 VISN 11 Centralized Contracting Service Center

128. P A G E 128 VISN 11 VA Illiana Health Care System, Danville, IL

129. P A G E 129 VISN 11 Richard L. Roudebush VA Medical Center, Indianapolis, IN

130. P A G E 130 VISN 11 Northern Indiana VA Medical Center, Fort Wayne, IN

131. P A G E 131 VISN 11 John D. Dingell VA Medical Center, Detroit, MI

132. P A G E 132 VISN 11 Ann Arbor Healthcare System, Ann Arbor, MI

133. P A G E 133 VISN 11 Aleda E. Lutz VA Medical Center, Saginaw, MI

134. P A G E 134 VISN 11 Battle Creek VA Medical Center, Battle Creek, MI

135. P A G E 135 VISN 11 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

136. P A G E 136 VISN 12 Great Lakes Healthcare System P.O. Box 5000 Building 18 Hines, IL 60140 (708) 202-8400 P A G E 136

137. P A G E 137 VISN 12 Leadership

138. P A G E 138 VISN 12 Acquisition Work Force

139. P A G E 139 VISN 12 Acquisition Work Force (Continued)

140. P A G E 140 VISN 12 William S. Middleton Memorial Veterans Hospital, Madison, WI

141. P A G E 141 VISN 12 Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI

142. P A G E 142 VISN 12 Edward Hines, Jr. VA Hospital, Hines, IL

143. P A G E 143 VISN 12 Tomah VA Medical Center, Tomah, WI

144. P A G E 144 VISN 12 Jesse Brown VA Medical Center, Chicago, IL

145. P A G E 145 VISN 12 North Chicago VA Medical Center, North Chicago, IL

146. P A G E 146 VISN 12 Iron Mountain VA Medical Center, Iron Mountain, MI

147. P A G E 147 VISN 12 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

148. P A G E 148 VISN 15 Heartland Network 4801 Linwood Blvd. Kansas City, MO 64128 (816) 922-2908 P A G E 148

149. P A G E 149 VISN 15 Leadership

150. P A G E 150 VISN 15 Acquisition Work Force

151. P A G E 151 VISN 15 Acquisition Work Force (Continued)

152. P A G E 152 VISN 15 Robert J. Dole Department of Veterans Affairs, Wichita, KS

153. P A G E 153 VISN 15 Eastern Kansas Health Care System

154. P A G E 154 VISN 15 John J. Pershing VA Medical Center, Poplar Bluff, MO

155. P A G E 155 VISN 15 Kansas City VA Medical Center, Kansas City, MO

156. P A G E 156 VISN 15 St. Louis VA Medical Center, St. Louis, MO

157. P A G E 157 VISN 15 Harry S. Truman Memorial VA Medical Center, Columbia, MO

158. P A G E 158 VISN 15 Marion VA Medical Center, Marion, IL

159. P A G E 159 VISN 15 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

160. P A G E 160 VISN 16 South Central VA Healthcare Network 1600 E. Woodrow Wilson 3 rd Flr. Suite A Jackson, MS 39216; (601) 364-7900 P A G E 160

161. P A G E 161 VISN 16 Leadership

162. P A G E 162 VISN 16 Acquisition Work Force

163. P A G E 163 VISN 16 Acquisition Work Force (Continued)

164. P A G E 164 VISN 17 Heart of Texas Healthcare Network 2301 East Lamar Blvd. Suite 650 Arlington, TX 76006 (817) 652-1111 P A G E 164

165. P A G E 165 VISN 17 Leadership

166. P A G E 166 VISN 17 Acquisition Work Force

167. P A G E 167 VISN 17 Acquisition Work Force (Continued)

168. P A G E 168 VISN 17 South Texas Veterans Health Care System, San Antonio, TX

169. P A G E 169 VISN 17 North Texas Health Care System, Dallas, TX

170. P A G E 170 VISN 17 Central Texas Veterans Health Care System, Temple, TX

171. P A G E 171 VISN 17 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

172. P A G E 172 VISN 18 Southwest Healthcare Network 6950 E. Williams Field Road Mesa, AZ 85212 (602) 222-2681 P A G E 172

173. P A G E 173 VISN 18 Leadership

174. P A G E 174 VISN 18 Acquisition Work Force

175. P A G E 175 VISN 18 Acquisition Work Force (Continued)

176. P A G E 176 VISN 18 Acquisition Work Force (Continued)

177. P A G E 177 VISN 18 Carl T. Hayden VA Medical Center, Phoenix, AZ

178. P A G E 178 VISN 18 Southern Arizona VA Health Care System, Tucson, AZ

179. P A G E 179 VISN 18 New Mexico VA Health Care System, Albuquerque, NM

180. P A G E 180 VISN 18 Amarillo VA Health Care System, Amarillo, TX

181. P A G E 181 VISN 18 El Paso VA Health Care System, El Paso, TX

182. P A G E 182 VISN 18 West Texas VA Health Care System, Big Spring, TX

183. P A G E 183 VISN 18 Northern Arizona VA Health Care System, Prescott, AZ

184. P A G E 184 VISN 18 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

185. P A G E 185 VISN 19 Rocky Mountain Network 4100 E Mississippi Suite 510 Glendale, CO 80246 (303) 756-9279 P A G E 185

186. P A G E 186 VISN 19 Leadership

187. P A G E 187 VISN 19 Acquisition Work Force

188. P A G E 188 VISN 19 Eastern Colorado Health Care System, Denver, CO

189. P A G E 189 VISN 19 VA Medical Center, Grand Junction, CO

190. P A G E 190 VISN 19 Montana Health Care System, Fort Harrison, MT

191. P A G E 191 VISN 19 Salt Lake City Health Care System, Salt Lake City, UT

192. P A G E 192 VISN 19 Cheyenne VA Medical Center, Cheyenne, WY

193. P A G E 193 VISN 19 Sheridan VA Medical Center, Sheridan, WY

194. P A G E 194 VISN 19 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

195. P A G E 195 VISN 20 Northwest Health Network P.O. Box 1035 Portland, OR 97207 (360) 690-1832 P A G E 195

196. P A G E 196 VISN 20 Leadership

197. P A G E 197 VISN 20 Acquisition Work Force

198. P A G E 198 VISN 20 Acquisition Work Force (Continued)

199. P A G E 199 VISN 20 VA Regional Office, Anchorage, AL

200. P A G E 200 VISN 20 Boise VA Medical Center, Boise, ID

201. P A G E 201 VISN 20 Portland VA Medical Center, Portland, OR

202. P A G E 202 VISN 20 Roseburg Health Care System, Roseburg, OR

203. P A G E 203 VISN 20 VA Puget Sound Healthcare System, Seattle, WA

204. P A G E 204 VISN 20 Spokane VA Medical Center, Spokane, WA

205. P A G E 205 VISN 20 Jonathan M. Wainwright Memorial VA Medical Center, Walla Walla, WA

206. P A G E 206 VISN 20 Southern Oregon Rehabilitation Center and Clinics, White City, OR

207. P A G E 207 VISN 20 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

208. P A G E 208 VISN 21 Sierra Pacific Network 210 Walnut Avenue Mare Island, CA 94592 (707) 562-8350 P A G E 208

209. P A G E 209 VISN 21 Leadership

210. P A G E 210 VISN 21 Acquisition Work Force

211. P A G E 211 VISN 21 Acquisition Work Force (Continued)

212. P A G E 212 VISN 21 Palo Alto Health Care System, Palo Alto, CA

213. P A G E 213 VISN 21 Central California Health Care System, Fresno, CA

214. P A G E 214 VISN 21 VA Medical Center, San Francisco, CA

215. P A G E 215 VISN 21 Sierra Nevada Health Care System, Reno, NV

216. P A G E 216 VISN 21 Pacific Islands Health Care System, Honolulu, HI

217. P A G E 217 VISN 21 Northern California Health Care System, Sacramento, CA

218. P A G E 218 VISN 21 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

219. P A G E 219 VISN 22 Desert Pacific Healthcare Network 5901 E 7 th Street Long Beach, CA 90822 (562) 494-5963 P A G E 219

220. P A G E 220 VISN 22 Leadership

221. P A G E 221 VISN 22 Acquisition Work Force

222. P A G E 222 VISN 22 Acquisition Work Force (Continued)

223. P A G E 223 VISN 22 Acquisition Work Force (Continued)

224. P A G E 224 VISN 22 Greater Los Angeles Healthcare System, Los Angeles, CA

225. P A G E 225 VISN 22 Long Beach Healthcare System, Long Beach, CA

226. P A G E 226 VISN 22 San Diego Healthcare System, San Diego, CA

227. P A G E 227 VISN 22 Southern Nevada Healthcare System, North Las Vegas, NV

228. P A G E 228 VISN 22 Loma Linda Healthcare System, Loma Linda, CA

229. P A G E 229 VISN 22 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

230. P A G E 230 VISN 23 VA Midwest Health Care Network Building 9, 2 nd Floor 5445 Minnehaha Avenue Minneapolis, MN 55417 (612) 725-1968 P A G E 230

231. P A G E 231 VISN 23 Leadership

232. P A G E 232 VISN 23 Acquisition Work Force

233. P A G E 233 VISN 23 Acquisition Work Force (Continued)

234. P A G E 234 VISN 23 Minneapolis VA Medical Center, Minneapolis, MN

235. P A G E 235 VISN 23 Central Iowa VA Medical Center, Des Moines, IA

236. P A G E 236 VISN 23 Iowa City VA Medical Center, Iowa City, IA

237. P A G E 237 VISN 23 St. Cloud VA Medical Center, St. Cloud, MN

238. P A G E 238 VISN 23 Nebraska/Western Iowa VA Medical Center, Omaha, NE

239. P A G E 239 VISN 23 Fargo Medical/Regional Office, Fargo, ND

240. P A G E 240 VISN 23 Black Hills Health Care System, Fort Meade, SD

241. P A G E 241 VISN 23 Sioux Falls VA Medical Center, Sioux Falls, SD

242. P A G E 242 VISN 23 Interview Highlights How familiar are you with JWOD, and how would you assess the level of support for JWOD in your VISN? In the scheme of competing priorities, where does JWOD stand in your VISN relative to the other socio-economic goals? What barriers to JWOD do you see in your VISN?

243. P A G E 243 Summary: Observations A-76 studies are not being funded –Impacts commercial activities inventory data provided to NISH VISNs basically share the same mission and vision –Honor America’s veterans by providing exceptional health care that improves their health and well-being. –Be the health care provider of choice, achieving the highest quality in health care delivery, education and research. Five-year projections for operations and maintenance budget are unavailable –FY 2004 data are last reported

244. P A G E 244 Summary: Common Interview Responses (Themes) Three important themes emerged from interviews –JWOD Program awareness is high among VISN managers, but marketing to VISN staffers needs improvement –SDVOSBs have procurement preference –Residual resistance to NISH is based on perception that it is a high-cost provider

245. P A G E 245

246. P A G E 246

247. P A G E 247 Potential Marketing Strategy Develop partnership with VA’s Homeless Veterans Program –Make pitch to senior VA leadership first –Explore the possibility of employing homeless veterans in exchange for an increased share of VA procurements Strategy separates NISH from the “pack” by making NISH an employer of veterans as opposed to just another contractor

248. P A G E 248 Potential Marketing Strategy (Continued) At the VISN level –Meet with director or surrogate before contacting facility directors At the facility level –Meet with Homeless Veterans Program Coordinator Explain how NISH can employ homeless veterans Enlist support in making pitch to facility director and subordinates –Meet with Director Ensure facility staff are aware of NISH and its support of the Homeless Veterans Program Request opportunity to present proposals in anticipation of unadvertised requirements