1. 2010 VA/DoD Joint Venture Conference Mike O’Callaghan Federal Hospital Las Vegas

2. 2 New Initiatives – Projects Closed IDENTIFY ALL NEW INITIATIVES OVER THE PAST YEAR: 1. Cath Lab JIF (FY09) Progress—expect to open Summer 2011 2. Dialysis JIF (FY10) Approved—expect to open Summer 2011 3. Formalized 2012 Inpatient Sharing Agreement (“Preferred Provider”)—Effective 2012 4. Submitted 2 JIFs for FY11—Sleep Lab and Infusion Center IDENTIFY ANY PROJECTS OR EFFORTS THAT WERE CLOSED OR FAILED IN THE LAST YEAR: 1. Closed—Full JCAHO Accreditation 2. Closed--Master Sharing Agreement Completed 3. Closed--VA’s Capital Improvement Project to Install $1M+ Patient Lift System 4. Closed—Process Completed to Capture RVUs for AF docs working in VA settings (VA HEM/ONC, Nephrology)

3. 3 Joint Venture Performance Measures PMs USED TO TRACK JV SUCCESS: 1. Utilization (ER, Admissions, Transfers, Discharges, Surgical) 2. Reimbursement Status 3. Life Support Training 4. Customer Satisfaction 5. Patient Safety DATA SOURCES USED FOR THE PMs: 1. AHLTA/CPRS 2. Billing 3. Training Database 4. SDA/Customer Service Cards 5. Audits OUTCOMES FOR EACH PM LISTED: 1. Varies by month 2. Varies by month 3. Varies by month yet on average 99-100% each month 4. Above standards each month 5. Varies by month

4. 4 Access to Military Installation Procedures REQUIRED ACCESS PROCESS and POLICIES FOR VA BENEFICIARIES and/or EMPLOYEES TYPE OF VISITOR ID BADGE* PRIOR COORDINATION VA APPOINTMENT DOCUMENTATION / VERIFICATION VISITOR CENTER VA EMPLOYEE Special ID Issued at MOFH ? PIV card issued by VA HR CACC VA PATIENT DVA card ?DD 214 Only if VA 100% Disabled or Retired Mil VA PATIENT ESCORT No ID, just accompany patient ?N/A Only if VA 100% Disabled or Retired Mil VA PATIENT VISITOR No ID, just accompany patient ? N/A Only if VA 100% Disabled or Retired Mil * Enter Type of ID Required: ( DoD, DVA, GOVT, State, Post or Base)

5. 5 Access to Care and Referral Management ISSUES RELATED TO ACCESS TO CARE & REFERRAL MANAGEMENT: 1. N/A 2. 3. 4. 5. RESOLUTIONS TO ISSUES RELATED TO ACCESS TO CARE & REFERRAL MANAGEMENT: 1. N/A 2. 3. 4. 5.

6. 6 Future Initiatives and/or Proposals NEAR TERM (1-2 YEARS) INITIATIVES: 1. Move to new VAMC in 2012, instituting the 2012 Inpatient Sharing Agreement’s Preferred Provider Relationship 2. Open VA Community Primary Care Clinics (2012) 3. Open Cath Lab JIF (Summer 2011) 4. Open Dialysis JIF (Summer 2011) 5. Open Sleep Lab and Infusion Center (Summer 2011) LONG TERM (>2 YEARS) GOALS / INITIATIVES / STRATEGIES: 1. Establish Cardiac Center of Excellence at MOFH 2. Grow AF to 50K enrollees 3. Become FIRST “Joint Venture Federal Health Care System” 4. Become pilot for VA/DoD Employment Transition Program 5. Capabilities Aligned to Reduce Dependency on Community/Network Services

7. Map of VASNHS and AF Clinical Facilities 1.Northwest Clinic 2.Business Center 3.MOFH 4.Henderson CBOC 5.East Clinic 6.Pahrump CBOC 7.Southwest Clinic 8.Homeless Program 8.North Clinic 9.Psychosocial Rehab Recovery Center 10.West Clinic 11.Central Clinic 12.New Medical Center 13.New NW Clinic 14.New NE Clinic 15.New SW Clinic 16.New SE Clinic