1. Waiting to Be Seen Geographic Barriers to Accessing Veteran Health Care By: Rachael L. Cushman

2. Introduction Background Data Study Area Analysis Results Conclusions

3. To Care for him who shall have borne the battle, and for his widow, and his orphan. ~ Abraham Lincoln

5. * Veterans serving on active duty between August 2, 1990 and present are considered Gulf War Era Veterans Veterans by Conflict

7. Current Problems Extensive waiting period for appointments Distance to facilities Specialists not available

8. Veteran’s Choice Program Waiting period in excess of 30 days Live more than 40 miles from a facility Excessive traffic Excessive travel time Have an excessive travel burden Geographic challenges Medical condition

9. Data US Census Bureau California Department of Transportation NAVTEQ Maps via Business analyst U.S. Department of Veteran Affairs

10. Study Area Selection 2 Million Veterans 840,000 Enrolled 60,000 Civilian 1,000,000 Patients 125,000 PPH 38 Million Residents 437 Hospitals 87,000 PPH

11. Population Density

12. Los Angeles 32% California’s Population Population total: 13,594,264 Veteran Pop Estimate: 597,972

14. Location Name Time (min) Miles Delay (min) Total Time (min) House-refuge Church- God In Christ 20.311.765.9586.21 Top Furniture24.915.687.04111.94 E Waldo Ward & Son Marmalades 44.434.7142186.42 Malibu Beach House53.335.36.4359.77 Calvary Tax Svc.43.336.7136.9180.21

18. Location Name Total Miles Total Time (min) Alternate Hospital Total Miles Total Time (min) House-refuge Church God In Christ 11.6986.21 Los Ángeles Metropolitan Medical Center 1.534.11 Top Furniture 15.55111.94 Providence Tarazna Medical Center 2.316.88 E Waldo Ward & Son Marmalades 34.73186.42 Aurora Las Encinas Hospital 4.2523.28 Malibu Beach House 35.2959.77 Thousand Oaks Surgical Hospital 21.3938.07 Calvary Tax Svc 36.71180.21 Foothills Presbyterian 1.484.49

19. Conclusions Bottlenecks may cause an excessive travel burden Recommend further research Traffic should be taken into consideration Don’t move to L.A.

20. Questions?