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Alaska VA Healthcare System March 1, 2012. Mr. Alex Spector, VHA Director Vic Rosenbaum, Acting VHA Associate Director Dr. Cynthia Joe, Chief of Staff Linda Boyle, R.N., Associate Director for Nursing and Patient Services. TOPICS. Demographics Basic Eligibility - PowerPoint PPT Presentation
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AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Mr. Alex Spector, VHA DirectorMr. Alex Spector, VHA DirectorVic Rosenbaum, Acting VHA Associate DirectorVic Rosenbaum, Acting VHA Associate DirectorDr. Cynthia Joe, Chief of StaffDr. Cynthia Joe, Chief of StaffLinda Boyle, R.N., Associate Director Linda Boyle, R.N., Associate Director for Nursing and Patient Servicesfor Nursing and Patient Services
Alaska VA Healthcare SystemAlaska VA Healthcare System
March 1, 2012March 1, 2012
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
TOPICSTOPICS
Demographics Basic EligibilityAlaska VA JourneyAlaska VA – Scope of Clinical ServicesSites of Care Joint Venture Relationship with 673d Medical GrpAlaska Federal Healthcare PartnershipCare Closer to Home
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
FY11 Veteran PopulationFY11 Veteran Population 77,35177,351 (Source www.va.gov/vetdata)(Source www.va.gov/vetdata) Projected 2015 Veteran PopulationProjected 2015 Veteran Population 77,01277,012 (Source (Source www.va.gov/vetdata))
FY11FY11 Overall EnrolleesOverall Enrollees 30,022 30,022 Total Unique PatientsTotal Unique Patients 16,59516,595 VA Outpatient Clinic Visits VA Outpatient Clinic Visits 170,281170,281
VHA Demographics
38.8% Veteran Population enrolled – Market Penetration
Alaska Veteran Population Alaska Veteran Population DistributionDistribution
By Area of the StateBy Area of the StateFY11 Veteran FY11 Veteran
PopulationPopulation
% of % of Vet Vet PopPop
FY11 FY11 Enrollees for Enrollees for
Alaska VA Alaska VA HealthcareHealthcare
% of Vet Pop % of Vet Pop in Area in Area EnrolledEnrolled
Anchorage 31,190 40.3% 13,922 45%
Fairbanks 13,034 17% 4,534 35%
Mat-Su 10,532 13.6% 4,433 42%
Southeast 7,987 10.3% 1,158 14.5%
Kenai 6,580 8.5% 2,421 37%
West/SW Alaska 2,846 3.7% 526 18.5%
Northern Alaska 2,576 3.3% 375 14.5%
Kodiak 1,304 1.7% 329 25%
Valdez/Cordova 1,302 1.7% 383 29%
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Enrollees
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Users
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Basic Eligibility forBasic Eligibility for VA Medical Care VA Medical Care
• 8 Priority Groups - 8 Priority Groups - Veterans upon VA’s receipt of application Veterans upon VA’s receipt of application are assigned to one of the groups with Group 1 being the are assigned to one of the groups with Group 1 being the
highest priority and Group 8 the lowest. highest priority and Group 8 the lowest.
• Dependent on level of income and service-connected disability, Dependent on level of income and service-connected disability, some Veterans are required to pay a co-payment for some Veterans are required to pay a co-payment for medications, outpatient care, and inpatient care. VA bills the medications, outpatient care, and inpatient care. VA bills the Veteran’s third party insurance for care that is not related to Veteran’s third party insurance for care that is not related to service-connected disabilities.service-connected disabilities.
• For detailed information, For detailed information, Health Care Benefits Overview Health Care Benefits Overview dated September 2010, is in the briefing folder.dated September 2010, is in the briefing folder.
********MOST IMPORTANTMOST IMPORTANT: Veterans should apply to find out if they are : Veterans should apply to find out if they are eligible. ****eligible. ****
Building a Healthcare System
91
01
99
93/96
92
Fee progra
m 90%
of budget
Outpatient
Clinic Activate
d
Kenai CBOC
OpenedFairban
ksCBOC
Activated
AVAHS: The JourneyAVAHS: The Journey
06
97
DRRTP activation: ARH – then Benson & C St
Joint Venture
, 3rd MDG
Activated
08
Juneau Outrea
ch Clinic
Mat-SuCBOC
New Muldo
on Clinic
2010
Care Closer to HomeVA/DoD JVRural OutreachHomelessness
2011 &
Beyond
Kenai CBOC New
Facility
07
Fairbanks
CBOC Move
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Alaska VA Healthcare Alaska VA Healthcare System Scope of Clinical System Scope of Clinical
ServicesServices
Primary Care to include Home Based Primary CarePrimary Care to include Home Based Primary Care Lab/Radiology/Pharmacy/DentalLab/Radiology/Pharmacy/Dental Social and Behavioral Health ServiceSocial and Behavioral Health Service Homeless Veterans ProgramsHomeless Veterans Programs Limited Specialty Care Limited Specialty Care Ambulatory SurgeryAmbulatory Surgery Coordinated Care Home Telehealth Coordinated Care Home Telehealth Rehabilitation ServicesRehabilitation Services
Prosthetics (Durable Medical Equipment/Home Oxygen)Prosthetics (Durable Medical Equipment/Home Oxygen)
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Sites of VA CareSites of VA Care
Anchorage Anchorage Muldoon ClinicMuldoon Clinic
Domiciliary Residential Rehabilitation Domiciliary Residential Rehabilitation Treatment ProgramTreatment Program
VA/DOD Joint Venture HospitalJoint Base Elmendorf-Richardson
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
VA Sites of Care, VA Sites of Care, cont.cont.Mat-Su VA Community Based Outpatient ClinicMat-Su VA Community Based Outpatient Clinic
Juneau VA Outreach ClinicJuneau VA Outreach Clinic
Fairbanks VA Community Based Fairbanks VA Community Based Outpatient ClinicOutpatient Clinic
Homer VA Outreach Clinic
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
Designated VA Hospital for Alaska Designated VA Hospital for Alaska (60 total inpatient beds)(60 total inpatient beds)
Preferred Emergency Room for Preferred Emergency Room for Anchorage BowlAnchorage Bowl
Over 70 VA staff embedded into Over 70 VA staff embedded into facility facility
Joint Incentive Fund ProjectsJoint Incentive Fund Projects Increased use of specialty services Increased use of specialty services
such as Orthopedics, ENT, such as Orthopedics, ENT, Ophthalmology, and GU when Ophthalmology, and GU when capacity existscapacity exists
Best Hospital in the Air Force 2008 – Best Hospital in the Air Force 2008 – 22ndnd Year in a Row! Year in a Row!
2009 Installation Excellence Award2009 Installation Excellence Award 2009 Best Hospital in DoD2009 Best Hospital in DoD
VA/DOD Joint Venture VA/DOD Joint Venture TeamworkTeamwork
673 MDG Elmendorf AF Base673 MDG Elmendorf AF Base
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
AFHCP - InitiativesAFHCP - Initiatives
• Home Telehealth MonitoringHome Telehealth Monitoring• Federal Education Sharing Group – 4 offerings a yearFederal Education Sharing Group – 4 offerings a year• Medical Oncology Medical Oncology • Pain ManagementPain Management• Emergency PlanningEmergency Planning• GME – AK Psychiatry Residency ProgramGME – AK Psychiatry Residency Program
Care Closer to Care Closer to HomeHome
• Inception:Inception:• Congressional InterestCongressional Interest• Veterans’ ConcernsVeterans’ Concerns• Alaska VA leadership advocacyAlaska VA leadership advocacy
• Dep Under Secretary for Operations & Mgt – Dep Under Secretary for Operations & Mgt – May 2010May 2010
• Oncology Care Closer to HomeOncology Care Closer to Home• AK prepared – Purchased Care Prgm “Best Practice”AK prepared – Purchased Care Prgm “Best Practice”
• Sec VA Visit – May 2011Sec VA Visit – May 2011• AK Congressional invitations “work”AK Congressional invitations “work”• Sec VA requested expansion of programSec VA requested expansion of program
Care Closer to Home Care Closer to Home InitiativeInitiative
• In May 2010, AVAHS began keeping Oncology In May 2010, AVAHS began keeping Oncology care local care local
– 221 oncology patients stay in AK thru Jan 2012221 oncology patients stay in AK thru Jan 2012• Expanded to other specialty care in July 2011Expanded to other specialty care in July 2011
• # of Veterans offered care out of state:# of Veterans offered care out of state:– 2009: 5912009: 591– 2010: 5452010: 545– 2011: 336 (43% reduction)2011: 336 (43% reduction)– 2012: 219 (October 2011 - January 2012)2012: 219 (October 2011 - January 2012)
Care Closer to Home InitiativeCare Closer to Home InitiativeContinue to Refer:Continue to Refer:
• SurgerySurgery– Post-surgical casesPost-surgical cases– Highly-Complex surgeriesHighly-Complex surgeries
• Continuity of CareContinuity of Care• Care Not available in AKCare Not available in AK• SpecialSpecial
– Spinal Cord InjurySpinal Cord Injury– TransplantsTransplants
• Support VA Education MissionSupport VA Education Mission– Cardio-Thoracic SurgeryCardio-Thoracic Surgery
• Conversation occurs with VeteranConversation occurs with Veteran– Do they wish to remain local or be referred to tertiary Do they wish to remain local or be referred to tertiary
facility in “lower-48”facility in “lower-48”
Service Jan FY12 TotalCardiology 7 18Cardiothoracic Surgery 2 8General Surgery 1 9GI 1 Gynecology 6 27Hyperbaric 1 Neurology 10Neurosurgery 33 95Orthopedics 26 152Pain Management 2Plastic Surgery 1 4Pulmonology 1 2Urology 6Vascular surgery 13 51Grand Total 92 386
Care Referred to CommunityCare Referred to Community
Care Closer to Care Closer to HomeHome
Points of Contact for VA Care:Points of Contact for VA Care:
Integrated Care ServiceIntegrated Care Service: DeLynn James: DeLynn [email protected] - 907-257-6922 - 907-257-6922
EligibilityEligibility: Ric Epperson: Ric [email protected] - 907-257-4943 - 907-257-4943
AlaskaAlaskaHealthcare System Healthcare System & Regional Office& Regional Office
Serving America’s Serving America’s VeteransVeterans … … Our most treasured Our most treasured resourceresource
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