Transcript Slide 1

U.S. Department of Veterans Affairs
Benefits & Services
• $50 billion for Post-9/11 GI Bill education since 2009.
• $1.1 billion for vocational rehabilitation & employment in 2014.
• Life insurance for 6.5 million Veterans, Servicemembers, and
families.
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• 2.2 million
home loans,TITLE
with the lowest foreclosure rate and
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highest satisfaction rate in the mortgage industry.
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• $58 billion compensation benefits for 3.9 million Veterans in
2014 — with $66 billion forecasted for 4.2 million Veterans in
2015.
• 125,188 interments in National Cemeteries, 365,000
headstones and markers, and 618,000 presidential memorial
certificates in 2014.
• 1.3 million completed claims in 2014 — 150,000 more than in
2013 — with the backlog shrunk 77% in the past two years.
U.S. Department of Veterans Affairs
Why VA Health Care
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A triad of unique capabilities
U.S. Department of Veterans Affairs
Groundbreaking Research
• 3 Nobel Prizes and 7 Lasker Awards
• Groundbreaking research into PTSD, TBI, and telehealth and
personal-assistance technology
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• Multiple advances in prosthetics, in identifying genetic risk
factors for numerous diseases, and in treating Spinal Cord
Injury (SCI)
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• Developed the implantable cardiac pacemaker, conducted the
first successful liver transplants, and created the nicotine
patch to help smokers quit smoking
• Partnered with DARPA to design artificial limbs that respond
to thoughts of paralyzed patients — a system called
“Braingate,” featured by 60 Minutes in 2012
• $1.8 billion for over 2,200 research projects in 2015
U.S. Department of Veterans Affairs
Education & Training
• Partnered with over 1,800 educational
institutions & myriad organizations on
hundreds of initiatives & research projects.
• Each
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VA trains ~120,000
health-care
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workers — 62,000 medical students and
residents,
23,000 nursing students, 33,000
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students in other health fields.
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• 70% of all U.S. physicians have received training
at VA.
• 100% retention rate for VA Nursing Academic Partnership (VANAP)
graduates one year after completing VA’s Post-Baccalaureate Nurse
Residency.
• $198 million for RN advanced education — 82% of total $241 million
for all VA occupations awarded through FY2018.
• $8.7 million for nurse trainee stipends for clinical training.
U.S. Department of Veterans Affairs
Clinical Care & People
• Higher satisfaction ratings from Veterans for VA care than from
patients of private hospitals.
• Largest employer of nurses in the Nation:
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• 60,000 RNs
• 6,500 Advance
Practice
RNs
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• 15,000 LPNs
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• 12,000Click
Nursing
Assistants
• Nurses assumed leadership roles in
120 quality improvement teams led by
the VA National Center for Patient
Safety (NCPS).
• 19 doctorally prepared nurses trained
as VA Quality Scholars to apply quality
improvement and patient safety
methods to care.
U.S. Department of Veterans Affairs
Advances by VA Nurses
• Dr. Jill Bormanns’ Mantram Repetition Program for psychological
conditions related to PTSD and TBI.
• Dr. Jane Anderson’s and Dr. Stephanie Daniels’s nurse-administered
swallow screening for stroke patients.
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Dr. Lauren Broyles’ Interdisciplinary Alcohol Screening, Brief
Intervention,
and ReferralTITLE
to Treatment (SBIRT).
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• Dr. BonnieClick
Wakefield’s
e-health
technologies
• Drs. Susan Thomason and Audrey Nelson: developed pressure ulcer
measure tool (PUMT) to assess wound healing.
• Dr. Gail Powell-Cope studying PUMT implementation to monitor wound
healing in patients with spinal cord injuries/disorders.
• Dr. Pat Quigley’s fall and fall injury prevention projects.
• Sue Kinnick conceived the use of bar-code software for administering
medications.
U.S. Department of Veterans Affairs
Excellence in Nursing
• Dr. Beth Taylor received Paralyzed Veterans of America’s
Clinical Advocacy Award for leadership in Spinal Cord Injury
Patient Unit staffing models.
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• Dr. Eileen Collins received the Distinguished Pulmonary
Scholar Award for significant advances in the field of
pulmonary rehabilitation.
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• Dr. Penny K. Jensen was named a Hartford Scholar by the
Gerontological Society of America.
• Lori Hoffman Hogg was appointed to the Institute of
Medicine’s National Cancer Policy Forum.
• Dr. Christine Kasper will be inducted into the Nursing Hall
of Fame for her research in blast-induced TBI caused by
explosive devices.
U.S. Department of Veterans Affairs
An Aging Veteran Population
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U.S. Department of Veterans Affairs
The Rise in Medical Issues
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U.S. Department of Veterans Affairs
The Rise in Degree of Disability
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U.S. Department of Veterans Affairs
The Rise in Compensation
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U.S. Department of Veterans Affairs
Factors Fueling Demand
• More than a decade of war
• Agent Orange-related claims
•
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Unlimited claims appeal process
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• Increased
medical
issues
• Higher survival rates of the wounded
• More sophisticated methods for identifying
and treating Veterans
• Demographic shifts
U.S. Department of Veterans Affairs
VHA’s Aging Infrastructure
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71%
60%
40%
17%
6%
Age (in years)
U.S. Department of Veterans Affairs
Immediate Actions
• Extended hours: 880,000 appointments
completed in evenings and weekends
• 45% more
authorizations
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non-VA care
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• Activated
93 buildings
to add 1.4 million
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feettoof
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health-related
use
• Hired 38,000 new employees in the past year,
net increase of 11,000 VHA employees,
including —
o 970 more physicians
o 2,100 more nurses
U.S. Department of Veterans Affairs
Progress on Access
• 97% of appointments in April 2015 completed within
30 days of the Veteran’s preferred date.
• 88% within 7 days
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• 20%
in the same
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• 2.7 million
more appointments
to than
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through Click
April
in the
same
months the previous
year — for a total of 51.8 million.
• Average wait time:
• Primary Care — 4 days
• Specialty Care — 5 days
• Mental Health — 3 days
• 55% reduction in the Electronic Wait List
U.S. Department of Veterans Affairs
Long-term Solution
1.
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Improving
Veterans Experience
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2. Improving the Employee Experience
3. Improving our Internal Support Services
4. Establishing a culture of Continuous
Performance Improvement
5. Enhancing Strategic Partnerships
U.S. Department of Veterans Affairs
Examples of MyVA Progress
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Changed policy to allow Veterans to stop or start benefits
and add or drop dependents with just a phone call to a
VBA call center.
Designed a pilot program to allow Veterans to see
audiologists and optometrists without first seeing a
Primary Care physician.
Working to expand Wi-Fi service at VA facilities so
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Veterans
their
families
visits.
Rolling out a new training course called “VA 101” to raise
the level of employee knowledge about VA and Veterans’
benefits and services.
Saved $300,000 a year by stopping automatic distribution
of paper copies of reports available electronically.
Working to establish MyVA Communities around the
country to organize the work of state and local partners.
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U.S. Department of Veterans Affairs
President’s 2016 Budget Request
2016
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Total Budget
RequestTO$168.8
MandatoryINTRO
Benefits TITLE
$95.3 billion
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Discretionary Funding $73.5 billion
+7.5%
Medical Care
$60.0 billion
+7.4%
VBA Operating
$2.7 billion
+6.6%
* Increases over 2015 enacted levels.
U.S. Department of Veterans Affairs
Impact of House Action
• Cut Veterans Medical Care by $688 million — 70,000 fewer
Veterans receiving VA medical care.
• Eliminate funding for four Major Construction projects:
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Alameda, CA;
Stockton,
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MO; Perry Point, MD.
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• Eliminate funding
for cemetery
Portland, Riverside,
Puerto
Rico,
and Alameda.
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• Inhibit hiring & retention of the best people by prohibiting
performance awards & bonuses for Title V SES and other
employees.
• Deny VA the budgetary flexibility needed to serve Veterans
the way they want to be served by restricting funds to
specific purposes without regard for Veterans’ preferences
or identified needs.
U.S. Department of Veterans Affairs
Let’s talk about it
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. . . the best, most inspiring mission and
the greatest clients in the world.
U.S. Department of Veterans Affairs