power of vha dod sharing visn5 and usameddac ft meade 1 ms barbara m. kuklinski, network contract...
TRANSCRIPT
![Page 1: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/1.jpg)
Power of VHA DoD Sharing
VISN5 and USAMEDDAC Ft Meade
1
Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5CPT Timothy Bertucco, Executive Officer, USAMEDDAC Ft Meade
![Page 2: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/2.jpg)
Who are We
VISN 5
• Washington DC• Baltimore MD• Martinsburg WV• Perry Point MD• Lebanon PA
2
![Page 3: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/3.jpg)
Who are We
USAMEDDAC Ft Meade
• Kimbrough Ambulatory Care Center (Baltimore MD)
• Dunham Army Health Clinic (Carlisle PA)
• Kirk Army Health Clinic (Aberdeen MD)
• Barquist Army Health Clinic (Fredrick MD)
3
![Page 4: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/4.jpg)
We are too closeNot to share
4
![Page 5: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/5.jpg)
What are we doing nowSharing agreements
• Sharing agreements– Kimbrough
• Same-Day Surgery – Cataracts (Baltimore)– GI (Martinsburg)
– Kirk• Staffing Support: Psychiatrist 1 day/week (Baltimore)
– Dunham• Staffing Support: PA, Nursing & Admin (Lebanon)
5
![Page 6: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/6.jpg)
What are we doing nowCommunity Based Outpatient Clinic
Ft Detrick (Barquist)
•Design Plans are completed for a 15K sf single floor building•Primary and limited Specialty Care Services for 5-7K Beneficiaries
•Pre-Bid Construction meeting drew about 100 vendors•Contract award in May 09•Completed in Aug 10
6
![Page 7: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/7.jpg)
What are we doing nowCommunity Based Outpatient Clinic
Ft Meade (Kimbrough)
•Design Plans are completed for a 13K sf single floor building that has the ability to add a second floor•Primary Care and limited Specialty Care for 5-7K Beneficiaries•Pre-Bid Construction meeting drew about 50 vendors•Expect contract award in Jul 09•Completed in Sep 10
7
![Page 8: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/8.jpg)
What are we working on
• Sharing agreements– Kimbrough
• Same-Day Surgery – An agreement that will cover all services that we can provide that
will be open to all VA Medical Centers in the VISN5 Network
– Community Based Outpatient Clinics• Attach the CBOC’s with a covered walkway• Use the Bi-directional capability in AHLTA and VISTA for
Ancillary services• Find more services that each facility can share• Develop Joint Incentive Fund initiatives to fund sharing
expansion
8
![Page 9: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/9.jpg)
Lessons LearnedAgreements
• Keep It Simple– The more detail you put into it, the more limited you
make yourself– Don’t get specific about price and CPT Codes (Use
CMAC -10% rate and let the billing departments work it out)
– Make sure you get the input from the lowest level– Get the worker bee’s talking
9
![Page 10: Power of VHA DoD Sharing VISN5 and USAMEDDAC Ft Meade 1 Ms Barbara M. Kuklinski, Network Contract Manager, VISN 5 CPT Timothy Bertucco, Executive Officer,](https://reader035.vdocument.in/reader035/viewer/2022062423/5697bfe21a28abf838cb41d5/html5/thumbnails/10.jpg)
Lessons LearnedCBOC’s
• Medical does NOT have the authority to build on the Installation.– The Installation Commander must support construction– The request goes all the way up to the Sec Army
• Land Lease Waiver– All non-DoD tenants on Military installations must pay “Fair
market value” for the space they occupy– Sec VA must send a request to waive these fees to the
Sec Army• State and Local Building requirements take a VERY
long time– Work as many function simultaneously as possible– Don’t wait for all the approvals from every level to start the
paperwork
10