welcome to care for him who shall have borne the battle and his widow and orphan. abraham lincoln...
TRANSCRIPT
Welcome
To care for him who shall have borne the battle and his widow
and orphan. Abraham Lincoln
Governor’s Task Force5 June, 2008
Jack Heims, MSW, FACHE
VHA – Oregon Medical Services
Portland VAMC Main Campus
Our Organization
VHA – Oregon Medical Services
The Department of Veterans Affairs is comprised of
• Veterans Benefits Administration – provides compensation and pension, education, life insurance, loan guaranty, & vocational
rehabilitation & employment
• National Cemetery Service – provides burial services to veterans and their spouses
• Veterans Health Administration – provides medical, surgical, mental health & long term care services to veterans
Note: Military hospitals for active duty personnel are part of the Department of Defense, for example - Walter Reed
OUR MISSIONHonor America’s veterans by providing exceptional health care that improves
their health and well-being.
OUR VISIONTo be a patient-centered integrated
health care organization for veterans providing excellent health care, research, and education; an
organization where people choose to work; an active community partner; and a
back-up for National emergencies.
VHA
Roseburg Facility
OUR VALUESTrust, Respect, Excellence, Compassion, Commitment
WHO WE ARE
VHA – Oregon Medical Services
The Veterans Health Administration
(VHA) is divided into 22 Veterans
Integrated Service Networks (VISN's)
The Oregon Facilities are part of VA Northwest Network
VISN 20, which is comprised of the largest geographical
land mass of any VISN within the Department of Veterans
Affairs
VHA – Oregon Medical Services
Portland VAMC Main Facility
PORTLAND VA MEDICAL CENTER
149 inpatient & 72 nursing home beds
Referral Center
Full Continuum of Care
Acute Medicine, Surgery, Psychiatry, Neurology, Rehabilitation, Emergency, Primary, Specialty, Transplant, Ophthalmology, Optometry, Cardiology, Endocrinology, Rheumatology, Geriatrics, Hemodialysis, Endoscopy, Chemotherapy, ENT, Orthopedics, Podiatry, General Surgery, Urology, Dental, Psychology, PTSD, Substance Abuse, Opioid Substitution,, Nuclear Medicine, Imaging, Path & Lab, Audiology, etc.
Support VISN 20, Willamette National Cemetery,
and two Vet Centers
VANCOUVER FACILITY
VHA – Oregon Medical Services
The Vancouver campus includes a 72-bed Nursing Skilled Care Unit/Comprehensive Rehabilitation Unit, Primary
Care Clinic, Mental Health Clinic, Substance Abuse Treatment, Dental, Prosthetics, Community Nursing
Home, Home and Community Based Care, Transitional Lodging Unit, Transplant Lodging Unit, Telephone Care,
Warehouse, Laundry and VISN 20 Administrative Offices.
A Single Room Occupancy Enhanced-Use Lease (EUL)
exists on the campus along with the Clark County Center for Community
Health (EUL)
Roseburg VA Medical Center & Southern Oregon Rehabilitation Center
& Clinics
VHA – Oregon Medical Services
Roseburg VA Medical Center
•Inpt PTSD, SA
•Not all Specialties
•surgical capabilities
•Primary MH and Primary Care
SORCC (White City)
•Primarily Rehab with 425 Beds
•Primary MH and Primary Care
Additional Medical Care Coverage provided by Community Based Outpatient Clinics
VHA – Oregon Medical Services
FT Current CBOCs
• Bandon
• Bend (expanded)
• Brookings
• Eugene (expanded)
• Klamath Falls
• Ontario
• Portland East
• Salem
• Warrenton
Planned FT or PT Clinics
• West Portland (12/08)
• Burns
• Grants Pass
• The Dalles (9/08)
• Lincoln County (FY09)
• Ore City Area (FY09)
• Bandon Relocate to North Bend
FY07 OREGON VITAL STATISTICS
Veterans Served 100,157
Veteran Pop. 305,387
Outpatient Visits 837,410
Budget $427 m
Staff 3653
Hospital Beds
237
NH Beds 127
Dom Beds 472
Total Beds 836
Portland VA Medical CenterVHA – Oregon Medical Services
RESEARCH
VHA – Oregon Medical Services
• 151 Active Research Investigators• Research and Education Foundation• NW VA Cancer Research Center• National Center For Rehabilitative Auditory Research (NCRAR) • Mental Illness Research Education & Clinical Center (MIRECC)• Parkinson’s Disease Research, Education & Clinical Center (PADRECC)• Alcohol Research Center• MS Center of Excellence• NW Hepatitis C Center of Excellence• Methamphetamine Research Center• Center for the Study of Chronic, Comorbid Mental, and Physical Disorders• Agency for Healthcare Research and Quality (AHRG) Decision & Science Center
EDUCATION
VHA – Oregon Medical Services
• Primary academic affiliate is Oregon Health & Science University
• 138 affiliation agreements with 55 educational institutions
• 133.93 funded house officers in 33 different specialties
OREGON VETERAN POPULATION BY COUNTY
VHA – Oregon Medical Services
EXAMPLE OF ACCESS & GROWTH
VHA – Oregon Medical Services
Cumulative Growth
V20 Means
PDX All Vet Trends
PC Overview
V20 PC Trends
PDX PC Uniques
V20 Vesting Trends
PDX Vesting Trends
Comparison Trends
Historical Trends
Priority Overview
P DX P riority 1-6 Trends
PDX Priority Trends
Portland ALL VETERAN Unique Growth(Source: KLF MENU 10-28-07)
-0.9%
1.4%
4.9%
2.6%
6.8%
5.9%
8.2%
9.7%
5.4%
3.7%
2.8%
16.9%
-2.5%
-0.8%
5.3%
6.8%
29,901
32,758
34,976
37,029
40,060
54,152
56,136
57,718
46,841
27,842
27,146
26,900
27,267
28,725
51,367
28,508
31,920
-0.05
0
0.05
0.1
0.15
0.2
1991 19921993 19941995 19961997 199819992000 20012002 20032004 20052006 2007
-
10,000
20,000
30,000
40,000
50,000
60,000
70,000
1991 19921993 19941995 19961997 199819992000 20012002 20032004 20052006 2007
% Growth All Veteran Uniques
OIF/OEF VETERANS
VHA – Oregon Medical Services
• 48% are Active Duty, 52% are Reserve/National Guard
• 88% are men, 12% are women
• 65% Army; 12% Air Force; 12% Navy; 12% Marine
• 34% were deployed multiple times
• 52%, largest age group, is 20-29 years old
• 69% of those who filed disability claims received
service-connected disability compensation award
• As of March 2008, Oregon Facilities have enrolled approximately 5000 OIF/OEF veterans
OIF/OEF VETERANS
VHA – Oregon Medical Services
Veterans Tracking Application, March 5, 2008
NATIVE AMERICAN PARTNERSHIPS
VHA – Oregon Medical Services
• Continued sponsorship of Camp Chaparral, now in its 14th year
• Provision of VA staff to tribal clinics to assist with Post Traumatic Stress Disorder issues, to include training over 200 attendees
• Development of MOUs in Portland and Walla Walla to provide a mechanism for specialty care referrals and prescription support
• Provision of technical assistance in the development of electronic medical records at Warm Springs
Eligibility, Co-Pays, Fee, CHAMPVA
VHA – Oregon Medical Services
• Eight levels of eligibility (See Handout)
• Co-Pays depending on priority levels, Income, Special Programs and can be waived in certain circumstances (See Handout)
• Generally Fee Cards allow, in certain cases, for veterans to access non-VA services in rural parts of the state. These are on decline due to efforts to bring care closer to where veterans live
• Sometimes we contract (purchase) specialty care in the community when our ability to meet demand outstrips our supply
• CHAMPVA for spouses and Dependents, Few Oregon providers accept it. (See Handout)
OUT OF NETWORK CARE
VHA – Oregon Medical Services
VA may authorize payment of emergent inpatient care at non-VA facilities only when certain criteria is met. Care must be:
• For emergent treatment of a service connected disability
• For emergent treatment for any condition for a veteran rated permanently and totally disabled by VA regional office
• For female veterans if notified within 72 hours, and
• A few other conditions
OUT OF NETWORK CARE
VHA – Oregon Medical Services
If neither of these criteria are met, VA may consider inpatient claims for payment if the following is met:
• Veteran is enrolled in VA healthcare and has received treatment at a VA within the past 24 months
• VA is notified within 90 days of the admission
• Veteran has no other insurance
Under these conditions, payment is made only until medically stable.
Each case is reviewed based on eligibility and medical documentation and can be appealed.
If the veteran has other insurance, then VA does not pay
SUMMARY
Meeting the physical and emotional needs of all our Veterans is a complex undertaking
Oregon Facilities have and are continuing to improve access and meet unprecedented growth
OEF/OIF Veterans are increasing, bringing New challenges such as TBI
VHA – Oregon Medical Services
THANK YOU
For YourService to
Our Veterans
VHA – Oregon Medical Services