Atlanta VA Medical Center Budget and Education Overview

Atlanta VA Medical Center Budget and Education Overview Town Hall Meeting – June 11, 2013

How we receive our funding The President & Congress Department of Veterans Affairs Veterans Health Administration el RA VE Atlanta VAMC d Mo VISN 7

Medical Center Administration Appropriation (0152) Medical Care Appropriation (0160) Research Appropriation (0161) Facilities Appropriation (0162) IT Appropriation (0167) 3

FY 2013 Budget by Appropriation Total Budget: 638, 022, 955 Facilities, $50, 359, 958, (8%) Admn $40, 355, 611, (7%) Medical Facilities Admn Medical, $547, 307, 386, (86%)

FY 2013 Budget by Type $5, 871, 711 (1%) $9, 444, 084 (2%) $72, 929, 643 (11%) General Purpose $38, 964, 288 (7%) MCCF MC Specific Purpose $39, 799, 000 (7%) Other Specific Purpose $471, 014, 229 (86%) Equipment NRM

How we spend our funding as of May 2013 $12, 179, 904 (3%) $7, 371, 032 (2%) $11, 789, 892 (3%) Personal Services Contracts & Services $53, 380, 889 (14%) Supplies & Materials $72, 903, 661 (19%) $225, 296, 034 (59%) Equipment & NRM Travel & Transportation (Employees & Patients) Other Costs

Salary Cost by Category as of pay period 10 Administrative, $40, 235, 742 (17%) Operations, $10, 424, 045 (5%) Physicians, $61, 373, 799 (26%) Non Physician Providers, $21, 395, 574 (9%) Clinical Staff, $40, 491, 648 (17%) Nursing, $61, 521, 352 (26%)

FTEE by Category as of pay period 10 Operations, 228. 3 (7%) Non Physicians, Providers, 223. 5 306. 2 (10%) (7%) Administrative, 784. 4 (25%) Nursing, 887. 7 (29%) Clinical Staff, 691. 3 (22%)

Atlanta’s Efficiency DSS Ø through 2 nd quarter Atlanta’s DSS productivity is 89. 1 UCR – Cost Efficiency Ø Adjusted Patient Care Cost/Adjusted Fac. Work – v Ranked #12 of all 1 A facilities, and Ranked #52 nationally Ø Adjusted Cost YTD per FTEE – v Ranked #20 of all 1 A facilities, and Ranked #115 nationally Ø Indirect Cost per Adjusted Fac. Work – v Ranked #2 of all 1 A facilities, and Ranked #5 nationally Ø RN FTEE per Adjusted Fac. Work – v Ranked #2 of all 1 A facilities, and Ranked #22 nationally Ø MD FTEE per Adjusted Fac. Work – v Ranked #25 of all 1 A facilities, and Ranked #127 nationally There are 152 VA medical centers. 32 of those are categorized as complex 1 A facilities.

Nursing Education Scholarships and Educational Programs

Atlanta VA Scholarships EISP – the intent of EISP is to award scholarships to VHA‘s non-RN employees who wish to pursue a education for positions that are hard to recruit and retain. NNEI – the intent of NNEI is to award scholarship to VHA’s registered nurses for completion of (1) baccalaureate degree in nursing and (2) advanced degrees in nursing or related field

Scholarship Eligibility Ø 1. Full-time or part-time employee. Ø 2. Current VA employee who has been continuously employed with VA for not less than one year as of the date on which the official EISP/NNEI application is submitted for the scholarship award. NOTE: a break in service of three days interrupts continuous employment. Ø 3. Unconditionally accepted as a full-time or part-time student in a school of nursing as of the date the employee submits the official EISP/NNEI application. Ø 4. Not obligated under any other federal programs to perform service after completion of the course of education. Ø 5. Agree to incur a contractual obligation for service in a full-time title 38 position. Service obligation begins after program completion. Contracts outline service commitments and payback penalties if applicants breach the contract. Ø 6. The applicant must have a record of employment that demonstrates a high likelihood of successfully completing the education and employment in such a field.

NNEI/EISP Fiscal Year Data NNEI Fiscal Year Number of Participants Funding Number of Graduates FY 12 31 (not including graduates) 218, 705 16 FY 13 21 (not including graduates) 143, 260 9 EISP Fiscal Year Number of Participants Funding Number of Graduates FY 12 1 18, 747 0 FY 13 1 18, 747 0

Veterans Administration Learning Opportunity Residency (VALOR)Program Residency program for BSN students Each VALOR is paid 80% of a Nurse I Level I salary Total salary allocation is determined by the numbers of hours worked per participant.

VALOR Program Participation FY 12/FY 13 The number of VALOR partipants for FY 12 and FY 13 are depicted below.

Post Baccalaureate Nurse Residency (PBNR) Program provisions: Three year pilot 12 month residency program Nurse Residents Trainees must be Baccalaureate prepared with one year or less work experience Six (6) Nurse Resident Trainees positions per year Per annum stipend for each nurse resident trainee is $55, 000

VA Nursing Academic Partnerships (VANAP) Program provisions: The pilot was awarded on June 3, 2013 5 year pilot with organizational and academic partner commitment to continue the program upon pilot completion Partnership between Atlanta VA and Emory University’s Nelson Woodruff School of Nursing Funding for 3 VA FTE’s year one with up to 6 additional FTE’s from years 2 -4 (with reduction back to 3 FTEs in the 5 th year)

Education & Training

Education & Training ØContinuing Medical Education (CME) Ø Full time board certified MDs receive $1, 000. 00 per Fiscal Year Ø The $1, 000. 00 is used for: Ø Travel & Per Diem Ø Registration Ø Both Travel & Registration combined not to exceed $1, 000. 00

Education & Training ØEmployee Training Ø Each type of employee other than CMEs are limited to only $600. 00 per Fiscal Year for training Ø Upward Mobility also provides $600. 00 per each type of employee to go to school. Ø The Education & Training committee meets monthly. This committee is chaired by the ACOS for Education, Dr. Fas and is made-up of representatives of different Service Lines throughout the Medical Center and our Union partners. Ø An Education subcommittee meets weekly to review 182 requests that will be presented to the Education & Training Committee for approval.

Education & Training Ø Requesting funds: Ø An employee must submit and SF 182, a copy of the brochure on the conference an with a signed VA Non Sponsored Travel Form, and a email that has all supporting documents attached. Ø Each employee must submit their request the month before the training takes place, however as long as the training has not already taken place when the paperwork is received, then the request can still be reviewed and possibly approved by the committee.

Education - Fiscal Year Data Employee Training FY 13 FY 12 Control Point Name Amount Obligated Clinical Tuition Support 64, 424. 00 Clinical Tuition Support 111, 597. 00 Clinical Tuition Support 38, 864. 00 Clinical Tuition Support 16, 370. 00 Clinical Registration Fees 45, 543. 00 Clinical Registration Fees 71, 086. 00 Admin Registration Fees 51, 599. 00 Admin Registration Fees 0. 00 Facilities Registration Fees 2, 500. 00 Employee Education (Clinical) 13, 003. 00 Employee Education (Clinical) 18, 725. 00 Employee Education (Facilities) 1, 000. 00 Employee Education (Facilities) 10, 849. 00 Employee Education (Admin) 600. 00 Employee Education (Admin) 55, 144. 00

Affiliations 176. 65 resident positions in 45 programs resulting in over $9 million dollars stipend 173 Affiliation Agreements with 120 Colleges/Universities 44 Funded Allied Health trainee positions 3 year $1. 5 mil grant Approved for Women’s Center of Excellence at East Point which will move to Ft Mac

Local Training Program Data FY 13 VALU Program FY 13 Training Offered The 5 Choices: Achieving Extraordinary Results in Work and Life Writing Journey: Writing and Editing for Accuracy Resiliency for Caregivers (2 sessions) FOCUS - Achieving Your Highest Priorities FY 13 Supervisory Training Offered Leading at the Speed of Trust Creating a Collaborative Culture (3 sessions) Critical Conversations (3 sessions) Leading Across Generations (2 sessions) The 7 Habits of Highly Effective People Signature Course (2 sessions) Leadership Foundations Working at the Speed of Trust (2 sessions) Project Management : A Practical Approach (2 sessions) Championing Diversity (1 session) Great Work Great Career (2 sessions) Managing Self Through Change Emotional Intelligence (2) Great Work Great Career (4 sessions) Getting Results: The 4 Disciplines of Execution Executive Session * All classes highlighted in red indicate training has been completed

Local Training Program Data FY 12 VALU Program FY 12 Training Offered Creating a Culture of Change and Innovation Better Working Relationships for Better Customer Service (3 sessions) Championing Diversity (2 sessions ) FY 12 Supervisory Training Offered Gaining Buy-in for Change Leading Across Generations ( 1/2 day) FOCUS - Time Management Workshop (4 sessions ) Leading at the Speed of Trust (2 sessions) Project Management (2 sessions) The 7 Habits of Highly Effective People Signature Course (3 sessions ) Working at the Speed of Trust (2 sessions) Customer Service Excellence (2 days) Scorecard for Change: Demonstrating Success (1/2 day) Leadership Foundations Getting Results: The 4 Disciplines of Execution Executive Session

Fiscal Year Local Training Expenses LEAD & SAW Program Expenses FY 13 FY 12 Participants 2013 SAW 15 Total Cost $1, 065 Total Cost 2013 Facility LEAD 2012 SAW Participants 15 $9, 495 2012 Facility LEAD Participants 9 Participants 14 Total Cost $18, 745 + (cost of books and plaques) $13, 035 + (cost of books)

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