VHA Mission Honor Americas Veterans by providing exceptional

VHA Mission Honor America’s Veterans by providing exceptional health care that improves their health and well-being. VA Portland Health Care System (VAPORHCS) MOAA April 2017 Dan Herrigstad Chief of Public & Congressional Affairs Integrity Commitment Advocacy Respect Excellence

VA Portland Health Care System To fulfill President Lincoln's promise “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s Veterans. VA Mission Statement

Guiding Principles… Our Mission Honor America’s veterans by providing exceptional health care that improves their health and well-being. Our Vision To 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. Our Values… Integrity, Commitment, Advocacy, Respect, Excellence

Organization President of the United States Department of Veterans Affairs Veterans Benefits Administration (VBA) Veterans Health Administration (VHA) National Cemetery Administration (NCA) Veterans Integrated Service Network 20 (VISN 20) VA Portland Health Care System (VAPORHCS)

21* Veterans Integrated Service Networks (VISNs) *VISN 13 & VISN 14 were consolidated into VISN 23

VA Portland Health Care System North Coast CBOC CRRC Hillsboro CBOC West Linn CBOC Lincoln City CBOC Vancouver Division The Dalles CBOC East CBOC Portland Division Salem CBOC Newport CBOC Bend CBOC FY 2016 Visits Portland 570, 500 3, 013 Vancouver 148, 700 12, 300 Hillsboro 44, 700 11, 748 Bend 37, 500 6, 480 Fairview 33, 000 11, 748 Salem 62, 000 7, 842 West. Linn 24, 000 8, 833 CRRC 8, 100 800 N. Coast 8, 500 2, 100 The Dalles 6, 200 2, 340 Newport 3, 200 1, 277 (Outpatient) Lincoln City 657 PC Patients Assigned 143

VA Portland Health Care System Provides full range of primary, emergency, specialty, tertiary, and long-term care Portland Division includes 167 Medical/Surgical, locked Mental Health, and Intensive Care Unit (ICU) beds. Vancouver Division has a 72 bed Community Living Center, a 35 -bed Residential Rehab Treatment Program, and a transitional Transplant Lodging Unit.

VA Portland Health Care System • Budget = $750 million • 5, 000+ employees, residents, fellows interns and volunteers • • • 198 academic affiliations Residents Trained Annually- 631 Students Trained Annually- 964 Nurses Trained Annually- 251 Fellows- 40

VA Portland Health Care System Hosts a $33 million annual research program • 150 active research investigators • 500+ active protocols National Centers of Excellence Mental Illness Research Education & Clinical Center (MIRECC Agency for Healthcare Research & Quality (AHRQ) Evidence-based Practice Center National Research for Rehabilitative Auditory Research (NCRAR) Research Enhancement Awards Program (REAP) in Multiple Sclerosis Parkinson’s Disease Research Education & Clinical Center (PADRECC) Center for the Study of Chronic, Comorbid Mental & Physical Disorders Multiple Sclerosis Center for Excellence NIH – Funded Methamphetamine Research Center Hepatitis C Virus Resource Center Epilepsy Center of Excellence NIH – Funded Alcohol Research Center Patient Safety Center of Inquiry

10 Priorities for SECVA q. Accountability Legislation q. Extend the Choice Deadline Past August q. Choice 2. 0 Legislation: Eliminate the 40/30 Rule q. Infrastructure Improvements and Consolidations q. Enhance Foundational Services in VA q. VA/DOD/Federal Coordination q. EMR Interoperability and Modernization q. Breakthrough in Suicide Prevention q. Appeals Modernization q. Accelerating VBA Performance on Claims

UPDATE: Veterans Access, Choice, and Accountability Act (VACAA) of 2014 www. va. gov/opa/choiceact/ Want to get started? Call 866 -606 -8198

UDPATE: Veterans Choice Program Effective of April 19, 2017, ü The President signed a law that removes the August 7, 2017 expiration date and allows VA to utilize funding dedicated to the Veterans Choice Program (VCP) until it is exhausted. ü No Change to eligibility requirements ü ****Veteran residence is more than 40 miles from the closest VA health care facility by way of driving distance. ü Veteran has been told they will need to wait more than 30 days from the preferred date or the date medically determined by their physician. ü Veteran needs to travel by plane or boat to the VA medical facility closest to their home. ü Veteran faces a geographic challenge

UDPATE: Veterans Choice Program 90, 484 cumulative patients have been eligible and offered Choice since the start of the program 41, 867 Veterans have elected the Choice Program resulting in and 71, 943 authorizations 42, 782 appointments Approx. 46% of those eligible choose Choice Best estimate of what we know to have outsourced as of March 18, 2017

Primary Care Staffing Update CLINIC Bend CRRC Fairview The Dalles Hillsboro North Coast Resident Clinic Women’s Health Salem Lincoln City Newport Vancouver West Linn TOTALS PCP Vacancies (MD/DO/NP) PCP Selections (MD/DO/NP) Support Staff Vacancies (RN, LPN, MSA, HT) Support Staff Selections (RN, LPN, MSA, HT) 2 0 0 0 0 2 3. 5 0 0 2 0 11. 5 2 0 0 0 0 0 2 0 4 6 0 1 1 5 0 4 3 6 0 0 9 3 39 3 0 1 0 2 0 0 2 3 0 0 2 1 14 As of April 20, 2017

New VA Web Site www. accesstocare. va. gov

VAPORHCS Expansion Vancouver Primary Care Clinic To open July 2017 Parking improvement projects on Vancouver Campus – - 46 additional spaces planned at new Primary Care - 43 additional spaces planned for south access road (2016 bid was too high, re-bidding in FY 2017)

Questions and Dialogue Dan Herrigstad Chief of Public & Congressional Affairs Daniel. Herrigstad@va. gov 503 -402 -2975