The Future of the VA Health Care System€¦ · IG Report Confirmed Waiting List Scandals The VA...
Transcript of The Future of the VA Health Care System€¦ · IG Report Confirmed Waiting List Scandals The VA...
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The Future
of the
VA Health
Care System
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Joe Violante Helped Change Washington
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Joe Violante Also Changed Over the Years
Thank You For Two Decades of Service to America’s Veterans
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Veterans Health Care and the VA
• Current State of VA Health Care &Benefits
• Critical Issues and Emerging Threats
• Vision for the Future of VA
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IG Report Confirmed Waiting List Scandals
The VA OIG Report “…substantiated that significant
delays in access to care negatively impacted the
quality of care…”
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New Leadership Took Over Across VA
New VA Secretary Robert A. McDonald
More Than 90% of All
VA Medical Centers
Have New Leadership
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Veterans Access, Choice, and Accountability Act
• Created Temporary Choice Program for Non-VA Care in the Community
• Over 40 Miles from a VA Facility • More Than 30 Days Wait for Appointments
• $10 Billion for Choice for 3 Years
• $7 Billion for New Staff and Space
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2003 Task Force Identified “Mismatch”
The PTF concluded that there was a
“…mismatch between demand for access
and available VA funding to
meet this demand…”
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The Independent Budget Consistently
Recommended More Funding for VA
DAV and our Partners in the
Independent Budget Estimate That VA Has
Received Almost
$10 Billion Less Than Needed Over the Past Decade to
Provide Medical Care to Enrolled Veterans
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Long Term Lack of Funding for VA Infrastructure
• Graph of Construction Funding Shortfall
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New Denver VA Medical Center?
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Some Bad Proposals to “Reform” VA
• Downsize the VA System
o “Centers of Excellence”
• War-Related Injuries ONLY
• All Routine Care OUTSIDE the VA
• Plastic Card for Private Health Care
• Completely Dismantle the VA
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Not All Choices Lead to Better Outcomes
• “Choice” Doesn’t Guarantee
• Faster Care
• Closer Care
• Higher Quality Care
• Coordinated Care
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Not All Choices Lead to Better Outcomes
• If Too Many Veterans Leave the VA
• Higher Per Patient Costs for VA
• Fewer VA Facilities
• Fewer Services Inside VA Facilities
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Not All Choices Lead to Better Outcomes
• For Disabled Veterans Who Rely on VA, a Smaller VA Would Mean:
• Longer Travel Distances
• Longer Waiting Times
• Fractured Care With VA & Private Care
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Benefits Also Under Attack
• BAD Proposals to “Reform” Benefits • Limit Individual Unemployability
• Eliminate “Permanent” Disability Ratings
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VA Is Still the Best Choice for Veterans
• The only integrated health care system dedicated to the unique needs of veterans
• Not driven by profit
• Focus on wellness, disease prevention
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VA Is Still the Best Choice for Veterans
• Expertise in meeting specialized needs of veterans with war injuries
• Amputations
• Blindness
• Burns
• Traumatic Brain Injuries (TBI)
• PTSD and Mental Illness
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VA Is Still the Best Choice for Veterans
• World Class Veteran- Focused Clinical Research Also Benefits Non-Veterans
• Provides Graduate Medical Education to More Than 60-percent of the Nation’s Physicians
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VA Is Still the Best Choice for Veterans
• Independent Medical Experts Confirm High Quality and Patient Safety
• Focuses Exclusively on Treating Veterans
• VA Built on a Culture that Values Veterans, their Service and Sacrifices
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BUT, the VA Is Far From Perfect
We Are NOT Satisfied with Status Quo
• VA Needs Reform from Top to Bottom
• Today’s Challenges and Problems are
OPPORTUNITIES for Real Reform
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THE 4 R’s
DAV Framework for the Future of VA
• REBUILD
• RESTRUCTURE
• REALIGN
• REFORM
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DAV Framework for the Future of VA
REBUILD
• Rebuild VA’s Capacity to Provide Care
• Recruit, Hire & Retain Sufficient Staff to Meet Rising Demand
• Repair, Modernize and Expand Facilities to Maintain Adequate Treatment Space
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DAV Framework for the Future of VA
RESTRUCTURE
• Restructure and consolidate VA’s community care programs –
• A single extended care network
• Best features of existing care programs—including choice
• Separate and guaranteed funding
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DAV Framework for the Future of VA
REALIGN
• Realign & Expand VA’ health care services
• Meet diverse needs of future veterans
• Women Veterans
• Rural Veterans
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DAV Framework for the Future of VA
REFORM
• Reform VA’s Culture and Management
• Transparency
• Accountability
• Oversight
• Veteran-Centric
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What You Can Do to Help
• Provide Feedback to Local VA
• Talk to Your Senators and Representatives
• Tell Us Your Stories – Good & Bad
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Download Fact Sheets on Veterans Issues
www.DAV.org