Atlanta VA Medical Center

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

2. The President & Congress Veterans Health Administration Department of Veterans Affairs How we receive our funding VISN 7 VERA Model Atlanta VAMC

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

4. FY 2013 Budget by AppropriationTotal Budget: 638,022,955

5. FY 2013 Budget by Type

6. How we spend our fundingas of May 2013

7. Salary Cost by Categoryas of pay period 10

8. FTEE by Categoryas of pay period 10

9. Atlanta’s Efficiency • DSS • through 2nd quarter Atlanta’s DSS productivity is 89.1 • UCR – Cost Efficiency • Adjusted Patient Care Cost/Adjusted FacWork – • Ranked #12 of all 1A facilities, and Ranked #52 nationally • Adjusted Cost YTD per FTEE – • Ranked #20 of all 1A facilities, and Ranked #115 nationally • Indirect Cost per Adjusted FacWork – • Ranked #2 of all 1A facilities, and Ranked #5 nationally • RN FTEE per Adjusted FacWork – • Ranked #2 of all 1A facilities, and Ranked #22 nationally • MD FTEE per Adjusted FacWork– • Ranked #25 of all 1A facilities, and Ranked #127 nationally • There are 152 VA medical centers. 32 of those are categorized as complex 1A facilities.

10. Nursing Education Scholarships and Educational Programs

11. 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

12. Scholarship Eligibility • 1. Full-time or part-time employee. • 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. • 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. • 4. Not obligated under any other federal programs to perform service after completion of the course of education. • 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. • 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.

13. NNEI/EISP Fiscal Year Data NNEI EISP

14. 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.

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

16. 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

17. 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 5th year)

18. Education & Training

19. Education & Training • Continuing Medical Education (CME) • Full time board certified MDs receive $1,000.00 per Fiscal Year • The $1,000.00 is used for: • Travel & Per Diem • Registration • Both Travel & Registration combined not to exceed $1,000.00

20. Education & Training • Employee Training • Each type of employee other than CMEs are limited to only $600.00 per Fiscal Year for training • Upward Mobility also provides $600.00 per each type of employee to go to school. • 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. • An Education subcommittee meets weekly to review 182 requests that will be presented to the Education & Training Committee for approval.

21. Education & Training • Requesting funds: • 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. • 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.

22. Education - Fiscal Year Data Employee Training FY13 FY12

23. 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

24. Local Training Program Data FY13 VALU Program * All classes highlighted in red indicate training has been completed

25. Local Training Program Data FY12 VALU Program

26. Fiscal Year Local Training Expenses LEAD & SAW Program Expenses FY13 FY12

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