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Primary Care in the Veterans Health Administration. Largest integrated health care system in the countryComprehensive electronic medical record820 sites of Primary Care152 Medical Centers668 Community Based Outpatient Clinics (CBOC)4.5 million primary care patients-each assigned to an individual primary care provider12 million encounters/yearRevisit rate (visits/yr): 2.521% had encounter in Mental Health6.3% had admission5,000 provider FTEE72% physician, 20% Nurse Practitioner, 8% Phy9442
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1. Primary Care Medical Home Veterans Health Administration Joanne M. Shear MS, FNP-BC
National Clinical Program Manager, Primary Care
VA Central Office, Washington, DC
joanne.shear@va.gov
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3. VA Primary Care: Integrated Model Mental Health Services
Comprehensive Women’s Health
Returning Combat Veterans
Traumatic Brain Injury
PTSD
Spinal Cord Injury Services
Geriatric Services
Clinical Pharmacy
4. VA Patient Centered Medical Home:
6. American College Physicians Home Builder assessment nationwide-completion October 2009.
Start-up resources
Funding to support new staffing model
Team retraining and system redesign
Collaboratives
Medical Home including Chronic Disease
Telephone Care
Medical Home Learning “Colleges”
Primary Care Team Dynamics
Care Management and Coordination
Consultation Teams
7. Demonstration “Laboratories”
Intensive research, innovation and effectiveness evaluation
Communication and Education
VA Staff
Primary Care
Specialty
Administrative
Leadership
Veterans
Stakeholders
Veteran Service Organizations
Congress
Public
Veteran-Centered Medical Home:Implementation Strategies
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