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VA/DoD Contingency Plan

VA/DoD Contingency Plan. History. Congressional Hearings Public Law 97-174. 38 U.S.C. Section 8110.

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VA/DoD Contingency Plan

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  1. VA/DoD Contingency Plan

  2. History Congressional Hearings Public Law 97-174

  3. 38 U.S.C. Section 8110 “The Secretary of VA...shall establish the total number of such beds so as to maintain a contingency capacity to assist the Department of Defense in time of war or national emergency to care for the casualties of such war or national emergency…as the Secretary considers necessary for such contingency purposes.”

  4. 38 U.S.C. Section 8111A “The Secretary may give a higher priority to the furnishing of care and services under this section than to the furnishing of care and services to any other group of persons eligible for care and services in medical facilities of the Department with the exception of veterans with service-connected disabilities.”

  5. VA / DoD MOU “During and immediately following a period of war, or a period of national emergency… …facilities of the VA health care system will be available as the principal support to the military health care system…”

  6. VA / DoD Contingency Plan • Primary Receiving Centers • VA Secondary Support Centers • Base Support Facilities

  7. VA National Planning Factors • No additional resources • Annual bed counts • 60-day return to duty assumption • Regional regulating policy

  8. Actions Upon Declaration of Emergency • Secretary of Defense requests priority treatment of active duty personnel • Secretary of VA sets priorities of treatment • VA - DoD liaison enhanced • VA Primary Receiving Centers implement local plans

  9. VA Medical Center Preparations • Activate local reception plans • Hospital “expansion” programs • Assess bed availability

  10. SSCs report medical capabilities to their PRC Lebanon VAMC Butler VAMC Coatesville VAMC Altoona VAMC Philadelphia VAMC Pittsburgh VAMC PRC and SSC Coordination

  11. PRCs may transfer some veterans to SSCs Lebanon VAMC Butler VAMC Coatesville VAMC Altoona VAMC Philadelphia VAMC Pittsburgh VAMC PRC and SSC Coordination

  12. Bed Reporting Process • Measuring capability: • Bed Categories • Through-put • Reported to the DoD Global Patient Movement Requirements Center • U.S. Transportation Command Regulating and Command & Control Evacuation System (TRAC2ES)

  13. Medical Regulating 1. Military Healthcare System 2. VA hospitals 3. NDMS hospitals

  14. Scott AFB Andrews AFB Miramar NAS Ft Gordon Kelly AFB McChord AFB DoD Inter-Theater Patient Movement

  15. Scott AFB Andrews AFB Miramar NAS Ft Gordon Kelly AFB McChord AFB DoD Inter-Regional Patient Movement

  16. Andrews AFB Kelly AFB McChord AFB DoD Regional Patient Movement Scott AFB Miramar NAS Ft Gordon

  17. VA and Patient Reception Track Incoming Missions Unload, stage, assess and transport

  18. PRCs may transfer military patients to their SSCs Lebanon VAMC Butler VAMC Coatesville VAMC Altoona VAMC Philadelphia VAMC Pittsburgh VAMC PRC and SSC Coordination

  19. VA and Patient Care Provide Definitive Care Coordinate Administration

  20. Operation Iraqi Freedom Sec VA increased priority of access UOR vs Service desires DWMMC Commercial transport MHS & TRICARE

  21. VA & TRICARE - Best mechanism for transferring active duty members to VA medical center - 67% VAMCs signed contracts to participate in TRICARE networks - 73 VAMCs receiving $5.4M reimbursement in FY 2004 thru Feb 04

  22. VA – DoD Proposals • OIF & TRICARE  new ConPlan: • New definition of FCC • Low tempo  DoD preeminence • High tempo -> 1 Coord per PRA • Possible integration VA-DoD & NDMS

  23. Potential Influences on VA-DoD • - Draft planning documents • Regional concept of NDMS definitive care • Potential / future role of DoT moving patients • “Beds” vs some other measure of capacity • HHS's prototype HARTS • Prospects for recruiting more NDMS hospitals • MMRS

  24. VA/DoD Contingency Plan

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