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The Mike O’Callaghan Federal Hospital 99th Medical Group and VA Southern Nevada Healthcare System

The Mike O’Callaghan Federal Hospital 99th Medical Group and VA Southern Nevada Healthcare System Col David Mietzner Dan Gerrard. Overview. Sharing Relationship Successes Challenges Future Activity. Sharing Relationship.

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The Mike O’Callaghan Federal Hospital 99th Medical Group and VA Southern Nevada Healthcare System

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  1. The Mike O’Callaghan Federal Hospital 99th Medical Group and VA Southern Nevada Healthcare System Col David Mietzner Dan Gerrard

  2. Overview • Sharing Relationship • Successes • Challenges • Future Activity

  3. Sharing Relationship • Sole Inpatient facility for DoD and VA beneficiaries in Southern Nevada • Leveraging capabilities of joint venture partners to enhance healthcare services for all beneficiaries

  4. Sharing Relationship • Integrated ancillary support: radiology, lab, pharmacy, nutritional services • Fully integrated effort in the ICU, ED, OR, Anesthesia, PACU • Cooperative effort on medical, psychiatric wards and specialist referrals

  5. Keys to Success • Regular, open dialogue is essential • Track key concerns/items in formal minutes • Establish an atmosphere of trust • Important to use “we” • Leadership sets the tone

  6. Successes • Staffing: Hiring flexibility (ER) • Resource sharing • Compliance: Use single set of standards…default to highest standard • Training: Joint training starts with Newcomers…joint training tracker in development • Systems: Computers on stands/wireless • Credentials: Dual credential/privileging workarounds

  7. Challenges • Space: Limitations in MOFH…new AF clinic space procured near the flight line • Systems: Two systems with limited and unreliable interface…workaround by bringing providers up on both • Access to the physical plant: Increased security has created hardships for VA patients • Operating Room time: Surgical backlog • Prep for the new VA medical center

  8. Future Activity Diagnostic Cardiac Catheterization (JIF) Awaiting Final Decision Hyperbaric Chamber Disability Evaluation System test site Air Force growth of services Family Medicine Residency (2009) Nephrology, Hem-Onc, Allergy, GI, Cardiology, Critical Care 8

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