VA and DoD Health Care: First Federal Health Care Center Established, but Implementation Concerns Need to be Addressed

VA and DoD Health Care: First Federal Health Care Center Established, but Implementation Concerns Need to be Addressed PDF

Author: Debra A. Draper

Publisher: DIANE Publishing

Published: 2011

Total Pages: 46

ISBN-13: 1437989039

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The National Defense Authorizaiton Act (NDAA) for FY 2010 authorized the Departments of Veterans Affairs (VA) and the DoD to establish a 5-year demonstration proejct to integrate VA and DoD medical care into a first-of-its-kind Federal Health Care Center (FHCC) in North Chicago, Illinois. Expectations for the FHCC are outlined in a Executive Agreement signed by VA and DoD in April 2010. This report evaluates various aspects of the FHCC integration. It examines: (1) what progress VA and DoD have made implementing the Executive Agreement to establish and operate the FHCC; and (2) what plan, if any, VA and DoD have to assess FHCC provision of care and operations. Charts and tables. This is a print on demand report.

Va and Dod Health Care

Va and Dod Health Care PDF

Author: U.s. Government Accountability Office

Publisher:

Published: 2017-08-13

Total Pages: 46

ISBN-13: 9781974500147

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"National Defense AuthorizationAct (NDAA) for Fiscal Year 2010authorized the Departments ofVeterans Affairs (VA) and Defense(DOD) to establish a 5-yeardemonstration project to integrate VAand DOD medical care into a first-ofits-kind Federal Health Care Center(FHCC) in North Chicago, Illinois.Expectations for the FHCC are outlinedin an Executive Agreement signed byVA and DOD in April 2010.The NDAA for Fiscal Year 2010 alsodirected GAO to annually evaluatevarious aspects of the FHCCintegration. This report examines(1) what progress VA and DOD havemade implementing the ExecutiveAgreement to establish and operatethe FHCC and (2) what plan, if any, VAand DOD have to assess FHCCprovision of care and operations. GAOreviewed FHCC documents andconducted visits to the site; interviewedVA, DOD, and FHCC officials; andreviewed related GAO work. GAO recommends that DOD seek alegislative change to designate theFHCC as a military treatment facility(MTF)-a DOD facility providingmedical or dental care to eligibleindividuals, and that VA and DODdirect FHCC leadership to furtherevaluate its integration performancereporting tool. DOD did not agree withthe recommendation regarding theMTF designation, but GAO continuesto believe such designation isimportant. VA and DOD agreed with"

Evaluation of the Lovell Federal Health Care Center Merger

Evaluation of the Lovell Federal Health Care Center Merger PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-01-28

Total Pages: 285

ISBN-13: 0309262798

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The 2010 opening of the Captain James A. Lovell Federal Health Care Center (FHCC) created a joint entity between the Department of Defense (DoD) and the Department of Veterans Affairs (VA) that replaced two separate centers in North Chicago. VA and DoD leaders envisioned a state-of-the-art facility that would deliver health care to both DoD and VA beneficiaries from northern Illinois to southern Wisconsin, providing service members and veterans seamless access to an expanded array of medical services. Unprecedented for the military and the VA, the Lovell FHCC would integrate clinical and administrative services under a single line of authority. The DoD asked the IOM to evaluate whether the Lovell FHCC has improved health care access, quality, and cost for the DoD and the VA, compared with operating separate facilities, and to examine whether patients and health care providers are satisfied with joint VA/DoD delivery of health care. Evaluation of the Lovell Federal Health Care Center Merger: Findings, conclusions, and Recommendations finds that initial implementation of the Lovell FHCC has provided important lessons about how to integrate VA and DoD health care services and has identified remaining obstacles that the departments could overcome to make such mergers more effective and less costly to implement. The IOM recommends that the VA and the DoD develop a comprehensive evaluation plan to objectively judge its success or failure, with measurable criteria, that would provide essential knowledge for both the Lovell FHCC and future endeavors.

Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-03-29

Total Pages: 467

ISBN-13: 0309466601

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Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Serving America's Veterans

Serving America's Veterans PDF

Author: Lawrence J. Korb

Publisher: Bloomsbury Publishing USA

Published: 2009-08-10

Total Pages: 177

ISBN-13: 0313355274

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In this authoritative handbook, a former Assistant Secretary of Defense lays out the infrastructural, administrative, and health care challenges facing the Veterans Administration, policymakers, and our veterans themselves. Serving America's Veterans: A Reference Handbook comes from an impeccable source—former Assistant Secretary of Defense for Manpower, Reserve Affairs, Installations, and Logistics Lawrence J. Korb. Korb and his team of experts survey, analyze, and evaluate the infrastructural conditions, administrative and health care service challenges, policies, and politics affecting veterans affairs in the United States. They overview the historical context of contemporary veterans affairs and project the capabilities of the Veterans Administration to cope with the needs of active, reserve, and retired veterans. Most critically, they provide practical prescriptions and policy recommendations to address veterans' many, pressing needs. The full spectrum of veterans issues is examined: changing personnel policies in the armed forces; unprecedented levels of National Guard and Reserve mobilization; societal reintegration and funding adequacy when the professional military is a relatively small fraction of the U.S. electorate; rising costs of medical technology; and the growing proportion of veterans with conditions requiring protracted rehabilitation or lifelong intensive care.

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