veterans choice act section 201 independent...
TRANSCRIPT
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Pre-Decisional/ Draft
Site Visit Overview
Veterans Choice Act Section 201
Independent Assessments
January 20, 2015
CMS Alliance to Modernize Healthcare (CAMH)
| 2 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Veterans Access, Choice, & Accountability Act of 2014
Title II – Section 201
The President signed Veterans Access, Choice, and Accountability Act of 2014
(VACAA) into law on August 7, 2014. (P.L. 113-146)
VACAA provides new authorities, funding, and tools to help support and reform VA:
– Title I: Improvement of Access to Care from Non-Department of Veterans Affairs
Providers
– Title II: Health Care Administrative Matters
Section 201: Directs the Secretary to enter into one or more contracts with a
private sector entity or entities for an independent assessment of the health
care furnished in all VA medical facilities
Section 201 directs that the independent assessment shall address 12 topics
(see last slide for full list)
In accordance with the law, VA hired MITRE CMS Alliance to Modernize Healthcare
(CAMH) as the program integrator, and to help conduct 11 of the independent
assessments (Assessments A- L, with the exclusion of Assessment D)
Assessment D Access Standards was contracted to the Institute of Medicine (IOM)
The final Integrated Assessment Report is due to the VA on September 1, 2015
| 3 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Guiding Principles
MITRE CAMH has established guiding principles for the
independent assessments:
– Evidence-based
– Mindful of the unique needs of Veterans and their families
– Grounded in health care delivery science and reflective of industry
best practices
– Delivered by teaming with private sector partners experienced in
successful delivery of modern quality health care
– Feasible and Executable
– Assessed in terms of probable improvements in health outcomes,
risk reduction, and effect on Veteran satisfaction
| 4 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Independent Assessments
The MITRE-CAMH Independent Assessment Team includes health care
experts from McKinsey, RAND and Grant Thornton, and a Blue Ribbon
Panel.
The assessment begins with data discovery and includes VHA data
collection, site visits, surveys, interviews, best practice research, etc.
Site visits will touch facilities across the country (Jan through April end)
– Sites were selected using a stratified random sampling method to ensure
an unbiased and objective selection process
– The criteria for site selection ensured a balanced representation of urban
versus rural, facility size (# of adjusted admissions), and Acuity of Care
provided (VHA Complexity levels)
– Performance metrics relevant to the assessments were also considered
(SAIL data)
| 5 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visit and Report Protocol
Assessment Teams will:
Meet the requirements of the law with minimal disruption to the delivery of care to our Veterans
Respect and follow all site visitation protocols
Store all data securely
Not collect PHI/PII data
May share observations to validate facts
Not share findings or recommendations until the final report is released
Make no direct attributions to individuals in the assessment report without explicit permission from the individual to do so
| 6 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits and Notional Dates
| 7 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (1 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
1 402 Maine VA Maine VA-Togus ME January 21-22 VAMC
1 402GE Lewiston VA Clinic Lewiston Auburn ME January 22 CBOC
1 523A5 Boston VA-Brockton Boston-Brockton
Division MA March 24-27 VAMC
1 VISN 1 Headquarters MA March 25 VISN Headquarters
1 523BZ Causeway VA Clinic Causeway-Boston MA March 25 CBOC
2 528A5 Canandaigua VA Canandaigua NY March 17-18 VAMC
2 528GE Rochester VA Clinic Rochester NY March 18 CBOC
3 632 Northport VA Northport NY March 24-25 VAMC
3 VISN 3 Headquarters March 25 VISN Headquarters
3 632HC Bay Shore VA Clinic Bay Shore NY March 25 CBOC
4 VISN 4 Headquarters February 25-26 VISN Headquarters
4 646A5 VA Pittsburgh Health
System
Pittsburgh-Highland
Drive PA February 25-26 VAMC
4 542 Coatesville VA Coatesville PA March 31 VAMC
4 542GE Spring City VA Clinic Spring City PA April 1 CBOC
| 8 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (2 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
5 512 Maryland VA-
Baltimore
Maryland-Baltimore
Division MD March 31 VAMC
5 VISN 5 Headquarters April 1 VISN Headquarters
5 512GD Loch Raven VA Clinic Loch Raven-Baltimore MD April 1 CBOC
6 558 Durham VA Durham NC March 11-12 VAMC
6 VISN 6 Headquarters March 11-12 VISN Headquarters
6 637 Charles George VA Charles George-
Asheville NC April 7-9 VAMC
6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC
7 619GA Columbus VA Clinic Columbus GA February 11 CBOC
7 619A4 Central Alabama VA-
Tuskegee
Central Alabama-
Tuskegee Division AL February 10-11 VAMC
8 573GD Ocala VA Clinic Ocala FL February 19 CBOC
8 546GA Miami VA Clinic Miami Flagler FL February 25-26 CBOC
8 573 Malcom Randall VA Malcom Randall-
Gainesville FL February 18-19 VAMC
8 672 Caribbean VA-San
Juan San Juan PR March 3-4 VAMC
8 675 Orlando VA Orlando FL March 3-5 CBOC
| 9 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (3 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
8 672GE Guayama VA Clinic Guayama PR March 4 CBOC
9 596GD Berea VA Clinic Berea KY February 3-5 CBOC
9 596 Lexington VA-
Leestown
Lexington-Leestown
Division KY February 3-5 CBOC
9 596A4 Lexington VA-Cooper Lexington-Cooper
Division KY February 3-5 VAMC
10 539GA Bellevue VA Clinic Bellevue KY February 26 CBOC
10 539 Cincinnati VA Cincinnati OH February 25-26 VAMC
10 VISN 10 Headquarters February 25-26 VISN Headquarters
11 583 Richard L. Roudebush
VA
Richard L.
Roudebush-
Indianapolis
IN February 25 VAMC
11 553 John D. Dingell VA John D. Dingell-Detroit MI April 7-8 VAMC
11 VISN 11 Headquarters April 8 VISN Headquarters
11 553GB Pontiac VA Clinic Pontiac MI April 8 CBOC
12 607
William S. Middleton
Memorial Veterans
Hospital
North Central CPAC
Middleton, WI WI January 20-22 CPAC
12 695 Clement J. Zablocki
VA
Clement J. Zablocki -
Milwaukee WI February 9 VAMC
12 585 Oscar G. Johnson VA Oscar G. Johnson-
Iron Mountain MI April 21-23 VAMC
| 10 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (4 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
12 N/A National Acquisition
Center
National Acquisition
Center IL Acquisition Center
12 Edward Hines, Jr. VA
Hospital VAMC
12 585GC Menominee VA Clinic Menominee MI April 22 CBOC
15 657A0 St. Louis VA-Jefferson
Barracks
St. Louis-Jefferson
Barracks MO March 17-18 VAMC
15 657GA Belleville VA Clinic Belleville IL March 18 CBOC
16 586GA Kosciusko VA Clinic Kosciusko MS February 11 CBOC
16 586 G. V. (Sonny)
Montgomery VA
G.V. (Sonny)
Montgomery-Jackson MS February 10-11 VAMC
16 VISN 16 Headquarters February 11 VISN Headquarters
17 674GD Cedar Park VA Clinic Cedar Park TX February 19 CBOC
17 674 Central Texas VA-Olin
E. Teague
Olin E. Teague-
Temple Division TX February 18-19 VAMC
17 VISN 17 Headquarters February 19 VISN Headquarters
18 501GL Northwest Metro Clinic Rio Rancho NM March 12 CBOC
18 VISN 18 Headquarters March 9 VISN Headquarters
18 644 Carl T. Hayden VA Carl T. Hayden-
Phoenix AZ March 9 VAMC
| 11 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (5 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
18 501 New Mexico VA-
Raymond G. Murphy
Raymond G. Murphy-
Albuquerque NM March 11-12 VAMC
19 741 Denver Health
Administration Center
Denver Health
Administration Center CO January 13-15 CPAC
19 VACO office in
Colorado CO February 23
19 VISN 19 Headquarters February 23 VISN Headquarters
19 554 VA Eastern Colorado
Health System
Eastern Colorado VA-
Denver CO February 23 VAMC
19 436 Montana VA-Fort
Harrison
Montana-Fort Harrison
Division MT April 14-15 VAMC
19 436GA Anaconda VA Clinic Anaconda MT April 15 CBOC
19 N/A Denver Acquisition
and Logistics Center
Denver Acquisition
and Logistics Center CO April 21 Acquisition Center
20 648 Portland VA Portland OR April 14-15 VAMC
20 VISN 20 Headquarters April 15 VISN Headquarters
20 648GE East Portland VA
Clinic East Portland OR April 15 CBOC
21 San Francisco VA
Health Care System
San Francisco VA
Health Care System March 16 VAMC
21 640A4 Palo Alto VA-
Livermore
Palo Alto-Livermore
Division CA April 8 IOC
21 640 Palo Alto VA Palo Alto CA April 7-8 VAMC
| 12 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Site Visits – Locations and Notional Dates (6 of 6)
VISN Station Number Official Station Name
Location Descriptive
Name (Common
Name)
Street Address-State Visit Month Visit Days Primary
Classification
22 600GC Cabrillo VA Clinic Cabrillo-Long Beach CA March 4 CBOC
22 600 Long Beach VA Long Beach CA March 3-4 VAMC
22 VISN 22 Headquarters March 3-4 VISN Headquarters
23 437 Fargo VA Fargo ND April 21-22 VAMC
23 437GC Fergus Falls VA Clinic Fergus Falls MN April 22 CBOC
00CFM3 CFM Central Office CFM Central Office DC January 12 CFM Regional Office
00CFM3 East CFM Regional
Office
East CFM Regional
Office No January 27-28 CFM Regional Office
00CFM3 Central CFM Regional
Office
Central CFM Regional
Office No January 28-29 CFM Regional Office
00CFM3 West CFM Regional
Office
West CFM Regional
Office No February 3-4 CFM Regional Office
| 13 |
© 2015 The MITRE Corporation.
All rights reserved.
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not
be construed as an official Government position, policy or decision, unless designated by other documentation
Assessment Reference