VA Outlines Actions Taken to Improve Access to Care, Implement Recommendations from the Office of Inspector General

FOR IMMEDIATE RELEASE

August 26, 2014

WASHINGTON – The Department of Veterans Affairs (VA) Office of Inspector General (OIG) today released the final report of its review of systemic issues with patient scheduling and access issues at the Phoenix VA Health Care System (PVAHCS). VA concurred with the recommendations in the final report and, in many cases, has already implemented action plans and made improvements that respond to the OIG’s recommendations.

“We sincerely apologize to all Veterans who experienced unacceptable delays in receiving care,” said VA Secretary Robert A. McDonald.   “We will continue to listen to Veterans, our VA employees, and Veterans Service Organizations to improve access to quality care in Phoenix and across the country and we will work hard to rebuild trust with Veterans and the American public.

The final report updates the information previously provided by the OIG in its Interim Report and contains final results from the review of the PVAHCS. VA outlined key action plans that expand access to care, improve staffing for primary care, and accountability measures in response to the final OIG report.

In response to recommendations in the May 2014 OIG Interim Report, the following improvements were initiated in Phoenix and across the VA system:

  • As of August 15, the Veterans Health Administration has reached out to over 266,000 Veterans to get them off wait lists and into clinics.
  • As a result of the Accelerating Access to Care Initiative, approximately 200,000 new VA appointments nationwide were scheduled for Veterans between May 15 and June 15, 2014.
  • Nearly 912,000 total referrals to non-VA care providers have been made in the last two months. That is, over 190,000 more referrals to non-VA care providers than the same period in 2013 (721,000).
  • As of August 15, VA has decreased the number of Veterans on the Electronic Wait List (EWL) 57 percent.
  • Reduced the New Enrollee Appointment Report (NEAR) from its peak of 63,869 on June 1, 2014 to 1,717 as of August 15, 2014
  • VA has reached out to more than 5,000 Veterans in Phoenix to coordinate the acceleration of their care including all Veterans in Phoenix identified as being on unofficial lists or the facility Electronic Wait List (EWL).
  • Since May 15, VA has scheduled 2,300 appointments at the Phoenix VA Health Care System and made 2,713 referrals for appointments to community providers through non-VA care.

“Even before the OIG’s interim report, VA had taken actions to address the issue of patient scheduling and access, working in close concert with Veteran Service Organizations,” said Interim Under Secretary for Health Carolyn Clancy. “We’ve initiated development of a more robust process for continuously measuring patient satisfaction at each site, and will expand our patient satisfaction survey capabilities in the coming year, to capture more Veteran experience data through telephone, social media, and on-line means.”

Additional actions include:

  • Began updating the antiquated appointment scheduling system beginning with near-term enhancements to the existing system and ending with the acquisition of a comprehensive, state-of-the-art, “commercial off-the-shelf” scheduling system.
  • Directed that every Medical Center Director conduct regular in-person visits to all of their clinics, to include interacting with scheduling staff to ensure all scheduling practices are appropriate. Veterans’ Integrated Systems Network (VISN) Directors conducted similar visits. So far, 2,450 visits have been conducted nationwide.
  • Removed the 14-day access measure from all individual employee performance plans to eliminate any motive for inappropriate scheduling practices or behaviors. In the course of completing this task, over 13,000 performance plans were amended.
  • Added primary care to the services available to Veterans through VA’s Patient-Centered Community Care (PC3) contracts, a key and evolving part of the non-VA medical care program.
  • Established an interdisciplinary accountability review team to ensure leadership accountability for improprieties related to patient scheduling and access to care, whistleblower retaliation, and related matters that impact public trust in VA.

On August 8, Secretary McDonald announced in Phoenix that every VA medical center will undergo an independent review of scheduling and access practices beginning this fall by the Joint Commission, the nation’s oldest and largest standards-setting and accrediting body in health care. On August 5, McDonald directed all VA health care and benefits facilities to hold town-hall events by the end of September to improve communication with, and hear directly from, Veterans nationwide.

 

Disabled Veterans of America Monroe County #93

Senior Vice Commander Robert R. Hatley presented the Council’s endorsement letter to DAV Chapter #93 in Monroe County on July 22, 2014.  After reading the letter to the membership they unanimously approved to endorse our organizations.  Not only did they endorse us but they also wrote a check to show their support.  Council did not request financial support but their support went beyond their endorsement.  The Council, Vet to Vet TN and Legacy Peer Support Group are grateful to receive DAV #93 endorsement; DAV #93 is the first Veterans Service Organization and will be listed in the Council’s “Honored Supporters” list. We are honored to serve.

On August 20, 2014 VVA Chapter 1078 endorsed the Knoxville Regional Mental Health Council.  “On behalf of VVA Chapter 1078, I submit this endorsement of the achievements and continued need of the LPG groups for Veterans PTSD related issues, Veteran Friendly Congregations, and Veterans Treatment Court.  VVA 1078 wholeheartedly agrees that the efforts of the Knoxville Regional Mental Health Council are needed to fill the gaps in Veteran care that are left open by the VA”. Denise J. Ramier, Secretary & Treasurer.

MONROE COUNTY DAV #93

Meetings are held on the 4th Tuesday of each month. Time: 7:00PM

Meeting Locations: 103 Training Center Drive, Madisonville, TN 37354

Phone: 423-442-8387

CommanderJimmy Dean Cranfill AdjutantFrederick Greb TreasurerDeloice D. Tufford
Senior Vice CommanderRobert R. Hatley First Junior Vice CommanderWinston Hicks Legislative ChairmanRobert R. Hatley
Service OfficerFrederick Greb Membership ChairmanWinston Hicks Officer Authorized to Receive MailFrederick Greg

DAV Chapter 93 is dedicated to a single purpose: empowering veterans to lead high-quality lives with respect and dignity. We accomplish this by ensuring that veterans and their families can access the full range of benefits available to them; fighting for the interests of America’s injured heroes on Capitol Hill; and educating the public about the great sacrifices and needs of veterans transitioning back to civilian life.

http://www.davmembersportal.org/chapters/tn/93/default.aspx

Vietnam Veterans of America, Chapter 1078 Knoxville, TN

On August 20, 2014 VVA Chapter 1078 endorsed the Knoxville Regional Mental Health Council.  “On behalf of VVA Chapter 1078, I submit this endorsement of the achievements and continued need of the LPG groups for Veterans PTSD related issues, Veteran Friendly Congregations, and Veterans Treatment Court.  VVA 1078 wholeheartedly agrees that the efforts of the Knoxville Regional Mental Health Council are needed to fill the gaps in Veteran care that are left open by the VA”. Denise J. Ramier, Secretary & Treasurer.

VVA Chapter 1078 is our second Veteran Service Organization endorsement which will be added to our “Honored Supporters” list.

Rich Gill, email: vva1078@gmail.com  telephone: 865-321-1435

President–Rich Gill
Vice-President–Ron Kirby
Secretary-Treasurer–Denise Ramier

The following are the Board of Directors for 2014

Gary Ellis (past President John Conway David Head
Bill Keck Craig Rice Ben Pack
Phil Claxton Joe Long Don Smith
Jim Martin Chaplain – Ron Mays Sargent-at Arms – Craig Rice

VA links

One of the best links to find information about veterans services on the Department of Veterans Affairs’ website is on A-Z Healthva_logo Topic Finder. Once on this page click on the letter representing a key word you are looking for and chances are you will find it or a link to it.

William C. Tallent Knoxville Outpatient Clinic (KOPC) provides health care to veterans and entry into the VA health care system. KOPC examines, evaluates, and provides treatment to eligible veterans. Although designated for outpatient services only, referrals are made to an appropriate medical center when specialists or hospitalization is medically indicated.

Apply for Benefits The Departments of Veterans Affairs and Defense (DoD) just released improvements to the functionality of eBenefits, a joint self-service web portal that provides registered users with secure online information and access to a variety of military and Veterans benefits resources.

Knoxville Vet Center If you have served in any combat zone, Vet Centers are in your community to help you and your family with readjustment counseling and outreach services.