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U.S. Department of Veterans Affairs
Matthew S. CollierSenior Advisor to the Secretary
Strategic Partnerships Brain At War Conference
15 Oct 2015
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U.S. Department of Veterans Affairs
Outline
•VA Progress Update
•Strategic Partnerships Strategy
•Q & A
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U.S. Department of Veterans Affairs
VA Administrations
• Veterans Health Administration (VHA)• Health care for 9.1 million enrolled Veterans
• Veterans Benefits Administration (VBA)• Administers benefits (disability, pension, education,
insurance, loans, rehabilitation)
• National Cemetery Administration (NCA)• Honors Veterans & families with final resting places &
commemorates their service and sacrifice.
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U.S. Department of Veterans Affairs
Benefits & Services
• $50 billion for Post-9/11 GI Bill education since 2009.
• $1.1 billion for vocational rehabilitation & employment in 2014.
• Life insurance for 6.5 million Veterans, Servicemembers, and families.
• 2.2 million home loans, with the lowest foreclosure rate and highest satisfaction rate in the mortgage industry.
• $58 billion compensation benefits for 3.9 million Veterans in 2014 — with $66 billion forecasted for 4.2 million Veterans in 2015.
• 125,188 interments in National Cemeteries, 365,000 headstones and markers, and 618,000 presidential memorial certificates in 2014.
• 1.3 million completed claims in 2014 — 150,000 more than in 2013 — with the backlog shrunk about 80% in past two years.
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U.S. Department of Veterans Affairs
Over 9 million Veterans are enrolled for VA health care — from the 90-year-old Veteran of WW II, the 80-year-old Veteran of Korea, the 60-year-old Veteran of Vietnam, the 40-year-old Veteran of the Persian Gulf,
and the 20-year-old Veteran of Iraq and
Afghanistan.
Our Health Care ClientsV
ideo
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U.S. Department of Veterans Affairs
Why VA Health Care?
A triad of unique capabilities
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U.S. Department of Veterans Affairs
Groundbreaking Research
• 3 Nobel Prizes and 7 Lasker Awards
• Groundbreaking research into PTSD, TBI, and telehealth and personal-assistance technology
• Multiple advances in prosthetics, in identifying genetic risk factors for numerous diseases, and in treating Spinal Cord Injury (SCI)
• Developed the implantable cardiac pacemaker, conducted the first successful liver transplants, and created the nicotine patch to help smokers quit
• Partnered with DARPA to design artificial limbs that respond to thoughts of paralyzed patients — a system called “Braingate,” featured by 60 Minutes in 2012
• $1.8 billion for over 2,200 research projects in 2015
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U.S. Department of Veterans Affairs
Education & Training
• VA partners with over 1,800 educational institutions & organizations on hundreds of initiatives & research projects.
• VA trains 120,000 healthcare workers each year:
• 62,000 medical students and residents• 23,000 nursing students • 33,000 students in other health fields
• An estimated 70% of all U.S. doctors have trained with VA.
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U.S. Department of Veterans Affairs
Clinical Care
• 55 million completed appointments in 2014, serving 6.6 million unique patients.
• National leader in telehealth, with 2 million telehealth visits in 2014.
• National leader in reducing MRSA infections — down 68.6% since 2007.
• Higher satisfaction ratings from Veterans than private hospitals receive from their patients, per the American Customer Satisfaction Index.
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U.S. Department of Veterans Affairs
An Aging Veteran Population
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U.S. Department of Veterans Affairs
The Rise in Medical Issues
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U.S. Department of Veterans Affairs
The Rise in Degree of Disability
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U.S. Department of Veterans Affairs
The Rise in Compensation
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U.S. Department of Veterans Affairs
Factors Fueling Demand
• Aging Veteran population
• More than a decade of war
• Agent Orange-related claims
• Unlimited claims appeal process
• Increased medical claims issues
• Higher survival rates of the wounded
• More sophisticated methods for identifying and treating Veterans
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U.S. Department of Veterans Affairs
Progress on Access
• 7 million more appointments completed by VA or through VA in the past 12 months.
• 97% of appointments are now completed within 30 days of the Veteran’s preferred date.
• 87% are within 7 days.
• 22% are same-day appointments.
• Average wait time for completed appointments:
• 4 days for Primary Care
• 5 days for Specialty Care
• 3 days for Mental Health Care
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U.S. Department of Veterans Affairs
Progress on the Claims Backlog
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U.S. Department of Veterans Affairs
Progress on Veteran Homelessness
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U.S. Department of Veterans Affairs
MyVA Transformation
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U.S. Department of Veterans Affairs
Strategic Partnerships Mission
Leverage resources external to the VA on an effective and consistent basis, at all levels of
the Department, to improve the Veteran experience while enhancing productivity and
efficiency across the enterprise.
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U.S. Department of Veterans Affairs
Strategic Partnerships
Jackson Pollock, 1952
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U.S. Department of Veterans Affairs
Goals: Four Paths to Excellence
Maximize External
Proposals
Opportunistically match external, unsolicited offerings to help with existing and emerging Veteran needs.
Empower Employees
Empower VA employees with effective tools and support to engage in meaningful and mutually beneficial partnerships at all levels of VA.
Proactive
EngagementProactively solicit and engage in partnerships to help with existing and emerging Veteran needs.
Sustain Improve
Replicate
Sustain, Improve, and Replicate established partnerships to more effectively leverage resources and serve Veterans.
Overarching Goal: VA becomes a Leader in the National Veterans Partnerships Space
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U.S. Department of Veterans Affairs
Goal 1: Maximize External Proposals
Over the last 9 months, we’ve met with over 120 external organizations to discuss areas of potential partnership.
Ideas are then triaged, vetted, and implemented.
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U.S. Department of Veterans Affairs
Goal 2: Empower Employees
VA P3 Directive Published
4/2015
MOA Template Published
6/2015
SP 101 TMS Training
Coming Soon! 12/2015
Relational Database
4/2016
Internal & External
Websites 2016
Vetting Forms 2016
SP Toolkit
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U.S. Department of Veterans Affairs
Goal 3: Proactive Engagement
• Through a tasking of each Administration, we have built a baseline Strategic Partnership Needs Portfolio (SPNP) outlining needs across VHA, VBA, and NCA.
• The SPNP is envisioned as a dynamic document that will be continually updated as emerging needs are identified by VA staff working both in Central Office and the field.
• Once Veterans’ needs and gaps are identified and quantified across our system, the SP team can proactively engage potential partners and prepare them with options, tailored to their areas of expertise.
• Areas of focus:– Mental Health– Homelessness– Employment
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U.S. Department of Veterans Affairs
Goal 4: Sustain, Improve, & Replicate
• The SP Team is building a Relational Database that will capture current engagement activities between VA staff/offices and external stakeholders.
• This database will make it easier for VA staff to build off the success of other facilities and replicate best practices within their own office.
• Plans are underway to utilize Salesforce.com CRM technology to collect this information.
• Coming soon! November 2015– Data call to the field asking for sites to provide
us with information about their existing partnerships.
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U.S. Department of Veterans Affairs
Best Practice Partnership
Specialty Advance
Neurology Parkinson's disease medications
Neurosurgery/Neurology Deep Brain Stimulation
Surgery/Cardiology TAVR and aortic & cerebral shunts
Cardiology Pacemaker & AICD monitoring
Anesthesia Prevention of peri-operative myocardial infarction
Mental Health/Internal Medicine Coordinated therapy of PTS and OEF/OIF care
Mental Health Cognitive therapy for schizophrenia
ENT/Neurosurgery Disabling tinnitus
Orthopedics & Endocrinology Polytrauma fracture and heterotopic ossification
Veteran Aging Processes Linking military injuries to increased risks of neurodegeneration
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U.S. Department of Veterans Affairs
Existing & Emerging Partnerships
Los Angles/UCLA Team Rubicon
National Elks Lodges Johnson & Johnson
Wounded Warrior Project Samsung
NASCAR Walgreens (video)
Chrysler Trust Starbucks
USAA Bank of America
GE Healthcare PenFed
Give an Hour Psych Armor
DoD SoCal Grantmakers
Project Healing Waters Fly Fishing McKesson Foundation
Council on Foundations The White House
And many, many more!
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U.S. Department of Veterans Affairs
Brain Research Focus
TBI SOTA – 24, 25 Aug 2015
• TBI VA/DOD Research Focus• Better Understanding of
Brain Injury Evolution & Processes; Short term/Long term Effects
• Improved Rehabilitation Procedures and Metrics
• SECVA Announcement of Spring 2016 VA Head Health across America Event
Head Health – Spring, 2016
• Showcase Innovative Progress and Solutions
• Promote Implementation of Best Practices
• VA Leadership Opportunity• Establish & Reinforce Major
Private/Public Partnerships
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U.S. Department of Veterans Affairs
Strategic Partnerships
Maximize External
Proposals
Empower Employees
Proactive
Engagement
Sustain Improve
Replicate
Leader in the National Veterans
Partnerships Space
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U.S. Department of Veterans Affairs
Strategic Partnerships
Frank Stella, 1967, Harran II
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U.S. Department of Veterans Affairs
SP Team
• Matt Collier, Senior Advisor to the Secretary for SP; [email protected]; 805.551.8216
• Doug Carmon, Special Assistant to the Secretary on P3; [email protected]; 202.461.4815
• Rashi Venkataraman, Senior Program Manager; [email protected]; 202.461.6254
• Kacie Kelly, Senior Program Manager; [email protected]; 504.388.2863