VA/DoD Contingency Plan
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VA/DoD Contingency Plan. History. Congressional Hearings Public Law 97-174. 38 U.S.C. Section 8110.

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Presentation Transcript

History

Congressional Hearings

Public Law 97-174


38 U.S.C. Section 8110

“The Secretary of VA...shall establish the total number of such beds so as to maintain a contingency capacity to assist the Department of Defense in time of war or national emergency to care for the casualties of such war or national emergency…as the Secretary considers necessary for such contingency purposes.”


38 U.S.C. Section 8111A

“The Secretary may give a higher priority to the furnishing of care and services under this section than to the furnishing of care and services to any other group of persons eligible for care and services in medical facilities of the Department with the exception of veterans with service-connected disabilities.”


VA / DoD MOU

“During and immediately following a period of war, or a period of national emergency…

…facilities of the VA health care system will be available as the principal support to the military health care system…”


VA / DoD Contingency Plan

  • Primary Receiving Centers

  • VA Secondary Support Centers

  • Base Support Facilities


VA National Planning Factors

  • No additional resources

  • Annual bed counts

  • 60-day return to duty assumption

  • Regional regulating policy


Actions Upon Declaration of Emergency

  • Secretary of Defense requests priority treatment of active duty personnel

  • Secretary of VA sets priorities of treatment

  • VA - DoD liaison enhanced

  • VA Primary Receiving Centers implement local plans


VA Medical Center Preparations

  • Activate local reception plans

  • Hospital “expansion” programs

  • Assess bed availability


SSCs report medical capabilities to their PRC

Lebanon VAMC

Butler VAMC

Coatesville VAMC

Altoona VAMC

Philadelphia VAMC

Pittsburgh VAMC

PRC and SSC Coordination


PRCs may transfer some veterans to SSCs

Lebanon VAMC

Butler VAMC

Coatesville VAMC

Altoona VAMC

Philadelphia VAMC

Pittsburgh VAMC

PRC and SSC Coordination


Bed Reporting Process

  • Measuring capability:

    • Bed Categories

    • Through-put

  • Reported to the DoD Global Patient Movement Requirements Center

  • U.S. Transportation Command Regulating and Command & Control Evacuation System (TRAC2ES)


Medical Regulating

1. Military Healthcare System

2. VA hospitals

3. NDMS hospitals


Scott AFB

Andrews AFB

Miramar NAS

Ft Gordon

Kelly AFB

McChord AFB

DoD Inter-Theater Patient Movement


Scott AFB

Andrews AFB

Miramar NAS

Ft Gordon

Kelly AFB

McChord AFB

DoD Inter-Regional Patient Movement


Andrews AFB

Kelly AFB

McChord AFB

DoD Regional Patient Movement

Scott AFB

Miramar NAS

Ft Gordon


VA and Patient Reception

Track Incoming Missions

Unload, stage, assess and transport


PRCs may transfer military patients to their SSCs

Lebanon VAMC

Butler VAMC

Coatesville VAMC

Altoona VAMC

Philadelphia VAMC

Pittsburgh VAMC

PRC and SSC Coordination


VA and Patient Care

Provide Definitive Care

Coordinate Administration


Operation Iraqi Freedom

Sec VA increased priority of access

UOR vs Service desires

DWMMC

Commercial transport

MHS & TRICARE


VA & TRICARE

- Best mechanism for transferring active duty members to VA medical center

- 67% VAMCs signed contracts to participate in TRICARE networks

- 73 VAMCs receiving $5.4M reimbursement in FY 2004 thru Feb 04


VA – DoD Proposals

  • OIF & TRICARE  new ConPlan:

  • New definition of FCC

  • Low tempo  DoD preeminence

  • High tempo -> 1 Coord per PRA

  • Possible integration VA-DoD & NDMS


Potential Influences on VA-DoD

  • - Draft planning documents

  • Regional concept of NDMS definitive care

  • Potential / future role of DoT moving patients

  • “Beds” vs some other measure of capacity

  • HHS's prototype HARTS

  • Prospects for recruiting more NDMS hospitals

  • MMRS


VA/DoD

Contingency Plan


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