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Leading the Way in the 21 st Century

Leading the Way in the 21 st Century. James Tuchschmidt, MD, MM Office of Healthcare Transformation HSR&D/ VERC: Quality Improvement in Parallel Circuits July 2010. Universal Services Framework. Principles of Veteran Centered Care.

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Leading the Way in the 21 st Century

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  1. Leading the Way in the 21st Century James Tuchschmidt, MD, MM Office of Healthcare Transformation HSR&D/ VERC: Quality Improvement in Parallel Circuits July 2010

  2. Universal Services Framework

  3. Principles of Veteran Centered Care • Honor Veteran’s expectation of safe, high quality, accessible care • Enhance the quality of human interaction and therapeutic alliances • Solicit and respect the Veteran’s values, preferences, and needs • Systematize the coordination, continuity, and coordination of care • Empower patients and families through information and education • Incorporate the nutritional, cultural, and nurturing aspects of food • Provide for physical comfort and pain management • Ensure emotional and spiritual support • Encourage the involvement of family and friends • Apply architectural/ interior design conducive to health and healing • Introduce creative arts into the healing environment • Support and sustain a satisfied and engaged workforce

  4. VA Patient Centered Care: Current Strengths and Weaknesses

  5. Team Care Designed Around the Patient Care Platform Work flow organized around the needs of patients Anticipates patient’s needs and preferences Integrated treatment plan Coordinates care at point of service Team approach to care Competency levels raised where appropriate Many Oncology clinics are already organized around this model

  6. Putting It All Together Imaging FCP Orthopedic Surgery Special Needs Medical Home SNMH HIV The Veteran Centered Medical Home SNMH CHF FCP CHF Focused Care Platform FCP DM Consult Cardiology Lab

  7. VHA Initiatives for FY 2010 Improve Mental Health of Veterans Zero Homelessness VLER VRM Expand Access To Care 7

  8. VHA Initiatives for FY 2010 Expand Access To Care Proactive Outreach Being Added in FY2011 Systems Redesign Specialty Care Rural Veterans Women’s Health Women’s Readjustment Counseling Medical Informatics Transportation For Veterans Improve Efficiency

  9. New for FY 11-13 Being Added in FY2011 Specialty Care Women’s Health Medical Informatics Improve Efficiency 9

  10. Now this is where it gets a little complicated 10

  11. Questions?

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