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Department of Veterans Affairs Office of Rural Health. HRSA / ORHP All Programs Meeting. Kara Hawthorne. August, 2007. Focus Areas. 1. Legislation. 2. What Rural Looks Like. 2. Enrollees / Patients. 4. OHR. 5. VA System of care delivery. Legislation – The Office.

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Department of Veterans Affairs Office of Rural Health

HRSA / ORHP All Programs Meeting

Kara Hawthorne

August, 2007


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Focus Areas

1. Legislation

2. What Rural Looks Like

2. Enrollees / Patients

4. OHR

5. VA System of care delivery


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Legislation – The Office

  • PL 109-461 Section 212.

  • Congress Passed Late December ’06

  • VHA ADUSH for PP began work 2/07


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PL 109-461 Section 212.

  • Establish the Office of Rural Health

  • Develop, refine, and promulgate policies, best practices, lessons learned, and innovative and successful programs to improve care and services

  • Research

  • To designate in each VISN a rural consultant

  • Perform an Assessment of Fee-Basis Health-Care Program

  • Plan To Improve Access and Quality of Care: Develop a plan to improve the access and quality of care for enrolled veterans in rural areas; including measures for meeting the 1) long term care and 2) mental health needs of rural veterans


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Legislation – Congress

  • Congress has the vision of outcomes, ORH is in the current phase of process development

  • Additional Bills have included: S. 1146, S. 1233 (markup). HR 5524, HR 315, HR 1527, HR 2005, HR 2874 (markup), draft bill HR 2623.

    • General themes include:

      • Establishing Rural research centers of excellence

      • Providing grants for VSO’s to establish transportation

      • Partnering with Community Health Clinics. (everyone know what those are? Federally Qualified Health Canters funded in part by HHS)

      • Partner with IHS

      • Consider Fee-based care

      • Outreach

      • Recently some collaboration with MH/Vet centers on MH services in rural areas. on outreach

      • And of course, expand, expand, expand Services

  • VAH leadership has testified on RH multiple times this year



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Veterans

EOY 2006

Estimated 8.3% of the population are Veterans.

38% of Enrollees are rural or highly rural

40% of patients are rural or highly rural


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Distribution

  • States with the highest numbers of enrollees:

    • California, Florida, New York, Texas, Pennsylvania

  • States with the lowest numbers of enrollees:

    • Vermont, Wyoming, Alaska, N.Dakota, Rhode Island


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ORH

  • VHA has been providing care to rural veterans

  • The ORH will coordinate services to enhance delivery of care, create greater access, engage in research, promulgate best practices….


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How VHA Provides Care

VHA System of Facilities

  • 153 Hospitals

  • 882 Outpatient Clinics (including CBOCs)

  • 207 Vet Centers

  • 135 VA Nursing Homes

    * Data as of Second Quarter FY07 – March 30, 2007


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Telehealth

VHA’s office of Care Coordination has programs that brings care into the veterans home

  • Care Coordination Home Telehealth

  • Telemental Health


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Contact Information:

Kara Hawthorne

VHA Office of Rural Health

Tele: (202) 273-8389

[email protected]


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