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2011 VA/DoD Joint Venture Conference David Grant USAF Medical Center

2011 VA/DoD Joint Venture Conference David Grant USAF Medical Center VA Northern California Health Care System. JEC Mandate Reporting Format Template. Reporting Facility Names : VA Northern California Health Care System (VANCHCS) and David Grant USAF Medical Center (DGMC). Agreement:

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2011 VA/DoD Joint Venture Conference David Grant USAF Medical Center

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  1. 2011 VA/DoD Joint Venture Conference David Grant USAF Medical Center VA Northern California Health Care System

  2. JEC Mandate Reporting Format Template Reporting Facility Names: VA Northern California Health Care System (VANCHCS)and David Grant USAF Medical Center (DGMC) Agreement: Overall Master Sharing Agreement provides for services at 75% CMAC plus per diem, pharmacy, etc. JIF funded proposals provide for salary offsets in the sustainment years. Other proposals based on excess capacity or currency requirements on a limited time basis (general surgery 0% CMAC thru end of calendar year 2011). Services provided to the DoD at McClellan are billed at VA costs. Baseline and Current Status: Maintain inpatient access for Veterans at DGMC. Average daily census of Veterans @ 20. Dialysis maximized at 60 patients . Neurosurgery targets maintained at >100 surgeries a year. Radiation therapy maximum throughput 60 patients/month currently at 50. Inpatient Mental Health underutilized by 2,500 bed days of care a year. Other JIF service lines have their own unique metrics. Quantitative Results from the Agreement: Overall goal is to increase access and reduce Non VA Care Costs by 25% and DoD Purchased Care. Individual JIF service lines have their own unique metrics. Qualitative Value of the Agreement: DGMC is a third access point for VANCHCSVeterans. Its location is ideally situated mid way between East Bay and Sacramento on the I-80 corridor. Increases access and proximity. VANCHCS Director refers to DGMC as an extension of the VA healthcare system. Complexity and comorbidities of Veterans provides clinical currency for military staff and training/residency programs. Service Provided: Services provided for Veterans at DGMC: ED, inpatient, outpatient, inpatient mental health, dialysis, neurosurgery, radiation therapy, cardiovascular and endovascular surgery services. Services provided for DoD beneficiaries at McClellan VA OPC: lab, radiology and pharmacy and leased clinical space. Leased space at Fairfield VA OPC for AF chiropractic and joint neuro surgery clinic.

  3. Joint Radiation Oncology Center Cost Benefit Performance between (DGMC/VANCHCS) Service Provided: Joint Radiation Oncology Center (JROC)

  4. Joint Radiation Oncology Center JIF Goal: 100 additional VA patients to the existing 150 annual patients (baseline FY08). Over 300 total VA patients seen in FY11 (thru Aug 11)

  5. Joint Inpatient Mental Health Unit Cost Benefit Performance between (DGMC/VANCHCS) Service Provided: Joint Inpatient Mental Health Unit (JIMHU)

  6. Joint Inpatient Mental Health Unit JIF Goal: 4,900 Bed Days of Care (DoD 1,800/VA 3,100) Annual 12 month avg: DoD 1,000/VA 1,200

  7. Joint Cardiovascular Care Center Cost Benefit Performance between (DGMC/VANCHCS) Service Provided: Joint Cardiovascular Care Center (JCVCC)

  8. Joint Cardiovascular Care Center Annual Target Yr 1 (FY11): 50 Yr 2 (FY12): 100 Yr 3 (FY13): 150 JIF Goal: Increase the number of VA cardiothoracic surgery procedures by 25/yr and like DoD procedures by 100/yr

  9. Joint Venture Performance Measures

  10. Future Initiatives and/or Proposals

  11. Best Practices – Lessons Learned

  12. Current Issues (other than IM/IT) • Gate Access • Organization Structure Issues • Union/EEO • Alternative Dispute Resolution • Supervision • Meeting suspense for Qtrly IPRs

  13. Share Point Gate Access • To access the share point simply type the following URL in your internet search bar. https://eim.amc.af.mil/org/60sfs/Visitorcontrolcenter/default.aspx • Once your have entered the home page this is what you will see: You have four options to choose from when sponsoring a person on base. • 1-14 Days • 15-180 Days (Requires signed letter) • 181-365 Days (Requires signed letter) • Special Guest (Requires signed letter)

  14. Sponsor Guest 1-14 Days This page is pretty self explanatory, all you need is to fill out the appropriate areas with the correct information Once completed its as simply as click The “ok” button at the bottom of the screen. Once you click “ok” the person’s name will automatically be added to a list that is computer generated and is accessible to all the employees at the visitors center. All the guest must do is proceed to the visitor’s center with a valid driver’s license, registration and proof of insurance the base pass will then be generated.

  15. Additional Information as Desired • Reimbursement Methodology • Workload Credit • VA Fee basis credit versus “count” clinics • Complexity designation • Second Fisher House • 8 Room House

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