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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

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

Principles of veteran centered care
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

Va patient centered care current strengths and weaknesses
VA Patient Centered Care: Current Strengths and Weaknesses

Team care designed around the patient
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

Putting it all together
Putting It All Together


FCP Orthopedic Surgery

Special Needs Medical Home



The Veteran Centered Medical Home




Focused Care Platform





Vha initiatives for fy 2010
VHA Initiatives for FY 2010

Improve Mental Health of Veterans

Zero Homelessness



Expand Access To Care


Vha initiatives for fy 20101
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

New for fy 11 13
New for FY 11-13

Being Added in FY2011

Specialty Care

Women’s Health

Medical Informatics

Improve Efficiency