Charlie Norwood VA Medical Center. Robert U. Hamilton, FACHE Medical Center Director

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1 Charlie Norwood VA Medical Center Robert U. Hamilton, FACHE Medical Center Director 1

2 One VA Three Branches The Honorable Eric K. Shinseki

healthcare that improves their health life and wellbeing To be a patient-centered integrated health care organization for veterans

3 The Honorable Robert A. Petzel, MD Under Secretary for Health for the Veterans Health Administration (VHA) Mr. Joseph Dalpiaz Acting Deputy Under Secretary for Health for Operations and Management Honoring America s veterans by providing excellent healthcare that improves their health life and wellbeing To be a patient-centered integrated health care organization for veterans providing excellent health care, research, and education; an organization where people choose to work; an active community partner; and a back-up for National emergencies.

5 VISN 7 VHA has 21 Networks. We are in the VA Southeast Network Charles Sepich, FACHE Network Director, VISN 7

6 Key Leadership Robert U. Hamilton Medical Center Director Dr. Felipe Diaz Acting Chief of Staff John D. Stenger Acting Associate Director Michelle Cox-Henley Director for Patient/Nursing Services

Management Structure VISN 7 Medical Center Director Quality Management

Management Service Nutrition & Food Service Police Service Voluntary

Canteen Service Associate Director Fiscal Service Health Administration

Officer VERA Coordinator Information Technology Information Security

Ambulatory Care/CBOC Community Living Center Education Medicine Mental

Chief of Staff Affiliations & Education Audiology & Speech Path CBOC's

Health Pathology & Laboratory Pharmacy Primary Care Rehabilitation

7 Management Structure VISN 7 Medical Center Director Quality Management Assistant Director Chaplain Service Engineering Service Environmental Management Service Nutrition & Food Service Police Service Voluntary Service Safety Office Facility Planner Emergency Management Veteran Canteen Service Associate Director Fiscal Service Health Administration Svc Health Information Mgmt Human Resources Logistics Service Privacy Officer VERA Coordinator Information Technology Information Security Officer Associate Director for Patient Care Services Acute Care Ambulatory Care/CBOC Community Living Center Education Medicine Mental Health/Rehab Respiratory Therapy Surgery/ Sterile Processing Service Chief of Staff Affiliations & Education Audiology & Speech Path CBOC's (Aiken and Athens) Dental Geriatrics Imaging Infection Control Mental Health Pathology & Laboratory Pharmacy Primary Care Rehabilitation Medicine Research Service Social Work Service Specialty Care Spinal Cord Injury Service Surgery

8 Mission/ Vision/Values Mission: Serving our Veterans with Care, Compassion, and Commitment! Vision: To be the Healthcare Organization and Employer of Choice! Values: Integrity, Commitment, Advocacy, Respect, Excellence 8

9 Strategic Focus 9

Statesboro, Georgia Serves approximately

10 Charlie Norwood VA Medical Center 1B complex facility Two-division facility (Uptown and Downtown) 3 miles apart 2 Community Based Outpatient Clinics Aiken, South Carolina Athens, Georgia Primary Care Telehealth Outreach Clinic Statesboro, Georgia Serves approximately 45,524 Veterans in 17 counties in Georgia and 7 in South Carolina 10

11 Downtown Division Clinical Services Ancillary Services Imaging Laboratory/Pathology Pharmacy Specialty Care Allergy Cardiology Dermatology Endocrinology Gastroenterology Hematology/Oncology Infectious Disease Neurology Pulmonary Rheumatology Spinal Cord Injury Unit (SCI) Surgery Ambulatory surgery ENT General surgery Neurosurgery Ophthalmology Orthopedics Plastics Podiatry Urology/Robotics Vascular surgery Research Built: ,604 square feet Authorized Beds: Medicine 37 Surgery 71 SCIU 11

Uptown Division Clinical Services Active Duty Rehab Unit Blind Rehabilitation Center Community Living Centers Dental Domiciliary Inpatient Mental Health Medical Rehabilitation Nutritional Medicine

12 Uptown Division Clinical Services Active Duty Rehab Unit Blind Rehabilitation Center Community Living Centers Dental Domiciliary Inpatient Mental Health Medical Rehabilitation Nutritional Medicine Outpatient Mental Health Primary Care (PACT) Social Work Women s Health Center Built: ,060,079 square feet Authorized Beds: Rehabilitation 15 Blind Rehabilitation 68 Psychiatry 132 CLC 60 Domiciliary 12

13 CNVAMC Affiliations Over 1000 trainees rotate through the medical center on an annual basis. Medical and Dental Residents VA-funded resident positions 85 GRU (psych, IM, FM, neuro, surg, rad, ortho, specialties), 1 EAMC (FM) 3 GRU Dental Over 400 GRU Medical Students Associated Health Trainees Nursing, PA, rehab (PT, OT, RT), pharmacy, dietary, dental asst, HIM, SW, U.S. Army nurse anesthetist VA programs dentistry, podiatry, clinical pastoral education, dietary, audiology, blind rehab, psychology 172 program affiliations with 111 educational institutions across the country

An Average Day at the CNVAMC Fiscal Year 2014 Average Daily Outpatient Visits 1,317 Average Daily Outpatient Unique 1,202 Average Daily Outpatient ER Encounters 51 Average Daily

14 An Average Day at the CNVAMC Fiscal Year 2014 Average Daily Outpatient Visits 1,317 Average Daily Outpatient Unique 1,202 Average Daily Outpatient ER Encounters 51 Average Daily Discharges 13 Average Daily Census (ADC) 279 ADC Inpatient 155 ADC Community Living Center 80 ADC Domiciliary 44 *A Day In The VA- Facility Averages Report from VSSC FY 2014 as of April 6, 2014

15 Accomplishments 3-year Joint Commission Accreditation 3-year Commission on Accreditation of Rehabilitation Facilities (CARF) of all 11 programs Excellent Primary Care Access Improved Specialty Care Access Successful Office of Inspector General (OIG) Combined Assessment Program (CAP) and Community Base Outpatient Clinic (CBOC) Surveys 15

16 Accomplishments Improved Consult Management Process Implemented Evidence Based Practice Protocols Improved Inpatient Evaluation Center (IPEC) Quality Measures Improved VA Surgical Quality Improvement Program (VASQIP) Quality Measures Increased All Employee Survey Participation Improved Affiliate Partnership Council with Georgia Regents University 16

17 Accomplishments Opened Statesboro Primary Care Tele-health Outreach Clinic (PCTOC) Enhanced Federal VA/DOD Partnership -Georgia Federal Healthcare Executive Council (GFHEC) Decreased Length of Stay in Acute Care, Mental Health and SCIU Implemented RN Residency Program 17

18 New Initiatives Achieved Joint Venture Status with VA and DOD partners Increased sharing initiatives within VISN 7 Participating in National Collaborative to Reduce Catheter-Associated Urinary Tract Infections and Pressure Ulcers Participating in National STAR Program to address disruptive behavior in Community Living Center 18

19 New Initiatives Implementing Tele-ICU Actively Engaged in VISN Readiness Program Enhancing Patient Appointing Process Opening Simulation Learning Lab for Interprofessional Training Launching Next Generation of Patient Centered Care 19

20 THANK YOU!

Welcome to the Ralph H. Johnson VA Medical Center

Welcome to the Ralph H. Johnson VA Medical Center Agenda Topic Overview of Veteran Affairs Time 8:30-9 Charleston VAMC Overview Columbia VAMC Overview 9:00 9:30 VA Eligibility 9:30 10:15 Break / Networking