Atlanta VA Medical Center

Atlanta VA Medical Center

Budget and Education Overview

Town Hall Meeting – June 11, 2013

How we receive our funding

The President& Congress

Department of Veterans Affairs Veterans Health

Administration

VISN 7

Atlanta VAMC

VERA Model

Medical CenterAppropriations

3

Medical Care

Appropriation

(0160)

Administration

Appropriation

(0152)

Facilities Appropriat

ion(0162)

IT Appropriat

ion(0167)

Research Appropriati

on(0161)

Medical, $547,307,386

, (86%)

Facilities, $50,359,95

8, (8%)

Admn$40,355,611,

(7%)

MedicalFacilitiesAdmn

FY 2013 Budget by AppropriationTotal Budget: 638,022,955

FY 2013 Budget by Type

$471,014,229 (86%)

$39,799,000 (7%)

$38,964,288 (7%)

$72,929,643 (11%)

$9,444,084 (2%) $5,871,711 (1%)

General PurposeMCCFMC Specific PurposeOther Specific PurposeEquipmentNRM

How we spend our fundingas of May 2013

$225,296,034 (59%)$72,903,661 (19%)

$53,380,889 (14%)

$7,371,032 (2%)$12,179,904 (3%)$11,789,892 (3%)

Personal ServicesContracts & ServicesSupplies & MaterialsEquipment & NRMTravel & Transporta-tion (Employees & Patients)Other Costs

Salary Cost by Categoryas of pay period 10

Physicians, $61,373,799 (26%)

Non Physician Providers,

$21,395,574 (9%)

Nursing, $61,521,352 (26%)

Clinical Staff, $40,491,648 (17%)

Administrative, $40,235,742 (17%)

Operations, $10,424,045 (5%)

FTEE by Categoryas of pay period 10

Physicians, 306.2 (10%)Non Physician

Providers, 223.5 (7%)

Nursing, 887.7 (29%)

Clinical Staff, 691.3 (22%)

Administrative, 784.4 (25%)

Operations, 228.3 (7%)

Atlanta’s Efficiency DSS through 2nd quarter Atlanta’s DSS productivity is 89.1

UCR – Cost Efficiency Adjusted Patient Care Cost/Adjusted FacWork –

Ranked #12 of all 1A facilities, and Ranked #52 nationally Adjusted Cost YTD per FTEE –

Ranked #20 of all 1A facilities, and Ranked #115 nationally Indirect Cost per Adjusted FacWork –

Ranked #2 of all 1A facilities, and Ranked #5 nationally RN FTEE per Adjusted FacWork –

Ranked #2 of all 1A facilities, and Ranked #22 nationally MD FTEE per Adjusted FacWork –

Ranked #25 of all 1A facilities, and Ranked #127 nationally

There are 152 VA medical centers. 32 of those are categorized as complex 1A facilities.

Nursing Education Scholarships and

Educational Programs

Atlanta VA Scholarships

EISP – the intent of EISP is to award scholarships to VHA‘s non-RN employees who wish to pursue a education for positions that are hard to recruit and retain.NNEI – the intent of NNEI is to award scholarship to VHA’s registered nurses for completion of (1) baccalaureate degree in nursing and (2) advanced degrees in nursing or related field

Scholarship Eligibility 1. Full-time or part-time employee.

2. Current VA employee who has been continuously employed with VA for not less than one year as of the date on which the official EISP/NNEI application is submitted for the scholarship award. NOTE: a break in service of three days interrupts continuous employment.

3. Unconditionally accepted as a full-time or part-time student in a school of nursing as of the date the employee submits the official EISP/NNEI application.

4. Not obligated under any other federal programs to perform service after completion of the course of education.

5. Agree to incur a contractual obligation for service in a full-time title 38 position. Service obligation begins after program completion. Contracts outline service commitments and payback penalties if applicants breach the contract.

6. The applicant must have a record of employment that demonstrates a high likelihood of successfully completing the education and employment in such a field.

NNEI/EISP Fiscal Year Data NNEI

EISP

Fiscal Year

Number ofParticipants

Funding

Number of Graduates

FY12 31 (not including graduates)

218, 705 16

FY13 21 (not including graduates) 143, 260 9

Fiscal Year

Number ofParticipants

Funding Number of Graduates

FY12 1 18,747 0FY 13 1 18, 747 0

Veterans Administration Learning Opportunity Residency

(VALOR)Program

Residency program for BSN students Each VALOR is paid 80% of a Nurse I Level I salary Total salary allocation is determined by the

numbers of hours worked per participant.

VALOR Program Participation FY 12/FY 13

The number of VALOR partipants for FY 12 and FY 13 are depicted below.

Post Baccalaureate Nurse Residency (PBNR)

Program provisions: Three year pilot 12 month residency program Nurse Residents Trainees must be Baccalaureate

prepared with one year or less work experience Six (6) Nurse Resident Trainees positions per year Per annum stipend for each nurse resident trainee

is $55,000

VA Nursing Academic Partnerships (VANAP)

Program provisions: The pilot was awarded on June 3, 2013 5 year pilot with organizational and academic

partner commitment to continue the program upon pilot completion

Partnership between Atlanta VA and Emory University’s Nelson Woodruff School of Nursing

Funding for 3 VA FTE’s year one with up to 6 additional FTE’s from years 2-4 (with reduction back to 3 FTEs in the 5th year)

Education & Training

Continuing Medical Education (CME)

Full time board certified MDs receive $1,000.00 per Fiscal Year

The $1,000.00 is used for: Travel & Per Diem Registration Both Travel & Registration combined not to

exceed $1,000.00

Education & Training

Employee Training Each type of employee other than CMEs are limited to only

$600.00 per Fiscal Year for training

Upward Mobility also provides $600.00 per each type of employee to go to school. The Education & Training committee meets monthly. This

committee is chaired by the ACOS for Education, Dr. Fas and is made-up of representatives of different Service Lines throughout the Medical Center and our Union partners.

An Education subcommittee meets weekly to review 182 requests that will be presented to the Education & Training Committee for approval.

Education & Training

Education & Training Requesting funds:

An employee must submit and SF 182, a copy of the brochure on the conference an with a signed VA Non Sponsored Travel Form, and a email that has all supporting documents attached.

Each employee must submit their request the month before the training takes place, however as long as the training has not already taken place when the paperwork is received, then the request can still be reviewed and possibly approved by the committee.

Control Point Name

Amount Obligated

Clinical Tuition Support 64,424.00Clinical Tuition Support 38,864.00Clinical Registration Fees 45,543.00Admin Registration Fees 51,599.00Facilities Registration Fees

0.00

Employee Education (Clinical)

13,003.00

Employee Education (Facilities)

1,000.00

Employee Education (Admin)

600.00

Education - Fiscal Year DataEmployee Training

Control Point Name

Amount Obligated

Clinical Tuition Support 111,597.00

Clinical Tuition Support 16,370.00

Clinical Registration Fees 71,086.00

Admin Registration Fees 0.00

Facilities Registration Fees

2,500.00

Employee Education (Clinical)

18,725.00

Employee Education (Facilities)

10,849.00

Employee Education (Admin)

55,144.00

FY13 FY12

176.65 resident positions in 45 programs resulting in over $9 million dollars stipend

173 Affiliation Agreements with 120 Colleges/Universities

44 Funded Allied Health trainee positions

3 year $1.5 mil grant Approved for Women’s Center of Excellence at East Point which will move to Ft Mac

Affiliations

Local Training Program Data

FY13 Training OfferedThe 5 Choices: Achieving Extraordinary Results in Work and LifeWriting Journey: Writing and Editing for Accuracy Resiliency for Caregivers (2 sessions)FOCUS - Achieving Your Highest PrioritiesCritical Conversations (3 sessions)The 7 Habits of Highly Effective People Signature Course (2 sessions)Working at the Speed of Trust (2 sessions)Championing Diversity (1 session)Great Work Great Career (2 sessions) Managing Self Through Change Emotional Intelligence (2)

FY13 Supervisory Training Offered

Leading at the Speed of Trust

Creating a Collaborative Culture (3 sessions)

Leading Across Generations (2 sessions)

Leadership Foundations

Project Management : A Practical Approach (2 sessions)Great Work Great Career (4 sessions)

Getting Results: The 4 Disciplines of Execution Executive Session

FY13 VALU Program

* All classes highlighted in red indicate training has been completed

FY12 Training OfferedCreating a Culture of Change and InnovationBetter Working Relationships for Better Customer Service (3 sessions)Championing Diversity (2 sessions )Gaining Buy-in for ChangeFOCUS - Time Management Workshop (4 sessions )Project Management (2 sessions)The 7 Habits of Highly Effective People Signature Course (3 sessions )Working at the Speed of Trust (2 sessions)Customer Service Excellence (2 days)Scorecard for Change: Demonstrating Success (1/2 day)

Local Training Program DataFY12 VALU Program

FY12 Supervisory Training Offered

Leading Across Generations ( 1/2 day)

Leading at the Speed of Trust (2 sessions)

Leadership Foundations

Getting Results: The 4 Disciplines of Execution Executive Session

  2013 Facility LEADParticipants

9

Total Cost

$13,035 + (cost of books)

Fiscal Year Local Training Expenses

  2013 SAWParticipants

15

Total Cost

$1,065

  2012 Facility LEADParticipants

14

Total Cost $18,745 + (cost of books and plaques)

  2012 SAWParticipants

15

Total Cost

$9,495

LEAD & SAW Program Expenses

FY13 FY12

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