Top Banner
The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not be construed as an official Government position, policy or decision, unless designated by other documentation Pre-Decisional/ Draft Site Visit Overview Veterans Choice Act Section 201 Independent Assessments January 20, 2015 CMS Alliance to Modernize Healthcare (CAMH)
13

Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

Oct 05, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Pre-Decisional/ Draft

Site Visit Overview

Veterans Choice Act Section 201

Independent Assessments

January 20, 2015

CMS Alliance to Modernize Healthcare (CAMH)

Page 2: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 2 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Veterans Access, Choice, & Accountability Act of 2014

Title II – Section 201

The President signed Veterans Access, Choice, and Accountability Act of 2014

(VACAA) into law on August 7, 2014. (P.L. 113-146)

VACAA provides new authorities, funding, and tools to help support and reform VA:

– Title I: Improvement of Access to Care from Non-Department of Veterans Affairs

Providers

– Title II: Health Care Administrative Matters

Section 201: Directs the Secretary to enter into one or more contracts with a

private sector entity or entities for an independent assessment of the health

care furnished in all VA medical facilities

Section 201 directs that the independent assessment shall address 12 topics

(see last slide for full list)

In accordance with the law, VA hired MITRE CMS Alliance to Modernize Healthcare

(CAMH) as the program integrator, and to help conduct 11 of the independent

assessments (Assessments A- L, with the exclusion of Assessment D)

Assessment D Access Standards was contracted to the Institute of Medicine (IOM)

The final Integrated Assessment Report is due to the VA on September 1, 2015

Page 3: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 3 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Guiding Principles

MITRE CAMH has established guiding principles for the

independent assessments:

– Evidence-based

– Mindful of the unique needs of Veterans and their families

– Grounded in health care delivery science and reflective of industry

best practices

– Delivered by teaming with private sector partners experienced in

successful delivery of modern quality health care

– Feasible and Executable

– Assessed in terms of probable improvements in health outcomes,

risk reduction, and effect on Veteran satisfaction

Page 4: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 4 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Independent Assessments

The MITRE-CAMH Independent Assessment Team includes health care

experts from McKinsey, RAND and Grant Thornton, and a Blue Ribbon

Panel.

The assessment begins with data discovery and includes VHA data

collection, site visits, surveys, interviews, best practice research, etc.

Site visits will touch facilities across the country (Jan through April end)

– Sites were selected using a stratified random sampling method to ensure

an unbiased and objective selection process

– The criteria for site selection ensured a balanced representation of urban

versus rural, facility size (# of adjusted admissions), and Acuity of Care

provided (VHA Complexity levels)

– Performance metrics relevant to the assessments were also considered

(SAIL data)

Page 5: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 5 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visit and Report Protocol

Assessment Teams will:

Meet the requirements of the law with minimal disruption to the delivery of care to our Veterans

Respect and follow all site visitation protocols

Store all data securely

Not collect PHI/PII data

May share observations to validate facts

Not share findings or recommendations until the final report is released

Make no direct attributions to individuals in the assessment report without explicit permission from the individual to do so

Page 6: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 6 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits and Notional Dates

Page 7: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 7 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (1 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

1 402 Maine VA Maine VA-Togus ME January 21-22 VAMC

1 402GE Lewiston VA Clinic Lewiston Auburn ME January 22 CBOC

1 523A5 Boston VA-Brockton Boston-Brockton

Division MA March 24-27 VAMC

1 VISN 1 Headquarters MA March 25 VISN Headquarters

1 523BZ Causeway VA Clinic Causeway-Boston MA March 25 CBOC

2 528A5 Canandaigua VA Canandaigua NY March 17-18 VAMC

2 528GE Rochester VA Clinic Rochester NY March 18 CBOC

3 632 Northport VA Northport NY March 24-25 VAMC

3 VISN 3 Headquarters March 25 VISN Headquarters

3 632HC Bay Shore VA Clinic Bay Shore NY March 25 CBOC

4 VISN 4 Headquarters February 25-26 VISN Headquarters

4 646A5 VA Pittsburgh Health

System

Pittsburgh-Highland

Drive PA February 25-26 VAMC

4 542 Coatesville VA Coatesville PA March 31 VAMC

4 542GE Spring City VA Clinic Spring City PA April 1 CBOC

Page 8: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 8 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (2 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

5 512 Maryland VA-

Baltimore

Maryland-Baltimore

Division MD March 31 VAMC

5 VISN 5 Headquarters April 1 VISN Headquarters

5 512GD Loch Raven VA Clinic Loch Raven-Baltimore MD April 1 CBOC

6 558 Durham VA Durham NC March 11-12 VAMC

6 VISN 6 Headquarters March 11-12 VISN Headquarters

6 637 Charles George VA Charles George-

Asheville NC April 7-9 VAMC

6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC

7 619GA Columbus VA Clinic Columbus GA February 11 CBOC

7 619A4 Central Alabama VA-

Tuskegee

Central Alabama-

Tuskegee Division AL February 10-11 VAMC

8 573GD Ocala VA Clinic Ocala FL February 19 CBOC

8 546GA Miami VA Clinic Miami Flagler FL February 25-26 CBOC

8 573 Malcom Randall VA Malcom Randall-

Gainesville FL February 18-19 VAMC

8 672 Caribbean VA-San

Juan San Juan PR March 3-4 VAMC

8 675 Orlando VA Orlando FL March 3-5 CBOC

Page 9: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 9 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (3 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

8 672GE Guayama VA Clinic Guayama PR March 4 CBOC

9 596GD Berea VA Clinic Berea KY February 3-5 CBOC

9 596 Lexington VA-

Leestown

Lexington-Leestown

Division KY February 3-5 CBOC

9 596A4 Lexington VA-Cooper Lexington-Cooper

Division KY February 3-5 VAMC

10 539GA Bellevue VA Clinic Bellevue KY February 26 CBOC

10 539 Cincinnati VA Cincinnati OH February 25-26 VAMC

10 VISN 10 Headquarters February 25-26 VISN Headquarters

11 583 Richard L. Roudebush

VA

Richard L.

Roudebush-

Indianapolis

IN February 25 VAMC

11 553 John D. Dingell VA John D. Dingell-Detroit MI April 7-8 VAMC

11 VISN 11 Headquarters April 8 VISN Headquarters

11 553GB Pontiac VA Clinic Pontiac MI April 8 CBOC

12 607

William S. Middleton

Memorial Veterans

Hospital

North Central CPAC

Middleton, WI WI January 20-22 CPAC

12 695 Clement J. Zablocki

VA

Clement J. Zablocki -

Milwaukee WI February 9 VAMC

12 585 Oscar G. Johnson VA Oscar G. Johnson-

Iron Mountain MI April 21-23 VAMC

Page 10: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 10 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (4 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

12 N/A National Acquisition

Center

National Acquisition

Center IL Acquisition Center

12 Edward Hines, Jr. VA

Hospital VAMC

12 585GC Menominee VA Clinic Menominee MI April 22 CBOC

15 657A0 St. Louis VA-Jefferson

Barracks

St. Louis-Jefferson

Barracks MO March 17-18 VAMC

15 657GA Belleville VA Clinic Belleville IL March 18 CBOC

16 586GA Kosciusko VA Clinic Kosciusko MS February 11 CBOC

16 586 G. V. (Sonny)

Montgomery VA

G.V. (Sonny)

Montgomery-Jackson MS February 10-11 VAMC

16 VISN 16 Headquarters February 11 VISN Headquarters

17 674GD Cedar Park VA Clinic Cedar Park TX February 19 CBOC

17 674 Central Texas VA-Olin

E. Teague

Olin E. Teague-

Temple Division TX February 18-19 VAMC

17 VISN 17 Headquarters February 19 VISN Headquarters

18 501GL Northwest Metro Clinic Rio Rancho NM March 12 CBOC

18 VISN 18 Headquarters March 9 VISN Headquarters

18 644 Carl T. Hayden VA Carl T. Hayden-

Phoenix AZ March 9 VAMC

Page 11: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 11 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (5 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

18 501 New Mexico VA-

Raymond G. Murphy

Raymond G. Murphy-

Albuquerque NM March 11-12 VAMC

19 741 Denver Health

Administration Center

Denver Health

Administration Center CO January 13-15 CPAC

19 VACO office in

Colorado CO February 23

19 VISN 19 Headquarters February 23 VISN Headquarters

19 554 VA Eastern Colorado

Health System

Eastern Colorado VA-

Denver CO February 23 VAMC

19 436 Montana VA-Fort

Harrison

Montana-Fort Harrison

Division MT April 14-15 VAMC

19 436GA Anaconda VA Clinic Anaconda MT April 15 CBOC

19 N/A Denver Acquisition

and Logistics Center

Denver Acquisition

and Logistics Center CO April 21 Acquisition Center

20 648 Portland VA Portland OR April 14-15 VAMC

20 VISN 20 Headquarters April 15 VISN Headquarters

20 648GE East Portland VA

Clinic East Portland OR April 15 CBOC

21 San Francisco VA

Health Care System

San Francisco VA

Health Care System March 16 VAMC

21 640A4 Palo Alto VA-

Livermore

Palo Alto-Livermore

Division CA April 8 IOC

21 640 Palo Alto VA Palo Alto CA April 7-8 VAMC

Page 12: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 12 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Site Visits – Locations and Notional Dates (6 of 6)

VISN Station Number Official Station Name

Location Descriptive

Name (Common

Name)

Street Address-State Visit Month Visit Days Primary

Classification

22 600GC Cabrillo VA Clinic Cabrillo-Long Beach CA March 4 CBOC

22 600 Long Beach VA Long Beach CA March 3-4 VAMC

22 VISN 22 Headquarters March 3-4 VISN Headquarters

23 437 Fargo VA Fargo ND April 21-22 VAMC

23 437GC Fergus Falls VA Clinic Fergus Falls MN April 22 CBOC

00CFM3 CFM Central Office CFM Central Office DC January 12 CFM Regional Office

00CFM3 East CFM Regional

Office

East CFM Regional

Office No January 27-28 CFM Regional Office

00CFM3 Central CFM Regional

Office

Central CFM Regional

Office No January 28-29 CFM Regional Office

00CFM3 West CFM Regional

Office

West CFM Regional

Office No February 3-4 CFM Regional Office

Page 13: Veterans Choice Act Section 201 Independent Assessmentsafgenvac.org/wp-content/uploads/2015/01/VACAA...6 558GB Raleigh VA Clinic Raleigh NC March 12 CBOC 7 619GA Columbus VA Clinic

| 13 |

© 2015 The MITRE Corporation.

All rights reserved.

The views, opinion, and/or findings contained in this document are those of The MITRE Corporation and should not

be construed as an official Government position, policy or decision, unless designated by other documentation

Assessment Reference