VA Psychology Leadership Conference y gy p PAST PRESENT & - - PowerPoint PPT Presentation

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VA Psychology Leadership Conference y gy p PAST PRESENT & - - PowerPoint PPT Presentation

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VA Psychology Leadership Conference y gy p PAST PRESENT & FUTURE FOR VHA: PAST, PRESENT & FUTURE FOR VHA: THE REALIGNMENT IN CENTRAL OFFICE May 18, 2011 y , George W. Arana, MD Acting Assistant Deputy Under Secretary for Health g p

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VA Psychology Leadership Conference y gy p

PAST PRESENT & FUTURE FOR VHA: PAST, PRESENT & FUTURE FOR VHA: THE REALIGNMENT IN CENTRAL OFFICE

May 18, 2011 y ,

George W. Arana, MD Acting Assistant Deputy Under Secretary for Health g p y y f Clinical Operations

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Expectations of Healthcare Industry h Changing

  • Moment of Truth: Healthcare Value, Economic Realities,

f , , Outcomes

  • Patients participate as partners in their care
  • Care is convenient and local: Walk in clinics ZoomCare

Care is convenient and local: Walk in clinics, ZoomCare, Walmart, Employer Embedded PC

  • Alternative care (non‐institutional, homelike,

complementary) complementary)

  • Health care information is readily available (WebMD, etc)
  • Preventive health (Health clubs, Nutrition, Well‐being)
  • Public awareness of war and veterans issues
  • Younger veterans often have families and jobs

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Secretary Shinseki’s Vision Secretary Shinseki s Vision

  • Veteran Centric
  • Veteran Centric
  • Results Oriented
  • Forward Looking

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Universal Services Framework Universal Services Framework

Veteran Centric – Results Oriented – Forward Looking

P ti t C t d T B d C ti l I d E id B d Patient Centered – Team Based – Continuously Improved – Evidence Based

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Secretary Shinseki’s Themes Secretary Shinseki s Themes

  • Access

Access H l

  • Homelessness
  • Backlog

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  • Dr. Petzel’s Priorities
  • Dr. Petzel s Priorities
  • Create a Vision for the Organization

Create a Vision for the Organization li / i h O i i

  • Align/Reorganize the Organization
  • Reduce Variation

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VHA Mission VHA Mission

Honor America’s Veterans by providing exceptional health care that improves their health and well‐being.

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Key Elements of VHA Vision Key Elements of VHA Vision

  • Patient‐Centered

Patient Centered

  • Team Care

C i

  • Continuous Improvement
  • Data‐Driven
  • Evidence‐Based

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Patient Centered

  • Patients in control of their health care

Patients in control of their health care S t d i d d th d f th

  • System designed around the needs of the

patient

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Team Care Th N H l h C W k Pl The New Health Care Work Place

  • Work is done in teams

Work is done in teams

  • Team members regard each other as peers
  • Teams are empowered
  • Teams are empowered
  • Teams have data about cost, quality,

satisfaction and access satisfaction and access

  • Teams use a continuous improvement process

T h ti

  • Teams have time
  • Teams work collaboratively

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Continuous Improvement p

  • Data about: Quality, Cost, Access and

S i f i Satisfaction

  • Time
  • A corporate operating principle
  • VHA System Redesign

VHA System Redesign

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Total Quality Management Total Quality Management

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Continuous Improvement Continuous Improvement

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Data Driven, Evidence Based ,

  • Data about point of care performance
  • Data about point‐of‐care performance
  • Medical practice based on the evidence

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VHA Transformation Initiatives VHA Transformation Initiatives

  • New Health Care Models

New Health Care Models

  • Enhancing the Veteran Experience and Access

to Healthcare to Healthcare

  • Improving Veteran Mental Health
  • Ending Veteran Homelessness
  • Improving Healthcare Efficiency

p g y

  • Improving Healthcare Through Informatics

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Targeted Waste Reduction Targeted Waste Reduction

  • Reduce length of stay
  • Reduce length of stay
  • Reduce indirect cost

d d i i

  • Reduce readmissions
  • Reduce unnecessary admissions
  • Reduce ambulatory sensitive conditions

admissions

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Reorganization –Why? Reorganization Why?

  • Clinical presence in operations

Clinical presence in operations

  • Consolidate informatics

C lid kf

  • Consolidate workforce group
  • Consolidate compliance and oversight
  • Clarify roles of policy and operations

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VHA: Central Office VHA: Central Office

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VHA: Office of the DUSH for Operations and Management

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VHA: Office of DUSH for Policy and Services

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VHA: Office of the PDUSH VHA: Office of the PDUSH

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VHA: ADUSH for Clinical Operations

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Vision Vision

  • Alignment

Alignment

  • Integration/Coordination

S d di i

  • Standardization

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Integration

PACT PACT

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Mental Health Specialty Medicine

2 2 3 3 3 4 2 2 3

Geriatrics/Extended Care

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In Patient Out Patient Coordination

  • f Care

H L T

  • f Care

Home Long‐Term

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Questions? Questions?

George W. Arana, MD Acting Assistant Deputy Under Secretary for Health: Clinical Operations for Health: Clinical Operations

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