Evaluation of the Lovell Federal Health Care Center Merger Findings, Conclusions, and Recommendations (2012) / Chapter Skim
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Appendix C: Department of Veterans Affairs/Department of Defense Joint Ventures: Brief Histories and Lessons Learned
Appendix C: Department of Veterans Affairs/Department of Defense Joint Ventures: Brief Histories and Lessons Learned
Pages 199-226
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From page 199... ...
. ALBUQUERQUE, NEW MEXICO: 377TH MEDICAL GROUP, KIRTLAND AIR FORCE BASE/NEW MEXICO VETERANS AFFAIRS HEALTH CARE SYSTEM Brief History The first formally designated Department of Defense (DoD)
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The Air Force also agreed to manage the emergency room and, in 1989, constructed an ambulatory care center next to the hospital. The VA provided all ancillary services to the Air Force–staffed inpatient unit.
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The El Paso DoD/VA joint venture started in 1987, when the VA needed to replace its outpatient clinic. A working group between the two organizations agreed to an arrangement in which the VA built its new, larger VA Eastside El Paso Clinic (VA Clinic)
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. Lessons Learned Lessons learned in El Paso include that open communication and information sharing are paramount to the success of a joint venture, and that trust and cooperation are key elements of the collaboration.
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That same year, the VAPIHCS Spark M Matsunaga VA Ambulatory Care Center, located adjacent to the TAMC campus, opened and began to provide primary care services, including mental health, specialty services, radiology, and optometry.
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In 2011, it was announced that Janus would be used as part of the VA's joint electronic health record to access records and radiological imagery, including laboratory and pharmacy, allowing clinicians to view data from the two systems, and that the single GUI for the Veterans Health Information Systems and Technology Architecture (VistA) and the Armed Forces Health Longitudinal Technology Application (AHLTA)
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, and the Northern California Veterans Affairs Health Care System (NCVAHCS) formed a joint venture that allowed the VA to provide health care services to veterans in space allocated to them at the DGMC.
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Joint venture management personnel also need to work closely with veterans groups to establish trust, including sharing Joint Incentive Fund proposals with them and asking for comments (Wilder and Kelly, 2011)
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. With the opening of the center, sharing agreements will be enhanced, allowing Air Force patient access to clinical services currently not available at the MOFH (Collins, 2011; Hite, 2011; Irwin and Drew, 2008; MOFH, 2006; Nellis Air Force Base, 2012; Nicholson, 2005a,b; Roadman, 1999; Simmons, 1989; VA, 2006, 2007b; VA/DoD, 2002)
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From page 208... ...
. Collocated VA Medical Campus Complex In 2003, the VA sought a permanent location for an ambulatory care center in Las Vegas, intended to meet the needs of both the VA and the DoD, and a recommendation to build a new hospital there was made in 2004.
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From page 209... ...
. ANCHORAGE, ALASKA: 3RD MEDICAL GROUP, ELMENDORF AIR FORCE BASE/ALASKA VETERANS AFFAIRS HEALTH CARE SYSTEM Brief History Challenges in providing health care services to VA and DoD beneficiaries in Alaska include accessibility (long distances, rugged terrain, severe weather, a limited road system, air evacuation often needed for patient transportation)
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Currently, there are shared arrangements for services at the joint venture hospital on Elmendorf AFB and at the VA outpatient clinic next door, as well as purchased care (or fee-based) arrangements with community hospitals.
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) and the Miami Veterans Affairs Healthcare System Community Based Outpatient Clinic Key West (VA CBOC Key West)
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. PENSACOLA, FLORIDA, AND BILOXI, MISSISSIPPI: NAVAL HOSPITAL PENSACOLA JOINT AMBULATORY CARE CENTER/VETERANS AFFAIRS GULF COAST VETERANS HEALTH CARE SYSTEM, BILOXI CAMPUS Brief History Keesler Air Force Base (Keesler AFB)
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The open-access Naval Branch Health Clinic (NBHC Corry Station; also referred to as the CWO3 Gary R Schuetz Memorial Medical Clinic at Corry Station)
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CHARLESTON AND BEAUFORT, SOUTH CAROLINA: RALPH A JOHNSON VETERANS AFFAIRS MEDICAL CENTER; NAVAL HEALTH CLINIC CHARLESTON; 628TH MEDICAL GROUP, JOINT BASE CHARLESTON/ NAVAL WEAPONS STATION; NAVAL HOSPITAL BEAUFORT Brief History A unique and robust collaboration among the VA and the Navy and the Air Force of the DoD has been established with the most recent joint venture in Charleston-Beaufort, which has developed over time based on a complex history of sharing activities among (1)
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The NHB provides inpatient and outpatient services at two branch health clinics, the Marine Corps Air Station at Beaufort and the Marine Corps Recruit Depot at Parris Island (Beaufort SC, 2012; Hite, 2011)
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/VA (Department of Veterans Affairs) Joint Venture Hospital.
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2009. Naval Branch Health Clinic & VA Outpatient Clinic Key West, FL.
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2006. Navy Branch Health Clinic & VA Outpatient Clinic, Key West, FL.
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2007. Navy Branch Health Clinic/VA Outpatient Clinic, Key West, FL.
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2011. Naval Branch Health Clinic Key West & VA Outpatient Clinic Key West.
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2012. Key West Branch Health Clinic.
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Charles Sepich, Director, VA Gulf Coast Veterans Healthcare System. 2008 VA/DoD Joint Venture Conference, March 4–6.
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H.R. 1720, to authorize the Secretary of Veterans Affairs to carry out construction projects for the purpose of improving, renovating, establishing, and updat ing patient care facilities at Department of Veterans Affairs medical centers, to provide by law for the establishment and functions of the Office of Research Oversight in the Veterans Health Administration of the Department of Veterans Affairs, and for other purposes.
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Key West Outpatient Clinic. http://www.
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Col. Doreen Wilder, David Grant USAF Medical Center, Travis Air Force Base, California, and Laura Kelly, VA Northern California Health Care System, in public ses sion during the committee's fourth meeting.
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