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									VA/DoD
Contingency Plan
                         History


Congressional Hearings
Public Law 97-174
          38 U.S.C. Section 8110


“The Secretary of VA...shall establish the
total number of such beds so as to maintain a
contingency capacity to assist the
Department of Defense in time of war or
national emergency to care for the casualties
of such war or national emergency…as the
Secretary considers necessary for such
contingency purposes.”
         38 U.S.C. Section 8111A


“The Secretary may give a higher priority
to the furnishing of care and services under
this section than to the furnishing of care
and services to any other group of persons
eligible for care and services in medical
facilities of the Department with the
exception of veterans with service-
connected disabilities.”
             VA / DoD MOU

“During and immediately following a
period of war, or a period of national
emergency…

…facilities of the VA health care system
will be available as the principal
support to the military health care
system…”
     VA / DoD Contingency Plan

• Primary Receiving Centers
• VA Secondary Support Centers
• Base Support Facilities
   VA National Planning Factors



• No additional resources
• Annual bed counts
• 60-day return to duty assumption
• Regional regulating policy
Actions Upon Declaration of Emergency

Secretary of Defense requests priority
treatment of active duty personnel
Secretary of VA sets priorities of
treatment
VA - DoD liaison enhanced
VA Primary Receiving Centers
implement local plans
  VA Medical Center Preparations

• Activate local reception plans
• Hospital “expansion” programs
• Assess bed availability
       PRC and SSC Coordination


SSCs report medical capabilities to their PRC


                                       Lebanon VAMC

 Butler VAMC
                              Coatesville VAMC
               Altoona VAMC




Pittsburgh VAMC                            Philadelphia VAMC
       PRC and SSC Coordination



 PRCs may transfer some veterans to SSCs


                                       Lebanon VAMC

 Butler VAMC
                              Coatesville VAMC
               Altoona VAMC




Pittsburgh VAMC                            Philadelphia VAMC
          Bed Reporting Process

Measuring capability:
   Bed Categories
   Through-put
Reported to the DoD Global
Patient Movement Requirements Center
U.S. Transportation Command Regulating and
Command & Control Evacuation System
(TRAC2ES)
              Medical Regulating


1. Military
Healthcare
System
2. VA hospitals
3. NDMS
hospitals
DoD Inter-Theater Patient Movement

    McChord AFB




                                  Scott AFB
                                                      Andrews AFB




        Miramar NAS
                                              Ft Gordon
                      Kelly AFB
DoD Inter-Regional Patient Movement

McChord AFB




                            Scott AFB
                                                    Andrews AFB




  Miramar NAS
                                        Ft Gordon
                Kelly AFB
  DoD Regional Patient Movement

McChord AFB




                             Scott AFB
                                                     Andrews AFB




   Miramar NAS
                                         Ft Gordon


                 Kelly AFB
VA and Patient Reception

              Track Incoming
              Missions
              Unload, stage, assess
              and transport
        PRC and SSC Coordination



 PRCs may transfer military patients to their SSCs


                                       Lebanon VAMC

 Butler VAMC
                              Coatesville VAMC
               Altoona VAMC




Pittsburgh VAMC                            Philadelphia VAMC
          VA and Patient Care

Provide Definitive Care
Coordinate Administration
       Operation Iraqi Freedom


Sec VA increased priority of access
UOR vs Service desires
DWMMC
Commercial transport
MHS & TRICARE
              VA & TRICARE

- Best mechanism for transferring active duty
members to VA medical center
- 67% VAMCs signed
contracts to participate
in TRICARE networks
- 73 VAMCs receiving
$5.4M reimbursement
in FY 2004 thru Feb 04
          VA – DoD Proposals




OIF & TRICARE 
new ConPlan:
• New definition of FCC
• Low tempo  DoD preeminence
• High tempo -> 1 Coord per PRA
• Possible integration VA-DoD & NDMS
     Potential Influences on VA-DoD


- Draft planning documents
- Regional concept of NDMS definitive care
- Potential / future role of DoT moving patients
- “Beds” vs some other measure of capacity
- HHS's prototype HARTS
- Prospects for recruiting more NDMS hospitals
- MMRS
VA/DoD
Contingency Plan

								
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