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Separation Memorandum of Agreement Nc document sample
Seamless Transition of Returning Service Members Veterans Health Administration Michael J. Kussman, MD, MS, MACP Marianne Mathewson-Chapman PhD, ARNP DoD/TMA Nona Hall, BSN, MA, DoD/VA Program Coordination Office Lourie Moore, Maj, USAF, NC, TMA Case Management VA Task Force • On August 28th, 2003, the Under Secretaries for Health & Benefits charged a VA Taskforce on the “Seamless Transition for Returning Service Members” to: • Improve collaboration between VHA/VBA and DoD • Improve communication and coordination • Ensure VA staff is educated and appropriate policies and procedures are in place to enhance seamless transition of health care and disability services • Early efforts limited to VA & Army (specifically, Walter Reed AMC) in order to align VA, VHA & VBA interests and lay the foundation for follow on VA/DoD level participation VA Task Force Membership & Participation • Co-chairs: Michael Kussman - VHA Carolyn Hunt - VBA • VA Subgroup chairs: VA/DoD Coordination: J. Wear (VBA) Program Office: S. McCready (VHA) Case Management, Workload: S. Perez (VBA) Communication/Outreach: B. Moseley Brown (VBA) Outreach Discharge Guard/Reserve: A. Batres (VHA) M. Mathewson-Chapman (VHA) • WRAMC POCs: COL William Huleatt: Chief, Dept of Social Work LTC Joe Truelove: Chief, Care Continuum Management Service Jill Roark: Amputee Social Worker Goals • Ensure coordinated and world class healthcare and disability services to those returning from combat theaters with service-related conditions. • Ensure “Seamless Transition” from DOD system to VA system. • Collaborate for transfer of medical information and separation physicals Seamless Transition Process • Medical Information • Medical records • Coordination of Services VA Injury • VA specialty Transition Overseas Medical centers Deployment Treatment Lists of those • Local VHA Entering or Training Disability • VBA Accident Facility System coordination • Follow-up • Rehabilitation • VA Disability VA Task Force Short Term Actions • Developed a joint management team concept • Developed a script for front line staff • Coordinated VA liaison contact and referral to VA facilities after discharge • Enrolled troops into VA system prior to leaving Walter Reed/Bethesda • Developed a video to highlight coordination issues and “best practices” in seamless transition VA Task Force Short Term VA/Army Actions • Placed a full time VA Social Worker and VBA representative at Walter Reed Army Medical Center and the National Naval Medical Center • Identified liaisons at other DoD (Army) sites – Brooke, Eisenhower, and Madigan Army Medical Centers • Established a POC list at all VHA, VBA, and DoD (Army) sites • Obtained electronic “lists” of those entering disability process VA/Army Memorandum of Agreement (MOA) • Partnered with Disabled Soldier Liaison Team (DSLT) • Disability List – Medically Separated Medically Retired • Long Term Consequences – cost • Coordination of services (healthcare and disability process) from DoD (Army) system to VHA/VBA DoD Seamless Task Force Liaisons • November 2003 – DoD began participation with the task force • Program Office for Case Management at TMA POC: Maj Lourie Moore • VA/DoD Program Coordination Office at TMA POC: Nona Hall, GS • Guard/Reserve Affairs POC: CAPT Bernard Winkel • Deployment Health Support Directorate POC: Dr. Michael Kilpatrick Task Force Subgroups Actions • VA/DoD Coordination: • Confirm and relay applicable data needs to promote seamless transition • Joint (VA, VBA, VHA) Program Office: • Establish a permanent, ongoing oversight committee • Case Management, Workload, and Website: • http://www.va.gov; consolidated workload reports • Communication and Outreach: • Brochures/Posters, “Our Turn to Serve” video; 800 toll-free number • Outreach Discharge Services to Guard and Reserve: • Availability of health care at VHA facilities for 2 years • Guard case management for MED HOLDS at 15 sites VA/DoD Task Force Continuing Challenges • Stimulating a major cultural change in the implementation of “Seamless Transition” • Immediate Focus: Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) • Enhancing coordination and communication • Market and distribute information to all Services • Brochures available at mobilization stations • Website and links to other websites • In-Flight video (CD ROM) highlighting services available from VA and DoD to take home • POCs at each service level VA/DoD Task Force Continuing Challenges • Finalize the MOA between the VA and Army • Take efforts to the VA / DoD level • Promote necessary DoD level requirements, commitments, and information exchanges • Identify and/or streamline organizational involvement • Assess and insert appropriate levels of authority and processes • Drawing on Taskforce experience to date, confirm specific data requirements and intended uses and users • Service members deployed to OEF/OIF • Lists of service members entering disability system who may need to transition to the VA VA/DoD Task Force Continuing Challenges • Formulate and finalize VA/DoD level MOA / authority • Establish HIPAA compliant process for obtaining relevant, data sensitive members lists • Obtain and disseminate policy letters intended to guide actions • Optimize central vs local sources to service data needs • Institute secure electronic communications • Establish relevant data management and storage practices • Determine what “shape” Taskforce should take to sustain valued best practices, optimally beyond OEF/OIF Time Now ... For the - VA/DoD Seamless Transition
"Seamless Transition of Returning Service Members Veterans Health Administration Michael J Kussman MD MS MACP Marianne Mathewson Chapman PhD ARNP"