VA - My Business Matches

VA DESERT PACl FIC
HEALTH CARE NETWORK
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VA
HEALTH
Defining
EXCEi I ENCE
CARE in the 21st Century
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2014
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l,llOVIDED
DOI.LAllS AND
CEN'l'S
ACADEMIC
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2 989 million
16, 218 em lo ees
2 858 million
15 698
2 779 million
15 142
2 634 million
2 472 m illion
••
••
•
425,305
Inpatient Bed Days of Care
4.4 million
Outpatient Visits
6.45 million
Prescriptions Filled
149,172
Veterans Provided Orthotic
or Prosthetic Equipment
71, 278
Telehealth Visits
(All Virtual Care Modalities)
••
••
Q
1,988
Medical St udents
2,066
Nursing St udents
2,313
Clinica l Student Trainees
3,242
Medical Residents
79
Dental Residents
VA DESERT PACIFIC HEALTHCARE NETWORK j 2014 ANNUAL REPORT j puge 4
•0
$115.8 million
First and Third Party
Payments Collected
$363.2 million
Medication Costs
Ci) $3.5 million
Ci) $1.1 million
Donations Accepted
Savings from Pathology and
Laboratory Consolidation
Ci) 34.4%
$307 million
Increase
Non VA Care Provided
e
••
••
1,566
Physicians
3,285
Nurses
32.7%
Veteran Workforce
9,675
Vol unteers
902,274
Volunteer Hours
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VA Greater Los Angeles
Healthcare System
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POPUl.J\'J1ION
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VA Southern Nevada
Healthcare System
·West Los Angeles · Oxnard
• Lancaster
• San Luis Obispo
• Bakersfield
• Santa Barbara
• East Los Angeles • Santa Maria
• Sepulveda
• Gardena
• Los Angeles
· Las Vegas
• Pahrump
0
0
VA Loma Linda
Healthcare System
·Loma Linda ·Palm Desert
• Blythe
• Rancho Cucamonga
• Corona
• Victorville
·Murrieta
0
n
V
506,817
Enrolled Veterans
•
~
A 335,488
Y
Veteran Users
32,406
Veterans in Rural Areas
n
V
•
Army
Veteran Users
•
0
0
VA San Diego
Healthcare System
Women Veterans
69,486
OEF/OIF/OND Veterans
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33.3%
0 25,513
\ TA USEllS
31.52%
26.41%
Navy
Veteran Users
Marine Corps
Veteran Users
·San Diego
• Chula Vista
·Escondido
~O Imperial Valley
Mission Valley
' • Oceanside
• Sorrento Valley
9
·
·
0
,
.
..
8.58%
0.16%
Air Force
Veteran Users
Coast Guard
Veteran Users
VA DESERT PACIFIC HEALTHCARE NETWORK f 2014 ANNUAL REPORT fpagc 5
MEJH(~AI,
SPE(~IAI:IY SElll7 H~ES
CEN'l'Ell
West Los An geles
Automatic Implantable Cardioverter
AlllUJl.Jl'I'Oll\7
CAllE (~EN'l'EllS
Cardiothoracic and Neurolo gic Surgery
Dual Diagnosis Program for
•
Los Angeles
•
Sepu lveda
Defibrillat o r Center
Cocaine-Abusing Schizophrenics
Geriatric Research Education and
Clinical Center
COIDIUNI'IY Cl,JNICS
Hom eless Program Center of Excellence
Bakersfield
San Luis Obispo
Mental Illness Research Education and
East Los Angeles
Santa Barbara
Gardena
Sant a Maria
Clinical Center
Parkinso n's Disease Research Education
Lancaster
•
Oxnard
Polytrauma Level II Center
ACADEMIC PAll'l'NEllS
AND Al~l~IIJA'l'IONS
Positron Emission Tomography
(PET) Scanner
University of California Los Angeles
Post-Traumatic Stress Disorder Program
(UCLA) School of Medicine
Rad iation Therapy
Robotic-Assisted Surgery
University of Sout he rn Californ ia (USC)
School of Med icine
•
1, 172 m edical resident s
619 medical students
•
879 clin ical student trainees
•
74 dental student s
Pl.J\NNED
INl~llAS'I'lllJC'l'UllE
nn•Il0l7EMEN'I' PllO.JEC'l'S
Renovate Integrative M edicine Center
Renovate Building 500 Elevators
31 dental resid ent s
Construct New Police Building
27 advanced fellowships
Renovate and Expand
840 nu rsing students
Emergency Department
11301 Wilshire Boulevard
Los Angeles, CA 90073
VA DESERT PACIFIC HEALTHCARE NETWORK I 2014 ANNUAL REPORT I p<1ge 6
and Clinical Center
Patient Centered Care Center of Innovation
www.facebook.com/ losangelesva
www.twitter.com/losangelesva
5901 East 7th Street
Long Beach, CA 90822
llEDH~AI,
CEN'l'Ell
www.facebook.com/VALongBeach
www.twitter.com/VALongBeach
St•ECIAl,'l'Y
SEllVH~ES
Blind Rehabilitation Center
Long Beach
f~OIDIUNI'l'Y f~I.INICS
•
Hyperbaric Oxygen Chamber
Joint Studies Program w ith California State
An aheim
University, Domingu ez Hills and California
Cabrillo
Santa Ana
State University, Long Beach
Million Veteran Program
Laguna Hills
Preservation Amputation Care
Whittier/ Santa Fe Springs
Treatment Program
Prosthetics Center
ACADEllIC PAll'l'NEllS
AND Al~l~II.IA'l'IONS
School of Medicine
Tumors/ Metastases
Robotic-Assisted Surgery (urology,
150 medical students
thoracic and general abdominal)
505 medical residents
Spinal Cord Injury Center
University of California Irvine (UCI)
430 nursing students
158 cl inical student t rainees
9 d ental residents
46 dental st udents
t•I..ANNED
INl~llAS'l'llUC'l'UllE
nn•UOVEHEN'I'
•
Radiation Therapy Program
Radiofrequency Ablation of Liver
PllOJE{~'fS
Fisher House Site Prepa ration
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Total Patients Treated
55,299
Employees
2,491
~
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Medical Care Budget
$472 m illion
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Total Inpatients Treated
9.729
Outpatient Visits
698,055
Resea rch Funding Awarded
$6.9 million
Number of Active Research Projects
278
Number of Research Articles Published
135
Tota l Operationa l Beds
414
Hospital Operating Beds
304
Skilled Nursing Home Beds
110
Veteran Workforce
31.2%
Sl1 E(~IAI:t'Y SEJl\TJ(~ES
llEDH~AI, (~EN'l'Ell
Bariatric Surgery
Center for Women's Health
Electrophysiology: Pacemakers and
Lo ma Linda
COIDllJNI'l'Y CUNICS
Blythe Telehealth
Implantable Cardioverter
Corona
Defibrillat ors (ICD)
M u rrieta
Geriat rics Clinic
Palm Dese rt
Million Veteran Program
Ra ncho Cucam o nga
Moderate Acuity Cardiac
Vict orville
Catheterization Lab
Non-Invasive Card iac Imaging
ACAUEllI(~ PAll'l'NEllS
Al~l~II.IA'l'IONS
Percutaneous Coronary Intervention (PCI)
Positron Emission Tomography (PET)
AND
CT Scanner
Post-Traumatic Stress Disorder Program
Loma Linda University (LLU)
School of Medicine
•
643 med ical residents
395 medical students
Prevention of Amputation for Veterans
Everywhere (PAVE) Program
Robotic-Assisted Surgery (Urology,
257 nu rsing students
Thoracic and General Abdominal)
973 cl inical student tra inees
Sleep Disorder Clinic
Pl.JlNNEJ)
Sm o king Cessation
INl~llAS'l'llUet'UllE
Women's Trauma Recovery Program
DIPllO\TEtlEN'I' PllO.JEel'S
Ambulatory Care Ce nter
New Outpatient Pharmacy
New Cancer Center
New Eye Clin ic
11201 Benton Street
Loma Linda, CA 92357
VA DESERT PACIFIC HEALTHCARE NETWORK I 20 14 ANNUAL REPORT I page 8
www.facebook.com/VALomalinda
www.twitter.com/VeteransHealth
3350 La Jolla Village Drive
San Diego, CA 92161
www.facebook.comNASanDiego
www.twitter.comNASanDiego
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SPECIAJ,'l'\7 SEllVH:!ES
Cardiothoracic, Ear Nose and Throat,
Neurologic, Orthopedic and Vascular
Surgery Services
San Diego
COIDIUNI'l'V f:!LINH~S
•
Chula Vista
Center of Excellence for Stress
Escondido
and Mental Health
Imperial Valley
Health Management Platform Beta Site
Mission Valley
(Next Generation VA Electronic
Oceanside
Medical Record)
Mental Illness Research Education and
Sorrento Valley
Clinical Center
M illion Veteran Program
Af:!A])El'II(:! t•All'fNEllS
ANn Al~l~IJ.JA'l'IONS
National Veterans Summer Sports Clinic
Robotic-Assisted Surgery (Cardiothoracic,
University of California San Diego (UCSD)
•
School of Med icine
ENT. GYN, Urology)
808 medical residents
Spinal Cord Injury Unit
704 medica l students
Substance Abuse Recovery and
Rehabilitation Treatment Program
522 nursing students
174 clinical student trainees
•
6 dental residents
The Aspire Center (Mental Health
6 advanced fellowships
t•J.J\NNED
Rehabilitation and Recovery Program)
•
VA Spinal Cord Injury Consortium-West
•
VNDoD Sharing with Navy Medical
•
Virtual Lifetime Electronic Record/Beacon:
Renovate and Relocate Sterile
Processing Serv ice
VA Cooperative Studies Network of
Dedicated Enrollment Sites (NODES)
INl~llAS'l'llUf::'l'UllE
Dll•llOVEHEN'I' t•uo.JEC'l'S
Telehealth Services (Dermatology,
Endocrine, Mental Health)
Center Balboa
Emergency Department Renovat ion
Electronic Health Record Exchange w ith
Resea rch Renovation 6 South A and B
Kaiser Permanente and Navy Medical
Center, San Diego
...
~
~
Total Patients Treated
78,985
Employees
3,275
Medical Care Budget
$618 mill ion
Total Inpatients Treated
10,287
Outpatient Visits
922,532
~
Research Funding Awarded
$43.1 million
~
Number of Active Research Projects
586
~
Number of Research Articles Published
591
Total Operational Beds
1,049
Hospita l Operating Beds
172
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Skilled Nursing Home Beds
39
Domiciliary Beds
69
Veteran Workforce
36.6%
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•
SPE(~IAl.'l'\7 SEJl\Tl(~ES
Cardiac Catheterization Lab
North Las Vegas
CUNICS
Gambling Addiction Treatment Program
Homeless Veteran Community Resource
Pahrump
and Referral Center
4 Primary Care Clinics throughout
lnterventional Radiology Suite
Southern Nevada
Tomographic Mammography
VNDOD Joint Venture w ith Nellis
ACADEtll(~ 1•1Ul'l'NEUS
AND lll<'J<'Il,IA'l'IONS
University of Nevada (UN) School
of Medicine
Touro University Nevada
120 medical students
114 medical residents
17 nursing students
Air Force Base
J•f.J\NNEU
INJ<'llAS'l'llUC'l'UllE
DIPllOlrEtlEN'I' PllO.JE(~'l'S
Fisher House Site Preparation
New Administration Building
Emergency Department Expansion
129 clinical student trainees
6900 North Pecos Road
North Las Vegas, NV 89086
VA DESERT PACIFIC HEALTHCARE NETWORK J 2014 ANNUAL REPORT
I page IO
www.facebook.com/ LasVega sVA
www.twitter.com/ VALasVegas
-
Improving Performance
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'11\70 01~ OUll IIEAI:J'II CAIU~ SYS'l'EHS llE(~OGNIZED AS
'l'OP PEllJ?(UlHEllS ON KEY UUAJ,I'J'Y MEASUllES
AJ,J, nmu:rn (~AUE SYS'l'EHS llECOGNIZED
J?Oll J•A'l'IEN'I' SAJ?E'l'Y
Each fiscal year, the Joint Commission (a national independent accrediting organization)
The VA National Center for Patient Safety awarded high levels of recognition to all health care
recognizes hospitals that attain excellence on key quality measures. In 2013, VASDHS and
systems for FY14. Receiving this award demonstrates that patient safety is the highest priority
VALLHS were recognized as "Top Performers on Key Quality Measures." Nationally, 21 VA
among the leadership and staff.
medical centers were top performers. Top performers are the top 36.9 percent of all Joint
Commission-accredited hospitals, who are among the best in the country. Recognition is
More information can be found at www.jointcommission.org/topperformers
based on outcomes with high clinical quality and patient safety scores.
VA DESERT PACIFIC HEALTHCARE NETWORK I 2014 ANNUAL REPORT I page I I
Promoting a Positive
Culture of Service
SUlll~ING
Staff, in partnership with volunteers
OH'l'AINING lTE'l'EllAN
1~1mDHACn
VISN 22's emphasis on patient centered care means gathering and implementing feedback
from Team Red, White and Blue, held the
second annual "Waves of Valor" Surf Camp
for Veterans. These surf camps hosted
to improve our Veterans' health and care. "Truth point" is the feedback tool used to assess the
Veterans from across all generations
Veteran's health experience and "promote a positive culture of service:· Truth point data is
and provided an integrative form of
collected and evaluated by each Veteran's care team. The tool is customizable for each team
recreation therapy. At each of the four surf
to ensure they are capturing necessary Veteran feedback and responding to their unique
camps, over 100 volunteers supported
input accordingly.
approximately 30 Veterans. Camaraderie
IllGill,IGU'l'S
and compliment the high-quality medical
and exercise positively impact Veterans
In the American Customer Satisfaction Index (an independent study) VA scored higher than
treatment they receive at our facilities.
private sector hospitals, for inpatient and outpatient satisfaction.
Integrative therapies help promote a
Veterans' opinions of their Overall Hospital Rating indicated above average satisfaction.
positive culture of service by treating the
Our health care systems ranked favorably with California private hospitals in all the
whole person in a healing environment.
following categories:"Discharge lnformation;"'Overall Rating of Hospital" and "Willingness to
Recommend Hospital:'
In FY14, VISN 22 completed 41 ,019 individual Veteran "Truthpoint" assessments, a growth of
46% from FYl 3 (22,099).
VISN 22 completed 51 5 new Veteran assessments, to measure our Veteran's first
impressions of VA.
86.1 % of Veteran outpatients felt their primary care provider gave them easy-to-understand
information regarding questions or concerns about their health in FYl 4, improving from
69.1% in FY13.
VA DESERT PACIFIC HEALTHCARE NETWORK I 2D14 ANNUAL REPORT I page 12
Advance Healthcare Innovation
for Veterans and the Country
VA has and will continue to seek remarkable medical breakthroughs for Veterans and the betterment of humanity. VISN 22 has excelled in research and development as demonstrated by
compelling publications and multiple national award recognitions. Here are some of the specific accomplishments and highlights from FY14.
IIIGIIUGil'l'S
All our health care systems participated in one of the five largest genetic research and
VAGLAHS was designated as a "National Center of Innovation for Patient-Centered
health databases in the world, called the "Million Veteran Program:· MVP is a national,
Care."The transformational care delivery platform partners with Veterans to optimize
voluntary research program partnering with Veterans to study how genetics affect
their health and well-being. VAGLAHS developed toolkits for patient-centered
health. MVP research will contribute to research in diabetes, cancer, and post-traumatic
care initiatives to enable other VA systems throughout the country to implement
stress disorder.
integrative health and healing methods.
VASDHS was also selected as a pilot site for building the Health Management
VALLHS determined that Veterans who were exposed to high intensity blasts during
Platform- the next generation ofVA's electronic medical records system.
their deployments often suffer from central (brain) auditory processing disorders,
even though standard hearing tests are normal.
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Our Network was fortunate to have multiple VA National award winners in FYl 4.
Yvette Tache, Ph.D., from VA Greater Los Angeles Healthcare System, received VA's
2014 Middleton Award. The William S. Middleton Award is the highest honor from VA
Biomedical Laboratory Research and Development recognizing outstanding scientific
contributions and achievements relevant to Veterans' health care. Her research focused
on clinical disorders of stress-related autonomic dysfunction. These disorders are major
causes of illness and impaired quality of life in Veterans and the general population.
Michael Oxman, M.D. from VA San Diego Healthcare System, received VA's 2014
Barnwell Award. This award is the highest honor for scientific achievement given by
VA Clinical Science Research and Development. He was recognized for his significant
contributions to the diagnosis, treatment, and prevention of viral diseases, particularly
those in the herpes family. Dr. Oxman's work on shingles prevention has played a vital
role in the treatment of Veterans and all mankind.
VA DESERT PACIFIC HEALTHCARE NETWORK I 2014 ANNUAL REPORT I pagp 14
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Increasing Operational
Effectiveness and Accountability
One VA
Community Advisory Board (CAB)
VA San Diego Healthcare System (VASDHS) was recognized as an exemplary model
VA strives to operate and communicate with integrity, transparency and accountability that earns
of commu nity collaboration. While visiting our Network, VA Secretary McDonald was
and maintains the t rust of Veterans and the public.
impressed by t he high level of commun ity engagement and collaboration focused on our
Veterans. He envisions emulating VASDHS' One VA Community Advisory Board (CAB) model
across the country. The One VA CAB serves as a forum for VA and Vetera n stakeholders to
share information regarding local init iatives to better integrate services to Veterans. It is
comprised of representatives from the follo w ing organizations:
Veterans Health Administration
•
Veterans Benefits Administration
•
National Cemetery Administration
•
'l'OWN U1U,f, EVEN'l'S
Town Halls have and will continue to be
conducted at each of our health care systems
quarterly. These events serve as an opportunity
Veterans Service Organizations
for leadership to share pertinent information
Local Congressional Offices
and updates and allow Veterans, family
Veterans Commun ity Coal itions
members, and other community partners
to voice their questions and concerns in an
open forum. Each one of our medical centers
and regional benefits offices held town hall
meetings in August and September of 2014 to listen and better serve Veterans and our
community. Separate "listening sessions" conducted by senior leadership at each of our sites of
care also took p lace for employees to discuss job challenges, expectations, and work culture.
l)J.\'l'IEN'l' SJ.\HrtY
New National Center for Patient Safety Train-the-Trainer Course
The VISN 22 Patient Safety program maintains a wide array of innovative and comprehensive safety
programs, such as the Clinical Team Training (CTT). Our clinicians were trained in patient safety
concepts and situational awareness. Outcomes of clinical care were improved through improving
communication and teamwork in the clinical workplace.
Preventing Health Care Associated Infections
Reducing and elim inating disease transmission as a result of our care is critical. VISN 22 has
decreased infection rates in the following areas:
Central Line- Associated Bloodstream Infection decreased by 46 percent
•
Ventilator-Associated Pneumonia has decreased by SOpercent
•
Catheter-Associated Urinary Tract Infection decreased by 44 percent
Fall Prevention Toolkit
Falls are the leading cause of injury among people 6S years or older. VA has created a Falls Tool kit to
help clinicians and Veterans prevent falls. Utilizing Fall Prevention Programs, VISN 22 decreased the
number offal ls w ith major injury by 14%.
VA DESERT PACIFIC HEALTHCARE NETWORK J 2014 ANNUAL REPORT I pirge 15
ANTELOPE VALLEY
661-267-1026
38925 Trade Center Drive, Ste. J
Palmdale, CA 93551
BAKERSFIELD
661-323-8387
1110 Golden State Avenue
Bakersfield, CA 93301
CHULA VISTA
877-618-6534
180 Otay Lakes Road, Ste. 108
Bonita, CA 91902
CORONA
951-734-0S25
800 Magnolia Street, Ste. 11 O
Corona, CA 92879
EAST LOS ANGELES
323-728-9966
5400 E. Olympic Boulevard. Ste. 140
Commerce, CA 90022
GARD ENA
310-767-1221
1045 w. Redondo Beach
Boulevard, Ste. 150
Los Angeles, CA 90247
HENDERSON
702-791-9100
4-00 North Stephanie Street, Ste. 1BO
Henderson, NV 89014
HIGH D ESERT
760-261-5925
15095 Amargosa Road, Ste. 107
Victorville, CA 92394
LAS VEGAS
702-25 1-7873
1919 S. Jones Boulevard, Ste. A
Las Vegas, NV 89146
NORT H ORANGE COUNTY
714-776-0161
12453 Lewis Street, Ste. 101
Garden Grove, CA 92840
SOUTH ORANGE COU NTY
949-348-6700
26431 CrownValleyParkway,Ste.100
Mission Viejo, CA 92691
SAN BERNARDINO
909-801-5762
1325 E. Cooley Drive, Ste. 101
Colton, CA 92324
TEMECULA
951-302-4849
40935 County Center Drive, Ste. A
Temecula, CA 92591
SAN D IEGO
858-642-1500
2790 Truxtun Road, Ste. 130
San Diego, CA 92106
VENTURA
805-585-1860
790 E. Santa Clara Street, Ste. 100
Ventura, CA 93001
SAN MARCOS
85S-898-6050
One Civic Center Drive, Ste. 150
San Marcos, CA 92069
WEST LOS A N GELES
310-641-0326
5730 Uplander Way, Ste. 100
Culver City, CA 90230
SEPULVEDA
818-892-9227
9737 Haskell Avenue
Sepulveda, CA 91343
VA DESERT PACIFIC
HEALTHCARE NETWORK
300 Oceangate, Ste. 700
Long Beach, CA 90802
(562) 826-5963
www.desertpacific.va.gov