VETERANS HEALTH ADMINISTRATION Welcome and Introduction Laure Veet, MD Director, Women’s Health Education Women’s Health Services Office of Patient Care Services VHA Central Office 07/28/14

VETERANS HEALTH ADMINISTRATION Video #videos 2

As Women Veteran Population Increases, Total Vet Population Declines Sources: VetPOP 2007 and VetPOP 2011 ADUSH for Policy and PlanningVetPOP 2007VetPOP

VETERANS HEALTH ADMINISTRATION Women Veteran VHA Users More Than Doubled Since 2000 FY13: 390,000 FY00: 159,000 4

VETERANS HEALTH ADMINISTRATION

Source: Women’s Health Evaluation Initiative and VHA Women’s Health Services. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 2. Sociodemographics and Use of VHA and Non-VA Care Fee Age Distribution: Women Veteran Patients FY01-FY10 6

VETERANS HEALTH ADMINISTRATION Younger Women Concerns 7

VETERANS HEALTH ADMINISTRATION Middle-Aged Women Concerns 8

VETERANS HEALTH ADMINISTRATION Older Women Concerns 9

VETERANS HEALTH ADMINISTRATION The VHA is Changing 10

VETERANS HEALTH ADMINISTRATION The VHA is Changing 11

VETERANS HEALTH ADMINISTRATION Some of VHA’s Major Initiatives 12

VETERANS HEALTH ADMINISTRATION Culture Change Initiative and Materials 13

VETERANS HEALTH ADMINISTRATION Culture Change Initiative and Materials 14

VETERANS HEALTH ADMINISTRATION Monthly Health Campaigns 15

VETERANS HEALTH ADMINISTRATION Resources on the Web Social Media Messaging Information Videos (internal/external) Women-Targeted Health Campaigns 16

VETERANS HEALTH ADMINISTRATION Comprehensive Primary Care: one provider/team Preventive Services Acute and Chronic Illness Coordination of Care Gender- Specific Primary Care Basic Mental Health Care 17

VETERANS HEALTH ADMINISTRATION Mini-Residencies PCP Mini-Residency Launched trained Goal: Minimum one trained provider per site Additional Mini-Residencies: Primary Care Nurses Primary Care Providers and Nurses Emergency Care Providers and Nurses 18

VETERANS HEALTH ADMINISTRATION LOGISTICS 19

VETERANS HEALTH ADMINISTRATION Group Assignments 1A – Red 1B – Pink 2A – orange 2B – Gold 3A – Yellow 3B – Green EM PROVIDER-NURSE TEAMS 4A1 – Light Blue 4A2 – Dark Blue 4B1 – Purple 4B2 – Black 20

Course Components Lectures/Didactics – Ballroom C: primary care providers – Ballroom A: EM providers and nursing Small group case discussions – Salon rooms: primary care providers – Ballrooms A and C: EM providers and nursing Task Trainer Room (Ballroom D) Gynecologic Teaching Associates (GTAs) – bus to Univ of Central Florida School of Medicine Simulation Center MammaCare (optional: Salon 1) Low-risk and highly interactive learning

Acute Pelvic Pain EM *Optional MammaCare sessions. 12:00-7:00pm. Tues & Weds. Sign up for free time. 4A1 4A2 4B1 4B2 Cases 1-3 2B off * 1-6:15 Vaginal Bleeding EM 11:00-12:00 Chronic Pelvic Pain 8:00-8:30 Welcome & Intro 10:00-11:00AUB 8:30-9:30 Contraception 9:39-9:45WH Pharmacy 1A UCF 12:30 to 4:15 3A+3B TT Lab 1-3 4A1 4A2 4B1 4B2 TT Lab 3:20-5:20 2A off * 1-4:15 Break 3:00-3:20 1B UCF 2:30 To 6:15 9:45-10:00Break 12:00-1:00 Lunch 2A UCF 4:30 to 8:55 Adjourn 5:20 2B UCF 6:30 to 10:15 3A 3B Cases 3:20-5:20 Tuesday Genitourinary/Breast EM SCHEDULE Box lunch 1B off * 1-2:15 22

4B1, 4B2 off * 1-2 1A+1B TT Lab 1-3 8:00-9:00 Interpersonal Violence 9:10-9:40Institutional Change 10:35-10:50Break 9:40-10:35Post-Deployment Wednesday 1A 1B 2A 2B 3A 3B 4B Case Case Case Case Case Case Case 70m 70m 70m 70m 70m 70m 70m 2A 2B Case 2hr 2 hr 1A 1B Case 2hr 2 hr 2A+2B TT Lab 3:20-5:20 Adjourn 5:20 Break 3:00-3:20 noon-1:00 Lunch SCHEDULE *Optional MammaCare sessions. 12:00- 7:00pm. Tues & Weds. Sign up for free time. Mental Health Crises Panel EM 9:00-9:10 EM join primary care WH Pharmacy EM 4A1 4A2 4B1 4B2 Cases 4A1, 4A2 UCF 12:30 to 4:15 4B1, 4B2 UCF 2:30 To 6:15 3A off * 1-4:15 3A UCF 4:30 to 8:55 3B off * 1-6:15 3B UCF 6:30 to 10:15 Box lunch 23

4B12 Cases 90min 4A2 Cases 90min Sexual Assault Panel EM 2:45-3:45Gyn Expert Panel 1:00-1:45Breast Masses 4A1 Cases 90min 1A Cases 90min Thursday 8:00-8:40Pelvic Exam & Paps 8:40-9:15Vaginal Discharge & STIs 1:45-2:30OB/Gyn Emergencies 2:30-2:45Break 9:15-10:15Menopause Cardiac Symptoms EM Action Plan EM 10:15-10:30Break 1B Cases 90min 2A Cases 90min 2B Cases 90min 3A Cases 90min 3B Cases 90min 4B1 Cases 90min 12:00-1:00Lunch 3:45-4:00Wrap-up SCHEDULE Vaginitis & Cervicitis EM PID EM ESW Toolkit EM EM Panel EM 3:45-4:00Wrap-up 24

Checklists 25

VETERANS HEALTH ADMINISTRATION MammaCare optional activity Computerized breast examination training Sign up near registration desk 1 st of 4 modules All VISNs have MammaCare equipment 26

VETERANS HEALTH ADMINISTRATION STAFF: Employee Education System (EES) Lorraine Bem, Project Manager Kimberly Cook, Program Support Assistant Susie Riedthaler, Event Manager Traci Turner, Project Manager 27

VETERANS HEALTH ADMINISTRATION STAFF: Women’s Health Services (WHS) Laure Veet MD, Director, WH Education Barbara Polak MSN RN, Deputy Director, WH Education Mageli (Gigi) Talastas, Program Manager, WH Education Linda Baier MS, Mini-Residency Coordinator Alison Whitehead MPH, Management Analyst 28

VETERANS HEALTH ADMINISTRATION STAFF: Activity Coordinators Task Trainer Room –Lisa Roybal WHNP, WVPM Loma Linda –Susan Kerr, Army PEO-STRI Gynecologic Teaching Associates (UCF) –Barbara Palmer, MSN-NP, WHS Deputy Field Director –Lygia Arcaro PhD, VHA SimLEARN Inter-professional Track –Aimee Sanders, MD, MPH, Field Consultant, Women’s Health Education; VA Ambulatory Care Center, Columbus Ohio –Barbara Polak MSN RN, WHS Deputy Director WH Education 29

VETERANS HEALTH ADMINISTRATION More Logistics VA IDs must be worn during conference hours To get CME/CEU: –Must sign in every day –Must complete course evaluation Consider writing your name on your folder Lunch for groups 1A (Tuesday) and 4A1/4A2 (Wednesday) In case of illness or personal/family emergencies… Restrooms and UCF shuttle location 30

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VETERANS HEALTH ADMINISTRATION Welcome 32