Alaska: Joint Venture Review 2010 VA/DoD Joint Venture Conference Col Jeff Jones, 673d MDG Mr. Vic Rosenbaum, Alaska VA

Alaska: Joint Venture Review 2 New Initiatives – Projects Closed IDENTIFY ALL NEW INITIATIVES OVER THE PAST YEAR: 1. Opened new VA Clinic 2. 2nd MRI JIF 3. Pain Management JIF 4. Central Sterile Processing for new VA Clinic provided in JV Hospital 5. Medical supplies procured & received in JV Hospital and delivered to new VA Clinic IDENTIFY ANY PROJECTS OR EFFORTS THAT WERE CLOSED OR FAILED IN THE LAST YEAR: 1. Physical Therapy transition to new VA Clinic

Alaska: Joint Venture Review 3 Joint Venture Performance Measures PMs USED TO TRACK JV SUCCESS: 1. VA total admissions in JV hospital 2. VA surgeries in JV hospital 3. VA specialty/outpatient & ER visits in JV hospital 4. Disability Evaluation System 5. Competency, Currency & Cultural DATA SOURCES USED FOR THE PMs: 1. CHCS 2. OR Magic (soon to be Essentris) OUTCOMES FOR EACH PM LISTED: 1. VA total admissions 662 / FY / FY 10 7% increase 2. VA same day surgeries 167 / FY / FY 10 47% increase 3. VA inpatient surgeries 183 / FY / FY 10 36% increase 4. VA specialty/outpatient 4,260 / FY 09 4,552 / FY 10 7% increase 5. VA ER visits 3,061 / FY 09 3,242 / FY 10 6% increase 6. Cost avoidance for VA 7. Clinical competency & currency for DoD readiness platform

Alaska: Joint Venture Review 4 Access to Military Installation Procedures REQUIRED ACCESS PROCESS and POLICIES FOR VA BENEFICIARIES and/or EMPLOYEES TYPE OF VISITOR ID BADGE* PRIOR COORDINATION VA APPOINTMENT DOCUMENTATION / VERIFICATION VISITOR CENTER VA EMPLOYEE Base or DoDXXX VA PATIENT DVAX VA PATIENT ESCORT Base or DoDXX Yes-Initially No-Recurring VA PATIENT VISITOR State or DoD XX * Enter Type of ID Required: ( DoD, DVA, GOVT, State, Post or Base)

Alaska: Joint Venture Review 5 Access to Care and Referral Management ISSUES RELATED TO ACCESS TO CARE & REFERRAL MANAGEMENT: 1. VA and 673d offer excess capacity to each other when available. 2. Referrals coordinated between VA Integrated Care Service (ICS) and 673d Referral Management Center (RMC) 3. VA has patient services assistant (PSA) imbedded in JV hospital to coordinate VA referrals 4. VA patients are registered/scheduled in CHCS. VA patients also authorized and tracked in VA computer system 5. Clinic notes, operative reports and other medical documentation regarding visit will be sent to VA RESOLUTIONS TO ISSUES RELATED TO ACCESS TO CARE & REFERRAL MANAGEMENT: 1. VA will evaluate its requests for service to make sure they are appropriate to send to JV hospital 2. VA will ensure identified VA patients are appropriately evaluated and medically cleared before referring 3. The 673d RMC will make sure VA patient can be scheduled within appropriate access standards 4. If VA patient cannot be seen by JV hospital for some reason, VA ICS will be notified within 72 hours 5. If follow up care is required, the 673d will schedule the appointment and notify VA prior to the visit 6. Exploring the possibility of a Joint Referral Management Office

Alaska: Joint Venture Review 6 Future Initiatives and/or Proposals NEAR TERM (1-2 YEARS) INITIATIVES: 1. GI surgeries done at VA Clinic by AF providers 2. Parallel IT network 3. Emergency Preparedness LONG TERM (>2 YEARS) GOALS / INITIATIVES / STRATEGIES: 1. Inpatient Mental Health 2. Non-Invasive Cardiology 3. Oncology

Alaska: Joint Venture Review Duplicate Requirements Agency Directives impact on Joint Ventures 7 Additional Information as Desired