1. VISN 1 Rural Health Program Daniel H. Mades Rural Health Consultant Veterans Integrated Service Network 1 1

2. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH Rural Veterans in New England In 2013, about 939,000 veterans in New England Currently: Enrollees 361,800 – About 115,000 are Rural VA System users / active patients: 260,000 – About 82,000 are Rural 2

3. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH VA Rural Health in New England Rural veterans have limited access to VA care Office of Rural Health provides special-purpose funding to assist with that access Veterans Rural Health Resource Center - Eastern Region “North” is hosted at the Lewiston, Me Community Based Outpatient Clinic 3

4. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH Roles & Responsibilities VISN Rural Health Consultant (VRC) Program Manager / Liaison – Communications Crossing VISNs, Regions – Organizational Relationships VHACO –Region – VISN - Station – Promising Practices Pilot projects Operationalization Propagation – Access to care Efficiencies Expanded services in rural areas 4

5. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH Program Management Proposal development & review Resource management – Personnel – Funds Project management expertise/consulting – Planning – Scheduling – Execution – Review – Reporting 5

6. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH VISN1 FY 15 Rural Health - Spectrum of Pilots Telemedicine Women's Health – Maternity Care – Breast health Mental Health Home Care – Primary – Retinal Imaging Provider & Staff Education ALS Information Sharing: – VA Private – Care Collaboration Case Management Palliative Care Spiritual support Medication reconciliation Group Specialty Clinics Physical Rehab Dermatology 6

7. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH Contact: Daniel H. Mades Veterans Health Administration Office of Rural Health VISN 1 Rural Health Consultant Daniel.Mades@va.gov Ph: (781) 999 1495 7 Questions?

8. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH Patient Centered Community Care PC3 A Veterans Health Administration (VHA) nationwide program that offers health care contracts to provide eligible Veterans access to: Inpatient specialty care Outpatient specialty care Mental health care Limited emergency care Limited newborn care for enrolled female Veterans following the birth of a child For more information - http://www.nonvacare.va.gov/pc3/http://www.nonvacare.va.gov/pc3/ 8

9. VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION – OFFICE OF RURAL HEALTH THE VETERANS ACCESS, CHOICE, AND ACCOUNTABILITY ACT OF 2014 PUBLIC LAW 113-146 President Obama signed this legislation into law on August 7 Implementation goal: 90 days (early November) As with our rural health initiatives, this is intended to help improve access to care. $5 billion to hire physicians and other medical staff and improve VA’ s infrastructure $10 billion to fund additional purchased care while we build the internal capability to meet current demand. VA to secure leases at 27 major facilities for more clinical space Streamlines administrative removal process for senior executives 9