Attachment 2 - PWS Attachment A.pdf

1Annual Report 2018 • www.visn10.va.gov

VISN 10

VA HEALTHCARE SYSTEM SERVING OHIO, INDIANA AND MICHIGAN

Annual

Honoring America’s Veterans by providing exceptional health care that improves their health and well-being.

Report

2 Annual Report 2018 • www.visn10.va.gov

Message from the Network Director Our outstanding network of medical centers and community clinics are honored to serve Veterans in Michigan’s lower peninsula, Indiana, Ohio, and Northern Kentucky. Our medical centers are among the best in the country.

In 2018, three of our medical centers earned 5-star ratings in the VA SAIL performance measurement model. The SAIL Star ratings identify the best practices of the VA’s top performing medical centers. VISN 10 is proud to have three 5-star medical centers in Saginaw, Northeast Ohio, and Cincinnati.

Congratulations for a job well done!

Our staff at all facilities embody the VISN 10 values every day: integrity, commitment, advocacy, respect, and excellence. We are committed to employing the best people, providing the best care, and developing innovative technology and treatments to meet Veterans’ changing medical and quality of life needs.

But our reach doesn’t stop there. In 2018, it was our honor to serve Veterans not only in the VISN 10 area, but in far-reaching ways that will positively impact countless lives for years to come. Last year, VISN 10 reached out to Veterans through local community programs, improvements to the medical centers, advances in technology, and outreach to Veterans and non-Veterans alike in communities such as Houston and Puerto Rico when hurricane season devastated local communities.

We are always ready and willing to provide the best care and support possible, reach as many Veterans as possible, and partner with our communities near and far. Every Veteran, everywhere, deserves the best care.

In the following pages, you’ll learn about some of the recent accomplishments at our facilities, as well as the outstanding people behind them. We are thankful to them for all they do, and to you for all your support and commitment to our mission.

Denise M. Deitzen Acting Network Director, VISN 10

Denise M. Deitzen, Acting Network Director

3Annual Report 2018 • www.visn10.va.gov

VISN 10 VA Healthcare System consists of Health Systems in Ann Arbor, Battle Creek, Detroit and Saginaw in Michigan; Indianapolis and Northern Indiana in Indiana; Chillicothe, Cincinnati, Northeast Ohio, Dayton and Columbus in Ohio. It also includes 60 Community-Based Outpatient Clinics (CBOC) throughout the tristate area serving nearly 685,000 enrolled Veterans with a budget exceeding $4.7 billion.

Fast facts VISN 10 stakeholders:

Other Regional Partners:

696,354 + enrolled Veterans

26,867 + employees

29 Veteran Service Organizations

14 National Cemeteries (5 open)

4 State Veteran Cemeteries

4 State Veteran Homes

3 VBA Regional offices

$4.7 billion + annual budget

$12.7 million + gross square footage in physical assets

Mobile Clinics

106,280 square miles over 225 counties

VISN 10 is the largest VA network based on the number of VA Medical Centers, number of complexity level 1 facilities, and span of management control. 60

Community- Based Outpatient Clinics (CBOCs)

10 VA Medical Centers (2 dual-campuses)

VA Health Care Centers (HCC) residential treatment facilities (DOMs)

4 Annual Report 2018 • www.visn10.va.gov

VISN 10

Values All the efforts within the VISN 10 VA Healthcare System are based on VA’s Core Values of:

INTEGRITY:

Act with high moral principle. Adhere to the highest professional standards. Maintain the trust and confidence of all with whom I engage.

COMMITMENT:

Work diligently to serve Veterans and other beneficiaries. Be driven by an earnest belief in VA’s mission. Fulfill my individual responsibilities and organizational responsibilities.

ADVOCACY:

Be truly Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries.

RESPECT:

Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it.

EXCELLENCE:

Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them.

VISN 10’s Mission

To offer the enrolled Veteran population a continuum of care that is accessible, value-added, cost-effective, and of the highest quality, within an environment of outstanding education and research.

To promote a culture that supports and develops a caring, compassionate, competent and service-oriented workforce.

5Annual Report 2018 • www.visn10.va.gov

Accreditations, Partnerships & Recognition

ACCREDITATIONS

• The Joint Commission

• Commission on Accreditation of Rehabilitation Facilities, for Compensated Work Therapy, Homeless Program, Psychosocial Rehabilitation and Recovery Center (PRRC), and Vocational Rehabilitation Program

• The American College of Surgeons Commission on Cancer

• Nuclear Regulatory Commission

• Cancer Program accredited by the American College of Surgeons

• The College of American Pathologists (CAP)

• American College of Radiation Oncology

• The Commission on Dental Accreditation (CODA) for General Practice Residency Program

• Association for Assessment and Accreditation of Laboratory Animal Care, International (AAALAC)

• The Commission of Accreditation for Pastoral Services (COMISS)

• Blood Bank – FDA and CAP accredited

PARTNERSHIPS

• College of American Pathologists (CAP)

• American College of Radiation Oncology

• University of Cincinnati

• University of Michigan

• Kettering College of Medical Arts

• Sinclair Community College

• Indiana University

• Indiana Wesleyan

• Miami Valley Career Technology Center

• Wright Patterson AFB

• Wright State University

• University of Cincinnati

• Ohio State University College of Optometry

• Miami University

VISN 10’s Vision Our vision is to be recognized as the healthcare provider of choice for Veterans and as a leader in education and research.

RECOGNITION

• Recognized as a “Leader in LGBT Healthcare Equality” by the Human Rights Campaign (HRC) Foundation

• American Association of Critical-Care Nurses’ Beacon Award for Excellence

• National Center for Patient Safety Gold Cornerstone Award

• Get with The Guidelines®

- Heart Failure Gold Plus Quality Achievement Award and Target Heart Failure Honor Roll

• American Diabetes Association’s Diabetes Self Management Education standards met

6 Annual Report 2018 • www.visn10.va.gov

VA Ann Arbor Healthcare System

2215 Fuller Rd.

Ann Arbor, MI 48105

734-769-7100 800-361-8387 www.annarbor.va.gov facebook.com/VAAnnArbor twitter.com/VAAnnArbor flickr.com/photos/ vaannarbor/sets

Proudly serving Veterans since 1953

Ginny Creasman, Pharm.D., FACHE Medical Center Director

Community Clinics Flint Outpatient Clinic 2360 S. Linden Rd.

Flint, MI 48532 810-720-2913

Green Road Outpatient Clinic 2500 Green Rd.

Ann Arbor, MI 48105 734-769-7100

Jackson Outpatient Clinic 4328 Page Ave.

Michigan Center, MI 49254 517-764-3609

Packard Road Outpatient Clinic 3800 Packard Rd.

Ann Arbor, MI 48108 734-769-7100

Toledo Outpatient Clinic 1200 S. Detroit Ave.

Toledo, OH 43614 419-259-2000

Emphasis on Education VA Ann Arbor values its affiliation with various colleges and universities around its service area. We have partnerships with 112 colleges and universities, including the University of Michigan Schools of Medicine, Dentistry, Nursing, Social Work, Public Health, and Engineering, and the University of Toledo College of Medicine. Additionally, most VA Ann Arbor doctors hold joint teaching appointments at the University of Michigan. More than 1,400 staff members receive training each year so they can provide a better patient experience.

7Annual Report 2018 • www.visn10.va.gov

Budget

$528 million Total Employees

2,703 Veteran Patients

88,911 Outpatient Visits

596,185 Inpatient Admissions

5,322

Facility Accomplishments

• Doctors at VA Ann Arbor Healthcare System are working to create a 3D-printed artificial lung that could potentially revolutionize treatment of Veterans affected by lung disease. The artificial lung, small enough to fit in a backpack or fanny pack, could be a short-term option for patients who are waiting for a transplant or whose lungs need support while healing.

• VAAAHS’s recent adoption of the UroNav™ fusion biopsy system and cross-disciplinary planning efforts offer a cutting-edge biopsy option for many patients at risk for prostate cancer. Using MRI images and ultrasound, the new technology offers more precision and more accurate results than other options, giving Veteran patients more peace of mind.

• In the wake of a brutally devastating Atlantic hurricane season, VAAAHS employee volunteers deployed to Puerto Rico and Houston, supporting disaster relief and recovery efforts.

Through the Disaster Emergency Medical Personnel System (DEMPS), clinical and non-clinical VA employee volunteers were sent to support VA facilities and/or communities in disaster areas, providing services to both Veterans and non-Veterans.

• The VAAAHS Simulation Center Program was granted Basic Level Facility Certification by the Veterans Health Administration SimLEARN National Simulation Center.

The program provides staff with training that enhances the quality and safety of patient care. This further solidifies our status as a national leader of multi-disciplinary education in health care.

By the Numbers

8 Annual Report 2018 • www.visn10.va.gov

Battle Creek

VAMC

5500 Armstrong Rd.

Battle Creek, MI 49037

269-966-5600 888-214-1247 www.battlecreek.va.gov facebook.com/VABattleCreek twitter.com/ BattleCreekVAMC

Opened in 1924 as the 100th VA hospital in the United States

James Doelling, Medical Center Director

Community Clinics Benton Harbor VA Outpatient Clinic 115 W. Main St.

Benton Harbor, MI 49022 269-934-9123

Lansing VA Outpatient Clinic 2025 S. Washington Ave.

Lansing, MI 48910 517-267-3925

Muskegon VA Outpatient Clinic 5000 Hakes Dr.

Muskegon, MI 49441 231-798-4445

Wyoming VA Health Care Center 5838 Metro Way Wyoming, MI 49519 616-249-5300

White Cane Awareness There are a variety of events held throughout the year to help raise awareness of our programs and health issues. For example, the White Cane Awareness Walking Group is a program designed to bring attention to visually impaired Veterans and our Blind Rehabilitation Program.

9Annual Report 2018 • www.visn10.va.gov

$325 million Total Employees

1,614 Veteran Patients

44,277 Outpatient Visits

525,882 Inpatient Admissions

1,582

Facility Accomplishments

• Hosted nine Stand Down events that assisted 1,232 Veterans, providing a variety of services.

In addition, 5,625 Veterans were served by the Homeless Continuum of Care.

• The Recovery Implementation Team hosted the annual Trick or Treat event, one of many similar events held throughout the year to support Veterans in their recovery and to help reduce the stigma of mental illness. A variety of community partners provided information and education to encourage Veterans to seek help and access their available resources.

• Launched the United through Reading Program for Veterans as part of our Psychosocial Residential Rehabilitation Program.

This initiative allows Veterans to make a video while reading a story for a family member that can be sent to them with the book. This helps maintain family connections during physical separation while the Veteran is seeking treatment.

By the Numbers

Run for Suicide Prevention The Alive and Running VA 5K for Suicide Awareness was held in August. This event is just one example of our expanding suicide prevention outreach with community partners and the #BeThere campaign.

10 Annual Report 2018 • www.visn10.va.gov

Chillicothe

VAMC

17273 State Route 104 Chillicothe, OH 45601

740-773-1141 800-358-8262 www.chillicothe.va.gov facebook.com/ ChillicotheVAMC twitter.com/chillicothevamc

Proudly serving Veterans in southern Ohio and parts of West Virginia and Kentucky

Dr. Kathy Berger, MHA, DNP, Medical Center Director

Community Clinics Athens Outpatient Clinic 510 W. Union St.

Athens, OH 45701 740-593-7314

Cambridge Outpatient Clinic 2146 Southgate Pkwy.

Cambridge, OH 43725 740-432-1963

Lancaster Outpatient Clinic 1703 N. Memorial Dr.

Lancaster, OH 43130 740-653-6145

Marietta Outpatient Clinic 27843 State Route 7 Marietta, OH 45750 740-568-0412

Portsmouth Outpatient Clinic 840 Gallia St.

Portsmouth, OH 45662 740-353-3236

Wilmington Outpatient Clinic 448 W. Main St.

Wilmington, OH 45177 937-382-3949

11Annual Report 2018 • www.visn10.va.gov

$262 million Total Employees

1,496 Veteran Patients

22,051 Outpatient Visits

324,134 Inpatient Admissions

2,795

Facility Accomplishments

• The Chillicothe VA

Medical Center (VAMC) provides acute and primary medical services, acute and chronic mental health services, and a range of geriatric and long-term care services.

• All of our Community Based Outpatient Clinics (CBOC) facilities offer a variety of services:

primary and preventive care, mental health care, laboratory, Tele-Health, social work, MOVE, optometry, podiatry, and electrocardiogram (EKG).

• Began planning for updating three Community Based Outpatient Clinics:

Portsmouth, Cambridge, and Athens.

• Achieved Gold status in the National Center for Patient Safety’s Cornerstone Recognition Award program. This program recognizes VHA medical facility patient safety programs for their achievements in five categories. This is the sixth consecutive year the Chillicothe VAMC has achieved gold, the highest level in these patient safety categories.

• In 2018, we welcomed two new executives:

Dr. Kathy Berger, Medical Center Director, and Christopher Schweighardt, Associate Director for Patient Care Services.

By the Numbers

Visual Therapy Murals were painted on the walls of the Community Living Center that houses Veterans suffering from dementia, funded by the VHA Innovators Networks Spark-Speed- Spread. Research shows that visual stimulation with certain colors and nostalgic images can decrease anxiety as well as bring back fond memories. These murals help to bring the outside in and create a home-like community for the Veterans who reside in the neighborhood (unit). These 19 “neighborhood” murals include a general store, gas station, post office, and beautiful landscapes.

Several artists contributed to the project, each with a personal connection to the mission. Funding has also been received to spread the design to four other dementia units in VAMCs across the country.

12 Annual Report 2018 • www.visn10.va.gov

Cincinnati

VAMC

3200 Vine St.

Cincinnati, OH 45220

513-861-3100 www.cincinnati.va.gov facebook.com/ CincinnatiVAMC

Proudly serving Veterans in 15 counties of Ohio, Kentucky, and Indiana

Mark Murdock, MA, FACHE, Medical Center Director

Community Clinics Bellevue Outpatient Clinic 103 Landmark Dr.

Suite 300 Bellevue, KY 41073 859-392-3840

Clermont Outpatient Clinic 4600 Beechwood Rd.

Cincinnati, OH 45244 513-943-3680

Florence Outpatient Clinic 7310 Turfway Rd.

Florence, KY 41042 859-282-4480

Georgetown Outpatient Clinic 474 Home St.

Georgetown, OH 45121 937-378-3413

Hamilton Outpatient Clinic 1750 S. Erie Hwy.

Hamilton, OH 45011 513-870-9444

Lawrenceburg (Dearborn) Outpatient Clinic 1600 Flossie Dr.

Greendale, IN 47025 812-539-2313

13Annual Report 2018 • www.visn10.va.gov

$449 million Total Employees

2,300 Veteran Patients

43,000 Outpatient Visits

730,000 Inpatient Admissions

5,590

Facility Accomplishments

• Cincinnati VAMC earned a five-star SAIL Rating for 2017, ranked 7th out of 130 VA healthcare facilities. It is one of two VISN 10 facilities to earn a five-star rating. SAIL ratings evaluate and promote quality, safety, and efficiency across all VHA medical centers. The five-star rating reflects our commitment to providing our Veterans with the highest quality health care.

• In 2018, Cincinnati VAMC finished with an 88% Trust score among Veterans who receive care at the Cincinnati VA. The nationwide VA average was 86%. The yearly survey focuses on patient trust of VA health care services. The results help the VA to identify areas of improvement.

• In 2018, the Cincinnati VAMC introduced the use of a VHA application called VEText. VEText is an interactive mobile solution designed to remind Veterans of upcoming appointments via text messaging.

VEText allows Veterans to easily confirm or cancel appointments.

Canceled appointments can then be offered to other Veterans, making healthcare more accessible to all.

By the Numbers

• This past year, Cincinnati VAMC created a series of video vignettes highlighting the medical center, available services, staff, and the Whole Health approach. The videos are available on the Medical Center website and Facebook page to attract Veterans to the Medical Center and inform Veterans about specific specialty services available.

14 Annual Report 2018 • www.visn10.va.gov

VA Northeast Ohio Healthcare System

Louis Stokes Cleveland VAMC 10701 East Blvd.

Cleveland, OH 44106

216-791-3800 877-838-8262 www.cleveland.va.gov facebook.com/ ClevelandVAMC twitter.com/ClevelandVAMC

Proudly serving Veterans in 24 counties across Northeast Ohio

Susan Fuehrer, Medical Center Director

Community Clinics Akron Outpatient Clinic 55 W. Waterloo Akron, OH 44319 330-724-7715

Canton Outpatient Clinic 733 Market Avenue S.

Canton, OH 44702 330-489-4600

East Liverpool Outpatient Clinic 15655 St. Rt. 170 Suite A Calcutta, OH 43920 330-386-4303

Lake County Outpatient Clinic 35000 Kaiser Ct.

Willoughby, OH 44094 440-269-4600

Lorain Outpatient Clinic 5255 N. Abbe Rd.

Sheffield Village, OH 44035 440-934-9158

Mansfield Outpatient Clinic 1025 S. Trimble Rd.

Mansfield, OH 44906 419-529-4602

McCafferty Outpatient 4242 Lorain Ave.

Cleveland, OH 44113 216-939-0699

New Philadelphia Outpatient Clinic 1260 Monroe Ave.

Suite 1A New Philadelphia, OH 44663 330-602-5339

Parma Outpatient Clinic 8787 Brookpark Rd.

Parma, OH 44129 216-739-7000

Ravenna Outpatient Clinic 6751 N. Chestnut St.

Ravenna, OH 44266 330-296-3641

Sandusky Outpatient Clinic 3416 Columbus Ave.

Sandusky, OH 44870 419-625-7350

Warren Outpatient Clinic 1460 Tod Ave. (NW) Warren, OH 44485 330-392-0311

Youngstown Outpatient Clinic 2031 Belmont Ave.

Youngstown, OH 44505 330-740-9200

15Annual Report 2018 • www.visn10.va.gov

$1.1 billion Total Employees

5,319 Veteran Patients

112,589 Outpatient Visits

2,026,123 Inpatient Admissions

12,226

Facility Accomplishments

• In January, we opened a new, state-of-the-art surgical intensive care unit at the Louis Stokes Cleveland VAMC to care for critically ill and high-risk surgical patients.

• In partnership with the Fisher House Foundation and other community partners, broke ground on two Fisher homes in Cleveland, which allow Veterans and their loved ones to have a “home away from home” as they receive care.

• Moved the Sandusky Outpatient Clinic to a new location designed to provide more centralized and individualized service. Also, opened a new, larger Lake County Outpatient clinic in Willoughby, Ohio (formerly in Painesville).

By the Numbers

Tribute to Veterans’ Families Unveiled Cleveland’s Gold Star Families Memorial Monument to pay tribute to family members of Cleveland Veterans who were lost in defense of freedom. VA joined with community partners, and WWII, Marine, Medal of Honor Recipient Hershel “Woody” Williams’ Foundation. VA Secretary Robert Wilkie, U.S. Navy Under Secretary Thomas Modly, and Cleveland Mayor Frank Jackson also attended the unveiling.

• Constructed a Medal of Honor Wall to honor Ohio recipients by name as a tribute to those who served.

The wall, funded through donations, also incorporates a donated POW/MIA flag signed by Carole Hanson Hickerson, a founding member of the National League of POW/MIA Families.

16 Annual Report 2018 • www.visn10.va.gov

VA Central Ohio Healthcare System

Chalmers P. Wylie Veterans Outpatient Clinic 420 N. James Rd.

Columbus, OH 43219

614-257-5200 888-615-9448 www.columbus.va.gov facebook.com/VAColumbus

Improving the health of those who so proudly served our nation

Vivian T. Hutson, FACHE Medical Center Director

Community Clinics Daniel L. Kinnard Outpatient Clinic 1855 W. Main St.

Newark, OH 43055 740-788-8329

Grove City Outpatient Clinic 1955 Ohio Dr.

Grove City, OH 43123 614-257-5800

Marion Outpatient Clinic 1203 Delaware Ave.

Corporate Center #2 Marion, OH 43302 740-223-8809

Zanesville Outpatient Clinic 2800 Maple Ave.

Zanesville, OH 43701 740-453-7725

Held a successful open house weekend to help unenrolled Veterans and community members learn more about the VA. More than 60 Veterans enrolled during the event.

17Annual Report 2018 • www.visn10.va.gov

$268 million Total Employees

1,337 Veteran Patients

43,542 Outpatient Visits

554,701 Inpatient Admissions

N/A

Facility Accomplishments

• The Chalmers P. Wylie VA

Outpatient Clinic had a 38% overall reduction in opioid usage. There was a 24% overall decrease in opioids dispensed and a 50% reduction in opiate prescriptions in the Urgent Care Center.

• In recognition of the therapeutic value of art, offered many art-making opportunities for Veterans and conducted research regarding its impact.

Showcased Veterans’ art in an exhibition at the Columbus Metropolitan Library - Main Branch.

• Launched a Hospital at Home program, which targets Veterans at high risk for hospital readmission. The program provides daily visits to the Veteran’s home initially for intensive case management, with decreasing frequency as goals are met.

• Chosen as the national pilot site for the new national Medical Appointment Scheduling System (MASS) which increased scheduling transparency. It also informed national plans for a new VA electronic health record and scheduling system.

By the Numbers

UCC Continues 7 Days a Week In the first full year being open seven days per week, the Columbus VA Clinic Urgent Care Center continued to improve Veterans’ accessibility to healthcare by keeping extended week day hours of service as well as continuing open hours on holidays and weekends.

These extended hours have increased visibility of the facility and doubled its usage during the week, leading to increased enrollments, and a greater percentage of women utilizing the service.

18 Annual Report 2018 • www.visn10.va.gov

Dayton

VAMC

4100 W. Third St.

Dayton, OH 45428

937-268-6511 800-368-8262 www.dayton.va.gov facebook.com/DaytonVAMC

Proudly serving Veterans since 1867

Jill Dietrich, Medical Center Director

Community Clinics Lima Outpatient Clinic 1303 Bellefontaine Ave.

Lima, OH 45804 419-222-5788

Middletown Outpatient Clinic 4337 N. Union Rd.

Middletown, OH 45005 513-423-8387

Richmond Outpatient Clinic 1010 N. J. St.

Richmond, IN 47374 765-973-6915

Springfield Outpatient Clinic 512 S. Burnett Rd.

Springfield, OH 45505 937-328-3385

Coming Soon! Two New Community Clinics Two new sites in Lima and Springfield have been selected as the future outpatient clinics. The new clinics will feature the award-winning “improving quality of life” floor plans, which are also present at the Richmond, IN clinic. Both locations are planned to open in 2019.

19Annual Report 2018 • www.visn10.va.gov

$434 million Total Employees

2,186 Veteran Patients

40,538 Outpatient Visits

520,309 Inpatient Admissions

4,643

Facility Accomplishments

• In December, Dayton

VA Medical Center was awarded certification for “Advanced Total Hip and Knee Replacement” by The Joint Commission for the second time.

Dayton VAMC is the only VA medical center in the country to earn this prestigious certification.

• Confirmed as the future home of the National VA History Center.

This archive will house artifacts, documents, and photos to preserve the VA history. The site will be located at the former headquarters building, which was originally constructed in 1871.

By the Numbers

Fisher House Opens Construction continued throughout the year to finalize the Dayton VA Fisher House. This facility features 16 suites to assist up to 500 families each year.

The $6.5 million building was partially funded by community contributions, which helped complete the project sooner. Cancer Survivors Day

The first ever Cancer Survivors Day celebration was held at the Dayton VA Medical Center Campus. The national day of community and inspiration featured musical guests, healthy lifestyle presentations, and a catered lunch.

• Received accreditation from the Commission on Accreditation of Rehabilitation Facilities for the Psychosocial Rehabilitation and Recovery Center, Mental Health Intensive Case Management Program, Mental Health Residential Rehabilitation Treatment Program, and Homeless/Therapeutic and Supported Employment Services.

20 Annual Report 2018 • www.visn10.va.gov

John D. Dingell Detroit VAMC

4646 John R St.

Detroit, MI 48201

313-576-1000 800-511-8056 www.detroit.va.gov facebook.com/VADetroit twitter.com/VADetroit

Proudly serving Veterans since 1939

Pamela Reeves, MD Medical Center Director

Community Clinics Pontiac VA Outpatient Clinic 44200 Woodward Ave.

Suite 208 Pontiac, MI 48341 248-332-4540

Yale VA Outpatient Clinic 7470 Brockway Rd.

Yale, MI 48097 810-387-3211

Expanded Emergency Department Detroit VA opened its newly expanded emergency department, increasing accessibility for patients and caregivers. More than 23,000 patients visited this state-of-the-art facility, which has 18 beds, including two specifically designed for heart-related emergencies, a resuscitation room, and a special trauma room along with isolation and suicide-safe rooms. Staff includes board certified physicians, a talented team of nurses, and other medical providers, ready to meet emergency health care needs whenever they may happen, day or night, 24/7, 365 a year.

21Annual Report 2018 • www.visn10.va.gov

$366 million Total Employees

1,988 Veteran Patients

52,218 Outpatient Visits

513,130 Inpatient Admissions

4,196

Facility Accomplishments

• As part of the Art Therapy Program, a group of Detroit VA Veterans featured their art in the Community Group Art Exhibit hosted by the Detroit Institute of Arts. Held twice a year, these four-week-long programs also include guided tours with a docent to help Veterans connect with world-famous works on a personal level.

• Held the largest ever Holiday Adopt-A-Veteran program. Sixty-seven Veteran families were adopted, including 87 children. In addition to toys, gift cards, and food boxes, items were donated to help meet basic needs. Many services within the medical centers adopted families, along with other organizations, such as the Northville Veterans of Foreign Wars and the Oakland County Sherriff’s office, to name a few.

• Ten Detroit VA Medical Center physicians were named to the Detroit’s 2018 Best Doctors list in the HOUR Detroit magazine: Dr. Michael Cher, Dr. Safwan Badr, Dr. Michael Carron, Dr.

Christopher Cheyer, Dr.

Steven Daveluy, Dr. Zane Hammoud, Dr. Ho-Sheng Lin, Dr. William Oppat, Dr. Noreen Rossi, and Dr.

Justin Tannir.

By the Numbers

Rock On!

New events for Suicide Prevention Month were introduced, including the rock painting project, which received great participation.

Nearly 300 rocks were painted by Veterans, staff, and volunteers, each with a message of hope and kindness. The Veterans Crisis Line information was also placed on each rock before they were located throughout the community.

22 Annual Report 2018 • www.visn10.va.gov

Richard L. Roudebush Indianapolis VAMC

1481 W. Tenth St.

Indianapolis, IN 46202

317-554-0000 www.indianapolis.va.gov facebook.com/ VAIndianapolis twitter.com/VAIndianapolis

Proudly serving Indiana Veterans since 1932

J. Brian Hancock, MD, FACEP, FACHE, VHA-CM

Medical Center Director

Community Clinics Bloomington VA Outpatient Clinic 455 S. Landmark Ave.

Bloomington, IN 47403 812-336-5723

Cold Spring Road VA Outpatient Clinic 2669 Cold Spring Rd.

Indianapolis, IN 46222 317-544-0000

Indianapolis-Meridian VA Outpatient Clinic 1099 N. Meridan St.

Indianapolis, IN 46204 317-554-0000

Indianapolis West VA Outpatient Clinic 3850 Shore Dr.

Indianapolis, IN 46254 317-988-1772

Indianapolis YMCA VA Outpatient Clinic 5315 Lafayette Rd.

Indianapolis, IN 46254 317-554-0000

Martinsville VA Outpatient Clinic 2200 John R. Wooden Dr.

Martinsville, IN 46151 317-988-0120

Monroe County VA Outpatient Clinic 1332 Arch Haven Ave.

Bloomington, IN 47403 812-349-4406

Shelbyville VA Outpatient Clinic 30 West Rampart St.

Shelbyville, IN 46176 317-544-0000

Terre Haute VA Outpatient Clinic 308 West Honey Creek Pkwy.

Terre Haute, IN 47804 812-478-1825

Vigo County VA Outpatient Clinic 142 West Honey Creek Pkwy.

Terre Haute, IN 47804 812-232-8325

Wakeman VA Outpatient Clinic 3791 10th St.

Edinburgh, IN 46124 317-988-0300

West Lafayette VA Outpatient Clinic 3851 N. River Rd.

Lafayette, IN 47906 765-464-2280

23Annual Report 2018 • www.visn10.va.gov

$564 million Total Employees

2,797 Veteran Patients

61,477 Outpatient Visits

679,131 Inpatient Admissions

6,696

Facility Accomplishments

• The Richard L.

Roudebush VAMC received a two-year Advanced Certification as a Primary Stroke Center by The Joint Commission. This certificate of distinction is based on compliance with national standards, clinical guidelines, and outcomes of care to foster long-term success for stroke care.

• Completed the Veteran Wellness Center at OrthoIndy Foundation YMCA. This center serves over 80 Veterans per day with physical therapy, weight loss services, marriage and family counseling, alternative pain management therapies, and other healthy living programs.

• Opened the Shelbyville VA clinic in partnership with Major Health, which provides rent-free clinic space to the VA. Services include primary care, mental health, and an eye clinic with an optical shop.

Those who attended the ribbon-cutting ceremony included Senator Joe Donnelly, Dr. Hancock, and many Veterans.

• Created a Veteran thank you program using Veteran Health Indiana’s photobooth to forge a game-day relationship with the Indianapolis Colts football team. The Veteran media outreach team photographed service men and women with their specific service flag and presented it to the Veteran and family as a thank you from the VA. Over two thousand pictures were taken and shared at Colts games, the State Fair, Vietnam commemoration, and Veterans Day events.

By the Numbers

Veteran- Centered Care Dr. Cathy Schubert’s ACE and GRACE team was recognized in the VHA Inpatient Care for Veterans as an example of Veteran-centered care in treating older Veterans with complex cognitive and mental health challenges. Dr. Schubert was also invited to present at The Next Step Summit in Washington, D.C. to showcase these innovative approaches to non-institutional geriatric care.

24 Annual Report 2018 • www.visn10.va.gov

VA Northern Indiana Healthcare SystemFort Wayne Campus

2121 Lake Ave.

Fort Wayne, IN 46805

260-426-5431

Marion Campus 1700 E. 38th Street Marion, IN 46953

765-674-3321 www.northernindiana.va.gov facebook.com/ VANorthernIndiana twitter.com/VANIHCS

Two medical centers – one state-of-the-art healthcare system

Michael E. Hershman, Medical Center Director

Community Clinics Goshen Outpatient Clinic 2606 Peddlers Village Rd.

Suite 210 Goshen, IN 46526 574-534-6108

Muncie Outpatient Clinic 2600 W. White River Blvd.

Muncie, IN 47303 765-254-5602

Peru Outpatient Clinic 750 N. Broadway Peru, IN 46970 765-472-8907

St. Joseph County VA Clinic 1540 Trinity Place Mishawaka, IN 46545 574-272-9000

25Annual Report 2018 • www.visn10.va.gov

$386 million Total Employees

1,873 Veteran Patients

44,930 Outpatient Visits

496,930 Inpatient Admissions

1,840

Facility Accomplishments

• In November, we celebrated the opening of a newly renovated fourth floor inpatient wing and sterile processing basement with a ceremonial ribbon cutting. Renovations included nine patient rooms, a four-room intensive care unit, and a sterile processing room in the basement.

The updated rooms will provide more privacy for Veterans, and the new sterile processing area will allow onsite sterilization of equipment.

• In September, Dr. Lionel Brounts, General Surgeon and Army Veteran, established a medical education program at VA Northern Indiana. Working with the Indiana University School of Medicine-Fort Wayne, he started with hosting a single medical student and quickly grew the program to a four-student rotation.

His goal is to build a strong medical education program, introducing rotations in a variety of specialties, and eventually have a full medical resident program. His personal passion for medical education and experience teaching in the military led him to start the program. He is also a teaching professor at the Indiana University School of Medicine-Fort Wayne.

• VA Northern Indiana and the YMCA have teamed up to offer aqua therapy for pain management, weight management, and health promotion.

The pilot program had 14 Veteran participants, and the VA has received requests from Veterans to hold additional programs. The program is a volunteer effort;

pool time is donated, and the therapists are all volunteering their time and expertise.

26 Annual Report 2018 • www.visn10.va.gov

Aleda E. Lutz Saginaw VAMC

1500 Weiss St.

Saginaw, MI 48602

989-497-2500 www.saginaw.va.gov facebook.com/VASaginaw twitter.com/VeteransHealth

Proudly serving Veterans from Mid-Michigan to the Mackinac Bridge

Dr. Barbara Bates, M.D., MBA, Acting Medical Center Director

Community Clinics Alpena Outpatient Clinic 180 N. State Ave.

Alpena, MI 49707 989-356-8720

Bad Axe Outpatient Clinic 1142 S. Van Dyke Rd.

Suite 100 Bad Axe, MI 48413 989-269-7445

Cadillac Outpatient Clinic 1909 N. Mitchell St.

Cadillac, MI 49601 231-775-4401

Cheboygan County Outpatient Clinic 14540 Mackinaw Hwy.

Mackinaw City, MI 49701 231-436-5176

Clare Outpatient Clinic 11775 N. Isabella Rd.

Clare, MI 48617 989-386-8113

Gaylord Outpatient Clinic 806 S. Otsego Gaylord, MI 49735 989-732-7525

Grand Traverse VA Clinic 880 Munson Ave.

Traverse City, MI 49686 231-932-9720

Grayling Outpatient Clinic 1680 Hartwick Pines Rd.

Grayling, MI 49738 989-344-2002

Oscoda Outpatient Clinic 5671 Skeel Ave.

Suite 4 Oscoda, MI 48750 989-747-0026

Saginaw Healthcare Annex 4241 Barnard Rd.

Saginaw, MI 48603 800-406-5143, ext. 11230

Traverse City Outpatient Clinic 3271 Racquet Club Dr.

Traverse City, MI 49684 231-932-9720

27Annual Report 2018 • www.visn10.va.gov

• The Palliative Care Team received an Excellence in Care Award from VISN 10 Leadership, in recognition of how satisfied families and caregivers were with care their loved one received on the unit.

• As an easy way for Veterans and visitors to provide suggestions for improvement, the “Voice of the Veteran Suggestion Board” was implemented in our main lobby. Suggestions are tracked publicly on a display board.

Budget

$275 million Total Employees

1,225 Veteran Patients

36,780 Outpatient Visits

414,518 Inpatient Admissions

Facility Accomplishments

• Expanded TeleUrgent

Care and continued to expand TelePrimary Care to help reduce travel issues and clinic cancellations so Veterans can conveniently access care when they need it.

• Received a “5-STAR” rating, which summarizes many quality of care benchmarks for VA medical centers tracked across the nation.

• Achieved Gold Status from the Office of Patient Safety’s Cornerstone Recognition Program.

Ratings are based on staff performance in implementing processes for improvement.

• Great strides were made to integrate more Whole Health approaches in caring for Veterans.

Most noteworthy were in the areas of pain management and opioid safety. Also, provided more integrative therapies (e.g., tai chi and yoga classes), Veteran and staff education, and much more.

• Suicide prevention efforts remained a high priority, and included staff attending 77 outreach events.

• Construction has started on the new 22,500 square foot Traverse City VA Community Based Outpatient Clinic (CBOC), honorably named the Demas T. Craw VA Clinic. Other facility expansions included adding 1,000 square feet to the Grayling VA CBOC, completing a multi-floor renovation to the main medical center, along with a new sterile processing service, and renovating our palliative care rooms to allow for single occupancy.

VA Healthcare System Network Office 11500 Northlake Drive, Suite 200 Cincinnati, OH 45249

2018/545-131/20010

Reaching Out to Veterans in Crisis

Suicide prevention awareness is an ongoing goal for the entire VA system. According to recent statistics, twenty Veterans commit suicide per day. Of those twenty, an average of fourteen were not receiving care through the VA. Veterans who receive care through the VA have a reduced suicide risk. The VA is committed to reaching as many Veterans as possible – both within the VA and in the community – to start the conversation about suicide prevention. VISN 10 continues to support Veterans through the ongoing #BeThere campaign to prevent Veteran suicide. We will never stop reaching out to our Veterans in crisis.

Virtual Hope Box app is a mental health support tool that can be personalized with photos, sound, and videos of loved ones to support a Veteran in crisis.

Reach Out: Suicide Prevention Resources

Suicide prevention resources are not limited to the healthcare setting. Additional, easily accessible resources can be found where Veterans live:

The Veterans Crisis Line is available 24/7.

Dial 1-800-273-8255 and press 1. This resource is for everyone.

The LifeArmor app has information and tools to assist members of the military with mental health concerns. LifeArmor is available for both iOS and Android devices.

Ask for help using Siri on an iPhone or Google Assistant on an

Android phone. Say "Call the Veterans' Crisis Line" and then press 1 to connect.

The VA’s Coaching into Care phone program offers resources to educate and empower families and friends who are seeking care and/or services for a veteran. Call 1-888-823-7458.