D.44- REACH VET ONE PAGE FLYER.pdf
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- Solicitation number
- 36C24224R0049
About this file
The document is a one-page informational flyer about the REACH VET program, which is a Department of Veterans Affairs (VA) initiative that uses predictive modeling to identify Veterans at high statistical risk for suicide and other negative outcomes. The flyer describes how REACH VET summarizes Veteran health data, provides alerts to facilities about high-risk Veterans, and offers opportunities for providers to engage with and enhance care for these at-risk individuals. The flyer includes details on the predictive model, the REACH VET process, and the documented positive impacts of the program. It also provides links to additional REACH VET resources, including a SharePoint site, support email, and a dashboard with reports.
The related federal contract opportunity is a Request for Proposal (RFP) issued by the Syracuse VA Medical Center for Community-Based Outpatient Clinic (CBOC) services to provide primary care to Veteran patients in Cayuga County, New York. The contract will be for a base year with nine one-year option periods. The solicitation number is 36C24224R0049, and the NAICS code is 621498 (All Other Outpatient Care Centers) with a size standard of $25.5 million. Interested offerors must be registered in the System for Award Management (SAM) prior to contract award.
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Text version
REACH VET: Recovery Engagement and Coordination for Health- Veterans Enhanced Treatment
What is REACH VET?
• REACH VET summarizes information from the Veterans Health Record and uses predictive modeling to identify Veterans at statistical risk for suicide and other negative outcomes. This tool supplements clinical strategies used to identify at-risk Veterans and may help providers intervene prior to these negative outcomes occurring.
• The REACH VET program:
o Helps alert facilities of Veterans at the top 0.1% increased statistical risk at each facility o Summarizes past two years of health record data to streamline clinical review o Provides an additional data point for conceptualization and treatment o Offers an opportunity to engage Veterans in their own healthcare and make enhancements, as indicated
The Predictive Model
• Utilizes clinical and administrative data from the past 2 years for each Veteran utilizing VHA health care services
Calculated Risk as compared to overall VHA population
Outcome Top 0.1%
Suicide (one month) 33x
Suicide (one year) 15x
Suicide attempt (one year) 81x
Mental health inpatient bed days of care (one year) 66x
Medical/surgical/rehab inpatient bed days (one year) 6.3x
• Although identified Veterans are at high statistical risk for adverse outcomes, including suicide, this does not necessarily indicate current acute clinical risk for suicide. Therefore, it is critical to reach out to these Veterans to assess current risk and offer support.
REACH VET Process
• REACH VET is intended to supplement, rather than replace, current clinical strategies o REACH VET steps can be integrated into the existing workflow to reduce workload and enhance collaboration and continuity of care (e.g., utilizing BHIP meetings to discuss cases and make decisions).
• Identified Veterans have complex care needs and may be at risk for both adverse medical and mental health outcomes. Providers should take a holistic, multi-disciplinary approach to REACH VET responsibilities:
o Chart reviews should be comprehensive, looking at both medical and mental health aspects of care.
o Ideally, all providers of the Veteran’s treatment team should be aware of the Veteran’s statistical risk and involved in enhancing care when indicated.
Impact of REACH VET
• Findings from McCarthy and others (2021) indicate REACH VET patients complete more outpatient appointments, decreases in the percent of missed appointments, greater initiation of suicide prevention safety plans, decreases in inpatient mental health admissions, reduced Emergency Department visit days and reduction in documented suicide attempts.
Resources
• REACH VET SharePoint: REACH VET Resources (sharepoint.com)
• REACH VET Support email: VHAReachVetSupport@va.gov
• REACH VET Dashboard and Reports: Suicide Risk Identification and Management - Dashboard and Reports - All Documents (sharepoint.com)
REACH VET releases names monthly to alert facility to Veterans within the top 0.1% of statistical risk
REACH VET Coordinator receives the names and identifies the provider that works most closely with the Veteran
REACH VET provider re-evaluates care, considers treatment-enhancement strategies, outreaches the Veteran, and documents using CPRS templates
Attachment D.44 RFP 36C24224R0049 https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F&id=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FREACH%20VET%20Related%20Research%2FMcCarthy%20JAMA%20Net%20Open%2D%2DEval%20of%20REACH%20VET%202021%2Epdf&parent=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FREACH%20VET%20Related%20Research https://dvagov.sharepoint.com/sites/ECH/srsa/SitePages/REACH-VET-Resources.aspx mailto:VHAReachVetSupport@va.gov https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FDashboard%20and%20Reports&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FDashboard%20and%20Reports&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F
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