• Innovations in Community Care Programs, Policies, and Research

      Mattocks, Kristin M.; Cunningham, Kristin J.; Greenstone, Clinton; Atkins, David; Rosen, Amy K.; Upton, Mark (2021-06-01)
      Since 2014, Department of Veterans Affairs (VA) has dramatically shifted the ways in which Veterans can receive care. While a substantial majority of Veteran care is provided at one of the 170 VA Medical Centers and 1074 outpatient sites of care nationwide, the Veterans Access, Choice and Accountability Act (Choice Act) (2014) and the VA MISSION Act (MISSION Act) (2018) provided Veterans increased opportunities to receive care from community providers by partnering with federal and private providers, clinics, and hospitals. Both MISSION and Choice represented the attempts of Congress to address reports of long wait times for certain VA services, especially in parts of the country where growth of the Veteran population outpaced VA capacity and in rural areas where Veterans had to drive long distances to see a subspecialist.
    • Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care

      Mengeling, Michelle A.; Mattocks, Kristin M.; Hynes, Denise M.; Vanneman, Megan E.; Matthews, Kameron L.; Rosen, Amy K. (2021-06-01)
      In response to concerns about Veterans’ access to Veterans Affairs (VA) health care services, Congress passed the Veterans Access, Choice and Accountability Act of 2014 (Choice), which broadened Veterans’ eligibility to receive health care delivered by non-VA community providers paid for by VA (ie, Community Care).1 Specifically, the Veterans Choice Program (VCP) allowed Veterans waiting longer than 30 days for specific services in VA, who lived >40 miles from a VA clinic, or who experienced specific hardships in accessing VA care, the option of receiving Community Care. To help implement VCP successfully, the VA established the Office of Community Care (OCC) in fiscal year (FY) 2015 to lead the coordination of Community Care expansion. This included reorganizing local departments at each VA facility to ensure that VA/Community Care referrals across systems occurred seamlessly.
    • Why Engage Frontline Staff When Implementing a New Practice? Five Important Reasons [English, Chinese and Vietnamese versions]

      Larkin, Celine; Logan, Deirdre G.; Anderson, Melissa L. (2020-01-13)
      This tip sheet offers five critical reasons to integrate frontline providers throughout the process of implementing a new practice, program, or policy at your organization. Chinese and Vietnamese translations of this publication are available for download.