U.S. Department of Veterans...
Transcript of U.S. Department of Veterans...
US Department of Veterans Affairs
Independence Day 2015
Congressional Information Packet
Table of Contents
I Independence Day 2015
II VASummerofService
III VArsquos Complete Access to Care
IV Veteranrsquos Choice Program
V Reaching Milestones
VI VA Innovation Creation Series
VII MyVA
VIII VA Adaptive Sports
IX Making Progress
X Important Phone Numbers - Quick Reference Card
XI Veterans Health Administration - Snapshot
XII Veterans Benefits Administration - Snapshot
XIII National Cemetery Administration - Snapshot
On this day in 1776 the Continental Congress approved the Declaration
of Independence setting the 13 colonies on the road to freedom as a
sovereign nation As always this most American of holidays will be
marked with red white and blue flags fireworks parades and backyard
barbecues across the country
FLAG LAWS AND REGULATIONS
The laws relating to the flag of the United States of America are found in detail in the United
States Code Title 4 Chapter 1 pertains to the flag and seal seat of Government and the
States Title 18 Chapter 33 pertains to crimes and criminal procedures Title 36 Chapter 10
pertains to patriotic customs and observances These laws were supplemented by Executive
Orders and Presidential Proclamations
Title 36 Chapter 10 PATRIOTIC CUSTOMS
sect171 National anthem Star-Spangled Banner conduct during playing
During rendition of the national anthem when the flag is displayed all present except those
in uniform should stand at attention facing the flag with the right hand over the heart Men
not in uniform should remove their headdress with their right hand and hold it at the left
shoulder the hand being over the heart Persons in uniform should render the military
salute at the first note of the anthem and retain this position until the last note When the
flag is not displayed those present should face toward the music and act in the same
manner they would if the flag were displayed there
Note As of 2008 Veterans and active-duty military not in uniform are authorized to
render the military-style hand salute during the playing of the national anthem
Independence Day 2015
I Source httpwwwusagov
This summer VA is renewing our
commitment to Americarsquos Veterans and
wersquore asking for everyonersquos help in
honoring that commitmentmdashwersquore calling
it the VA Summer of Service
VA is critical to the Nationrsquos Veterans and
to American medicine We have over
1000 clinics and 300 Vet Centers and
mobile clinics all networked to one of
our 152 VA Medical Centers that are
affiliated with some of the best medical
schools in the nation We are rebuilding trust with Veterans and other Stakeholders improving service
delivery focusing on Veteran outcomes and setting the course for longer-term excellence and reform
There is more work to do to serve Veterans and we need your help VA cannot fulfill this commitment
without our dedicated volunteers and community partners from the public and private sector We invite
you to partner with us during this summer of servicemdashto give back to those who have given
so much to our nation Community by community state by state we will work together to better serve
Veterans in a surge of action on their behalf
WHAT WILL YOU DO
PLEDGE THE GIFT OF TIME TO SERVE VETERANS
Visit wwwvolunteervagov to find out what your local VA facility needs from volunteers
Reach out to your local VA medical facility or National Cemetery to find out what you can do to help
Get the word out by sharing our latest video httpsyoutubeid-6kHR-fHs
Check out VASummerOfService on Vantage Point Twitter Facebook and Instagram and
join VA in caring for Americarsquos Veterans
Find even more information here httpwwwblogsvagovVAntage20215va-summer-
of-service-renewing-our-commitment-to-americas-veterans
II
COME JOIN US IN
SERVING VETERANS
III
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
Table of Contents
I Independence Day 2015
II VASummerofService
III VArsquos Complete Access to Care
IV Veteranrsquos Choice Program
V Reaching Milestones
VI VA Innovation Creation Series
VII MyVA
VIII VA Adaptive Sports
IX Making Progress
X Important Phone Numbers - Quick Reference Card
XI Veterans Health Administration - Snapshot
XII Veterans Benefits Administration - Snapshot
XIII National Cemetery Administration - Snapshot
On this day in 1776 the Continental Congress approved the Declaration
of Independence setting the 13 colonies on the road to freedom as a
sovereign nation As always this most American of holidays will be
marked with red white and blue flags fireworks parades and backyard
barbecues across the country
FLAG LAWS AND REGULATIONS
The laws relating to the flag of the United States of America are found in detail in the United
States Code Title 4 Chapter 1 pertains to the flag and seal seat of Government and the
States Title 18 Chapter 33 pertains to crimes and criminal procedures Title 36 Chapter 10
pertains to patriotic customs and observances These laws were supplemented by Executive
Orders and Presidential Proclamations
Title 36 Chapter 10 PATRIOTIC CUSTOMS
sect171 National anthem Star-Spangled Banner conduct during playing
During rendition of the national anthem when the flag is displayed all present except those
in uniform should stand at attention facing the flag with the right hand over the heart Men
not in uniform should remove their headdress with their right hand and hold it at the left
shoulder the hand being over the heart Persons in uniform should render the military
salute at the first note of the anthem and retain this position until the last note When the
flag is not displayed those present should face toward the music and act in the same
manner they would if the flag were displayed there
Note As of 2008 Veterans and active-duty military not in uniform are authorized to
render the military-style hand salute during the playing of the national anthem
Independence Day 2015
I Source httpwwwusagov
This summer VA is renewing our
commitment to Americarsquos Veterans and
wersquore asking for everyonersquos help in
honoring that commitmentmdashwersquore calling
it the VA Summer of Service
VA is critical to the Nationrsquos Veterans and
to American medicine We have over
1000 clinics and 300 Vet Centers and
mobile clinics all networked to one of
our 152 VA Medical Centers that are
affiliated with some of the best medical
schools in the nation We are rebuilding trust with Veterans and other Stakeholders improving service
delivery focusing on Veteran outcomes and setting the course for longer-term excellence and reform
There is more work to do to serve Veterans and we need your help VA cannot fulfill this commitment
without our dedicated volunteers and community partners from the public and private sector We invite
you to partner with us during this summer of servicemdashto give back to those who have given
so much to our nation Community by community state by state we will work together to better serve
Veterans in a surge of action on their behalf
WHAT WILL YOU DO
PLEDGE THE GIFT OF TIME TO SERVE VETERANS
Visit wwwvolunteervagov to find out what your local VA facility needs from volunteers
Reach out to your local VA medical facility or National Cemetery to find out what you can do to help
Get the word out by sharing our latest video httpsyoutubeid-6kHR-fHs
Check out VASummerOfService on Vantage Point Twitter Facebook and Instagram and
join VA in caring for Americarsquos Veterans
Find even more information here httpwwwblogsvagovVAntage20215va-summer-
of-service-renewing-our-commitment-to-americas-veterans
II
COME JOIN US IN
SERVING VETERANS
III
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
On this day in 1776 the Continental Congress approved the Declaration
of Independence setting the 13 colonies on the road to freedom as a
sovereign nation As always this most American of holidays will be
marked with red white and blue flags fireworks parades and backyard
barbecues across the country
FLAG LAWS AND REGULATIONS
The laws relating to the flag of the United States of America are found in detail in the United
States Code Title 4 Chapter 1 pertains to the flag and seal seat of Government and the
States Title 18 Chapter 33 pertains to crimes and criminal procedures Title 36 Chapter 10
pertains to patriotic customs and observances These laws were supplemented by Executive
Orders and Presidential Proclamations
Title 36 Chapter 10 PATRIOTIC CUSTOMS
sect171 National anthem Star-Spangled Banner conduct during playing
During rendition of the national anthem when the flag is displayed all present except those
in uniform should stand at attention facing the flag with the right hand over the heart Men
not in uniform should remove their headdress with their right hand and hold it at the left
shoulder the hand being over the heart Persons in uniform should render the military
salute at the first note of the anthem and retain this position until the last note When the
flag is not displayed those present should face toward the music and act in the same
manner they would if the flag were displayed there
Note As of 2008 Veterans and active-duty military not in uniform are authorized to
render the military-style hand salute during the playing of the national anthem
Independence Day 2015
I Source httpwwwusagov
This summer VA is renewing our
commitment to Americarsquos Veterans and
wersquore asking for everyonersquos help in
honoring that commitmentmdashwersquore calling
it the VA Summer of Service
VA is critical to the Nationrsquos Veterans and
to American medicine We have over
1000 clinics and 300 Vet Centers and
mobile clinics all networked to one of
our 152 VA Medical Centers that are
affiliated with some of the best medical
schools in the nation We are rebuilding trust with Veterans and other Stakeholders improving service
delivery focusing on Veteran outcomes and setting the course for longer-term excellence and reform
There is more work to do to serve Veterans and we need your help VA cannot fulfill this commitment
without our dedicated volunteers and community partners from the public and private sector We invite
you to partner with us during this summer of servicemdashto give back to those who have given
so much to our nation Community by community state by state we will work together to better serve
Veterans in a surge of action on their behalf
WHAT WILL YOU DO
PLEDGE THE GIFT OF TIME TO SERVE VETERANS
Visit wwwvolunteervagov to find out what your local VA facility needs from volunteers
Reach out to your local VA medical facility or National Cemetery to find out what you can do to help
Get the word out by sharing our latest video httpsyoutubeid-6kHR-fHs
Check out VASummerOfService on Vantage Point Twitter Facebook and Instagram and
join VA in caring for Americarsquos Veterans
Find even more information here httpwwwblogsvagovVAntage20215va-summer-
of-service-renewing-our-commitment-to-americas-veterans
II
COME JOIN US IN
SERVING VETERANS
III
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
This summer VA is renewing our
commitment to Americarsquos Veterans and
wersquore asking for everyonersquos help in
honoring that commitmentmdashwersquore calling
it the VA Summer of Service
VA is critical to the Nationrsquos Veterans and
to American medicine We have over
1000 clinics and 300 Vet Centers and
mobile clinics all networked to one of
our 152 VA Medical Centers that are
affiliated with some of the best medical
schools in the nation We are rebuilding trust with Veterans and other Stakeholders improving service
delivery focusing on Veteran outcomes and setting the course for longer-term excellence and reform
There is more work to do to serve Veterans and we need your help VA cannot fulfill this commitment
without our dedicated volunteers and community partners from the public and private sector We invite
you to partner with us during this summer of servicemdashto give back to those who have given
so much to our nation Community by community state by state we will work together to better serve
Veterans in a surge of action on their behalf
WHAT WILL YOU DO
PLEDGE THE GIFT OF TIME TO SERVE VETERANS
Visit wwwvolunteervagov to find out what your local VA facility needs from volunteers
Reach out to your local VA medical facility or National Cemetery to find out what you can do to help
Get the word out by sharing our latest video httpsyoutubeid-6kHR-fHs
Check out VASummerOfService on Vantage Point Twitter Facebook and Instagram and
join VA in caring for Americarsquos Veterans
Find even more information here httpwwwblogsvagovVAntage20215va-summer-
of-service-renewing-our-commitment-to-americas-veterans
II
COME JOIN US IN
SERVING VETERANS
III
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
III
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
IV
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
Reaching Milestones
V
VA REACHES MAJOR MILESTONES TOWARD ELIMINATING THE BACKLOG
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
The VA Innovation Creation Series aims to accelerate the development of personalized technologies to
improve care and quality of life for Veterans Through the launch of VArsquos Innovation Creation Series for
Prosthetics and Assistive Technologies VA invites all designers engineers and problem solvers alike to
help us find creative ways to solve these challenges
GOALS
1 Improve patient care and quality of life for our Veterans and their supporters
2 Create an open ecosystem of designs of prosthetics + assistive technologies
3 Demonstrate the value of rapid prototyping and co-creation to develop personalized
technologies for Veterans and infuse practices into everyday healthcare processes
4 Spread awareness of VAs prosthetics + assistive technologies capabilities
TIMELINE
radic May 15 2015 Innovation Creation series launched at Palo Alto VA Medical Center
MaymdashJuly 2015 Online open innovation challenge -
httpwwwinnovationvagovchallenge
July 28-29 2015 Make-a-Thon Finale at the Richmond VA Medical Center
EXAMPLES OF CHALLENGES
Create a medication pill box that allows the flexibility to hold medications that need to be taken
up to 8 times a day with a reminder system for each time medication needs to be taken
Design a device to remotely change the speed and grip strength of a prosthetic device for our
Veterans with upper extremity injuries
The VA Innovation Creation Series will culminate in a 2-day make-a-thon event at the Richmond VA
Medical Center where the online designs will be built and tested to showcase how they meet the needs of
Veterans
For more information httpwwwinnovationvagovchallenge
VA Innovation Creation Series
VI
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
VII
MyVA is about
Improving the Veterans Experience
Improving the Employee Experience by focusing on people amp culture
Achieving Support Service Excellence
Establishing a culture of continuous Performance Improvement
Enhancing Strategic Partnerships
A brief update on our progress
MyVA Advisory Committee a group of 14 experts in business medicine and Veteran advocacy
met in Washington DC to discuss the Departmentrsquos Veteran-centric initiatives
First MyVA Community - MyVA Connecticut - held its inaugural community board meeting on May
28 2015
Hired Chief Veterans Experience Officer Tom Allin
Launched the Veterans Economic Communities Initiative (VECI) in May 2015 Through VECI
VA will increase community partnership opportunities to improve education and employment for
Veterans and their families
Partnered with the Rolling Thunder Run over Memorial Day in Washington DC to promote VA services
to Veterans Servicemembers and their families A VA Mobile Vet Center was on site at the race to
provide information to attendees
Created a partnership with NASCAR to bring greater access and awareness to Veterans directly in
their communities
Initiated VArsquos Mental Health partnership with Give an Hour trade to proactively share training
materials with community mental health providers
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
VA Adaptive Sports
National Disabled Veterans
Winter Sport Clinic
Snowmass Colorado
March 29-April 3
Valor GamesmdashSoutheast
Durham North Carolina
May 18-21
Valor GamesmdashFar West
San Francisco California
May 29-June1
National Wheelchair Games
Dallas Texas
June 21-26
Warrior Games
Quantico Virginia
June 19-29
National Veterans Golden Age Games
Omaha Nebraska
August 8-12
Valor GamesmdashMid West
Chicago Illinois
August 18-20
National Veterans Tee Tournament
Iowa City Iowa
September 7-10
National Veterans Summer Sports Clinic
San Diego California
September 13-18
Valor GamesmdashSouthwest
San Antonio Texas
September 21-23
National Veterans Creative Arts Festival
Durham North Carolina
October 12-18
2015 NATIONAL EVENTS SCHEDULE
VArsquos Office of National Veterans Sports Programs and Special Eventsrsquo (NVSPampSE) provides opportunities
for disabled Veterans and disabled members of the Armed Forces to participate in rehabilitative sport and art
therapy programs Veterans may suffer from post-traumatic stress disorder or traumatic brain injuries others have
lost limb(s) or mobility or have become blind or visually impaired while some deal with a combination of injuries or
conditions
As the therapeutic and competitive sport needs of disabled Veterans and wounded Servicemembers become more
defined there is an equally increasing need to promote and highlight the benefits of participating or competing in
adaptive sports and the importance of providing those opportunities VA supports the wellness of Veterans and
Servicemembers with disabilities and promotes their participation in adaptive sports as a means toward living
healthier happier and more productive lives
Veterans of all ages can participate in NVSPampSE events ndash from those returning from the battlefields of Iraq and
Afghanistan to those who served in World War II Korea and Vietnam
For more information go to wwwvagovadaptivesports
VIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
VA Making Progress
IX
Caring for our Nationrsquos Veterans their Survivors and dependents continues to be the guiding mission of
VA Under the leadership of Secretary Bob McDonald and Deputy Secretary Sloan Gibson VA has charted
a path forward and made significant progress to enhance our health care system improve service delivery
and set the course for long-term reform
ENDING THE CLAIMS BACKLOG
The claims backlog has been reduced from a peak of 611000 in March 2013 to 132360 as of
June 22 2015 a 78 reduction in 27 months
Claim-level accuracy increased from 83 in 2011 to 91 - issue-level accuracy is 96
VA completed a record-breaking 132 million claims in fiscal year 2014
Veterans are waiting on average 162 days less for a claim decision compared to March 2013
peak
LEADING THE WAY IN REDUCING DRUG-RESISTANT HEALTH CARE-ASSOCIATED
INFECTIONS
Health care-associated infections or HAIs pose a major risk to patient safety and hospital
systems across the country are striving to prevent them
A recent article in The New York Times noted that in comparison to other hospital systems
VA is making great strides in reducing one of the most significant causes of HAIsmdashmethicillin-
resistant Staphylococcus aureus or MRSA
Within five years health-care associated MRSA infections declined 69 percent in VA acute care
facilities 81 percent in Spinal Cord Injury units and 36 percent in Community Living Centers
The VA MRSA Prevention Initiative has been expanded to focus on other multiple drug-
resistant organisms that threaten our Veterans
EXPANDING ACCESS TO CARE
Nationally VA completed more than 518 million appointments between June 1 2014 and
April 30 2015 This represents an increase of 27 million more appointments than were
completed during the same time period in 20132014
In April 2015 VA completed 97 percent of appointments within 30 days of the clinically indicated or Veteranrsquos preferred date 93 within 14 days 88 within 7 days and 22 are completed on the same day
VA has completed 12 million same-day appointments which is 20 percent of VArsquos total
appointments per year
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
PROVIDING MORE CARE IN THE COMMUNITY
VA made over 26 million authorizations for Veterans to receive care in the private sector from May 1 2014 through March 31 2015 This represents a 44 percent increase in authorizations when compared to the same period in the previous year
Over 1 million appointments are completed per month through doctors and clinics in the community which represents nearly 20 percent of total appointments
VA established the Patient Centered Community Program (PC3) to increase access to health care in the community
VA extended the Project Access Received Closer to Home (Project ARCH) pilot program to continue to expand access to health care for eligible Veterans in rural areas
RECRUITING AND HIRING HEALTHCARE PROFESSIONALS
VA has increased salaries for physicians and dentists to close the pay gap with the private sector
and to make VA an employer of choice
VA has increased recruiting and hiring of health professionals bringing on more than
38000 new employees over the last 10 months with a net increase of over 11000 medical
professionals
Of the 11000 net new employees VA hired 1000 physicians 3000 nurses and 2000
medical assistants
IMPACTING MILLIONS THROUGH VA RESEARCH
VA Research and Development plays a pivotal role in improving the health status of
Veterans The advances in health care developed by VA research not only benefit Veterans but
millions of other Americans and patients worldwide
During fiscal year 2015 nearly 3400 VA researchers will work on more than 2200 projects with
funding of more than $18 billion
REDUCING THE NUMBER OF HOMELESS VETERANS
VA together with federal state and local partners reduced the estimated number of
homeless Veterans by 33 percent as noted in the Department of Housing and Urban
Development (HUD) 2014 Point-in-Time (PIT) Estimate of Homelessness
Through the homeless Veterans initiative VA committed more than $1 billion in 2014 to
strengthen programs that prevent and end homelessness among Veterans
In FY 2014 alone VA provided services to more than 260000 homeless or at-risk Veterans in
VHArsquos homeless programs Not all Veterans required an intensive homeless program
intervention but for those that did over 72500 Veterans were either placed in permanent
housing or prevented from becoming homeless
VA Making Progress (Continued)
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
IMPROVING HEALTHCARE SERVICES FOR WOMEN VETERANS
VA has enhanced provision of care to women Veterans by focusing on the goal of developing
Designated Womenrsquos Health Providers (DWHP) VA has trained over 2000 providers in
womenrsquos health and is in the process of training additional providers to ensure that women
Veterans have the opportunity to receive primary care from a DWHP
VA now operates a Women Veterans Call Center (WVCC) to let women Veterans know about
the services for which they may be eligible As of March 2015 WVCC received over 20000
incoming calls and made over 162000 successful outbound calls
VA accomplished its goal of expanding eligibility for Veterans in need of mental health care
due to military sexual trauma (MST) experiences of sexual assault or sexual harassment that
occurred during military service All MST-related health care is provided free with no need for the
Veteran to file a disability claim
INCREASING PATIENT SAFETY amp REDUCING PRESCRIPTION DRUG ABUSE
VA strives to address the challenge of managing patientsrsquo chronic pain and has a comprehensive
program focused on identifying and expanding the use of best practices across VA that include the
safe well-managed use of opioids and complementary and integrative medicine
The Opioid Therapy Risk Report (OTRR) is fully deployed and in use and this state-of-the-art
tool helps protect Veteran patients from high doses of opioids In FY15 6948 individuals accessed
the OTTR reports with 48905 webhits
VA also implemented the Opioid Safety Initiative (OSI) system-wide in August 2013 to enhance
safe and effective pain care for Veterans and reduce opioid use
OPIOID SAFETY INITIATIVE (OSI) From Quarter 4 Fiscal Year 2012 (beginning in July 2012) to
Quarter 2 Fiscal Year 2015 (ending in March 2015) there are
109862 fewer patients receiving opioids
33871 fewer patients receiving opioids and benzodiazepines together
74995 more patients on opioids that have had a urine drug screen to help guide
treatment decisions
91760 fewer patients on long-term opioid therapy
The overall dosage of opioids is decreasing in the VA system as 12278 fewer
patients are receiving greater than or equal to 100 Morphine Equivalent Daily Dosing
The desired results of the OSI have been achieved during a time that VA has seen an
overall quarterly pharmacy user growth of 90488 patients
VA Making Progress (Continued)
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
IMPROVING DELIVERY OF BENEFITS THROUGH DIGITAL INNOVATION
Under VArsquos technology initiatives a major achievement has been the transition from an
outmoded paper-intensive process to a fully electronic processing systemmdashthe Veterans Benefits
Management System (VBMS)
Previously VA processed 5000 tons of paper per year now it is processing 95 percent of the
disability claims inventory electronically
VA completed 31 million rating decisions and 17 million claims using VBMS
VA continues to exceed goals with regard to Fully Developed Claims Fiscal Year to date 2015
42 percent of claims received were submitted as Fully Developed Claims up from 3 percent when
the initiative started in 2012
Over 48 million Servicemembers Veterans and family members are now in eBenefits
EXCELLENCE IN SERVICE
For the fifth consecutive year VArsquos Consolidated Mail Outpatient Pharmacy received the highest
customer satisfaction score among the nationrsquos public and private mail-order pharmacies
according to a JD Power study
VA employee Kenneth Siehr winner of the Presidentrsquos 2013 Securing Americans Value and
Efficiency (SAVE) Award conceived of VArsquos online prescription tracker that gives Veterans
247 access to prescriptions mailed from the VA Mail Order Pharmacy Siehrrsquos idea focused on
the use of technology as a way to save money and improve services
In 2014 Fort Rosecrans National Cemetery was listed as one of the most beautiful cemeteries in
the world in an article appearing in both Smithsonian Magazine and Travel and Leisure
For the fifth consecutive time VArsquos National Cemetery Administration achieved a customer
satisfaction index of 96 and attained the highest score of any participating entity public or
private on the American Customer Satisfaction Indexrsquos (ACSI) independent survey of customer
satisfaction
ENDING VETERAN HOMELESSNESS IN LOS ANGELES
On January 28 2015 Secretary McDonald and attorneys representing homeless Veterans in Los
Angeles announced a historic agreement that dedicates the West Los Angeles VA campus to
serving Veterans in need
VA published a written Veteran homelessness strategy and action plan for Greater Los
Angeles on February 13 2015 with the goal of ending Veteran homelessness in Greater Los
Angeles by the end of the year A new Master Plan for VArsquos West Los Angeles campus will be
completed by October 16 2015
VA Making Progress (Continued)
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
US Department of Veterans Affairs
Veterans Health Administration (VHA) Our Nationrsquos largest integrated health care system - Operates more than 1600 sites of care (Medical Centers Outpatient Clinics Vet Centers Mobile Vet Centers and more) 89 million enrollees (as of end of FY 13) 283000 employees (as of September 30 2014) 3 Nobel Prizes
Veterans Benefits Administration (VBA) Backlog Progress Continues - The number of claims pending over 125 days and considered part of the claims backlog has decreased by 78 percent from a peak of 611000 claims in March 2013 to 132360 claims (as of June 22 2015)
National Cemetery Administration (NCA) VA manages over 20000 acres of land including maintaining 8800 developed acres with 34 million gravesites in 131 national cemeteries and 33 other sites
Veterans Crisis Line 1-800-273-8255 (Press 1) Vet Center Combat Veteran Call Center 1-877-WAR-VETS (927-8387) National Call Center for Homeless Veterans 1-877-424-3838 VA Caregiver Support Line 1-855-260-3274 Women Veterans Call Center 1-855-VA-WOMEN (829-6636) VA Healthcare Enrollment MonndashFri 8AM-8PM (EST) 1-877-222-VETS (8387) VHA Client Relations Office Helpline 202-461-7252 VHA Compliance and Business Integrity (CBI) Helpline 1-866-842-4357
The CBI Helpline is a way for Veterans their families and VHA employees to report potential instances of noncompliance within VHA business operations
Veteran Employment Resources (VA for Vets) 1-855-824-8387 VA Gulf War Information Helpline 1-800-749-8387 Veterans Benefits Administration National Call Center 1-800-827-1000
Education (GI Bill) 1-888-442-4551 Pension Benefits 1-877-294-6380 Life Insurance 1-800-419-1473 Home Loans 1-877-827-3702
VA National Cemetery Burial Request Daily 7AM-630 PM (CST) 1-800-535-1117 Memorialization Applicant Assistance Mon-Fri 8AM-5PM (EST) 1-800-697-6947 Presidential Memorial Certificate Request Fax VA Form 40-0247 to 1-800-455-7143 Bereavement Counseling 202-461-6530 Office of Congressional and Legislative Affairs
Policy Questions 202-461-6490 Casework ndash House 202-225-2280 Casework ndash Senate 202-224-5351
X
Important VA Phone Numbers
Quick Reference Card (For use when assisting constituents)
Print cut-out fold down the middle and carry in your pocket for everyday use
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
Veterans Health Administration Snapshot
The Veterans Health Administration (VHA) one of three administrations within the Department of Veterans Affairs (VA) is responsible for providing a continuum of comprehensive care that includes primary care specialized care and related medical and social support services VA strives to ensure that Veterans have access to all needed services wherever they receive their VA health care This may be on-site during inpatient hospitalization at one of our primary or specialty care clinics at a community-based outpatient clinic (CBOC) in a Community Living Center (formerly known as a VA nursing home) or in a residential care facility However all services may not be available at every location
Eligibility Requirements
Most Veterans who enlisted after September 7 1980 or entered active duty after October 16 1981 must have served 24 continuous months or the full period for which they were called to active duty in order to be eligible This minimum duty requirement may not apply to Veterans who were discharged for a disability incurred or aggravated in the line of duty for a hardship or ldquoearly outrdquo or those who served prior to September 7 1980 Since there are a number of other exceptions to the minimum duty requirements VA encourages all Veterans to apply so that we may determine their enrollment eligibility
Veterans have four easy ways to apply by completing an online VA Form 10-10EZ Application for Health
Benefits by printing and mailing the form to the Health Eligibility Center located at 2957 Clairmont Rd NE
30329 by visiting their local VA medical center or by calling VA at 1 877-222-VETS (8387)
Application Process httpwwwvagovHEALTHBENEFITSapplyapplication_processasp
Returning Service Members httpwwwvagovHEALTHBENEFITSapply
returning_servicemembersasp
Family Members of Veterans httpwwwvagovHEALTHBENEFITSapplyfamily_membersasp
Women Veterans httpwwwvagovHEALTHBENEFITSapplywomen_veteransasp
Patient Access Data httpwwwvagovhealthaccess-auditasp
VA Hospital Performance httpwwwhospitalcomparevagov
VHA Locations httpwwwvagovdirectoryguidedivision_flshaspdnum=1
Prescriptions httpwwwvagovHEALTHBENEFITSaccessprescriptionsasp
Veterans Health Identification Card httpwwwvagovHEALTHBENEFITSvhicindexasp
Patient-Centered Community Care (PC3) httpwwwvagovPURCHASEDCAREprograms
veteransnonvacarepcccindexasp
Veterans Crisis Line httpwwwveteranscrisislinenet
Mental Health httpwwwmentalhealthvagovVAMentalHealthGroupasp
Vet Centers httpwwwvetcentervagov
XI
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
Veterans Benefits Administration Snapshot
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to Servicemembers Veterans and their families VBA has been undergoing a major transformation that is people-centric results-oriented and a forward-looking integration of solutions that will ensure total lifelong engagement with Servicemembers Veterans and their families Below are some of the major program offices of VBA To learn more please go to httpwwwbenefitsvagovbenefitsmedia-publicationsasp
OFFICE OF DISABILITY ASSISTANCE Compensation Service Oversees the delivery of disability compensation a tax-free monetary benefit paid to
Veterans with disabilities that are the result of a disease or injury incurred or aggravated during active military service
Pension and Fiduciary Service Provides program oversight that helps wartime Veterans their families and survivors with financial challenges by providing supplemental income through Veterans Pension Death Pension and Dependency and Indemnity Compensation Protects the benefits paid to our most vulnerable beneficiaries who because of disease injury or infirmities of advanced age are unable to manage their VA benefits
Insurance Service Maintains life insurance programs that give financial security and peace of mind to Servicemembers Veterans and their families
Benefits Assistance Service Facilitates client services and outreach web communications and ensures quality and training for VBA employees who engage Servicemembers Veterans and their families through client services such as the National Call Center
OFFICE OF ECONOMIC OPPORTUNITY Education Service Administers VAs education programs that provide education and training benefits to
eligible Active Duty National Guard and Reserve Servicemembers Veterans and dependents Loan Guaranty Service Provides oversight of the VA Home Loan Guaranty Program that makes it easier for
Servicemembers and Veterans to obtain home loans by helping to protect lenders from loss Ensures Veteransrsquo rights are protected when purchasing a home under this program Oversees administration of grants to certain severely disabled Servicemembers and Veterans so they can adapt or acquire suitable housing to meet their special needs
Vocational Rehabilitation amp Employment (VRampE) Service Assists Servicemembers and Veterans with service-connected disabilities to prepare for obtain and maintain suitable employment start their own business or receive independent-living services Oversees their education and provides career counseling to help guide career paths and ensure the most effective use of VA benefits
Office of Transition Employment amp Economic Impact (OTEEI) OTEEI integrates benefits and services for transitioning Servicemembers and Veterans allowing for a unified structure to capture the entire Veteran transition and employment portfolio
OFFICE OF FIELD OPERATIONS Five district offices North Atlantic District (Philadelphia PA) Southeast District (Nashville TN) Midwest
District (St Louis MO) Pacific District (Phoenix AZ) Continental District (Denver CO) Regional offices (ROs) Under the district offices 56 ROs within the United States Puerto Rico and the
Philippines administer benefits to Servicemembers Veterans and their families Records Management Center Houses most service treatment records forwarded by the Department of
Defense (DoD) to VA Appeals Management Center Processes most appeals that have been returned to VBA by the Board of
Veteransrsquo Appeals
OFFICE OF STRATEGIC PLANNING Office of Business Process Integration Ensures VBAs strategic needs and requirements for business and
data systems are properly documented integrated and communicated Veterans Benefits Management System Program Office Developing an end-to-end paperless claims
processing system that incorporates improved business processes with technology Veterans Relationship Management Program Office Engages empowers and serves Veterans and other
clients with seamless secure and on-demand access to benefits information and services
XII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII
National Cemetery Administration Snapshot
The National Cemetery Administration (NCA) honors Veterans members of the Armed Forces and their eligible family members with final resting places in national shrines and with lasting tributes that commemorate military service and sacrifice to our Nation The Under Secretary for Memorial Affairs (USMA) is responsible for the leadership and direction of NCA The major program offices of NCA are listed below Please refer to the NCA website to learn more about the benefits NCA provides httpwwwcemvagov Office of Field Programs The Deputy Under Secretary for Field Programs supervises five Memorial Service Network (MSN) Executive Directors and the VA national cemeteries located across the United States as well as is responsible for the provision of memorialization benefits to Veterans The following program offices fall under this office MSN Offices and National CemeteriesmdashProvides dignified burials for eligible Veterans and family
members and operates and maintains VA national cemeteries as national shrines National Cemetery Scheduling OfficemdashCall center for all requests for burial eligibility
determinations and scheduling burials in VA national cemeteries Memorial Programs ServicemdashAdministers the memorialization benefit requests for upright
headstones flat markers medallions and the Presidential Memorial Certificate program First Notice of Death OfficemdashUpdates electronic files to ensure timely termination of benefits and
next-of-kin notification of possible entitlement to survivor benefits Office of Finance and Planning The Deputy Under Secretary for Finance and Planning manages the office and is NCArsquos Chief Financial Officer The following services fall under this office Budget and Finance Services Business Process Improvement ServicendashConducts the cemetery Organizational Assessment and
Improvement (OAI) program the gravesite assessment and inscription accuracy reviews Legislative and Regulatory Service - Liaison with the Office of Congressional and Legislative
Affairs and the Office of the General Counsel Policy and Planning Service - Administers NCArsquos strategic planning process and statistical analysis Office of Management Led by the Deputy Under Secretary for Management the office includes the following services Management and Communications Service - Includes public affairs and outreach activities Design and Construction Service - Provides master planning space planning construction
specifications design criteria and interment area layout support for cemetery construction projects Contracting ServicemdashProvides contract support to VA national cemeteries Information Technology Business Requirements and Administration Service Human Capital ManagementmdashOversees HR operations and ensures NCA-specific training program
encompasses key activities performed by NCA staff in locations nationwide Veterans Cemetery Grants Program The Director manages the grant program that provides direct support to State and Tribal organization applicants to establish expand improve or operate and maintain veteransrsquo cemeteries NCA FY 2014 Highlights 125188 burials in 131 VA national cemeteries 365582 headstone and marker applications processed 618750 Presidential Memorial Certificates provided $519 million in grants 93 state or tribal VA-funded Veterans cemeteries conducted 32000 burials
XIII