VA Announces Changes for Indiana Health Care Facilities

WASHINGTON – Four new community clinics, improvements to the Indianapolis medical center, and transfer of inpatient care from the Ft. Wayne medical center are part of a comprehensive plan by the Department of Veterans Affairs (VA) to modernize its nationwide system of health care facilities.

“These changes will provide greater access to care for veterans,” said Secretary of Veterans Affairs Anthony J. Principi. “By strengthening our network of outpatient clinics, we will bring a greater quality of care closer to where most of Indiana’s veterans live.” 

About 116,881 of Indiana’s 565,549 veterans were treated last year in VA’s health care facilities, down from 119,000 in 2000.  In 2003, VA spent $958 million in Indiana, an increase from $659 million three years before.

Secretary Principi noted that about 80 percent of the health care provided by VA is outpatient care.  He said the plan would allow the department to provide more of the outpatient care veterans want and use, while building upon VA’s expertise in providing highly specialized inpatient care.

The changes are part of a comprehensive plan called CARES, short for “Capital Asset Realignment for Enhanced Services.” The secretary’s CARES report can be viewed in its entirety on VA’s Web site at http://www.va.gov/CARES.

Briefly, the secretary’s announcement included these details:

• Open four new outpatient clinics in Scott County, Peru, Martinsville and Knox County by 2012;
• Transfer inpatient medicine care from the Ft. Wayne campus of the Northern Indiana Healthcare System to the Indianapolis VAMC or to community contracts; 
• Use vacated space from Ft. Wayne to provide ambulatory care services, or to explore enhanced-use lease opportunities with a community health care provider or other health care compatible uses; and
• Expansion of the national cemetery by exploring the feasibility of transferring nine acres of available land from the Marion VAMC to the National Cemetery Administration; 

CARES is a plan to modernize and improve VA’s health care system.  Among the elements of the National CARES plan are more than 150 new community based outpatient clinics, potential creation of four new – and expansion of five existing – spinal cord injury centers, two new blind rehabilitation centers, and expansions throughout VA’s healthcare system that will enhance veterans’ access to VA care.

In July 1999, a General Accounting Office study found that VA was diverting a million dollars a day – or $3.6 billion during a decade – from veterans’ health care to maintenance on unneeded or unused facilities. The average age of VA’s more than 4,900 buildings is more than 50 years, and the need to reduce vacant space and unneeded buildings has been the focus of several reports by the General Accounting Office.  

This approach to facility’s management means the dollars once wasted on old and vacant buildings can be used to enhance services in the communities where health care is provided.

“CARES modernizes VA’s 74-year old health care system,” said Principi. “I want to emphasize that no veteran will lose health care as a result of CARES, nor will there be any gaps in their health care services.”

The CARES plan was reviewed by an independent commission, which received more than 212,000 comments and held 81 site visits to VA and Department of Defense medical facilities, and State Veterans Homes, 38 public hearings and 10 formal meetings.  The commission submitted its recommendations to Secretary Principi in mid-February.

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