VA Announces Changes for Tennessee Health Care Facilities

WASHINGTON – Opening 11 new outpatient clinics, consolidating services between the Nashville and Murfreesboro medical centers and expanding the spinal cord injury center at Memphis are part of a comprehensive plan by the Department of Veterans Affairs (VA) to modernize its system of health care facilities, officials announced today.

“These changes will provide greater access to care for Tennessee’s 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 Tennessee’s veterans live.” 

About 137,000 of Tennessee’s 545,000 veterans were treated last year in VA’s health care facilities, up from 109,000 in 2000.

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.

Principi’s announcement includes the following for Tennessee:

• Open 11 new outpatient clinics in Holston, Jellico, Pigeon Forge, Paris, Bolivar, Dyer County, Maury County, Athens, Harriman, McMinn County and Giles County by 2012; 
• Consolidate services between the Nashville and Murfreesboro medical centers.  Nashville will provide inpatient acute medicine and surgery programs, and Murfreesboro will provide acute and long-term care psychiatry services and nursing home services.  Both will retain primary and outpatient surgery; 
• Expand the spinal cord injury center at Memphis;   
• Expand in-house and contract care for inpatient and selected specialty care in Chattanooga;  
• Transfer 50 acres of land from the Mountain Home; 
• Increase the use of telemedicine to support specialty care needs throughout the state; and 
• Expand access to mental health care for veterans in Tennessee.

CARES is a plan to modernize and improve VA’s health care system.  Among the elements of the Secretary’s CARES decision 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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