Managing Health Service Operations

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Managing Health Service Operations

• Hurricane Season 2004
• VA Sunshine Network

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VISN 8 Sites of Care

• 6 Medical Centers (7 hospitals)
• 8 Nursing homes
• 2 Domiciliaries
• 10 Multi-specialty outpatient clinics
• 35 Community Based Outpatient Clinics (CBOCs)

35 Guayama (6/03)
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VISN 8 Unique Patients Treated Fiscal Years
1999-2004
600,000 550,000 500,000 450,000 400,000 350,000 30
0,000 250,000 200,000
520K
Increased almost 70 in 5 years
492K
289K
FY99
FY00
FY01
FY02
FY03
FY04
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VISN 8 Employment Levels
Full Time Equivalent Employees (FTEE)
16,697 (on board)
FY04
FY98
FY99
FY00
FY01
FY02
FY03
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VA Sunshine Network prepares

• Logistics
• Equipment, Plant, and Utilities
• Safety and Security
• Operations
• Health and Medical

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Logistics

• Supplies 30 days
• Utilities Fuel for backup generators
• Food
• Water
• Communications Emergency cascade call back

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Equipment, Plant, and Utilities

• Clearing the grounds and roofs
• Testing backup generators
• Testing backup water supplies

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Safety and Security

• Set up emergency operations centers
• Test emergency call backs
• Establishing central command

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Operations

• Staffing
• Essential personnel
• Shelters for families
• Emergency call back system
• Internal communications systems

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Health and Medical

• Homebound Patients
• Home Oxygen
• Chemotherapy
• Hemodialysis
• Home based primary care
• Clinic Closures

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Hurricane Charley - August 13, 2004

• Total devastation from southwest Florida gulf
  coast to central Florida Atlantic coast
• Impacted VA Facilities
• Port Charlotte Community Based Clinic
• Port Charlotte State Veterans Home
• Orlando OPC and NHCU
• Daytona Beach OPC
• Numerous CBOCs

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Hurricane Charley Aftermath Issues

• Activation of VISN 8 EOC
• Extreme Florida heat
• Shortage of water and ice
• Distribution of medication to patients
• Establishing and staffing mobile clinic
• Lack of telephone and cell phone service
• Locating and communicating with employees

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Hurricanes Frances and Jeanne

• Large scale storm impacting most of VISN 8
• Slow moving storm
• High winds and drenching rain
• Flooding in North Central Florida
• Numerous clinic closures from US Virgin Islands
  to Key West to Tallahassee to Valdosta

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Hurricane Frances and Jeanne - Aftermath Issues

• Severe damage to West Palm Beach VA Medical
  Center
• Inpatient evacuation to other VISN 8 facilities
• Staffing from throughout VA deployed to assist

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Recuperation from Hurricane Season 2004

• Emotions and stress employees and patients
• Building damage and future mitigation
• 130 million
• Preparation for next year
• Learning from experience

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