Market Area Health Systems Optimization

U.S. Department of Veterans Affairs (VA)

Strategic Capital Investment Planning, Process Improvement Solutions, Development of Technology Solutions, Training
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Summary

The Department of Veterans Affairs is the largest health care system in the country including 170 Medical Centers and over 1,000 outpatient sites of care of varying complexities, serving over nine million of our country’s Veterans. The VA MISSION Act of 2018 requires VA to conduct Market Assessments for each Veterans Integrated Service Network (VISN) and various medical facilities across the country. The Craddock Group and specialty subcontractors were initially engaged to assist VA in developing the pilot methodology for the Market Assessments, and has continued as a subcontractor on the broader VA Market Area Health Systems Optimization (MAHSO) Team, to identify opportunities for VA to create high-performing networks to best serve Veterans and allow the Veterans Health Administration (VHA) to make well-informed strategic decisions to leverage the best of care delivered by the VA and purchased in the community.

Approach

1. Data Discovery & Findings

Consolidation and review of access, cost, quality, infrastructure, mission-related, and healthcare delivery capabilities data. Comprehensive data analysis workbooks were developed for each individual VHA market, fully documenting geography, demographics, access, demand, supply, and infrastructure health. As part of the larger data discovery effort, the Craddock Team produced data summaries for all VA owned and leased assets, planned and historic capital investments, and facility-level identified architectural and engineering challenges.

2. Site Visits and Interviews

Review and analysis of identified data with leadership at all VA Medical Centers to supplement data with qualitative analyses and local stakeholder input.

3. External Stakeholder Engagement

Supported the engagement with Veterans Service Organizations (VSO) representatives, Veterans, Family Members, and other key stakeholders to gather feedback on the future of VA health care. This feedback was incorporated to help redefine the VA’s strategy to deliver high quality, Veteran-centered health care, and develop plans to invest in aging infrastructure.

4. Opportunity Development and Review

Integration of analyses into strategic enterprise opportunities that inform national system design, market area health service realignment, and capital investment planning.

Development of strategic opportunities for VA leadership consideration designed to create high-performing market area networks for each of the 96 markets analyzed that provide high quality, readily accessible, cost-effective care through a combination of VHA, federal partners, academic affiliates, and other private sector partners.

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Results

Results

Development of strategic opportunities for VA leadership consideration designed to create high-performing market area networks for each of the 96 markets analyzed that provide high quality, readily accessible, cost-effective care through a combination of VHA, federal partners, academic affiliates, and other private sector partners.

Associated Capability

Strategy & Financial Management