2005 – Coordinating Complex Specialty Care and Integration of the VA Mission Act
The participant will be introduced to the value of high quality Care Coordination in Outpatient Specialty Clinics. Specialty care is a vital element of outpatient services, Veterans receiving care within Specialty Clinics frequently have multiple, chronic, physical and mental health comorbidities and are at higher risk of receiving fragmented care and increased hospital admission. We will discuss the process of how we developed and implemented a unified, interdisciplinary, vision for Care Coordination at VA Long Beach Healthcare System. A proactive patient-centered, holistic approach to managing physical, social and mental health issues has a greater potential for positive outcomes in this population. Successful coordination is contingent upon clear, accurate and timely communication between the patient, primary care and specialty care teams. This presentation will highlight how our facility eliminated silos and will provide road map for transitions of care. Specialty Care Coordination improves patient experience, eliminates barriers, clarifies roles and expedites care delivery. We will describe how we strengthened our relationships and communication with community partners. We will discuss the VA Mission Act and its impact for Veterans that seek specialty care services outside of the VA. We will demonstrate the importance of integrating the Mission Act into our care coordination model for Veterans.</
1. Describe the need for care coordination in outpatient specialty clinics to address multiple comorbidities and the psychosocial impact
2. Describe unified vision for VA facility that eliminates silos and fragmented care
3. Describe components of successfully integrating the Mission Act into caring for Veterans and how this applies to our community partners.