Anna C. Alt-White, PhD RN

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VHA OFFICE OF NURSING SERVICES NATIONAL NURSING
INITIATIVES TRANSFORMING THE FUTURE

• Anna C. Alt-White, PhD RN
• Director Research Academic Programs
• Office of Nursing Services
• Washington, DC

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Outline

• Overview of Department of Veterans Affairs
• Overview of Veterans Health Administration
• Office of Nursing Services
• Clinical Initiatives
• Workforce Initiatives
• Leadership Initiatives
• Informatics Initiatives
• Research, Evidence-Based Practice Academic
  Initiatives

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Department of Veterans Affairs
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Secretary Shinsekis Key Principles

• People Centric
• Results Driven
• Forward Looking

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13 Major Initiatives

• 1. Eliminate Veteran Homelessness
• 2. Enable 21st century benefits delivery
  services
• 3. Automate GI Bill benefits
• 4. Create virtual lifetime electronic records by
  2012
• 5. Improve Veterans mental health
• 6. Build VRM capability to enable convenient,
  seamless interactions

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13 Major Initiatives

• 7. Design a Veteran-centric health care model
  infrastructure to help Veterans navigate the
  health care delivery system and receive
  coordinated care
• 8. Enhance the Veteran experience access to
  health care
• 9. Ensure preparedness to meet emergent national
  needs

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13 Major Initiatives

• 10. Develop capabilities enabling systems to
  drive performance outcomes
• 11. Establish strong VA management
  infra-structure integrated operating model
• 12. Transform human capital management
• 13. Perform research development to enhance
  long-term health well-being of Veterans

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Department of Veterans Affairs
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• Honor Americas Veterans by providing
  exceptional health care that improves their
  health and well-being

VHA Mission Statement
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VA Healthcare Administration

• Facilities
• 153 medical centers
• 134 nursing homes
• 232 Veterans Centers
• 50 residential rehab treatment programs
• 951 ambulatory care community based OPC

• Veterans
• 8.06 million enrolled
• 5.7 million receiving care
• 1 million Veterans cared for weekly

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• VA 300,000 employees
• VHA 250,000 employees

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VHA Strategic Goals Eight for Excellence

• Become national benchmark for quality, safety,
  transparency of health care, particularly in
  those health issues associated with military
  service
• Provide timely appropriate access to health
  care eliminate service disparities
• Transform VHAs culture through patient-centered
  care to continuously improve Veteran family
  satisfaction
• Ensure an engaged, collaborative,
  high-performing workforce to meet needs of
  Veterans their families

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VHA Strategic Goals Eight for Excellence

1. Create value by leveraging scale skill
   economies to achieve consistency excellence in
   business practices
2. Excel in research development of evidence-based
   clinical delivery system improvements designed
   to enhance the health and well-being of Veterans
3. Promote excellence in the education of future
   workforce to drive health care innovation
4. Promote health within VA, in local communities,
   across the nation, in collaboration with academic
   affiliates, other government agencies private
   sector

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VA Nursing Workforce FY 2009

• Registered Nurses 41,730
• Nurse Practitioner (4,110)
• Clinical Nurse Specialist (551)
• LPN/LVN 12,924
• Nursing Assistants 11,290
• Total Nursing Personnel 76,334

Source 9/2009 (pay period 19) VANOD, Paid File
by Budget Object Code -all skill mix
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A Snapshot of ONS Initiatives Aligning with
Academic Initiatives
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ONS Clinical Initiatives Collaborative
Endeavors
Clinical Nurse Leader Supply Processing Advance
d Practice Nurses Advisory Group Nursing
Clinical Practice Program
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Nursing Clinical Practice Program
Field-based clinical experts available for
consultation and input on national issues and
policy development.
Poly Trauma Rehab Mental Health Cardiovascular
Geriatrics and Extended Care Oncology Peri-Operati
ve Endocrine Disorders
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ONS Workforce Development Initiatives
Passport to Success for Nurse Managers Lets Get
Certified Campaign Staffing Methodology Travel
Nurse Corps Magnet Journey RN Residency Program
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ONS Leadership Initiatives

• Mentor Certification/Mentor Matching Program
• Core Curriculum-Nurse Executives Managers
• Clinical Executive Conference
• Advanced NE Fiscal Accountability Courses
• GHATP Trainees

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ONS Informatics Collaborative Endeavors
Patient Admission Assessment Package Flow
Sheets Time Attendance Package Revisions VANOD

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Nursing Research Initiatives Collaborative
Endeavors
EBP Projects - EBP Toolkit Proposal Development
Workshop Funding Opportunities Genomics SimLEARN
Academic Initiatives
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To Care for Those Who Shall Have Borne the
Battle, and for Their Widow, and Their Orphan
-
Abraham Lincoln
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Contact Information Anna C. Alt-White, PhD
RN Office of Nursing Services (108) Internet
www.va.gov Intranet http//www1.va.gov/nursing/
202-461-6700 Anna.Alt-White_at_va.gov