About the Veteran Health Indiana
The Richard L. Roudebush VA Medical Center is the flagship of VA system marketed to patients and caregivers as Veteran Health Indiana. The medical center is located two miles northwest of downtown Indianapolis. The health system has been serving Indiana Veterans since 1932. As Indiana’s Level 1a, tertiary care facility, the VAMC serves as home base for a system of inpatient and outpatient care across central Indiana
Inpatient programs include acute medical, surgical, psychiatric, neurological, and rehabilitation care, as well as both primary and specialized outpatient services. Some noteworthy specialized services include comprehensive cardiac care, urologic care, radiation oncology treatment and community based extended care. Academically affiliated with Indiana University School of Medicine (IUSOM), the health system provides medical education to over 150 fellows, residents, and medical students and another 1650 allied health professionals annually. In collaboration with IU, the medical center's research program operates 245 active research protocols involving human subjects, laboratory animals, and hazardous agents, with a budget of approximately $21 million. The more than 62,000 patients (including nearly 5,000 women Veterans) treated by the medical center require 680,000 outpatient visits, 8,600 inpatient admissions, 29,000 emergency visits, and 7,000 surgical procedures annually.
Indianapolis VA Medical Center is aggressively using emerging technology in the tele-home care and tele-disease management arenas. The medical center was selected as the site for the Veterans in Partnership (VISN 11) Network Polytrauma Center and is providing ongoing support to the returning Veterans from Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND). Additionally, the medical center has a 50-bed Domiciliary Residential Rehabilitation Treatment Program targeting homeless Veterans.
The medical center operates several VA Clinics located in Bloomington, Martinsville, Lafayette, Crane Naval Base, Shelbyville and Terre Haute, Indiana. We are building a new 80,000 square foot facility in Brownsburg, IN, that will have 16 primary care teams serving 20,000 Veterans yearly. The more than 60,000 patients (3,700 women Veterans) treated by Veteran Health Indiana require over 613,000 outpatient visits and almost 7,900 inpatient episodes of care yearly.
- One of five U.S. hospitals recognized by the American Hospital Association (AHA) for its leadership and innovation in quality improvement and safety.
- Admitted into the Theda Care Healthcare Value Network (HVN). The HVN unites health care facilities who share a commitment to providing high-quality, cost-effective care through the application of lean concepts. The Richard L. Roudebush VA is 1 of 56 facilities admitted into the HVN and the only member from the Department of Veterans Affairs. Other members include Cleveland Clinic, Johns Hopkins, and Mayo Clinic.
- Activated the nation’s first Veteran's YMCA in Pike Township, Indiana. The YMCA donated 5,000 square foot of its newest facility for dedicated, VA-staffed programming that targets physical medicine, rehabilitation, healthy eating, complementary and alternative therapies, and counseling services. Utilizing the national VA-YMCA Memorandum of Understanding (MOU), the facility is the trailblazer in putting the MOU to practice and is regularly fielding questions and helping other VAMCs attempting to duplicate its success.
- Opened new VA clinic in collaboration with local government hospital using low cost agreement to access 5,000 square feet of clinical space at no expense. The new clinic opened on April 6, 2018, providing Primary Care, Mental Health, and Telehealth Services to a previously underserved market.
- A leader in Lean Management since 2009, the facility has completed 273 health system-wide projects and certified over 1,400 employees as yellow, green, and black belts. Over 4,740 improvement ideas have been generated, staffed, and accomplished from 77 huddle boards and 46 area improvement centers located on inpatient, outpatient, and administrative units. On average, the facility realizes $2 million in cost avoidance and cost savings annually.
- Activated a newly renovated, 43,000 square foot, Domiciliary Residential Rehabilitation and Treatment Program (DRRTP) in Lawrence, Indiana. The 50-bed facility provides all Veterans a private suite that includes a private bedroom and bath, a locked female only unit, and close access to a local community college and commercial areas for work.
- Named to the Health and Hospital Networks MOST WIRED per the most recent survey for the twelfth year in a row and was listed as one of 20 hospitals across the country listed as MOST WIRED ADVANCED.
The Community Outreach Division serves Veterans experiencing homelessness in our catchment area through a continuum of homeless services including Healthcare for Homeless Veterans (HCHV), Grant and Per Diem (GPD), HUDVASH and Veterans Justice Programs (VJP). The Division currently has 48 FTE with 1 vacancy which is currently posted through HR. The HCHV program offers outreach services focusing on providing case management services to Veterans in the community waiting to be connected to a homeless service while also working closely with the facility to link Veterans currently admitted for medical or psychiatric reasons with our Coordinated Entry System in our community. This includes partnering with 4 different communities to host Homeless Stand Downs in Marion, Tippecanoe, Monroe and Bartholomew counties. HCHV also continues to offer Contract Residential services (24 beds) located at Volunteers of America. The HCHV program also has a new addition of a Coordinated Entry Specialist who works closely with the Homeless Continuum of Cares in our catchment area, specifically their Coordinated Entry Systems to ensure our communities have a system in place to identify all Veterans experiencing homelessness and connecting them to the appropriate services. This position is also responsible for bridging the gap between Community Outreach Division and the Suicide Prevention Team meeting daily to review the High-Risk List and following up on Veterans who are known to be homeless. This partnership has already proven to be valuable as we work together to ensure Veteran safety. The GPD programs are offered through two community providers, HVAF of Indiana and HealthNet, Inc. HVAF of Indiana operates a total of 183 beds which includes Bridge (40), Service Intensive (60), Clinical (58) and Transition in Place (25). HealthNet, Inc operates a total of 15 beds to include Bridge (6) and Service Intensive (9).
Suicide Prevention (SP) is everyone’s business and all VA staff serve a vital role to #BeThere for any Veteran who may be going through a crisis. The SP Team plays a pivotal role in providing SP case management, Veterans Crisis Line referral follow up intervention, training, and community outreach, along with coordinating referrals to needed care for those Veterans identified at high-risk for suicide. The SP Team is comprised of two SP Coordinators, two SP Case Managers, and a Medical Support Assistant, as well as a Homeless Team Coordinated Entry Specialist assigned 25% time exclusively to SP and facilitating S.A.V.E. training* to community housing partners (*Signs of suicidal thinking, asking about suicide, Validating the Veterans experience, encouraging help and Expediting treatment). The SPCMs have areas of special focus, including: REACH VET (pre-emptive clinical reviews of patients with high-risk factors) and Community Outreach by promoting a public health approach to SP.
Veteran Health Indiana uses an integrated approach in delivering comprehensive women’s health services within gender-neutral primary care clinics. There are forty-three (43) designated Women’s Health Primary Care Providers. Over 94% of all our female Veterans are assigned to WH-PCPs, with all Veterans being offered a choice in their provider’s gender. The medical center has enrolled approximately 5,400 female Veterans at the end of FY18, and over 5,100 actively receiving care. Most of the enrolled female Veteran population is between the ages of 45-64 years old. Strengths of the Women Health Program (WHP) include a robust GYN specialty service expansion within the last 7 years, and 100% minimally invasive gynecological surgeries. WHP implemented the “End Harassment” campaign by providing ongoing staff awareness and education. These efforts enhance our health care system’s culture transformation and improve women Veterans’ overall health care experience.