Central Texas Veterans Health Care System
About the Central Texas Veterans Health Care System
The Central Texas Veterans Health Care System (CTVHCS), accredited by the Joint Commission, is comprised of two large Department of Veterans Affairs (VA) medical centers located in Temple and Waco, a large stand-alone multi-specialty outpatient clinic in Austin, four outpatient clinics located in Brownwood, Bryan/College Station, Cedar Park, and Palestine plus a rural outreach clinic in La Grange. The system is one of the largest integrated health care systems in the United States and provides a full range of services including medical, surgical, psychiatric, and rehabilitation with inpatient medical/surgical hospital beds, a hospice unit, and community living center (CLC) beds. Located on its Waco campus, CTVHCS has one of the largest inpatient psychiatric facilities and one of only 12 Blind Rehabilitation Centers in the country. CTVHCS serves a Veteran population of more than 252,000, covers 35,243 square miles and 11 congressional districts in 39 counties.
In fiscal year (FY) 2015, CTVHCS treated 98,932 Veteran unique patients and recorded 8,553 inpatient admissions. Outpatient workload totaled 1,172,402 visits. CTVHCS collaborates with Fort Hood, the largest military base in the world with the biggest troop commitment to Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND). CTVHCS provides transitional medical services and conducts PTSD and traumatic brain injury (TBI) research -- the signature illnesses of these conflicts. Opened in November 2014, is a 16-bed Central Texas Sleep Clinic in Killeen jointly operated by CTVHCS and Carl R. Darnall Army Medical Center.
The main CTVHCS Campus is at the Olin E. Teague Veterans' Medical Center in Temple, Texas. On the Temple Campus is a full-service, 146-bed teaching hospital that serves as the medical/surgical referral center for all CTVHCS campuses as well as providing outpatient services to Veterans across the 32-county service catchment area. Also located at the Temple Campus is a 262-bed domiciliary, a new 80-bed Community Living Center (CLC) which includes a 20-bed hospice unit, and an 8-bed Trauma Recovery Unit. A 160-bed State Veterans Home also resides on the Temple Campus grounds as well as an $11.5 million VA Research Institute which attracts world-class researchers to the Central Texas area. A new cardiac catherization suite was completed in the summer of 2013 and is now fully operational.
Research Service at CTVHCS supports the national goal of advancing medical research programs that address Veterans' needs. CTVHCS participates in research supported by the VA Office of Research and Development, as well as from external sources such as Department of Defense, National Institutes of Health, non-profit foundations, and pharmaceutical companies. Forty-three principal investigators work on more than 131 active human, animal, or safety studies at CTVHCS. In FY07, the total research expenditures for R&D Committee approved projects were $2.05 million. In FY13, the total increased to $8.06 million, which is a four-fold increase over the last seven fiscal years. For FY15, direct CTVHCS support for FY15 was $3.8 million. Total Veterans Equitable Resource Allocation (VERA) for research expenditures in FY15 was $2.4M. Total extramural research grant support was $10.4M (includes VA Merit, Career Development Award) in FY15.
Currently CTVHCS has 125 separate affiliation agreements for 240 training programs from across the country. We train just over 1,500 trainees per year. The majority of these are for Associated Health Programs—nursing, physician assistants, psychology, radiology techs, social workers, etc. Although the trainees come from across the country, the majority are from local programs involving the University of Texas in Austin, the University of Texas in Arlington, University of Mary Hardin Baylor, Temple College, Central Texas College, and McLennan Community College.
Besides Associated Health, CTVHCS is involved in medical student training as well. We are currently associated with one medical school: Texas A&M College of Medicine. Members of our staff are involved in the training of all four years to include the first two years of basic science but especially the clinical third and fourth year medical students. The medical school class has increased in several steps over the last several decades from 35 per class when started to 200 just this past year. We expect in the near future to be involved with the new medical school in Austin—Dell Medical School UT Austin.
CTVHCS is affiliated with four separate organizations for the training of Residents and Fellows: Texas A&M College of Medicine/ Baylor Scott & White Memorial Hospital, Dell Medical School, The University of Texas in Austin affiliated with Seton Healthcare Network, Darnall Army Hospital and the Texas Department of State Health Services. CTVHCS has increased the number of Residents and Fellows rotating from 25 per month to 108 per month over the last several years. We have also increased our number of Residents and Fellows positions authorized from 43 to 111 which will assure growth for the next several years. We are authorized for two Chief Residents in Quality and Safety (one in Internal Medicine and one in Psychiatry) and a Chief Resident in Internal Medicine.
We have added totally new training programs in Infectious Disease, Endocrinology, Preventive Medicine, ENT, Cardiology, Dermatology, Plastic Surgery, Vascular Surgery, Orthopedics, Pathology, Radiology, and Physical Medicine & Rehabilitation as well as added additional positions in Pulmonary, Gastroenterology, General Surgery, Internal Medicine, Psychiatry, Anesthesiology, Family Medicine, and Neurology. Fellowship rotations for Texas A&M/Baylor Scott and White Nephrology Fellows are scheduled to begin in summer 2017-2018.
Annually, more than 250 Residents and Fellows and more than 200 medical students are trained at CTVHCS by over 100 VA Attending physicians with faculty appointments.
We offer services at the LaGrange VA Outreach Clinic and in four community-based outpatient clinics. These clinics are located in:
VA's Mission: To fulfill President Lincoln’s promise “…To care for him who shall have borne the battle, and for his widow and his orphan” by serving and honoring the men and women who are America’s Veterans. Today, we say to care for those "who shall have borne the battle," and for their families and their survivors.
VA’s Guiding Principles: People Centric, Results Driven and Forward Looking
VA’s Core Values: “I CARE”
VA’s Core Values are the basic elements of how we go about our work – they define “who we are” – and form the underlying principles we will use every day in our service to Veterans.
Integrity: Act with high moral principle. Adhere to the highest professional standards. Maintain the trust and confidence of all with whom I engage.
Commitment: Work diligently to serve Veterans and other beneficiaries. Be driven by an earnest belief in VA’s mission. Fulfill my individual responsibilities and organizational responsibilities.
Advocacy: Be truly Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries.
Respect: Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it.
Excellence: Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them.
Veterans Health Administration’s (VHA) Mission:
Honor America's Veterans by providing exceptional health care that improves their health and well-being.
VHA will continue to be the benchmark of excellence and value in health care and benefits by providing exemplary services that are both patient-centered and evidence-based.
This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery and continuous improvement.
It will emphasize prevention and population health and contribute to the Nation’s well-being through education, research and service in national emergencies.
VHA’s principles are the philosophical pillars that are embedded in VHA’s vision. They are embodied in our goals, objectives, and every initiative undertaken.
Data Driven/Evidence Based