Veteran Affairs San Diego

Healthcare System Analysis

Cejamil Calderon
University of San Diego
HCIN 558: Strategic Planning and Management of Health Systems
Dr. Jannise T. Baclig
4 August 2021
VHA San Diego Overview: History
● The VA San Diego Medical
Center was built May 30,
1969, on a 26-acre Marine
corps rifle range formally
known as Camp Calvin B.
Matthews
● In February 1972, the San (VA San Diego Healthcare System,2015).
Diego VA rushed open due to
the Los Angeles earthquake
and provided emergency
support from the extensive
damage
VHA System Overview
● The VHA is the largest integrated healthcare system in the United States.
● The VHA consists of 1,293 healthcare facilities including 171 medical
centers and 1,112 outpatient sites; with over 9 million veterans enrolled
in the VA Healthcare System
● 84,500 veterans in San Diego and Imperial Valley counties
● VA San Diego has 296 authorized beds including skilled nursing beds
and several regional referral programs such as cardiovascular surgery and (VA San Diego Healthcare
System,2015).
spinal cord injury .
● The VA San Diego has 6 community-based outpatient clinics which
include Chula Vista, Escondido, Imperial Valley, Mission Valley,
Oceanside, Rio Clinic and Sorrento Valley.
● The VA San Diego is also affiliated with the University of California San
Diego School of Medicine (UCSD).
● Together, both institutions collaborated in training 1,256 medical interns,
residents, and fellows every year
● The VA San Diego has one of the largest research programs in the
nation, consisting of a budget of $44.3 million in 2020 with 250 principal
investigators and 677 projects.
 VHA San Diego Organizational
structure

Director: Robert M. Smith, M.D.

Associate Chief of Associate Director,

Director: Staff/Medical Assistant Director:
Patient Care Sarah E. Guerard,
Cynthia Abair, Director: Kathleen Services/Nurse Executive:
Kim, MD, MPH MHA
MHA Carmen Concepcion,
MSN, MHA, RN
(US Department of Veterans Affairs, V. H. A.,2021, April 13)
 VHA Mission

Honor America's Veterans by providing

exceptional health care that improves their health
and well-being.
 VHA Vision
● 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 Core Values

(I CARE, 2015)
 VHA Situational Analysis
Quadrennial Strategic Planning Process (QSPP)

(Department of Veterans Affairs FY 2018 - 2024 Strategic Plan 2019)

 VHA Situational Analysis

(Department of Veterans Affairs FY 2018 - 2024 Strategic Plan 2019)

 VHA Organizational Strategies

(Department of
Veterans Affairs FY
2018 - 2024 Strategic
Plan 2019)
 VHA Strategies: Adaptive

Adapting the MISSION ACT would expand the VHA scope and develop and
integrate with outside healthcare systems.
GOAL 1: VETERANS CHOOSE VA FOR EASY ACCESS, GREATER CHOICES,
AND CLEAR INFORMATION TO MAKE INFORMED DECISIONS
VHA Strategies: Market Entry

● GOAL 4: VA WILL TRANSFORM BUSINESS OPERATIONS BY MODERNIZING SYSTEMS

AND FOCUSING RESOURCES MORE EFFICIENTLY TO BE COMPETITIVE AND TO
PROVIDE WORLD-CLASS CUSTOMER SERVICE TO VETERANS AND ITS EMPLOYEES
● VA’S INFRASTRUCTURE IMPROVEMENTS, IMPROVED DECISION-MAKING
PROTOCOLS, AND STREAMLINED SERVICES ENABLE VA TO ADAPT TO
CHANGING BUSINESS ENVIRONMENTS AND VETERAN NEEDS

● VA WILL MODERNIZE ITS HUMAN CAPITAL MANAGEMENT CAPABILITIES TO

EMPOWER AND ENABLE A DIVERSE, FULLY STAFFED, AND HIGHLY SKILLED
WORKFORCE THAT CONSISTENTLY DELIVERS WORLD-CLASS SERVICES TO
VETERANS AND THEIR FAMILIES
VHA Strategies: Competitive

● Goal 2: Veterans receive highly reliable and integrated

care and support and excellent customer service that
emphasizes their well-being and independence
throughout their life journey.
● Goal 3: Veterans trust VA to be consistently
accountable and transparent.
VHA Implementation Strategies

● Goal 1: Veterans choose VA for easy access, greater choices, and clear
information to make informed decisions.
● Goal 2: Veterans receive highly reliable and integrated care and support and
excellent customer service that emphasizes their well-being and
independence throughout their life journey.
● Goal 3: Veterans trust VA to be consistently accountable and transparent.
● Goal 4: VA will transform business operations by modernizing systems and
focusing resources more efficiently to be competitive and to provide world-
class customer service to Veterans and its employees.
 Overall Analysis of VHA
● VHA presented significant findings of proper utilization and thorough
implementation of strategic management.
● VHA has a solid and transparent foundation in showcasing organizational
overview
● Adapting a clear and concise mission, vision, and values statement.
● The VHA had addressed all the past issues on their situational analysis and is
currently in the process of achieving the goals and objectives by 2024.
● VHA had taken the proper steps to thoroughly develop its organizational
strategies. The strategic plan that is set in motion will put the VHA back on the
public's good graces by 2024.
● Should Reevaluate its strategic plan every decade and stays within their mission,
vision, and values,
● The potential to achieve to be one of the leading health care systems in the world
Questions ?
 References
● Administration, V. H. (2021, April 23). Veterans Affairs. Go to VA.gov. https://www.va.gov/health/aboutvha.asp.
● Ginter P. M., Duncan W. J., & Swayne L. E. (2018). The Strategic Management of Health Care Organizations.
[VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781119349716/.
● I CARE. VAntage Point. (2015, March 11). https://blogs.va.gov/VAntage/15647/my-name-is-bob-and-i-care/i/#.
● US Department of Veteran Affairs. (2019, May 31). Department of Veterans Affairs FY 2018 - 2024 Strategic
Plan. https://www.va.gov/oei/docs/va2018-2024strategicplan.pdf. https://www.va.gov/oei/docs/va2018-
2024strategicplan.pdf.
● US Department of Veterans Affairs, V. H. A. (2020). VA.gov: Veterans Affairs. About the VA San Diego
Healthcare System. https://www.sandiego.va.gov/about/index.asp.
● US Department of Veterans Affairs, V. H. A. (2020). VA.gov: Veterans Affairs. About the VA San Diego
Healthcare System. https://www.sandiego.va.gov/about/index.asp.
● US Department of Veterans Affairs, V. H. A. (2015). VA.gov: Veterans Affairs. Our history.
https://www.sandiego.va.gov/about/history.asp.
● US Department of Veterans Affairs, V. H. A. (2021, April 13). VA.gov: Veterans Affairs. Leadership Team.
https://www.sandiego.va.gov/about/leadership.asp.