Statement of
Brenda R. Faas, MSW
VA/DoD Liaison for Health Care
Washington DC Veterans Affairs Medical Center
Department of Veterans Affairs
May 19, 2005Mr.
Chairman and members of the committee: I am privileged to appear before
you today to discuss my role as a Department of Veterans Affairs
(VA)/Department of Defense (DoD) Liaison for Health Care stationed at
Walter Reed Army Medical Center (WRAMC) in Washington, DC. I am honored
to serve the injured soldiers, sailors, airmen, and marines who are
returning from theaters of combat and who may benefit from VA services
VA’s Seamless Transition Program strives to ensure the continuity of
health care and benefits for eligible veterans and their families,
especially those who have been seriously injured or very seriously
injured during Operation Iraqi Freedom (OIF) and Operation Enduring
Freedom (OEF). We work in conjunction with the Military Treatment
Facilities (MTF) across the country to identify active duty service
members who will soon transition to veteran status and who may be
eligible for VA benefits.
My role as one of two VA/DoD Liaisons at WRAMC involves partnering with
MTF staff, active duty service members, veterans, family members and VA
medical center staff (VAMC) across the country to ensure a seamless
transition of care and services. My educational and professional
background in the field of social work assists me in developing close
working relationships with the social work staff and other
interdisciplinary team members at WRAMC. Together, we develop a
treatment plan, which I help to expedite within the VA Health Care
System. I am assigned full time on-site at WRAMC and meet face-to-face
with WRAMC patients and staff. I am available to provide consultation to
staff regarding the availability of VA health care programs and
education to service members and their families regarding VA health care
benefits.
Once the MTF staff identifies a service member who will need VA health
care, they generate a referral to me that includes appropriate medical
documentation, demographic information, and a treatment plan. Referrals
may involve service members who require medical follow-up while on
thirty-day convalescent leave or service members who are being
separated/retired from the military and who need continuous medical
care. Transfers of care may involve inpatient services such as acute
rehabilitation for traumatic brain injuries, spinal cord injuries,
visual impairment, and loss of limbs or function, as well as acute
inpatient psychiatric care. Outpatient service may include primary care,
orthopedics, physical or occupational therapy, neurology, oncology, and
mental health care. An important part of the coordination of care
involves meeting with a service member and/or family to review the
treatment and transfer plan, paying particular attention to any special
needs of the service member or family.
Once I have received the referral, I enroll the service member in the VA
Health Care System and coordinate the transfer of care with the OIF/OEF
Point of Contact (POC) at the designated VAMC. The POC arranges for
outpatient appointments and inpatient admissions. I meet with the
service members, veterans, and their family members at WRAMC to confirm
appointments, provide contact information at the receiving VAMC, and
address any issues or concerns related to the transition process. I
remain available to answer questions and maintain contact with service
members and/or their families until they leave WRAMC. I also monitor the
transfer through our remote data access in VA’s Computerized Patient
Record System.
Due to the renowned Amputee Clinic at WRAMC, we have a high volume of
patients with amputations from all branches of the military who will
require long-term medical and prosthetic care through the VA Health Care
System. I work closely with WRAMC and the Washington, D.C. VAMC to
provide prosthetic equipment, such as ultra-light wheelchairs,
collapsible canes and crutches, and hand-cycles for cardiovascular
exercise, to the service members and veterans while they are recovering
at WRAMC. Young, active service members and veterans are eager to
maintain a high level of physical functioning, which includes
participation in various athletic events. VA supports their desires and
if certain athletic interests are known, we will educate the service
members on what services VA can offer to promote their athletic
interests and will forward that information to their local VAMCs.
I collaborate with the WRAMC Department of Physical Medicine and
Rehabilitation (PM&R) and the VA Maryland Health Care System to schedule
driving evaluations for patients with amputations, traumatic brain
injuries and visual impairments. The driving evaluations ensure that the
patients can safely operate a vehicle, which promotes a return to
independent living. I also communicate with the Blind Rehabilitation
Specialist from the VA Maryland Health Care System, who visits with
visually-impaired patients at WRAMC to provide education about VA blind
rehabilitation services.
I work in conjunction with the Veterans Benefits Administration’s
Veteran Service Representatives and Vocational Rehabilitation and
Education Counselor located at WRAMC to promote maximum support from VA.
We communicate on a daily basis to review the needs of patients and how
we can coordinate our services to support an optimum level of
functioning and independence. I also participate in a weekly support
group for WRAMC patients held at the Fisher House to provide a forum for
education and discussion about VA health care benefits.
Change itself provokes anxiety, and my goal as a VA/DoD Liaison is to
help the OIF/OEF veterans face their new lives with enthusiasm, hope,
and optimism. The enhancement of coordinated services between DoD and VA
promotes a positive transition from military to civilian life and
ultimately has a lasting effect on a veteran’s family and community. I
am honored to serve those who have served our country.
Mr. Chairman, this concludes my statement. I look forward to answering
any questions that you or other member of the Committee might have.
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