VA to Accept Proposals for New Scheduling System 11/21/2014 11:43 AM EST

November 22nd, 2014

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VA to Accept Proposals for New Scheduling System
11/21/2014 11:43 AM EST

FOR IMMEDIATE RELEASE

November 21, 2014

VA to Accept Proposals for New Scheduling System

New system will replace 30-year-old legacy scheduling system

WASHINGTON – As part of The Department of Veterans Affairs’ (VA) ongoing effort to improve Veterans’ access to healthcare, VA announced it has issued a Request for Proposal (RFP) for a new Medical Appointment Scheduling System (MASS).. The new MASS technology will help improve access to care for Veterans by providing schedulers with state-of-the-art, management-based scheduling software.

“When it comes to the care of our Veterans, we want the best technology the American marketplace can provide,” said VA Secretary Robert McDonald. “A new and innovative scheduling system is an essential tool we must have in place to enable us to provide our Veterans with timely and high quality health care.”

The new system will replace a legacy scheduling system that has been in use at VA since 1985. VA’s acquisition approach for the new scheduling solution remains full and open; any qualified vendor may compete. Potential bidders are not required to have prior experience working with VA. Proposals are due on January 9, 2015.

VA released a draft “Performance Work Statement” to maximize industry and stakeholder input. The feedback received from industry has been used to refine the requirements included in the final RFP.

“We are seeking vendors who will work closely with us and can meet our timeline,” said VA Chief Information Officer Stephen Warren. “We are dedicated to finding the right partner to help us create and implement our modern scheduling system.”

The RFP requires industry to demonstrate technical capabilities via two methods; submission of a written proposal and participation in a structured product demonstration to evaluators (which include VA scheduling staff). VA expects to award the contract by the spring of 2015. The selected bidder will be tasked to provide a system that focuses on an achievable schedule to deliver core capabilities to all VA medical facilities within the first two years of the contract. Remaining capabilities will be implemented nationally in a series of incremental enhancements throughout the contract period of performance. In addition to industry and stakeholder engagement, VA officials also worked with Veteran Service Organizations and the Northern Virginia Technology Council to better understand the needs of Veterans and incorporated the group’s feedback in the design of the RFP.

To improve services to Veterans, VA also made several near-term modifications to its current system:

VA awarded a contract to improve the existing scheduling interface, providing schedulers with a calendar view of resources in lieu of the current text-based, multiple-screen view. The update is scheduled to begin rollout January 2015
VA is developing mobile applications allowing Veterans to directly request certain types of primary care and mental health appointments (scheduled to begin deployment December 2014)
VA rolled out new clinical video telehealth capabilities in 2014 providing service to more than 690,000 Veterans.
Other accomplishments of note to improve Veterans access to care include:

Implementation of the Choice Program: a new, temporary benefit that allows qualifying Veterans to receive health care in their communities rather than waiting for a VA appointment or traveling to a VA facility: The first round of cards was issued on November 5; the second round of cards was issued on November 17 to Veterans waiting more than 30 days from their preferred date or in cases considered medically necessary by the Veterans’ physician
Scheduling more than 1.2 million more appointments in the past four months than in the same period last year. In total, VA medical centers have scheduled over 19 million Veteran appointments from June to October 1, 2014
Reducing the national new patient Primary Care wait time by 18 percent
Completing 98 percent of appointments within 30 days of the Veterans’ preferred date, or the date determined to be medically necessary by a physician
Authorizing 1.1 million non-VA care authorizations, a 47-percent increase over the same period last year
Increasing the amount of time providers can deliver care to Veterans by increasing the amount of clinic hours and adding weekend and evening clinics at VA medical centers.
Information about the RFP may be found at http://go.usa.gov/sVDP. The RFP number is VA118-15-R-0715.

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Overview of veterans access choice cards

November 18th, 2014

On August 7, 2014, President Obama signed into law the Veterans Access, Choice and Accountability Act of 2014 (Public Law 113-146) (“Choice Act”). Technical revisions to the Choice Act were made on September 26, 2014, when the President signed into law the Department of Veterans Affairs Expiring Authorities Act of 2014 (Public Law 113-175).

VA’s goal continues to be to provide timely, high-quality healthcare for Veterans. Veterans and VA employees nationwide understand the need for reform, and VA is committed to putting these reforms into place.

As this process continues to move forward, VA will work with other Departments, Congress, Veterans Service Organizations, and other stakeholders to ensure that provisions are implemented as quickly and efficiently as possible.

An Open Letter to America’s Veterans from Secretary Bob McDonald ~ November 5, 2014Download the full text of the lawDownload a summary of the law

VA Implements Second Phase of Choice Card Program

November 18th, 2014

VA Implements Second Phase of Choice Card Program

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VA Implements Second Phase of Choice Card Program
11/18/2014 10:52 AM EST

VA Implements Second Phase of Choice Card Program

Cards sent to Veterans waiting more than 30 days for care

Washington, DC – The Department of Veterans Affairs (VA) today announced that it began mailing Veterans Choice Cards on November 17 to Veterans currently waiting more than 30-days from their preferred date or the date that is medically determined by their physician for an appointment at a VA facility.

“VA continues to focus on implementation of this new temporary benefit so that Veterans receive the timely quality care they need in a way that reduces confusion and inefficiencies,” said Secretary Robert A. McDonald, who penned an open letter to Veterans announcing the implementation of the Choice Card program.

The Choice Program is a new, temporary benefit that allows some Veterans to receive health care in their communities rather than waiting for a VA appointment or traveling to a VA facility. The first round of cards along with a letter explaining the program was issued on November 5 to Veterans who are eligible based on their place of residence. VA is now engaging in the next phase of its rollout –eligibility explanation letters are being sent to Veterans waiting more than 30 days from their preferred date to be seen or considered medically necessary by their physician.

To improve service delivery, VA has prioritized efforts to accelerate Veterans off of wait lists and into clinics through the Accelerated Care Initiative begun over the summer. Through this initiative, VA medical centers have increased access to care inside and outside of VA, added more clinic hours and work days, deployed mobile medical units and shared their best practices from VA’s high-performing facilities throughout the organization.

Significant improvements have resulted nationally:

Scheduling more than 1.2 million more appointments in the past four months than in the same period last year. In total, VA medical centers have scheduled over 19 million Veteran appointments from June to October 1, 2014;
Reducing the national new patient Primary Care wait time by 18 percent;
Completing 98 percent of appointments within 30 days of the Veterans’ preferred date, or the date determined to be medically necessary by a physician;
Authorizing 1.1 million non-VA care authorizations, a 47-percent increase over the same period last year; and
Increasing the amount of time providers could deliver care to Veterans by increasing the amount of clinic hours in primary and specialty care and through adding weekend and evening clinics at our medical centers.
VA is America’s largest integrated health care system with over 1,700 sites of care, serving approximately 9 million Veterans enrolled in health care services. The Choice Program is part of the Veterans Access, Choice, and Accountability Act of 2014 (VACAA), enacted nearly three months ago, to enable VA to meet the demand for Veterans’ health care in the short-term.

For more information about the Choice Program, call 1-866- 606-8198 or visit http://www.va.gov/opa/choiceact/.

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Inspection of VA Regional Office Huntington, West Virginia 11/16/2014 07:00 PM EST

November 17th, 2014

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Inspection of VA Regional Office Huntington, West Virginia
11/16/2014 07:00 PM EST

We evaluated the Huntington VA Regional Office (VARO) to see how well it accomplishes its mission. We found the VARO staff did not accurately process 27 (40 percent) of 68 disability claims we reviewed. We sampled claims we considered at increased risk of processing errors, thus these results do not represent the overall accuracy of disability claims processing at this VARO. Specifically, 16 of 30 temporary 100 percent disability evaluations were inaccurate, primarily because staff delayed reducing benefits after receiving medical evidence that veterans’ disabilities had improved, or delayed scheduling required reexaminations after receiving reminder notifications. In contrast, 22 of the 30 cases reviewed during our 2011 inspection contained errors, generally because VARO staff did not enter suspense diaries in the electronic record. Staff incorrectly processed 6 of 26 traumatic brain injury (TBI) claims, primarily because they misinterpreted VBA policy for rating a TBI with a coexisting mental condition. By comparison, in 2011, 3 of 5 cases reviewed during an inspection contained errors due to staff misinterpreting TBI policy and inadequate quality assurance. VARO staff also incorrectly processed 5 of 12 claims related to Special Monthly Compensation (SMC) and ancillary benefits. Generally, SMC errors occurred because staff did not follow local second-signature policy. For two consecutive benefit inspections, VARO managers ensured Systematic Analyses of Operations were complete and timely. However, staff delayed completing 8 of 28 benefits reduction cases because VARO management considered other work to be a higher priority. We recommended the VARO Director develop and implement a plan to ensure staff review and take appropriate action on the 138 temporary 100 percent disability evaluations remaining from our inspection universe. The Director needs to ensure staff return insufficient medical examination reports, provide refresher training on processing TBI, and monitor training effectiveness. Further, the Director should provide training and ensure effective second-signature reviews of SMC claims, as well as develop a plan to prioritize actions on benefits reduction cases. The VARO Director concurred with all recommendations.
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Healthcare Inspection – Quality and Coordination of Care Concerns at Three Veterans Integrated Service Network 11 Facilities 11/13/2014 07:00 PM EST

November 17th, 2014

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Healthcare Inspection – Quality and Coordination of Care Concerns at Three Veterans Integrated Service Network 11 Facilities
11/13/2014 07:00 PM EST

At the request of Congresswoman Jackie Walorski, the Office of Inspector General Office of Healthcare Inspections conducted an evaluation in response to allegations relating to access and quality issues at the Northern Indiana Health Care System, Fort Wayne, IN, affecting a patient who ultimately died by suicide after a self-inflicted gunshot wound. We determined that, although the outcome may have been the same for this patient, there were several missed opportunities where the patient’s care and the effectiveness of VA’s system processes could have been improved. Communication breakdowns and providers’ failures to review information available in the patient’s electronic health record during care transitions compromised the patient’s mental health and primary care and diminished the benefits associated with the VA’s electronic health record system. The advantages of comprehensive access to health records and exchange of health information, key features of the system, were not consistently and effectively utilized. We found an absence of oversight in facilitating the continuum of this patient’s care. We found no indication that VA providers analyzed the patient’s multiple suicide risk factors. Further, although Veterans Health Administration has extensive policy specifications to help ensure a patient’s mental health course is comprehensively and continuously monitored, in the totality of this case, the policy was more abstract than applied. We made 14 recommendations.
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Lincoln Shrine marks Gettysburg anniversary with ‘Band Tattoo’

November 14th, 2014

CITY OF REDLANDS
35 Cajon Street
Redlands, CA 92373

Pete Aguilar, Mayor
Paul Foster, Mayor Pro Tem
Jon Harrison, Council Member
Bob Gardner, Council Member
Pat Gilbreath, Council Member

N. Enrique Martinez, City Manager

NEWS RELEASE

Nov. 13, 2014 Contact: Carl Baker
Public Information Officer
Phone: 909.798.7633
Fax: 909.798-7503
Email: cbaker@cityofredlands.org

For immediate release:

Lincoln Shrine marks Gettysburg anniversary with ‘Band Tattoo’

Just over 150 years ago, President Abraham Lincoln made a speech at the dedication of the Soldiers’ National Cemetery, the final resting place for thousands of Union soldiers killed at the battle of Gettysburg. Lincoln’s “Gettysburg Address” has gone down in U.S. history, and to commemorate this pivotal moment the Lincoln Memorial Shrine in Redlands and Camp Carleton Cornet Band are hosting the second “Lincoln Shrine Band Tattoo” on Saturday, Nov. 22, from 10:30 a.m. to noon at the Shrine.

“The sesquicentennial of the Civil War is an important commemoration for the United States, and last year’s success of the first Tattoo, even given the damp weather, demonstrated how exciting music is to experience,” commented Nathan Gonzales, Lincoln Shrine Curator. “It started because of our partnership with local musicians who reenact a Civil War band unit. Todd Humphrey, of the Camp Carleton Cornet Band suggested a military ‘tattoo,’ a special type of military musical program which dates back to the 1600s in Europe and was popular during the 19th century. Tattoos are still performed all over the world, but this is the first time there has been an all-Civil War tattoo in the country.”

As part of the performance, the Camp Carleton Cornet Band and Mountain Fifes and Drums, each dressed in Civil War uniforms, will be playing the same songs military bands played during the Civil War. Each group will play a set, culminating with a military review of the bands and a group performance.

For a special treat, President Lincoln, played by noted Lincoln presenter Robert Broski, will deliver the “Gettysburg Address,” just as it was given.

“Music is a remarkable way to connect people to history, and we’re delighted to have the opportunity to share our music with everyone again,” remarked Camp Carleton director Humphrey.

The event is free to the public, and attendees are encouraged to bring blankets and lawn chairs to enjoy the performances. The event will take place in Smiley Park in front of the Lincoln Shrine. The Shrine is located south of Smiley Library at 125 W. Vine St. in Redlands.

For more information, please visit www.lincolnshrine.org or call (909) 798-7632.

About the performers:

The Camp Carleton Cornet Band is a group of Southern California musicians committed to keeping true with the tradition of military bands during the American Civil War. This brass and drum ensemble maintains the traditional sounds with instruments appropriate for the era. Camp Carleton was the largest of several military camps in San Bernardino. It was established in 1861 by Capt. William A. McCleave as a detachment of the 1st Regiment California Volunteer Cavalry and was originally built on the north bank of the Santa Ana River in an area now known as Waterman Avenue.

The Mountain Fifes and Drums teaches music, history, discipline, leadership, and responsibility to the youth of the San Bernardino mountain areas, free of charge. They perform 18th-century military music in the uniforms of George Washington’s Continental Army in approximately 25 performances every year, including such events as the Huntington Beach Fourth of July Parade, the Hollywood Christmas Parade and Drummers Call in Colonial Williamsburg. Their higher ranking musicians form a special group called the Mountaineers, that gives several performances each year in Civil War uniforms, playing the music of the American Civil War.

Attached photos are from last year’s event.

PRESS ONLY – NOT FOR PUBLIC RELEASE: For more information, contact Lincoln Memorial Shrine Curator Nathan Gonzales at (909) 798-7632 or Todd Humphrey, Camp Carleton Cornet Band director, at (951) 529-1272.

City of Redlands press releases and other information are available on the City’s Facebook page at www.facebook.com/cityofredlands or on the City’s website at www.CityofRedlands.org

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Carl Baker
Public Information Officer
City of Redlands
35 Cajon St., Suite 204
Redlands, CA 92373
(909) 798-7633 (office)
(909) 557-6710 (cell)
cbaker@cityofredlands.org

VA To Hold Small Business Engagement in Atlanta Next Month

November 14th, 2014

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VA To Hold Small Business Engagement in Atlanta Next Month
11/13/2014 03:21 PM EST

FOR IMMEDIATE RELEASE

November 13, 2014

VA To Hold Small Business Engagement in Atlanta Next Month

Annual Event to Increase Contract Opportunities for Small Veteran-Owned Businesses

Washington, DC – The Department of Veterans Affairs (VA), in collaboration with other federal agencies and partners, will sponsor the 4th annual National Veterans Small Business Engagement (NVSBE), December 9-11, 2014, at the Georgia World Congress Center in Atlanta, Ga.

The premier event for Veteran-Owned Small Businesses, the NVSBE is expected to attract as many as 3,000 attendees offering the chance to learn best practices from federal and commercial procurement decision makers. More than 400 exhibitors and 25 government agencies along with private industry partners, such as Lockheed Martin, Document Storage System, Inc. (DSS) and Boeing, will also participate in the event. The theme of this year’s event, ACCESS, is focused on promoting and supporting small Veteran-owned business’ access to economic opportunity.

“VA is committed to increasing the number of Veteran-owned small businesses,” said VA Secretary Robert A. McDonald. “The NVSBE demonstrates our commitment by offering Veteran business owners the tools they need to thrive in the federal marketplace. We want to do all that we can to help our Veterans be successful.”

The Engagement provides numerous opportunities for important relationships to start and thrive.

“One of the greatest challenges for small business owners is to connect with decision makers who can help them grow their businesses,” said Thomas J. Leney, Executive Director of VA’s Small and Veteran Business Programs. “NVSBE provides small businesses a solution to meet that challenge.”

For more information about the 4th annual NVSBE, visit www.nvsbe.com.

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Veterans Affairs Secretary McDonald Updates Employees on MyVA Reorganization Plans

November 13th, 2014

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Veterans Affairs Secretary McDonald Updates Employees on MyVA Reorganization Plans
11/10/2014 12:48 PM EST

FOR IMMEDIATE RELEASE

November 10, 2014

Veterans Affairs Secretary McDonald Updates Employees on MyVA Reorganization Plans

Washington, DC – On November 10, Department of Veterans Affairs (VA) Secretary Robert McDonald sent the following message to all VA employees:

In the last few months as your Secretary, I have met and heard from Veterans and family members about how we can better serve Veterans. I’ve also traveled to VA facilities across the country and have had the extraordinary opportunity to meet with you, the men and women who work on the front lines and behind the scenes to care for and serve Veterans every day. These opportunities have informed my thinking as we work to plan for the future of the Department. Already, more than 2,000 VA employees at 20 facilities serving 1.4 million Veterans have shared their perspectives on how we can improve this Department, and have provided insightful and thoughtful feedback about how VA should be organized to better serve Veterans. It is clear that our shared mission is important to you and your colleagues. It’s also clear that you share my goal of making VA easier to navigate for Veterans. I am grateful for your contributions, and your support in this endeavor.

As we have been considering changes to VA, we have also met with Veterans, Veterans Service Organizations (VSO), NGOs, and other stakeholders. We have used your feedback, and the common themes we heard in all comments, to begin shaping the way forward for VA. Soon, we will begin implementing changes to VA, to better structure our organization to meet Veteran needs. Our new alignments may change some of our processes, but our employees remain valued members of the team.

Our shared goals are to ensure that Veterans have a clear understanding of VA and where to go for what they need within any of our facilities; that employees are empowered with the authority, knowledge and tools they need to solve problems and take action; and that the products and services that we deliver to Veterans are integrated within the organization. The changes we plan to make are as follows:

Establish a new VA-wide customer service organization to ensure we provide top-level customer service to Veterans. A Chief Customer Service Officer who reports to the Secretary will lead this effort. The mission of the new office will be to drive VA culture and practices to understand and respond to the expectations of our Veteran customers.
Establishing a single regional framework that will simplify internal coordination, facilitate partnering and enhance customer service. This will allow Veterans to more easily navigate VA without having to understand our inner structure.
Working with our partners to establish a national network of Community Veteran Advisory Councils to coordinate better service delivery with local, state and community partners. Expanded public-private partnerships will help us coordinate Veteran-related issues with local, state and community partners, as well as VA employees.
Identifying opportunities for VA to realign its internal business processes into a shared services model in which organizations across VA leverage the same support services, to improve efficiency, reduce costs and increase productivity across VA. Right now, we’re looking at options used in the private sector to enhance our rapid delivery of services, and also at our own business processes that are suited for shared services.
Please keep in mind that this is a long-term process and we are just beginning to plan how this will all unfold. As we move forward with these changes, your feedback, ideas and perspective will be invaluable. To gather your suggestions, we have launched an intranet web tool, the My VA Idea House, where employees from across VA can submit ideas online to improve services, streamline processes and solve issues for Veterans and their families. Employees can also vote on submissions from your colleagues across VA. Sponsors will select ideas and create topic-related groups to encourage collaboration and help make the ideas a reality. The Idea House website will officially open for submissions tomorrow, Veterans Day, Nov. 11. I encourage you to go to vaideahouse.ideascale.com to submit your ideas and proposed solutions to the challenges you are seeing.

I know there are a lot of questions about this effort, and I know that there will be concerns. We don’t have all the answers right now, and that’s why we are reaching to you for your thoughts. This will be a fair and deliberate process, and we need your help to make sure our decisions are the right ones for Veterans.

As we collect input and work together to design an employee-led, Veteran-centric VA, we have a great opportunity to make significant progress toward our goals in the near term. Thank you for the work you are doing each day to make VA a stronger organization for America’s Veterans.

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Update your subscriptions, modify your password or email address, or unsubscribe at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com.

If you are in crisis and need immediate help, please call 1-800-273-8255 and (PRESS 1) or visit http://www.veteranscrisisline.net/.

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Inspection of VA Regional Office Buffalo, New York 11/09/2014 07:00 PM EST

November 13th, 2014

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Inspection of VA Regional Office Buffalo, New York
11/09/2014 07:00 PM EST

We evaluated the Buffalo VA Regional Office (VARO) to see how well it accomplishes its mission. We found the VARO staff did not accurately process 17 of 89 disability claims (19 percent) we reviewed. We sampled claims we considered at increased risk of processing errors, thus these results do not represent the overall accuracy of disability claims processing at this VARO. Eight of 30 temporary 100 percent disability evaluations we reviewed were inaccurate, generally because the VARO did not prioritize the processing of these cases to reduce benefits. This error rate has improved significantly in comparison with errors found in 17 of 30 claims reviewed in 2011. These errors resulted from staff not establishing suspense diaries in the electronic record for future VA medical reexaminations. VARO staff incorrectly processed 3 of 30 traumatic brain injury (TBI) claims because of a lack of training on VBA rating policies. This is a significant improvement since our 2011 review where we found 8 of 11 TBI claims had processing errors. Staff also incorrectly processed 6 of 29 claims related to Special Monthly Compensation (SMC) and ancillary benefits, generally due to a lack of training. VARO managers still did not comply with VBA policy for completing Systematic Analyses of Operations (SAOs). In 2014, we determined 6 of the 11 mandatory SAOs lacked thorough analyses or were not completed at all. Staff also delayed completing 12 of 30 rating reduction claims we reviewed because VARO management did not prioritize this work. We recommended the Buffalo VARO Director implement plans to ensure staff prioritize benefits reductions cases and take appropriate action on the 206 temporary 100 percent disability evaluations remaining from our inspection universe. The Director should also implement plans to monitor the effectiveness of staff training and second-signature reviews of SMC cases, as well as ensure complete SAOs. The VARO Director concurred with all recommendations.
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VA’s Center for Women Veterans Partners with the Center for American Women and Politics 11/10/2014 05:15 PM EST

November 13th, 2014

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VA’s Center for Women Veterans Partners with the Center for American Women and Politics
11/10/2014 05:15 PM EST

VA’s Center for Women Veterans Partners with the Center for American Women and Politics

The Department of Veterans Affairs’ (VA) Center for Women Veterans (Center) entered into a memorandum of agreement (MoA) with the Center for American Women and Politics (CAWP), a unit of the Eagleton Institute of Politics at Rutgers, the State University of New Jersey, to increase women Veterans’ leadership and career opportunities, which will benefit the Nation’s workforce and address women Veterans growing needs.

The MoA will allow the Center and CAWP to leverage existing resources and increase coordination of activities to help women Veterans develop public service and community engagement skill sets, so they will be prepared for public and community service opportunities.

“Women Veterans often contact us for information about how they can continue serving,” says Elisa M. Basnight, Director of the Center for Women Veterans. “This MoA with the Center for American Women and Politics presents a prime opportunity for the Center to help prepare them for other forms of public service as it responds to a persistent need women Veterans tell us they have, which is the desire to continue to make a difference after the uniform.”

The Center, created in 1994 to monitor VA’s administration of benefits and services to women Veterans and to advise the Secretary on VA policy’s impact on Women Veterans, can provide advice to CAWP’s on how it focuses its resource information to address women Veterans’ issues.

CAWP is a source of scholarly research and current data about American women’s political participation. Its mission is to promote greater knowledge and understanding about women’s participation in politics and government and to enhance women’s influence and leadership in public life.

“The Center for American Women and Politics is delighted to collaborate with the Center for Women Veterans to provide more information and resources for women Veterans who want to engage more fully in their communities. Women who have already put their country first by serving in the military are exactly the people we need as public leaders,” said Debbie Walsh, Director of the Center for American Women and Politics.

Women Veterans represent one of the fastest growing segments of the Veterans population—about 10 percent of the total 22 million Veterans in this country. Today there are an estimated 2.2 million female Veterans. The Center for Women Veterans participates in collaborative initiatives with Federal/state/local governmental and non-governmental stakeholders, to improve opportunities for women Veterans.

For more information about women Veterans, visit www.va.gov/womenvet.

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Update your subscriptions, modify your password or email address, or unsubscribe at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com.

If you are in crisis and need immediate help, please call 1-800-273-8255 and (PRESS 1) or visit http://www.veteranscrisisline.net/.

If you have questions please visit va.gov/explore and refer to “FAQs and Info” and “Get Assistance.”

This service is provided to you at no charge by U.S. Department of Veterans Affairs.

Sent to denis@labine.com on behalf of US Department of Veterans Affairs
810 Vermont Avenue, NW · Washington, DC 20420