TBI and the VA: A Patient Centered Care Approach

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TBI and the VA: A Patient Centered Care Approach Sandra Hall MSWL, BSNRN,HNB-BC Melissa Hall, LGSWMSSW Terry Gee, MS, PT Hershel Woody Williams VA Medical Center The History of the Polytrauma System of Care (PSC) In 2005 the Veterans

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TBI and the VA: A Patient Centered Care Approach Sandra Hall MSW/L, BSN/RN,HNB-BC
Melissa Hall, LGSW/MSSW
Terry Gee, MS, PT
Hershel “Woody” Williams VA Medical Center<br>
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The History of the Polytrauma System of Care (PSC) In 2005 the Veteran’s Administration (VA) began to require screening for Traumatic Brain Injuries for post deployment OEF/OIF veterans (post-9/11).
Between 2007 and Sept 2016, the VA screened over 1 million Veterans for TBI.
83, 318 of those Veterans were diagnosed with a TBI (most were mild TBIs)
This program is very active and ongoing!
In Fiscal Year 2019, Quarter 1:
94.83% (or 426,722) of OEF/OIF Veterans seen in the VA system were screened for TBI.
15,164 of those Veterans were referred on for a Level 2 Comprehensive TBI exam
502 were in VISN 5
Baltimore VA: 107 Referrals
Beckley VA: 23 Referrals
Clarksburg VA: 56 Referrals
Huntington VA: 32 Referrals
Martinsburg VA: 104 Referrals
Washington DC VA: 180 Referrals<br>
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Population served by the PSc Eligible Veterans and Active Duty Service Members covered by Defense Health Agency Great Lakes (DHA-GL) or TRICARE authorization, who sustained polytrauma and TBI. This includes:

TBI (whether deployment related or not);
Blast and non-blast related traumatic injuries including (but not limited to) amputations, musculoskeletal injuries, open wounds;
Other acquired brain injuries including, but not limited to, stroke, brain tumors, infection, poisoning, hypoxia, ischemia, encephalopathy, or substance abuse, as appropriate for specific cases;
Physical, cognitive, emotional, and behavioral impairments related to the brain injury;
Impairments that are clinically and functionally significant, leading to activity and participation restrictions; and
Potential to benefit from the specialized rehabilitation services provided by the PCS.<br>