Patient Care Services
Specialty Care Services - Programs
Anesthesia ServiceProvides guidance and consultation on all matters regarding the practice of anesthesia. These include providing insensibility to pain during surgical, obstetrical, therapeutic and diagnostic procedures; monitoring and recovery; diagnosis and treatment of painful syndromes; and the management of cardiac and pulmonary resuscitation. Anesthesia collaborates with Surgical Services and Pain Management Program. …For more information please visit the Anesthesia site.
Cardiology ServiceProvides information, guidance and oversight to VHA Cardiology initiatives to ensure quality heart care. More than 30% of enrolled Veterans have heart problems. VHA implants approximately 10,000 pacemakers and defibrillators each year. The Cardiac Implant Surveillance System was established in 1982 and remotely monitors implant performance. The National Implantable Device Registry follows Veterans with cardiac implants and tracks recalls and device related problems.
Chaplain ServicesSpiritual and Pastoral Care is an integrated part of VHA’s health care program, available for Veterans and their immediate family (caregivers) as they wish. VHA employs professionally educated and clinically trained chaplains to provide pastoral care and counseling as part of the interdisciplinary teams. Chaplains provide religious services and sacraments, guaranteeing Veterans’ free exercise of religion. Chaplains serve as subject matter experts on the interdisciplinary healthcare teams, ensuring patients’ spiritual and religious concerns are known and understood by the healthcare team. Every VA Medical Center has a chapel available for use by all Veterans and their families. Our Veterans represent a broad spectrum of religious traditions. All Veterans and their family members are welcome to attend religious services or use the VA chapel for prayer, meditation and quiet contemplation. …For more information please visit the Chaplain site.
Critical CareConcerns the management of patients who are severely ill and need specialized care in an intensive care unit. The VA admits more than 100,000 patients to its 173 intensive care units annually. Lung disease affects about 30% of Veterans with the most common diagnosis likely chronic obstructive pulmonary disease or COPD. The diagnosis of sleep disorders, like obstructive sleep apnea, is increasingly being recognized as an important problem that affects patient quality of life and outcomes. This Office provides guidance, consultation and oversight to the hospital based and outpatient programs and Intensive Care Units collaborating with cardiology, pharmacy, surgery, infectious disease, prosthetics, and the primary care teams.
DermatologyIs the branch of medicine dealing with the skin and its diseases. VA does not provide elective cosmetic procedures.
Diabetes and Endocrinology ServiceOversees the care of patients with diabetes, disorders of the thyroid, male and female reproductive systems and calcium and skeletal health. This Program Office develops and implements clinical guidelines for prevention and treatment of diabetes and endocrine disorders, and tracks the use of these guidelines through assessments of medical outcomes. Nearly one in four enrolled Veterans has diabetes. The Diabetes Program Office collaborates with the National Prevention Center, Food and Nutrition Services, Podiatry, Eye Care, and the Office of Research and Development to optimize the care of Veterans with diabetes. The Office improves the health of Veterans with diabetes and endocrine disorders by advocating timely and appropriate treatment to avoid later complications.
Emergency MedicineSpecialists care for patients with acute illnesses and injuries that require immediate medical attention. Emergency Medicine specialists are available 24/7/365. They are trained and prepared to examine, diagnose and treat any emergent condition, regardless of gender, age or condition. Emergency physicians must have the skills of many specialists – the ability to resuscitate a patient (Critical Care Medicine), manage a difficult airway (Anesthesia), suture a complex laceration (Plastic Surgery), reduce (set) a fractured bone or dislocated joint (Orthopedic surgery), treat a heart attack (Cardiology), work-up a pregnant patient (Obstetrics and Gynecology), stop a bad nosebleed (ENT), place a chest tube (Cardiothoracic Surgery), and to read x-rays and conduct and interpret ultrasounds (Radiology). In FY 2011, Emergency Medicine treated over 2 million patients.
Eye Care (Optometry and Ophthalmology)Work together to provide the full spectrum of primary, secondary and tertiary eye care services. The Office disseminates the national VA/DoD Diabetes Mellitus Clinical Practice Guideline. With the Office of Telehealth Services, this Office provides risk management via the VA Teleretinal Imaging Screening Program to improve access and reduce preventable blindness from diabetic retinopathy. With the Office of Rehabilitation Services, Eye Care performs traumatic brain injury specific (TBI) ocular health and visual functioning evaluations for Veterans with TBI and provides treatment of visual consequences when applicable as well as participates in the provision of visual rehabilitation care with Blind Rehabilitation Service.
…For more information please visit the Optometry Site and the Ophthalmology Services Site.
VA/DoD Vision Center of Excellence (VCE)The incidence of vision threatening/disabling ocular injuries in returning Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) service members and the need for the seamless integration of Department of Defense (DoD) and VA care, prompted the creation of VCE, authorized under the FY 2008 National Defense Authorization Act (NDAA). The VCE provides national oversight and guidance to VA and DoD programs to ensure injured service members receive a synchronized and consistent process of care relative to the prevention, diagnosis, mitigation, treatment and rehabilitation of military eye injuries. This legislation mandated the VCE create and manage the Defense and Veterans Eye Injury Registry (DVEIR) to track these injuries and their treatment.
Gastroenterology ServiceProvides guidance and consultation on all matters related to diseases affecting the gastrointestinal tract and the liver. One of its primary objectives is to optimize the availability, performance, reporting and follow-up of gastrointestinal endoscopy to provide the highest quality care. Important areas for collaboration include the development of policies on colorectal cancer screening and surveillance, sedation for gastrointestinal endoscopy and endoscope reprocessing, as well as the establishment of quality measures for endoscopy. Their key areas include the management of patients with chronic gastrointestinal disorders, including inflammatory bowel disease, viral hepatitis and chronic liver disease.
Genomic Medicine Service (GMS)Was established in 2010 to facilitate the application of currently available genetic technologies to improve the health care of Veterans. The GMS coordinates genetic counseling functions, sets strategic guidance regarding the phased integration of genomic testing into clinical care and organizes the broad genetic education initiatives rolled out nationally. The service is delivers care through telehealth. Agreements with each VHA are being established to provide nationwide telehealth access. The GMS works closely with the Office of Research and Development (ORD) to translate genomics into clinical care within VHA.
The National Infectious Diseases Service (NIDS)Provides national guidance and communication concerning infectious diseases and infection prevention and control through written documents, consultation, educational activities, and development of VHA national policies. NIDS provides national oversight for the Methicillin-resistant Staphylococcus aureus (MRSA) Prevention Initiative (now the Multidrug-Resistant Organism Prevention Initiative, including Clostridium difficile Infection Prevention) and leads the collaborative Antimicrobial Stewardship Initiative. This office collaborates with other offices to address healthcare-associated infection issues. NIDS is the lead for VHA participation on national biosurveillance collaborations with other federal agencies.
Nephrology Services“Nephrology, or kidney medicine, includes the care and treatment of Veterans with acute or chronic kidney disease including dialysis. Our services are all provided under the expert knowledge of Nephrologists (kidney doctors), who have had extensive training and education in the care of people with kidney disease and in the management of dialysis. The VHA Kidney Program provides kidney-related services to dialysis centers throughout VA's medical centers. Professional guidance and services are available in the form of consultation and policies developed by VA kidney experts. These experts are dedicated to furthering the understanding of kidney disease, its impact on Veterans, and developing treatments to help patients manage disease symptoms. VHA is developing a strategic plan to address the increasing volume of Veterans with chronic kidney disease.
…For more information please visit the VHA National Kidney Program site.
Neurology ServicesProvides research, clinical care, and patient and family education on neurological disorders. Specialty care networks have been established for patients with degenerative neurological diseases (more than 200,000 Veterans) which include Multiple Sclerosis Centers of Excellence (MSCOEs), Parkinson’s Associated Disorders, Research, Education and Clinical Centers (PADRECCs), and Epilepsy Centers of Excellence (ECoEs). VHA is developing and implementing guidelines for the diagnosis and treatment of Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig’s Disease. Neurology Services collaborates with Emergency Medicine and Rehabilitative Services on stroke treatment and Traumatic Brain Injury (TBI).
…For more information please visit the:
- Multiple Sclerosis Center of Excellence site
- Parkinson's Disease Research, Educational, and Clinical Centers site
- Epilepsy Centers of Excellence (ECoEs) site
Nutrition and Food Services (NFS)Develops and provides comprehensive nutritional services for our Veterans across VHA’s healthcare facilities. Registered dietitians serve as nutrition diagnosticians for Veterans in providing medical nutrition therapy and in using the nutrition care process to manage their diseases throughout the continuum of care. Nutrition professionals promote wellness and disease prevention through serving nutritious food selections. The nutrition team proactively contributes to multiple VHA initiatives including Telehealth, the Patient Aligned Care Team (PACT), Cultural Transformation and Social Media Communications. Through its newly created VISN infrastructure, NFS is transforming VHA in its advanced clinical nutrition practices and healthy teaching programs to improve Veterans family members’ health outcomes.
…For more information please visit the Nutrition and Food Services site.