United States Department of Veterans Affairs
United States Department of Veterans Affairs

Public and Intergovernmental Affairs

VA Announces Plans for District of Columbia Health Care Facilities

May 7, 2004

WASHINGTON – New outpatient clinics at Ft. Belvoir and in southern Prince George’s County, expanded services and modernization of the Washington DC medical center and new domiciliary services for homeless veterans are part of a comprehensive plan by the Department of Veterans Affairs (VA) to modernize its nationwide system of health care facilities.

"These changes will provide greater access to care for veterans,” said Secretary of Veterans Affairs Anthony J. Principi. "By strengthening our network of outpatient clinics, we will bring a greater quality of care closer to where most of the area’s veterans live. 

About 43,800 veterans in the D.C. metropolitan area were treated last year in VA’s health care facilities, up from 36,000 in 2000. 

Secretary Principi noted that about 80 percent of the health care provided by VA is outpatient care.  He said the plan would enable the department to enhance its ability to provide more of the outpatient care veterans want and use, while building upon VA's expertise in providing highly specialized inpatient care.

The changes are part of a comprehensive plan called CARES, short for "Capital Asset Realignment for Enhanced Services."  The Secretary’s CARES report can be viewed in entirety on VA's Web site at http://www.va.gov/CARES.

Briefly the National CARES Plan recommends the following for District of Columbia:

  • Transfer 77 domiciliary beds from the Martinsburg VAMC to the District of Columbia;
  • Transfer 77 domiciliary beds from the Martinsburg VAMC to the District of Columbia;
  • Transfer 22 psychiatric beds from the Perry Point VAMC to the medical center; and
  • Establish new outpatient clinics at Fort BelvoirVa., and in southern Prince Georges County.

CARES is a plan to modernize and improve VA's health care system.  Among the elements of the Secretary’s CARES decision are more than 150 new community based outpatient clinics, potential creation of four new - and expansion of five existing - spinal cord injury centers, two new blind rehabilitation centers, and expansions throughout VA’s healthcare system that will enhance veterans’ access to VA care.

In July 1999, a General Accounting Office study found that VA was diverting a million dollars a day – or $3.6 billion during a decade – from veterans' health care to maintenance on unneeded or unused facilities.  The average age of VA's more than 4,900 buildings is more than 50 years, and the need to reduce vacant space and unneeded buildings has been the focus of several reports by the General Accounting Office.  

CARES was developed to identify the infrastructure VA will need to care for veterans in the 21st century, redirecting resources from unneeded buildings to veterans' care. Savings from CARES will be retained locally and used locally to strengthen health care services for local veterans.

"CARES modernizes VA’s 74-year old health care system," said Principi. "I want to emphasize that no veteran will lose health care as a result of CARES, nor will there be any gaps in their health care services."

The CARES plan was reviewed by an independent commission, which received more than 212,000 comments and held 81 site visits to VA and Department of Defense medical facilities, and state homes, 38 public hearings and 10 formal meetings.  The commission submitted its recommendations to Secretary Principi in mid-February.

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