The Richard L. Roudebush Indianapolis VA Medical Center, located two miles northwest of the heart of downtown Indianapolis, has been serving Indiana Veterans since 1932. As Indiana’s tertiary care facility, the Indianapolis VAMC receives referrals from VA facilities at Ft. Wayne and Marion, Indiana, and from nearby Danville, Illinois. The medical center provides acute inpatient medical, surgical, psychiatric, neurological, and rehabilitation care, as well as both primary and specialized outpatient services. Some noteworthy specialized services include comprehensive cardiac care, radiation oncology treatment and community based extended care. Indianapolis VA Medical Center is aggressively utilizing emerging technology in the tele-home care and tele-disease management arenas. The medical center was selected as the site for the Veterans in Partnership VISN 11 Network Polytrauma Center and is providing ongoing support to the returning Veterans from Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF). Additionally, the medical center has a 50-bed Domiciliary Residential Rehabilitation Treatment Program targeting homeless Veterans..
The Richard L. Roudebush VA Medical Center is affiliated with the Indiana University School of Medicine. 125 post-graduate physician residents and fellows pursue clinical training in the medical center and deliver care under the supervision of VA physicians who are concurrently faculty of the Indiana University School of Medicine. This supervised clinical experience for licensed physicians is offered in 22 accredited medical specialties. There are also nursing student affiliations with the Indiana University School of Nursing as well as education arrangements with 31 universities representing 94 fields of study involving dentistry, pharmacy, social work, allied health, psychology and others. The Pharmacy Residency program features a strong affiliation with both Purdue University and Butler University and offers PharmD residencies. These residencies are highly regarded with strong competition for available spots.
The medical center operates five Community Based Outpatient Clinics (CBOC’s) located in Bloomington, Martinsville, Western Indianapolis (Indy West), Terre Haute, and most recently Columbus, Indiana. An additional clinic at West Lafayette, Indiana will be welcomed to the medical center family in FY2016. The more than 64,000 patients (nearly 4,000 women Veterans) treated by the Indianapolis VA Medical Center require over 717,000 outpatient visits and almost 7,900 inpatient episodes of care yearly. The medical center conducts extensive research and training programs.
The main part of the current medical center was opened in 1952, with about 450,000 square feet. There have been three major additions since then, in 1981, 1994 and 2008. bringing the total square footage of the medical center to approximately 1,000,000 square feet today. The 1981 addition is devoted to Dental, Dialysis and Research. The 1994 addition included ambulatory care clinics, new operating rooms, new intensive care units, the main clinical laboratory and education space. The medical center received $27 millionto construct two additional floors on the clinical addition. This replaced four current inpatient wards as well as the inpatient pharmacy and was activated in 2008. This addition provided appropriate patient privacy and bath facilities as well as adequate isolation capabilities. Phase II of the project to house outpatient mental health will be completed in Spring 2010. A new mental health inpatient unit will also open in Spring 2010.
As part of grant funding received from the Lilly Endowment, Inc., the medical center has completed construction of an integrated clinic targeting the OEF/OIF returning service members. The Seamless Transition Integrated Care Clinic has implemented a new process with a “one stop shop” for services for returning service members. Included are primary care, specialty care, mental health services, vocational rehabilitation services, community resources, and other needed services. Extended hours and a family friendly environment is emphasized.
Another part of the Lilly Endowment grant that is supportive of the OEF/OIF Veterans is the construction of a Veterans House. The Veterans House is modeled after the successful Fisher House program. We're operating a 28 suite facility that supports the families and the needs of returning service members.
In Fiscal Year 2016, a lease was awarded to activate a new Domiciliary Residential Rehabilitation Treatment Program (DRRTP) able to provide rehabilitative services to 50 homeless Veterans. This facility replaces an existing facility in downtown Indianapolis, is in an multi-use development of residential and commercial properties and will continue outstanding VA homeless rehabilitation programs across Central Indiana.
The American Federation of Government Employees (AFGE) Local 609 represents all professional employees and the Service Employees International Union (SEIU) Local 551 represents all non-professional employees at this medical center.
The medical center is a tertiary care facility academically affiliated with Indiana University (IU). It operates a research program involving human subjects, laboratory animals, and hazardous agents, with a budget of approximately $21.5 million in FY 2014, of which approximately $10.5 million was provided by the VHA Office of Research and Development (ORD). In FY15, there were approximately 283 active research protocols, including 211 studies involving human subjects, 30 animal protocols, and 566 individuals actively engaged in VA research. Research Service occupies approximately 44,000 sq feet of research administrative and laboratory space in the main facility; an additional 10,000sq feet of off-site space at the university, and we are currently constructing a new research building that will occupy 16,000sq feet. Our research strengths include cardiovascular disease, diabetes, alcoholism, AIDS, lung disease, fungal infection, cancer, stroke, kidney disease, mental health, PTSD, chronic pain, and health services research
In FY2015, Research Service had VA funding from the VHA Office or Research and Development (ORD) that supported:
Health Services Research & Development (HSRD):
The Richard L. Roudebush VA Medical Center is been named a Center of Innovation (COIN) for VA Health Services Research and Development. This funded five year grant provides core funding to support the Center for Health Information and Communication (CHIC). The CHIC has two main areas of focus: advancing the use of health information technology as a management tool that connects systems to people and developing interpersonal approaches to improve patient safety and outcomes via enhanced information exchange during handoffs and transitions of care.
Million Veteran Program (MVP):
Active local site in the Million Veteran Program (MVP) with over 10,000 subjects enrolled since the launch date of 11/2011. Indianapolis VA Medical Center is one of the top recruiting stations of all sites engaged in the MVP program.
Evaluation of VLER-Indiana Health Information Exchange Demonstration Project (PI: David Haggstrom, MD):
On April 9, 2009, President Obama directed the Department of Veterans Affairs and the Department of Defense to create the Virtual Lifetime Electronic Record (VLER). In August 2010, the VAMC partnered with Regenstrief Institute and the Indiana Health Information Exchange (IHIE) to create capacity for VA institutions to exchange health information with community partners (VA-IHIE project). Through a combined partnership, VA-IHIE will provide data from a “network of health care networks” that coordinates clinical data in real-time at the point of care. IHIE is arguably the largest and most comprehensive information exchange in the country. The opportunity to gain objective information regarding the effect of HIE is unprecedented in nature and scope.
NCI-VA Cooperative Studies Program: the VAMC has been selected as a pilot site to initiate this new program that will permit the VA oncology program to participate in the Cancer Center’s Group Trial Program.
Collaborative Research Groups:LOCAL ISSUES:
• The VA Neuro-Muscular Skeletal Group led by Dr. Kathryn Jones
• The VA Nephrology Group led by Dr. Sharon Moe
• Vascular Stem Cell Research: VA Center for Regenerative Medicine (Director: Dr. Keith March) and The Vascular and Cardiac Center for Adult Stem Cell Therapy (Director: Dr. Michael Murphy)
Indy Excellence is the hallmark of the Indianapolis VA Medical Center. Begun in 2003, this cultural journey has been aimed at achieving extraordinary levels of service and operational excellence. Key components are employee satisfaction, patient satisfaction and leadership development. All employee Survey results have demonstrated significant improvement in employee perceptions related to promotion potential, praise, rewards, employee development and retention. Other positive results on the AES were shown in diversity acceptance, safety climate, innovation and cooperation, to name a few. The medical center has evolved to the point that the cultural journey teams and operational committees have merged.
TYPE OF FACILITY
Intensive Care Units
Inpatient Hemodialysis Center
Home Dialysis Program
Pulmonary Function Laboratory
Audiology and Speech Pathology
Alcohol and Drug Dependency Treatment (outpatient)
Home Based Primary Care
Mental Health Clinic
Nuclear Medicine Services
Homeless Program/HCMI Program
PT, OT, KT & RT Services
Oral & Maxillofacial Surgery
Prosthetics & Sensory Aids
Palliative Care Unit