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Options-Canandaigua LAP Sets
Course For the Future

The Local CARES LAP Committee sends Washington it's list of options regarding the changes its sees for the future of veterans services in Canandaigua. From their discussions 10 plans were presented and discussed at the August CARES Meeting at the VA facility.
Those options were basically the following

·  Keep all services on campus, upgrade existing buildings.

· Replace all services and buildings at an off-site location.

·  Keep services on the campus, but put up new buildings.

·  Partially use grounds, replace aging buildings.

·  Relocate high-volume outpatient services off-site.

·  Keep façade and use portions of existing facilities.

·  Keep all services on campus, demolish Building 2 and vacate Courtyard 2.

·  Build replacement inpatient and outpatient facilities on northern portion of campus, free up existing buildings for renovation and re-use as "complementary services."

Although Price Waterhouse Cooper presented 8 separate plans it was not until two panel members presented two off the cuff plans that the veterans and other participants in the hearing showed any enthusiasm for the choices.
Indeed Dr Flesh's plan of consolidating services in Courtyard 1 and utilizing Courtyard 2 as the site for a new Nursing Home complex seemed the most logical. Meanwhile Ralph Calabrese suggested that the existing build stay as the are and that the Department of Veterans Affairs partner with the Department of Defense as an alternate site for the Canandaigua Army Reserve and Armory. Although much work remains to be done the gist of the meeting made certain it was the LAP's recommendation that all services remain on the existing campus and not be moved or split.

Check out how the D&C covered the meeting just-Click Here
Check out how the Finger Lakes Times covered the meeting just-Click Here

Survey Says ! - "No One "CARES"

"Lo and Behold" Sometime in the last week or two the CARES Commission posted the results of the stakeholders surveys it has been correlating during the past few months. The survey is based on all the input it is receiving from the localities that are going to be effected by the changes the CARES Commission is going to decree once the LAP (Local Advisory Panels) finish their work.

To no ones surprise, with only one exception, the facilities and their stakeholders are not concerned with any of the five impact areas the committees are investigating. By the way the one exception is the Brooklyn-Manhattan VAMC, they have mobilized their constituents and let it be known they want to be left alone.

Facility by facility the graphs show an apathy to the CARES process despite overwhelming support at each of the VAs effected by the changes the Department of Veterans Affairs is attempting.

For example her is the graph for Canandaigua and an explanation for each of the areas being questioned regarding their impact on our veteran and their healthcare.

    Includes: online comment forms, paper comment forms, letters, written testimony, and other (e.g. pamphlets, binders, multimedia).

  • All submissions are read and sorted according to specified Key Concerns. If the author conveyed multiple concerns, each concern was recorded. The definitions of the Key Concerns are listed below.
     
Concern Definition
Effect on Access Involves a concern about traveling to another facility or the location of the present facility.
Maintain Current Service/Facility General comments related to keeping the facility open and maintaining services at the current site.
Support for Veterans Concerns about the federal government/VA’s obligation to provide health care to current and future veterans.
Quality of Healthcare Services & Providers Concerns about changing services or providers at a site.
Effect on Local Economy Concerns about loss of jobs or local economic effects of change.
Use of Facility Concerns or suggestions related to the use of the land or facility.
Effect on Research & Education Concerns about the impact a change would have on research or education programs at the facility.
Administration’s Budget or Policies Concerns about the effects of the administration’s budget or other policies on health care for veterans.
Unrelated Other comments or concerns that are not specifically related to the study.

Without a coordinated effort on the part of veterans, employees and the community to change these numbers the Canandaigua VA can only expect that VISN 2 and the Department of Veterans Affairs to be ready, willing and able to gut the Canandaigua VA an leave our veterans with only a shell to provide for its healthcare.

Without your support get ready to get on the bus for Buffalo or Syracuse for your healthcare needs.

Follow this link to complete the CARES Survey and let your politicians know that we want a full service VA Facility in Canandaigua.

CARES Website "Live"

The Office of Strategic Initiatives & the VISN Support Service Center announces the launch of the Capital Asset Realignment for Enhanced Services (CARES) website. This new website will provide our veterans, VA employees, and the general public with updated information regarding the completion of the 18 study sites determined by the former Secretary of Veterans Affairs (Mr. Anthony Principi) in need of further study. Those sites are: Boston; New York City; Louisville; Waco; Big Spring; Walla Walla; Montgomery; Muskogee; Canandaigua; Montrose/Castle Point; St Albans; Lexington; Livermore; White City; Perry Point; Gulfport; West LA; Poplar Bluff. While the primary focus of this website is to increase awareness of VHA current actions regarding CARES, the site will allow VA the opportunity to gather comments from our veterans, Veteran Service Organizations, VA employees, elected officials, and any other interested parties, as well as review actions and decisions from previous phases of CARES. The new website currently contains an overview of this phase in the CARES implementation process and links to detailed information on each study site. As their work progresses with CARES, updates will be posted to their website. (4/28/05)

Keep Up to Date Check  It Out


First CARES LAP Committee Meeting Opens In Canandaigua
Amo Houghton Chairs First of Four
Canandaigua April 20,2005

The first of four meeting to be held regarding the future of the Canandaigua VA was held in the facility's auditorium by the Local Advisory Panel chaired by former Congressman Amo Houghton.
Consisting of two lengthy presentations  followed by either questions and/or statements detailed the proposals that were accepted by former Secretary of the Department of Veterans Affairs Anthony Principi in May of 2004.
The Local Advisory Panel (LAP) will examine the options for the future of the Canandaigua VA, the services it provides and the eventual location of the facility as it continues to provides services to the Finger Lakes Veterans it serves. The Panel comprised of select members of the stakeholders in the review process are: Sam Casella Canandaigua Town Supervisor, Earl Gleason Yates County Veterans Service Office Director, Dr. Daniel Hayes President FLCC, Helen Sherman Ontario County Office of the Aging, Ralph Calabrese President Ontario County Veterans Advisory Committee, Larry Flesh MD Chief Medical Officer VISN 2. Absent from this meeting was James Cody Director Syracuse VAMC.
The meeting opened with the customary housekeeping chores as outlined by Mr. Casella, during his discussion the ground rules as to how these meeting will be conducted were laid out.
Amo Houghton then reviewed the charge the panel had received and blueprinted the areas the panel will review in the coming months ahead.
He was careful to outline the current services the Canandaigua VAMC now provides and what will need to be incorporated into their vision of the facility in the future.
Those services that will be directly impacted by their discussions are:
Nursing Home Care, Domiciliary Care Residential Rehabilitation, Psycho-Geriatrics, Dementia Care and all Outpatient Treatment. Mr. Houghton was very clear that additional services may be needed to be added to the Canandaigua Facility  to meet the needs of tomorrows veterans.
Additionally both Mr. Houghton and Larry Flesh MD made it clear that the movement of the Acute Psychiatric Unit to Syracuse and Buffalo was not a matter for discussion, they stated several times that this decision had already been made in May of last year and was not in the scope of these hearings. However the decision was brought multiple times by various members of the audience and Mr. Houghton offered to pen a request, in conjunction with Mr. Calabrese to the Secretary of the Department of Veterans Affairs and encourage him to revisit his decision to remove the unit from the Canandaigua VA. Both Hilary Clinton and Charles Schumer have echoed this request and have encouraged Mr. Nicholson to listen to the veterans and keep the acute services in Canandaigua.
The meeting was then turned to the presentations that were scheduled for the day one by the consulting firm of Price Waterhouse Cooper who will be assisting in the development of the VA's Master Plan and the other by Donna Dardaris which looked at the statistical trending the will help guide the development of that plan.
While many in the room were encouraged by the information that was provided, the group was met with a great deal of skepticism by the veterans and others in attendance as it looks to the future and the possible outcomes for these hearings.

See how the local papers carried the stories regarding this the first session of the LAP.
Click Here for the Democrat and Chronicle by Jack Jones
Click Here for the Daily Messenger
Click Here for the Finger Lakes Times








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