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MoPOC team van with three healthcare workers standing in front.

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Mobile Prosthetic and Orthotic Care (MoPOC)

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MoPOC increases access to Orthotic & Prosthetic (O&P) specialty service for Veterans that struggle to travel to VA Medical Centers. By traveling to smaller VA clinics located in rural communities, MoPOC reduces or eliminates the patient travel burden, helping to ensure that Veterans are able to choose VA for lifelong O&P care.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.

Origin:

March 2021, VISN-20

Adoptions:

15 successful, 4 in-progress

Awards and Recognition:

iNET Seed Investee, 2022 Undersecretary For Health Robert L. Jesse Award for Excellence in Innovation

Partners:

Diffusion of Excellence, Office of Rural Health, VHA Innovators Network

MoPOC team van with three healthcare workers standing in front.

Tags:

Access to Care Continuity of Care Contracting Coordinated Care Curbside Care Data and Analytics Healthcare Administration Health Equity Home Health Outpatient Care
Contact Team

Overview

Problem

MoPOC was initiated to meet the clinical Orthotic & Prosthetic care needs of Veterans that face significant barriers to traveling to urban VA medical center where these services are typically offered.

Solution

By meeting Veterans at or closer to their homes, the burden of travel is reduced or eliminated, thereby enhancing access to prescribed clinical Orthotic & Prosthetic care.

Results

Veterans that have received MoPOC care have reported high levels of satisfaction with care and improvements in mobility.

Links

Metrics

  • Veteran Feedback (source: 462 surveys, 41 interviews) 99% rated the quality of service received as good or excellent.
  • 90% agreed that MoPOC care was easier to get than other O&P care.
  • 94% responded that MoPOC had met most or all of their needs.
  • 20% indicated that they would not have received O&P care without MoPOC.
  • 2023: 4,008 encounters with 2,026 unique Veterans.

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

CO: Grand Junction VA Medical Center (Grand Junction, Colorado)
  • Started adoption on 10/2021.
GU: Guam VA Clinic (Guam)
  • Started adoption on 01/2023.
IA: Iowa City VA Medical Center (Iowa City, Iowa)
  • Started adoption on 03/2023.
KY: Franklin R. Sousley Campus (Lexington Leestown)
  • Started adoption on 03/2023.
ND: Fargo VA Medical Center (Fargo) NE: Grand Island VA Medical Center (Grand Island)
  • Started adoption on 10/2021.
NY: Samuel S. Stratton Department of Veterans Affairs Medical Center (Albany, New York)
  • Started adoption on 03/2023.
NY: Syracuse VA Medical Center (Syracuse)
  • Started adoption on 01/2023.
OR: White City VA Medical Center (White City)
  • Started adoption on 10/2021.
SC: Wm. Jennings Bryan Dorn Department of Veterans Affairs Medical Center (Columbia, South Carolina)
  • Started adoption on 04/2023.
SD: Royal C. Johnson Veterans' Memorial Hospital (Sioux Falls)
  • Started adoption on 01/2023.
TN: Lt. Col. Luke Weathers, Jr. VA Medical Center (Memphis)
  • Started adoption on 03/2023.
TN: Nashville VA Medical Center (Nashville)
  • Started adoption on 03/2023.
WA: American Lake VA Medical Center (American Lake)
  • Started adoption on 03/2021.
WA: Seattle VA Medical Center (Seattle)
  • Started adoption on 03/2021.

DE: Wilmington VA Medical Center (Wilmington, Delaware)
  • Started adoption on 01/2024.
NY: Buffalo VA Medical Center (Buffalo, New York)
  • Started adoption on 01/2024.
TX: Dallas VA Medical Center (Dallas)
  • Started adoption on 01/2024.
TX: Michael E. DeBakey Department of Veterans Affairs Medical Center (Houston)
  • Started adoption on 01/2024.

There are no unsuccessful adoptions for this innovation.

Implementation

Timeline

  • 12 Months
    Apply to program (annual application window)
    Acquire specialty vehicle and equipment
    Onboard and train personnel
  • 4 years
    Total funding period

Departments

  • Parking
  • Logistics
  • Administration
  • Purchasing and supplies
  • Education and training
  • Fleet vehicle
  • Telehealth
  • Information technology
  • Human resources
  • Information management

Core Resources

Resource type Resource description
PEOPLE
  • Prosthetics department staffed with at least one clinician already providing patient care.
  • Supervisory Prosthetist Orthotist required to fulfil role of MoPOC Site Manager, up to 8 hours/week during year 1. Up to 4 hrs/week in subsequent years.
  • Contracting, Fleet, Logistics support to purchase specialty vehicle.
PROCESSES
  • Guidance for all processes is provided by the MoPOC Program Office.
TOOLS
  • The site must have an existing Prosthetic lab.

Links

Support Resources

Resource type Resource description
PEOPLE
  • 1.0 FTE Prosthetist/Orthotist to provide patient care.
  • 1.0 FTE Program Support Assistant to provide administrative support to the MoPOC clinician.
PROCESSES
  • Guidance, training, and Standard Operating Procedures.
TOOLS
  • Specialty vehicle and all required tools.

Risks and mitigations

Risk Mitigation
This program requires a high level of coordination between local departments. Guidance is provided to facilitate collaboration.

Contact

Comment

Comments and replies are disabled for retired innovations and non-VA users.

VA User (Prosthetic Representative) edited

I'm currently a Prosthetic Representative from 672 VACHS, I would like offer this to the Veterans living in the Caribbean, please advise how I can implement this innovation team in San Juan, PR.

Email

Email with questions about this innovation.

About

Origin story

The MoPOC team observed that some patients' plans of care were going unfulfilled due to challenges patients were facing in coming Orthotic & Prosthetic appointments at the Seattle VA Medical Center. These challenges included rural residence, mental illness, and mobility impairments.

Original team

Daniel Abrahamson

Program Manager

G. Eli Kaufman

Program Coordinator

Search tags

Access to Care Continuity of Care Contracting Coordinated Care Curbside Care Data and Analytics Healthcare Administration Health Equity Home Health Outpatient Care