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Joint Initiatives

    Demonstration Site Selection (DSS)
Pilot Project
Section 722 of FY 2003 National Defense Authorization Act (NDAA) required no less than three demonstration projects of DoD/VA coordinated systems involving budget/financial management; staffing/assignment; and Information Management/Information Technology (IM/IT). The demonstrations will continue through FY 2007. The VA/DoD Health Executive Council (HEC) is monitoring the progress of these projects.

Demonstration Sites
Budget and Financial Management
  • VA Pacific Islands HCS-Tripler AMC
  • Alaska VA HCS - Elmendorf AFB, 3rd Med Group

  • Coordinated Staffing and Assignment
  • Augusta VA HCS - Eisenhower AMC
  • Hampton VA Med Center - Langley AFB, 1st Med Group

  • Medical Information and Information Technology
  • Puget Sound VA HCS - Madigan AMC
  • El Paso VA HCS - William Beaumont AMC
  • South Texas VA HCS, Wilford Hall AFMC and Brooke AMC DSS Lessons Learned Summary June 30, 2008
    DSS Final Report, July 2008
  •     Joint Incentive Fund (JIF)
    JIF Program
    Section 721 of FY 2003 National Defense Authorization Act (NDAA) required establishment of a Joint Incentive Fund (JIF) to provide incentives for creating innovative DoD/VA sharing initiatives at the facility, regional and national levels. DoD and VA contributed $15M each to the Fund in FY04; a similar amount will be deposited to the fund at the beginning of each fiscal year through FY 07.

    NOTE: NDAA 2010 extended the Joint Incentive Fund program until September 30, 2015.

    MOA - DoD/VA Health Care Sharing Incentive Fund

    JIF Guide

    How to Submit a Proposal
    A call for JIF proposals will be released one to two times a year. Proposals must be jointly developed between the DoD and VA entities and submitted through their respective management structures, ie: Service Surgeon General or VISN. More detailed instructions are provided in the call letter. Proposals are directly submitted to the Financial Management Work Group (FMWG). Final proposal approval will be through the Executive Council. Proposals must meet a business case analysis. Interim progress reports will be used as part of the oversight process, using the same format as the DSS projects.

    Financial Analysis Tool
    Note: the BCA format contains salary data that is no longer up to date. Salary estimates should be entered manually.
    Proposal Format
    JIF Certification Document
    Note: Download these template documents to your personal computer to complete.

    Helpful Hints for Successful Proposals:
    • Proposals should be no longer than 10 to 15 pages, but should include a response for each question
    • Proposals should be clear about who is contributing space, staff, etc. and who is benefiting from the proposal
    • Should emphasize the reasons and benefits of the proposal
    • IM/IT projects should be in line with corporate direction and not duplicate systems already in development
    • Projects including leased space should include a deadline for decision process or consider an alternative location
    • Be sure to submit proposal to both VA and DoD concurrently with sufficient time for review
    • Avoid proposals with guard and reserve units
    Examples of Successful Proposals

    Lessons Learned for Submission of JIF Projects
    • Proposals that involve recruitment of professional staff have experienced difficulty hiring part-time personnel. Sites should anticipate and look for alternatives.
    • Sites attempting to hire radiologists should anticipate much higher costs and should consider contracting readings and methods for transmitting radiological studies and images as an alternative to hiring radiology staff.
    • MRI technicians are difficult to hire as civil service due to more attractive salary levels in the private sector. Sites should be aware of this and consider contracting.
    • Take the time to obtain realistic cost estimates before submission of a proposal.
    • Do not combine several initiatives into one proposal. Simple, verifiable projects with good supporting data have a better chance of being selected.
    • Take the time in the beginning to develop a solid proposal and think through operational level details in close coordination with your sharing partner. Projects which transform into something different between scoring rounds have less chance of being selected.
    • Ensure that projects have been submitted up both chains of command. Projects which do not have support by both a DoD and VA partner, including support of headquarters Service, VISN or Program Office, will not be scored.
    • Do not attempt to justify proposals based on workload outside the DoD or VA.
    • Projects involving IM/IT systems should ensure that they are congruent with corporate direction and do not duplicate the work being tested in the VA/DoD Demonstration Projects.
    • If your project includes hiring civilian personnel, consider the effect of pay banding which will begin to be implemented in DoD in FY 2006. Adjust grades and steps within the financial analysis tool to account for this.
    • For DoD, some proposals which transfer care from the private sector to VA will require a transfer of funding from Budget Activity Group (BAG) 2 (private sector care) to BAG 1 (in-house care). If such a transfer is not possible, one solution is for the VA facility to work with the managed care support contractor to create a TRICARE network agreement. Under this agreement, VA would bill TRICARE and the funding would remain in private sector care (BAG 2). It is important to determine at what point the JIF funding will end and when billing should begin. This will depend upon the point at which operating costs are no longer paid by the JIF, and is not the same for every project.
    • Examples of well-written proposals will be posted on the VA/DoD website located at:
    Approved Projects for FY04

    Approved Projects for FY05
    Approved Projects for FY06 - First Call
    Approved Projects for FY06 - Second Call
    Approved Projects for FY07
    Approved Projects for FY09
    Approved Projects for FY10
    Approved Projects for FY11
    Approved Projects for FY12

    Current Status
    FY13 project proposals that have been fully vetted and approved by their respective chains-of-command on both the DoD and VA side must be submitted to the Financial Management Work Group by August 8, 2012.