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Mr. Chairman, outlined in this testimony are
many problems BVA believes exist within VA BRS, particularly as
they relate to the provision of a full continuum of comprehensive
services to blinded veterans. In the following sections, more
detailed descriptions of the functions of each component of the
specialized continuum of care will be provided. We must emphasize
that these various components represent a full and essential continuum
consistent with the goals and objectives for VHA. Each component,
as it is described, is essential if blinded veterans are to receive
the services crucial to overcoming the handicap of blindness.
Despite the drive to reduce costs, the residential BRC component
is essential. If I may draw an analogy between the provisions
of health care generally and blind rehab services, the BRC element
represents the acute care portion of health care delivery. Acute
care must always be available. Many medical conditions can only
be properly treated in an inpatient setting. Similarly, some blind
rehabilitation services can most effectively be provided in a
residential environment.
As you will see, VA BRS possesses all the
essential elements to provide the right service at the right time
and place. The BRC offers the acute care equivalent of health
care while the BROS is the outpatient component currently being
utilized. The VIST Coordinator serves as the case manager insuring
the delivery of comprehensive services.
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