VA Heart of Texas Health Care Network
VISN 17 HISTORY
At the time of its formation, the Network was comprised of seven medical centers – Dallas, San Antonio, Temple, Waco, Kerrville, Bonham and the former Marlin VA medical center – and a handful of community-based outpatient clinics. Shortly after its formation, the Network’s seven medical centers were integrated to form three integrated health care systems – Bonham and Dallas became the VA North Texas Health Care System; Temple, Waco and the former Marlin facility became the Central Texas Veterans Health Care System; and San Antonio, Kerrville, and the lower Rio-Grande valley became the South Texas Veterans Health Care System. In 2010, VA Texas Valley Coastal Bend Health Care System was established to oversee health care for Laredo, Corpus Christi, Harlingen and McAllen and surrounding areas. State-of-the-art health care, education, and research to enrolled Veterans residing along either side of the “Interstate 35 corridor” of Texas. The four health care systems were supported by a network of community-based outpatient clinics providing a full range of primary care and some specialty care services through VA-staffed or contract care. Some of the largest and most complex outpatient clinics are in Fort Worth, Austin, San Antonio, Corpus Christi, McAllen, and Harlingen. The outpatient clinics work in harmony with the larger and more complex medical centers serving as referral sources for medical centers and providing needed long-term follow-up and rehabilitative care and post hospital admission. Network facilities also include nursing homes, domiciliaries, a blind rehabilitation center, and two Spinal Cord Injury Centers. Principle academic affiliations are with University of Texas Southwestern School of Medicine, Texas A&M School of Medicine, the University of Texas Galveston Branch and the University of Texas Health Science Center at San Antonio.
In October 2015, VA Secretary, Robert McDonald, and VHA Under Secretary for Health, Dr. David Shulkin formally announced the realignment and consolidation from 21 to 18 VISNs. This realignment was part of the MyVA initiative to enhance Veteran access to VA by consolidating some VISNs and realigning medical centers to improve coordination of VHA, VBA, NCA and programs with the ultimate goal of improving efficiencies. The national workgroup convened by Secretary McDonald recommended a number of changes to the existing VISN structure. Among them, relocating three VA facilities in Texas: Amarillo VAHCS, West Texas (Big Spring) VAHCS, and El Paso VAHCS facilities to VA Heart of Texas Health Care Network, or VISN 17 which was effective October 1, 2015.
A Brief History of the Veterans Health Administration (VHA)
Today’s Veterans Health Administration (VHA) originated during the Civil War as the first federal hospitals and domiciliaries ever established for the nation’s volunteer military forces.
National Home for Disabled Volunteer Soldiers (1865-1930)
On March 3, 1865, a month before the Civil War ended, President Abraham Lincoln authorized the first-ever national soldiers’ and sailors’ asylum to provide medical and convalescent care for discharged members of the Union Army and Navy volunteer forces. The asylum was the first of its kind in the world to provide civilian medical care to Veterans of temporary volunteer forces.
Two earlier soldiers’ homes, operated by the U.S. Army and Navy for Veterans of the Regular military forces, were very small and housed only up to 300 men each. The National Homes housed ten of thousands of Veterans. The National Homes were often called “soldiers’ homes” or “military homes.” Initially only Civil War soldiers and sailors who served honorably with the Union forces—including U.S. Colored Troops—were eligible for admittance. The first National Home, now VA’s oldest hospital, opened near Augusta, Maine, on November 1, 1866. They provided medical care and long-term housing for thousands of Civil War Veterans.
Many programs and processes begun at the National Homes continue at VHA today. They were the first to accept women Veterans for medical care and hospitalization beginning in 1923.
By 1929, the National Homes had grown to 11 institutions that spanned the country. All of the original National Homes have operated continuously since they opened.
Bureau of War Risk Insurance, Public Health Service, & Federal Board of Vocational Education (1917-1922)
For nearly five years three separate federal programs, two of which were under the Treasury Department, provided benefits exclusively to World War I Veterans. In 1921, the Bureau of War Risk Insurance, Public Health Service Veterans’ hospitals, and Rehabilitation Division of the Federal Board of Vocational Education were consolidated to form one agency.
Veterans Bureau (1921-1930)
On August 9, 1921, Congress created the Veterans Bureau by combining three World War I Veterans programs into one bureau. The Veterans Bureau and National Home for Disabled Volunteer Soldiers worked cooperatively to provide medical care to all Veterans at this time.
World War I was the first fully mechanized war and soldiers exposed to mustard gas and other chemicals required specialized care. Tuberculosis and neuro-psychiatric hospitals opened to accommodate Veterans with respiratory or mental health problems.
Native Americans who served in World War I were authorized, for the first time in history, to apply for American citizenship due to a law enacted on November 6, 1919, making them eligible for full Veterans benefits, including health care. The first segregated federal Veterans hospital opened under the Veterans Bureau on February 12, 1923, in Tuskegee, Alabama. In 1924, Veterans’ benefits were liberalized for the second time in history to cover disabilities that were not service-related. In 1928, admission to Veterans Bureau hospitals and National Homes was fully extended to women, National Guard, and militia Veterans.
Veterans Administration (1930-1989)
The second consolidation of federal Veterans programs took place on July 21, 1930 when President Herbert Hoover consolidated the Veterans Bureau with the National Home for Disabled Volunteer Soldiers and Pension Bureau and re-designated it as the Veterans Administration.
General Frank Hines, Director of the Veterans Bureau since 1923, became the first Administrator of the VA. His tenure lasted 22 years and ended in 1945 when General Omar Bradley took the helm. In 1930, VA consisted of 45 hospitals. By 1945, the number had more than doubled to 97.
World War II ushered in a new era of expanded Veterans’ benefits through the Servicemen’s Readjustment Act of 1944, commonly referred to as the “G.I. bill", which was signed into law on June 22, 1944. General Omar Bradley took the reins at VA in 1945 and steered its transformation into a modern organization. In 1946, the Department of Medicine and Surgery was established within VA. VA was able to recruit and retain top medical personnel by modifying the Civil Service system. The first women doctors were hired in 1946. When Bradley left in 1947, there were 125 VA hospitals.
Dr. Paul Magnuson, a VA orthopedic surgeon and Chief Medical Director, 1948-1951, led the charge to create an affiliation program with America’s medical schools for medical research and training purposes. By 1948, 60 medical schools were affiliated with VA hospitals. Over the years, these collaborations resulted in groundbreaking advances in medicine, nursing, medical research, and prosthetics.
In the post-World War II period, 90 new and replacement Veterans hospitals were planned, but many were later shelved, when VA’s budget was cut to help fund U.S. Cold War programs. During the 1950s VA’s cooperative research studies led to discoveries about cancer, diabetes, chemotherapy, nuclear medicine, and helped to diminish the spread of tuberculosis.
The first-ever successful human liver transplant operation took place at the Denver VA Medical Center in May 1963 under Dr. Thomas Starzl. In 1977, two VA doctors, Dr. Rosalyn Yalow (Bronx VAMC) and Dr. Andrew Schally (New Orleans VAMC) received the Nobel Prize in Physiology or Medicine for their work in developing radioimmunoassay of peptide hormones. Dr. Ferid Murad (Palo Alto VAMC) received a Nobel Prize in 1998 for his discoveries concerning nitric oxide as a signaling molecule in the cardiovascular system. Many modern medical advances originated as trials or experiments in VA hospitals and now benefit patients of all types worldwide.
Department of Veterans Affairs (since 1989)
The VA was elevated to a Cabinet-level Executive Department by President Ronald Reagan in October 1988. The change took full effect on March 15, 1989, when the Veterans Administration was renamed as the Department of Veterans Affairs. VA’s first Secretary after the elevation, Ed Derwinski, insisted that the “VA” acronym be retained since it have been a familiar part of American culture for more than 50 years
VA’s Department of Medicine and Surgery was re-designated as the Veterans Health Services and Research Administration, as part of the elevation, and on May 7, 1991, was renamed as the Veterans Health Administration (VHA).
The Veterans Health Administration (VHA) is the largest of three administrations that comprise the U.S. Department of Veterans Affairs. VHA’s primary mission is to provide medical care and services to America’s military Veterans.
VHA operates one of the largest health care systems in the world and provides training for a majority of America’s medical, nursing, and allied health professionals. Roughly 60% of all medical residents obtain a portion of their training at VA hospitals and our medical research programs benefit society at-large.
Today’s VHA has roots spanning over 150 years and continues to meet Veterans’ changing medical, surgical, and quality of life needs. New programs provide treatment for traumatic brain injuries, post-traumatic stress disorder, suicide prevention, women Veterans, and more.
In recent years VHA has opened more outpatient clinics, established telemedicine, vet centers, and suicide prevention hotlines, and developed other services to accommodate a diverse and ever-changing Veteran population. VHA continually evolves and cultivates on-going cutting-edge medical research and innovation to improve the lives of America’s patriots.