Sec. 501 Administration of Veterans Integrated Service Networks
“7310. Veterans Integrated Service Networks
“(a) Organization
“(1) The Secretary shall organize the Veterans Health Administration in geographically defined Veterans Integrated Service Networks.
“(2) Each Veterans Integrated Service Network shall be organized in consideration of the following:
“(A) The size of the veteran population of the region of the network.
“(B) The complexity of the medical needs of the veterans in such region.
“(C) Patient referral patterns.
“(D) The availability of a full continuum of health care services.
“(E) The ability of the Department to furnish health care efficiently.
“(F) Partnerships with non-Department health care entities.
“(b) Staffing model
“(1) The Secretary shall establish a staffing model for each Veterans Integrated Service Network that—
“(A) is appropriate for the mission and responsibilities of the Veterans Integrated Service Network; and
“(B) accounts for the specific health care needs of differing populations in the Veterans Integrated Service Network.
“(2) The Secretary shall ensure that each Veterans Integrated Service Network complies with the staffing model established by the Secretary under paragraph (1) for such Veterans Integrated Service Network.
“(c) Integrated health care system—The Secretary shall ensure that each Veterans Integrated Service Network maintains a regional integrated healthcare system by—
“(1) implementing alliances with such other governmental, public, and private health care organizations and practitioners as the Secretary considers appropriate to meet the needs of veterans in the Network;
“(2) providing oversight and management of, and taking responsibility for, a regional budget for the activities of the Veterans Health Administration in the geographic area of the Network that is—
“(A) aligned with the budget guidelines of the Department and the Veterans Health Administration;
“(B) balanced at the end of each fiscal year; and
“(C) sufficient to provide high-quality health care to veterans within the region and to meet any unique needs of the veterans of the region;
“(3) using national metrics to develop systems to provide effective, efficient, and safe delivery of health care; and
“(4) ensuring high-quality clinical programs and services are rendered in and through—
“(A) the medical centers and outpatient clinics of the Department that are located in the Network; and
“(B) other non-Department clinical or health care delivery settings located in the Network.
“(d) Reduction in duplicate functions—The Secretary shall ensure that the Veterans Integrated Service Networks identify and reduce, whenever practicable, the duplication of functions in clinical, administrative, and operational processes and practices of the Veterans Health Administration.
“(e) Collaboration and cooperation—The Secretary shall ensure that each Veterans Integrated Service Network—
“(1) works to achieve maximum effectiveness in patient care and safety, graduate medical education, and research; and
“(2) assesses the consolidation or realignment of institutional functions, including capital asset, safety, and operational support functions, in collaboration and cooperation with other Veterans Integrated Service Networks and the following offices or entities within the geographical area of the Network:
“(A) The offices of the Veterans Benefits Administration and the National Cemetery Administration.
“(B) The offices, installations, and facilities of the Department of Defense, including the offices, installations, and facilities of each branch of the Armed Forces and the reserve components of the Armed Forces.
“(C) The offices, installations, and facilities of the Coast Guard.
“(D) Offices of State and local agencies that have a mission to provide assistance to veterans.
“(E) Medical schools and other affiliates.
“(F) Offices of Congress, offices of State and local elected officials, and other government offices.
“(G) Federal, State, and local emergency preparedness organizations.
“(H) Community and nonprofit organizations.
“(I) Such other entities of the Federal Government as the Secretary considers appropriate.
“(f) Headquarters
“(1) The Secretary shall ensure that each Veterans Integrated Service Network has only one headquarters office.
“(2) The location of a headquarters office for a Veterans Integrated Service Network shall be determined by the Secretary and co-located with a Department of Veterans Affairs medical center.
“(3)
“(A) The Secretary may employ or contract for the services of such full time equivalent employees and contractors at the headquarters of each Veterans Integrated Service Network as the Secretary considers appropriate in accordance with the staffing models established under subsection (b).
“(B) Not later than December 31 each year, the Secretary shall submit to the Committee on Veterans' Affairs of the Senate and the Committee on Veterans' Affairs of the House of Representatives a report on employment at the headquarters of Veterans Integrated Service Networks during the most recently completed fiscal year.
“(C) Each report submitted under subparagraph (B) shall include the following for the year covered by the report:
“(i) The number of individuals employed at each headquarters of a Veterans Integrated Service Network.
“(ii) The number of individuals employed by the Veterans Health Administration in each Veterans Integrated Service Network who are not employed at the same location as the headquarters of the Network.
“(iii) The title for each position of employment at a headquarters of a Veterans Integrated Service Network.
“(iv) The title for each position of employment with the Veterans Health Administration in each Veterans Integrated Service Network that is not at the same location as the headquarters of the Network.
“(v) An assessment of the impact on the budget of the Department by the employment of individuals at the headquarters of the Veterans Integrated Service Networks.
“(g) Triennial structure review, reassessment, and report
“(1) Beginning three years after the date of the enactment of this section and not less frequently than once every three years thereafter, the Secretary shall conduct a review and assessment of the structure and operations of the Veterans Integrated Service Networks in order to identify recommendations—
“(A) for streamlining and reducing costs associated with the operation of each headquarters of a Veterans Integrated Service Network; and
“(B) for reducing costs of health care within the Veterans Health Administration.
“(2) Not later than 180 days after conducting a review and assessment under paragraph (1), the Secretary shall submit to the Committee of Veterans' Affairs of the Senate and the Committee on Veterans' Affairs of the House of Representatives a report on such review and assessment, which shall include such recommendations for legislative or administrative action as the Secretary considers appropriate to improve the Veterans Integrated Service Networks.”