Military and Veterans Disability System: Preliminary Observations on Evaluation and Planned Expansion of DOD/VA Pilot

In their evaluation of the IDES pilot, DOD and VA concluded that, as of February 2010, the pilot had (1) improved servicemember satisfaction relative to the existing "legacy" system and (2) met their established goal of delivering VA benefits to active duty and reserve component servicemembers within 295 and 305 days, respectively, on average. While these results are promising, average case processing times have since steadily increased - for example, for active duty servicemembers, the average has increased from 274 days in February 2010 to 296 days in August 2010. At 296 days, processing time for the IDES is still an improvement over the 540 days that DOD and VA estimated the legacy process takes to deliver VA benefits to servicemembers. However, the full extent of improvement of the IDES over the legacy system is unknown because (1) the 540-day estimate was based on a small, nonrepresentative sample of cases and (2) limitations in legacy case data prevent a comprehensive comparison of processing times, as well as appeal rates.

In Feb. 2007, a series of Wash. Post articles disclosed deficiencies in the provision of outpatient services at Walter Reed Army Med. Center, raising concerns about the care for returning servicemembers. These deficiencies included a confusing disability evaluation system and servicemembers in outpatient status for years without a clear understanding about their plan of care. In response, the Army took a number of actions and DoD formed a joint DoD-VA Senior Oversight Comm. This statement provides info. on the near-term actions being taken by the Army and the broader efforts of the Senior Oversight Comm. to address longer-term systemic problems that impact health care and disability evaluations for returning servicemembers. Illustrations.