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U.S. Department of Veterans Affairs

MyVA Organizational Hierarchy

Veterans and their Families

Employees

Senior Executives

Assistant & Under Secretaries

Deputy Secretary &

Secretary



And many more . . .

Learning from the best . . .



We have been consulting with our key stakeholders on how to implement change

Collaborating with partners



Disability Claims Backlog



40 Years After Conflict Ends

World War I Veterans (1958)

World War II Veterans (1985)

Korean Conflict Veterans (1993)

Vietnam Era Veterans (2015)

SCD Compensation 203,654 1,048,976 198,492 1,664,385

Total Population 2,876,000 10,399,000 4,692,000 7,102,850 Percentage 7.08% 10.09% 4.23% 23.43%

0%

5%

10%

15%

20%

25%

WWI WWII Korean Conflict Vietnam Era

Veterans Receiving Service Connected Disability Compensation



Veterans by Age Group, 1975-2023

0

2

4

6

8

10

12

14

16

1975 1981 1987 1993 2000 2005 2011 2017 2023

<35 35-54 55-64 65+



Veterans Receiving Compensation

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

2001 - 2016

Dramatic Increase to 20% in 16 years

Nearly constant at 8.5% over a 40-year window

1960 - 2000



Average Degree of Disability

20%

25%

30%

35%

40%

45%

50%

Nearly constant at 30% over 45 years

Dramatic Increase to 48.9% in 16 years

2000 - 2015 1950 - 1995



VA Facilities Infrastructure

0

200

400

600

800

1000

1200

1400

1600

429 over 110 yrs

591 over 90 yrs

1449over 70 yrs

1134over 50 yrs

708over 30 yrs

1025 over 10 yrs

894under 10 yrs

1735-1905 1906-1925 1926-1945 1946-1965 1966-1985 1986-2005 2006-Present

Classified as Historic - 2,247(36%)

Note: 13 Buildings not classified in age totals. Note: VA Total Facilities 6,230

Year Constructed

Replacement Cost - $94,000,000,000 58% over 50 years old (3,603)

Civil

War

WW I

Revolutionary

War

WW II Korean

War

Vietnam

War OIF

OEF

Gulf War

Data Source:

VA Capital Asset Inventory 58% of VA Facilities More

than 50 Years Old

10 30 50 70 90 110 Age (years) <10



$439M

$936M

$209M

2,167,106

169,267 169,267

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

No Radical Change Non-Legislative Simplified Process

Analysis of Alternatives

Long-term Sustainment Cost Per Year vs. Pending Inventory

2,435 FTE 5,100 FTE 1,030 FTE



Transition to Simplified Appeals

Decisions

79,292

205,200

270,000

398,000 399,902

174,205 172,671 174,137

-

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027

De

cisi

on

s

Legacy Appeals Decisions Simplified Appeals Decisions

Ramp-Up and Long-Term Sustainment



Appeals Process Today

. . . Veterans wait 5 years for a decision

In today’s convoluted Appeals Process . . .



Status of Appeals

-

500,000

1,000,000

1,500,000

2,000,000

-

500,000

1,000,000

1,500,000

2,000,000

Pending Inventory Final Appeals Decisions Total Appeals Decisions

No Legislative Change, No Radical Change in Resources

Projected 397% Increase in Appeals Inventory from November 2015 to FY 2027

Rapid growth is expected in VA’s appeals inventory



Proposed Simplified Appeals

Full Grant

Formal Appeal

Board Decision*

DECISION

Partial Grant Deny

Veterans receive a decision within one year.



MyVA Transformation

Objectives Improving the Veteran Experience

Improving the Employee Experience

Improving Internal Support Services

Establishing a Culture of Continuous Improvement

Enhancing Strategic Partnerships

Make Veterans want to be our customer



12 Breakthrough Priorities

Veteran facing VA internal facing

Improve the Veterans Experience

Increase Access to Health Care (same day primary care, seamless care, suicide prevention)

Deliver a Unified Veterans Experience

Improve the Comp & Pension Exam

Improve Community Care

Modernize our Contact Centers (to include Veterans Crisis Line)

Develop a Simplified Appeals Process

Continue to Reduce Veteran Homelessness

Improve Employee Experience (to include leadership development)

Staff Critical Positions

Transform Supply Chain

Transform OIT

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4

2

5

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