Since initiation of the program, the VA has dedicated significant resources to expand the capacity of the system and the availability of specialized amputation care expertise.
The ASoC also increased the number of ACT locations within the ASoC from 101 to 108 with the growth of amputation care providers and expansion of services at these facilities.
Telehealth Amputation Clinics (TACs) improve access to specialty amputation care for Veterans who live in rural and highly rural areas.
They have a core interdisciplinary Amputation Care Team (physician, therapist, prosthetists) but may not have an associated CARF-accredited inpatient rehabilitation facility or accredited prosthetic laboratory.
The APOCs are located at smaller VA facilities without the resources to provide amputation care services directly.
David Cifu from Physical Medicine and Rehabilitation now lead the implementation of the VA paradigm shift for amputation care.