The RAC and PANS locations are designed to provide the highest level of clinical expertise in amputation care, including medical care, surgical services, specialized rehabilitation programs, and orthotic and prosthetic laboratories for the fabrication and fitting of artificial limbs.
Regional Amputation Centers--RACs (7 Medical Facilities) * Medical Director * Amputation Rehabilitation Coordinator * Program Support Assistant * Prosthetist Polytrauma Amputation Network Sites--PANS (18 Medical Facilities) * Medical Director (0.5 Full-Time Employment Equivalent) * Amputation Rehabilitation Coordinator * Program Support Assistant Amputation Clinic Teams--ACTs (108 Medical Facilities) Amputation Points of Contact--APOCs (22 Medical Facilities) 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.
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.