# VA Pacific Islands Health Care System

The VA Pacific Islands Health Care System, also called the VAPIHCS, is a United States Department of Veterans Affairs health care organization consisting of 12 sites of care across the Pacific Islands.

## Geography

The geographic coverage area of this VA Medical Center extends across much of the Pacific. The catchment area extends from the Hawaiian Islands, to Guam, Saipan, and the Commonwealth of the Northern Mariana Islands (CNMI), and to American Samoa. VA will be extending care into the COFA states. This expansion increases the geographic coverage to approximately 8.5 million sq miles, or more than twice the area of the continental United States.

## Operations

VAPIHCS is currently one of three VA Medical Centers without an inpatient hospital. It does however have a combination of inpatient, outpatient, residential, and nursing home treatment services through either VA owned facilities, or through partnerships with other community health care organizations.
The Spark. M Matsunaga VA Medical Center is located on the grounds of the Tripler Army Medical Center military facility in Honolulu, Hawaii and comprises three VA facilities, the Ambulatory Care Clinic (ACC), the Center For Aging (CFA) building which currently houses both the Community Living Center (CLC) and the PTSD Residential Recovery Program (PRRP), and the administrative E-Wing building. The other sites of care under the VAPIHCS umbrella are the Community Based Outpatient Clinics (CBOC) across the Hawaiian Islands, Guam, and American Samoa.
On April 8th, 2024, the Daniel Kahikina Akaka Community Based Outpatient Clinic opened in Kapolei, Oahu. This new $130 million facility is an 88,000 sq foot VA-owned clinic on the west side of Oahu and provides multispecialty outpatient care. It was named after the late United States Senator Daniel Akaka, an Army Veteran and champion for Veteran healthcare.

### Sites of Care

    VAPIHCS Headquarters: Honolulu, Hawaii
| Facility | City | State | Type |
| Spark M. Matsunaga Veterans Affairs Medical Center | Honolulu | HI | VAMC |
| Daniel K. Akaka Multispecialty Community Based Outpatient Clinic | Kapolei | HI | CBOC |
| Windward Community Based Outpatient Clinic | Kaneohe | HI | CBOC |
| Kona Community Based Outpatient Clinic | Kona | HI | CBOC |
| Hilo Community Based Outpatient Clinic | Hilo | HI | CBOC |
| Maui Community Based Outpatient Clinic | Kahului | HI | CBOC |
| Kauai Community Based Outpatient Clinic | Kauai County | HI | CBOC |
| Guam Community Based Outpatient Clinic | Agana Heights | GU | CBOC |
| American Samoa Community Based Outpatient Clinic | Pago Pago | AS | CBOC |
Data sourced from va.gov

### Services

   * Primary Care
   * Women's Health
   * Specialty Care
      * Cardiology
      * Gastroenterology
      * Neurology
      * Endocrinology
      * Podiatry
      * Optometry
      * Infectious Diseases
   * Mental Health Services
      * Outpatient Mental Health
      * PTSD Residential Recovery Program (PRRP)
   * Geriatrics and Extended Care
      * GeriPACT Outpatient Clinics
      * Home Based Primary Care (HBPC)
      * Hospital in Home (HiH)
      * Community Living Center nursing home
   * Physical Medicine & Rehabilitation
      * Physical and Occupational Therapy
      * Audiology
      * Spinal Cord Injury and Disorders (SCI/D)
      * Traumatic Brain Injury (TBI)
      * Acupuncture
   * Dentistry
   * Diagnostic Radiology
   * Pharmacy
   * Laboratory
   * Whole Health
Data sourced from va.gov

## Education

VAPIHCS has over 100 academic affiliations including:
   * John A. Burns School of Medicine
   * Tripler Army Medical Center
   * University Of Guam’s School of Nursing & Health Sciences
   * Daniel K. Inouye College of Pharmacy at the University of Hawai’i at Hilo

## Research Non-Profit

The Pacific Health Research and Education Institute (PHREI) is a non-profit organization affiliated with the VAPIHCS in order to promote the advancement of health care in the Pacific Region with emphasis on Veteran health issues.

## Accreditation

   * Joint Commission.
   * The Commission on Accreditation of Rehabilitation Facilities
   * Ascellon Corporation