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[D.] Haggstrom [Principal Executive Director, Office of Acquisition, Logis- tics, and Construction], who’s the Acting Chief Acquisition Officer at VA, which is comparable to the Army Acquisition Executive. All three of them have been very, very supportive, and their predeces- sors as well, for changes that we’ve made here in VA. Believe me, we’ve made some, and we need to make a lot more to get us where we need to go.


There have been, and there are, a lot of opportunities for standardization and con- solidation, or strategic sourcing, if you will, of products across VA and DoD. VA is a major player in the national health care arena; DoD is as well. We serve the same people, albeit at different times of their careers. Some substantial savings have been achieved, and more could be achieved.


In our hospitals here in CONUS, we prob- ably use about the same things. Obviously overseas in war zones, the forward- deployed medical commands use some different things because of their forward- deployed posture. But things that come to mind are what we call durable medical equipment, or DME, from wheelchairs to hearing aids like I’m wearing. We’ve agreed on what hearing aids we will pro- vide to our constituents, to our clients, and we combine our spend. We buy most of DoD’s hearing aids out of VA’s Den- ver Acquisition and Logistics Center. We average a cost per unit of $348. That is in comparison to a retail cost for the same units of $1,200 to $3,000.


We have captured 20 percent of the U.S. market, between DoD and VA, for hear- ing aids. Best of all, we’re getting the best technology available.


Major medical equipment is another arena where we can do a lot more. If we were to combine the total spend for high-tech or


I WANT TO LET YOU KNOW THAT EVERYTHING THAT I KNOW ABOUT CONTRACTING, I LEARNED FROM THE ARMY.


major medical equipment and then use that spending power to negotiate with suppliers, I believe we could drive the prices down for a significant advantage for both DoD and VA. We are doing it to some degree now, but I think there’s more progress that we could make. CT [computed tomography] scanners, MRIs [magnetic resonance imaging machines], those are very, very expensive. We buy millions of dollars worth of them across VA every year.


Those are just two examples.


Q. VA has taken significant steps, with your leadership, to build up its contract- ing workforce. What can the Army learn from VA acquisition to foster profes- sionalism, innovation, and risk-taking through hiring, assignment, and promo- tion practices?


A. First of all, I want to let you know that everything that I know about contract- ing, I learned from the Army. The Army allowed me to serve in the contracting arena for 20 of my 30 years, even before the Acquisition Corps was developed.


Here’s what I found when I got here in 2005: Our procurement workforce here was not nearly as capable as the Army’s. They weren’t as well led as the Army’s procurement workforce, they weren’t as well trained, and there was no acquisi- tion corps. The Army implemented the





Acquisition Corps 22 years ago. We had none here. And there was virtually no program management culture. So I’ve expended a lot of effort, a lot of resources to improve training, the culture, and pro- fessionalism. But we’ve got a long way to go.


Let me give you an example: We’re in the process of implementing the VA Acquisi- tion Corps à la Department of the Army because that’s what I learned. And Secre- tary Shinseki directed us to do that last year. Fortunately, I already had an effort going, so we’re about to stand that up.


We have a very professional IT [informa- tion technology] contracting organization. Just two years ago, we could barely put an IT contract in place. But there happened to be a BRAC [Base Realignment and Clo- sure move] at a place called Eatontown, NJ, at the Army’s Communications- Electronics Command [CECOM]. When I found out about it, I presented the idea to the leadership here, said that what I thought we needed to do was move up there and see what professionals we could retain at Eatontown. We did so, did it very, very quickly. And we eventually will have over 250 people on the ground put- ting contracts in place, totally dedicated to IT contracting. It’s the U.S. Army that set the stage there.


We were way behind the curve in terms of training, and consequently I conceived


ASC.ARMY.MIL 99





CRITICAL THINKING


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