Pacific Island Veteran Access to Care Study

Department of Veterans Affairs

VISN 21 - VA Pacific Islands Healthcare System

Pacific Islands



Romanyk Consulting Corporation (RCC) conducted a feasibility study to review and evaluate the actual sufficiency and efficiency of Veterans’ access to VA and non-VA (i.e., other Federal, state, or community provided) care in the Western Pacific Insular Islands. The analysis portrayed the actual and projected Veteran Population, Enrollees, Unique Veteran patients, and workload, as well as expenses by type and volume of medical care services delivered and projections on future requirements.


The feasibility study was in accordance with the VA MISSION Act of 2018. The VA Sierra Pacific Network (VISN 21) sought an analysis of healthcare delivery options for Veterans residing in American Samoa, CNMI/Saipan, Tinian Island, and Guam (also known collectively as the Western Pacific Insular Islands).


This project required RCC to complete required data assessments, VA RVU conversions to FTE requirements, demographic mapping, capital investment estimating and reviews, and overall evaluation of access to VA and non-VA care in the Pacific. The analysis concluded with recommendations and alternative option development.