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!NF®RM~TIG1 <br />October 15, 2008 <br />Dr. Robert A. Petzel <br />VA Midwest Health Care Director <br />VISN 23 - Minnapolis Office <br />Building 9 - 2~d Floor <br />5445 Minnehaha Ave. <br />Minneapolis, MN 55417 <br />Dear Dr, Petzel: <br />We, the Sherburne County Board of Commissioners are asking your help in bringing a VA Community <br />Based Outpatient Clinic (CBOC) to Elk River, Minnesota. We fully agree with the original VA CARES <br />Commission Report Capital Asset Realignment for Enhanced Services] that selected Elk River as an optimal <br />site for the placement of a VA Outpatient Clinic (CBOC). It is our concern that the subsequent VA's <br />business plan changed the location from Elk River, MN, to the 'NW Metro Region' as the proposed site. <br />This creates a more ambiguous situation for us as we plan for it's location in Elk River. <br />It is important to note, that shortly after the CARES Report was published in 2004, the Sherburne County <br />Board of Commissioners and Minnesota Commissioner of Veterans Affairs met with you to discuss the <br />CBOC project. The purpose of this meeting was to gain a better understanding of the project and to <br />demonstrate our genuine support and resolve by offering community resources to ensure it's successful <br />completion. We had hoped that this meeting would be the beginning of ongoing dialog and cooperation, in <br />spite of the project being several years out. We were informed in the fall of 2007 that the CBOC Business <br />Plan had been prepared and was being sent to Central Office in Washington, D.C. Following a <br />comprehensive review process (General Review, Technical Review and National Task Force Review), the <br />CBOC business plan was then forwarded to VA Secretary Peake, for approval. <br />It is our understanding that the VA CBOC Business Plan details the broad specifications of the project, and <br />once approved, becomes the funding authority. In late July, we were informed by your office that the <br />CBOC Business Plan had been approved by VA Secretary Peake; however our request for a copy of the <br />approved business plan was denied, pending the official distribution of the Request for Proposal (RFP) by <br />the contracting office. We were referred to Kevin Hendricks, the Minneapolis VA contracting officer, and <br />told that there has been another delay in the CBOC Request for Proposal (RFP) timeline distribution. He <br />stated the .delay was due to the fact that the project has been expanded to a 'Super CBOC' which <br />significantly changes the size, capacity and types of services that are provided. <br />Of great concern is that this delay continues to hinder our attempts at obtaining specific information <br />pertaining to the specifications of the "Super CBOC' project.. In the interim of the RFP being distributed, we <br />are requesting from you, a copy of the approved CBOC Business Plan. Furthermore, we are requesting full <br />inclusion in the RFP process, to include notification of all updates and amendments. A CBOC located in <br />Elk River would provide healthcare to over 6,000 Sherburne County veterans, in addition to enhancing <br />accessibility to veterans in our neighboring communities such as Anoka, Wright, & Isanti Counties. We <br />believe Elk River is favored for the following reasons: <br />Elk River is centrally located and easily accessible from other communities, by way of several major <br />highway systems. <br />