7 Aralık 2012 Cuma

We've got it all wrong - Dioxin not harmful! (VA)

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T.  Murphy, VA Director of Compensation
In his 25 September 2012 denial of my own application for Agent Orange benefits, Mr. Thomas Murphy (VA Director of Compensation Services), decided to redefine the fields of toxicology, environmental science, oncology, and others with his conclusion below. Going overboard thus, Mr. Murphy overruled the Institute on Medicine, World Health Organization, Society of Toxicology, American College of Medical Toxicology, National Institutes of Health, the United States Congress and much of the VA itself when he assured us:


"In summary, there is no conclusive evidence that TCDD exposure causes any adverse health effects."
Fellow veterans: do you draw comfort from his assurances, or do you feel Mr. Murphy offers this amazing statement in his dedication to insure one more veteran is denied medical care at the VA?

If Mr. Murphy has it right, scientists around the world have it wrong by their long-established conclusion that TCDD is the most toxic chemical known to science. TCDD is classified as a Group 1 carcinogen by the International Agency for Research on Cancer. 

Does Mr. Murphy have it right? His business background at Home Depot has been brought directly to bear in dismissing world-famous toxicologists' opinions that C-123 veterans were exposed to dioxin aboard our airplanes. Does Mr. Murphy have it right?

"No adverse effects." This shows the lengths the VA will go to in preventing fully qualified veterans' access to already-overstretched VA medical care.

C-123 Veterans: "Trash haulers, freeloaders" according to DOD official

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"TRASH HAULERS, FREELOADERS looking for a tax-free dollar from a sympathetic congressman." "I have no respect."
These are the comments, made in an email released earlier this year, by Dr. Al Young. Anyone is welcome to opinions, even if as offensive as this man's, but what makes this absolutely devastating to C-123 veterans is that Dr. Young is the consultant to the Secretary of Defense, and he recommended destruction of the dioxin-contaminated aircraft stored at Davis-Monthan AFB in April 2012 in part, to prevent veterans from learning about the contamination and seeking VA benefits! 

The Result: Young's contempt for C-123 veterans has played a tragic role in preventing access to vital medical care.

Young allowed that he had respect for holders of the Purple Heart and those who'd been in combat. He himself had no combat. In his contempt, Young failed to note that a large percentage of C-123 veterans are combat veterans of Vietnam, the Gulf War and other conflicts.

Young made his offensive comments in an email made public earlier this year in which he was referencing C-123 veterans who might learn the C-123 Agent Orange contamination and who would naturally seek medical care from the VA for Agent Orange illnesses. 

The Deeper Problem: How in the world did the situation evolve where the Air Force and the Department of Defense place such trust in an individual who is so prejudiced against the men and women who flew the Provider? And why the hell was such a person able to encourage government officials at Davis-Monthan AFB, Hill AFB, Wright-Patterson AFB and the Air Staff itself to conduct the C-123 destruction project with special efforts to minimize publicity to keep the press and veterans from learning about such a controversial event?

This calls for an IG investigation of Young's role in the destruction of the retired fleet of C-123 transports, and into the complete failure of Air Force Public Affairs to meet its mission of informing the public!




Scientists & Physicians Speak Out in Support of C-123 Veterans!

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Dr. Stellman
Today, we were informed by Dr. Jeanne Stellman, Professor Emerita at Columbia University's Mailman School of Public Health, that fifteen scientists and five physicians joined forces and submitted their joint letter to the Under Secretary of Veterans Affair, General Allison Hickey.

These eminent scientists and physicians spoke out in support of C-123 veterans' claims for Agent Orange exposure. The VA has spent this last year defying science, law, logic and justice in an effort to prevent C-123 veterans from making any claims for medical care for the Agent Orange exposure while flying and maintaining our airplanes which all government tests agree, were "highly contaminated" and "a danger to public health." The scientists and physicians who authored their joint letter aim to set right the VA on this issue! The letter should be a game-changer in our struggles with VA administrators.

What can we say except thank you. These scientists and physicians have asked that their names and institutions or federal agencies remain nameless except in the original letter sent General Hickey, but we know who many of them are likely to be. Our thanks. Our very profound thanks, especially to leaders in the effort like Dr. Stellman and others who've asked their involvement be confidential and thus objective, as is the standard in their profession. Thank you all for stepping forward to help us, just as our veterans stepped forward to serve in the military, flying these airplanes that left us exposed to deadly TCDD.

God Bless them from each of us!

     Wes

-cover letter to joint letter submitted to Under Secretary of Veterans Affairs, General Hickey:
(text of scientists' and physicians' letter, on a major university's letterhead)
November 29, 2013
Brigadier General Allison Hickey USAF (retired)Undersecretary for BenefitsDepartment of Veterans Affairs810 Vermont Avenue, NWWashington, DC 20420

Dear Secretary Hickey,
We have been asked by Major Wesley T. Carter USAF (retired) to comment on the October 12 letter in which youstate that "VA is unable to extend the presumption of Agent Orange exposure to crew members of post-Vietnam C-123s or acknowledge Agent Orange-related disabilities as a result of this service." You based this statement oninformation provided to you by the VA Office of Public Health. We have carefully examined that Office's"Scientific Review of Agent Orange in C-123 Aircraft,"[1] and find it seriously flawed. We feel obliged to point outthe scientific shortcomings in the VA appraisal and hope that you take our comments into consideration in anyfuture decision-making with respect to post-Vietnam exposures in the C-123s.
In your letter you state that "the potential for exposure to dioxin from flying or working in contaminated C-123aircraft years after use in Vietnam, is unlikely to have occurred at levels that could affect health" and you base yourstatement on the VA Public Health Office conclusion that any dioxin present would be "biologically unavailable."Unfortunately, the Public Health Office, in turn, bases its conclusion on several erroneous assumptions about routesof entry of dioxin to the body, as well as other scientific misapprehensions.
The VA seems to dismiss skin absorption ("the skin would act as a barrier prohibiting further penetration ofTCDD"). This is incorrect. Skin absorption is a primary occupational route of exposure for dioxin-contaminatedpesticides. Both the Air Force and Army technical assessments use a dermal absorption model,[2][3] as do numerousother agencies and authorities. When the Air Force applied its skin absorption model to a 2009 assessment ofcontamination of the C-123s prior to their disposal, it found average concentrations in two of the aircraft to be"statistically near the risk-based screening level for dioxins/furans, based on a one-year industrial exposurescenario" (page 20). (A one-year industrial exposure scenario is probably reasonable for C-123 crew andmaintenance personnel in the 1970's.) Please note that these measurements were taken nearly 40 years after sprayingended, and certainly represent a lower level than would have been present in the 1970s.
The levels measured in another Air Force assessment of the C-123s, in 1994,[4] were significantly in excess of thescreening levels proposed by the Army for office workers. The Army office worker exposure scenario provides forfar less opportunity for dermal contact than would have been likely for C-123 crew and maintenance personnel.Even with this very conservative exposure model, officials from ATSDR calculated "an average value of 6.36ng/l00cm2 for the three C-123 interior wipe samples collected on November 20, 1994", an average value that"exceeds the Army screening level by 182 times and is equivalent to a 200-fold greater cancer-risk than thescreening value."[5] The 2009 Air Force reference levels would similarly have been exceeded.
There are additional difficulties with the VA's scientific appraisal. For example, the VA proposes, "Once TCDDdries on hard surfaces, such as on an aircraft, it does not readily cross through human skin." By contrast, Armytechnical guidance is specifically formulated for dioxin that is characterized as "dried-on surface" (p. 63). The VAminimizes the possibility of skin absorption "especially given that the sampling for TCDD on the aircraft surfacesrequired use of a solvent (hexane) to displace and dissolve any residue." Hexane-based wipe sampling is standardprocedure. The VA seems to deride the notion of occupational exposure because "sophisticated laboratorytechniques many years after its use" were used to detect dioxin. Dioxin is a tricky substance to measure and onlyexpensive and sophisticated techniques are available for its detection.
We also think it important to note, as you do in your letter, "the 1991 Agent Orange Act ... provides a presumptionof herbicide exposure" (emphasis added). This means exposure to 2,4,5-T, 2,4-D, picloram and dimethyl arsenicacid (another carcinogen), not just the notorious Agent Orange contaminant, TCDD (dioxin), are covered by the Act.Airborne phenoxyherbicides were measured in air samples taken in the C-123 aircraft in 1979, albeit at levels below the occupational exposure limits.[6] It is difficult to extrapolate exposure levels back to 1972 because of an absenceof data on applicable environmental temperatures and pressures, but it should be noted that there exists thelikelihood of exposures to multiple environmental toxins in the C-123s, in addition to dioxin, and such multipleexposures generally require application of more conservative scenarios.
We hope that this letter may assist you in reconsidering your conclusion with regard to presumption of herbicideexposure for post-war C-123 crew and maintenance personnel. We would be particularly interested in learning thespecific criteria used for determining that exposures to the dioxins were "unlikely to have occurred at levels thatcould affect health," since screening levels appear to have been exceeded and no safe level of dioxin exposure has asyet been agreed upon by regulatory authorities.

Please let us know if we may be of further assistance to you in your considerations. 
Sincerely,
[SIGNATORY LIST ATTACHED - confidential per their request]


[1] http://www.publichealth.va.gov/exposures/agentorange/scientific-review-residue-c123.asp[2]"Dioxin and Herbicide Characterization of UC-123K Aircraft – Phase I." Prepared for Director of Operations,

505 Aircraft Sustainment Squadron and Hazardous Waste Program Manager, 75CEG/CEVC, Hill AFB, UT(prepared by Select Engineering Services, Layton, UT); 2009.(http://foundationforworkerhealth.wikischolars.columbia.edu/file/view/Reference+2_Hill+AFB_2009.pdf )[3]Technical Guide 312 -Health Risk Assessment Methods and Screening Levels for Evaluating Office WorkerExposures to Contaminants on Indoor Surfaces Using Surface Wipe Data (June 2009). (http://foundationforworkerhealth.wikischolars.columbia.edu/file/view/Reference+3_TG+312+%28Health+Risk+Assessment+Methods+and+Screening+Levels+for+Evaluating+Office+Worker+Exposures.pdf )[4]Consultative Letter from Capt Wade Weisman & Ronald Porter; Department of Air Force Armstrong LaboratoryMemorandum FOR 645 MedGrp/SGB Dated 19 Dec 94. (http://foundationforworkerhealth.wikischolars.columbia.edu/file/view/reference+4_Weisman_Porter_1994.pdf )[5] Letter from Thomas Sinks, PhD, Deputy Director ATSDR to Maj. Wesley Carter (ret), Jan. 25, 2012. (http://foundationforworkerhealth.wikischolars.columbia.edu/file/view/reference+5_A TSDR+Letter+25+Jan+12.pdf)[6]Conway, William, September 1979, Aircraft Sampling Westover AFB, MA, USAF OEHL Technical Report 79-59. ( http://foundationforworkerhealth.wikischolars.columbia.edu/file/view/reference+6_Conway_1979.pdf )page3image16528 page3image16688 page3image17112 page3image17272 page3image17696 page3image17856 page3image18016 page3image18176 page3image18600 page3image18760 page3image19184 page3image19344 page3image19504 page3image19664 page3image19824 page3image19984 page3image20144 page3image20304 page3image20464 page3image20624 page3image20784 page3image20944 page3image21104

VA Sets Unfair Barriers to C-123 Veteran Agent Orange Claims

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C-123 fleet in HAZMAT quarantine storage, Arizona
VA recognizes several groups regarding veterans' Agent Orange exposure. First and foremost, the "boots on the ground" Vietnam War vets. These men and women are presumed to be exposed to Agent Orange and eligible for treatment of a long list of VA-recognized Agent Orange illnesses - the "presumptive connection" illnesses.

VA also recognizes other groups, including Korean DMZ veterans, Brown Water Navy, and some vets who served in Thailand during the Vietnam War. All these veterans need prove to the VA is that they served "when and where".

Finally, VA has recently published a list of other veterans who, if able to prove their exposure to Agent Orange or other military herbicides, may be considered on an individual basis for Agent Orange-presumptive illnesses. These veterans need not prove the "medical nexus" of their exposure and illness, so long as the illness is one of the current list. Included here are veterans from stateside storage locations, some Blue Water Navy, and -of great interest to us- the C-123 veterans.

But even though we're on their bulletins, we're being treated in a most unique, most unfair manner. Only in the case of C-123 veterans has the VA established a special barrier built around the issues of contamination and exposure. You see, other veterans need only provide "as likely to as not" proof that their service in the military brought them into contact with contaminants of military herbicide. The VA seems to group the whole issue so that contamination equals exposure.

In fact, and we agree, contamination and exposure are separate issues. Contamination means the scientifically established toxicity of a veteran's workplace, vehicle, location, etc. Exposure means that in the presence of a contaminant, one is or is not EXPOSED via inhalation, ingestion or dermal routes of exposure. Separate parts of the larger story of toxic substances and how people are harmed.

But only in the case of C-123 veterans has the VA taken special illogical steps to prevent our group of veterans' lawful claims for treatment of typical Agent Orange illnesses. Once VA found out that there was no way to dispute the actual contamination of the C-123 fleet because so many Air Force tests had already been done, VA acted to bar us from service connection by dreaming up a phony argument that contamination for the first time somehow did not equal exposure!

Hard to understand why, other than the determination (as always) by the VA to prevent any group of veterans from successful Agent Orange claims unless Congress demands the VA to recognize them. VA has never, on its own, reviewed a group of veterans and determined them to be AO-eligible, and they clearly are dedicated to preventing even one C-123 veteran from getting VA medical care. We recognize there is a budget impact, but the duty of Congress is to provide the dollars. The duty of the VA is to treat veterans. We wish they'd start doing so!

VA Needs Data About C-123 Veterans - NOW!

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The Veterans Administration and the Air Force...heck, EVERYBODY is confused about our C-123 veterans head count and personnel issues. The questions hitting us are:

1. How many C-123 veterans are there?
2. How many have submitted VA claims?
3. How many have VA claims which have been denied or approved? We don't know of any approvals.
4. Does any C-123 vet have an appeal of a VA claim denial in process with the BVA or other agency?
4. Can any or all of us claim having flown Patches or other known Agent Orange spray birds? IMPORTANT - did you fly Patches (Tail 362) or not?
5. We have been collecting a list of illnesses with LtCol Paul Bailey putting the list together in Excel - if you have not already submitted your name and whatever AO illnesses you claim, please give him your info by an email to: a208773@rocketmail.com
6. Please pass the word to other C-123 veterans - we estimate our people to number about 1560 aircrew, aeromedical evacuation, maintenance and aerial port personnel. The AF thus far has declined helping us search for retirees but we hope we can find each other by personal contacts. We also hope the VA can approach AF for help locating our people through retiree records. Again, have them write LtCol Bailey or Wes Carter, at wes@c123cancer.org
7. We need to know of deaths among our veterans. We know of just a few (Tim Olmsted, Bob Boyd, "Doc" Werner, George Gadbois, Lou Paskavitz, S. Glenn, Ron Ploof, Bill Schindler) but VA needs to get a better handle on those who have passed and their illnesses.


30 Kasım 2012 Cuma

The purpose of Vietnam Veterans of America's national organization

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The purpose of Vietnam Veterans of America's national organization, the state councils, and chapters is:

* To help foster, encourage, and promote the improvement of the condition of the Vietnam veteran.
* To promote physical and cultural improvement, growth and development, self-respect, self-confidence, and usefulness of Vietnam-era veterans and others.
* To eliminate discrimination suffered by Vietnam veterans and to develop channels of communications which will assist Vietnam veterans to maximize self-realization and enrichment of their lives and enhance life-fulfillment.
* To study, on a non-partisan basis, proposed legislation, rules, or regulations introduced in any federal, state, or local legislative or administrative body which may affect the social, economic, educational, or physical welfare of the Vietnam-era veteran or others; and to develop public-policy proposals designed to improve the quality of life of the Vietnam-era veteran and others especially in the areas of employment, education, training, and health.
* To conduct and publish research, on a non-partisan basis, pertaining to the relationship between Vietnam-era veterans and the American society, the Vietnam War experience, the role of the United States in securing peaceful co-existence for the world community, and other matters which affect the social, economic, educational, or physical welfare of the Vietnam-era veteran or others.
* To assist disabled and needy war veterans including, but not limited to, Vietnam veterans and their dependents, and the widows and orphans of deceased veterans.

Strategic Plan - VVA's Roadmap to the Future

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VVA, like most service organizations these days, is in a period of transition. This is not unusual since change or evolution is natural, and historically VVA has been a catalyst for change within the veterans service community. What is different today is the rapid pace and complexity that these changes have and will continue to have on VVA's ability to be a relevant factor both to ourselves and to society as a whole. The VVA leadership recognized that VVA would need a method or process to address the multitude of opportunities to emerge and to meet the challenges it would encounter in this fast-changing "reality" that is taking us into the 21st century.

In earlier years, VVA utilized a strategic plan that was developed and approved by the national board of directors in 1989. A review indicated that indeed this plan had actually served VVA very well as it focused the entire organization on the issues and concerns that were relevant and important during that time period. Many of VVA's successes and victories can be traced back to the clarity of purpose that the plan brought forth to the entire organization. What the plan lacked was a process that continued its implementation and kept the plan alive as the dynamics of VVA leadership at all levels evolved and changed.

The need to create a comprehensive process or methodology for the development and implementation of a new strategic plan for VVA was recognized by the VVA national president James L. Brazee, Jr., and a Strategic Planning Committee was established for this purpose.

The president appointed VVA national treasurer Jack McManus to chair the new Strategic Planning Committee, and he, in turn, appointed committee members that represented the diverse interests of the various constituencies and organizational levels within VVA. It is important to recognize that the committee was intentionally structured to include representation from large and small chapters, large and small state councils, the VVA staff, VVA associates, non-BOD committee chairs, national BOD members, minority and women veteran members, and elected national officers.

The reasoning behind having such diversity in the committee makeup was ultimately the plan would need to reflect the real differences of interests within the organization at each level. The intent was to be truly representative of our memberships' interests so that the individual members could embrace and own the plan. The committee believes that if the entire organization claims ownership in the Strategic Plan, then the implementation of the various elements of this plan will be more successful at all levels.

Core Values

Advocacy:

We are committed to unrelenting advocacy for fairness in the treatment of veterans so that never again will one generation of veterans abandon another.

Meaningful Achievement:

We want to make a difference, focusing on issues that stand as critical barriers to a fulfilling life for veterans and all Americans.

Integrity:

We tell the truth and take responsibility.

Compassion:

We care about comrades and others in needs.

Camaraderie:

We support each other and feel we're all members of one family.
Vision & Mission Statements

Vision:

We are leading the challenge to do what is right for America and its veterans.

Mission:

Using the shared vision of our membership:

· we aggressively advocate on issues important to veterans;

· provide programs and services that improve the well-being of all veterans and their families;

· and serve our communities.

Goals, Rationales, and Strategies

Membership Goal:

To proactively recruit, retain, and develop an informed and personally effective membership dedicated to VVA's values, mission, and goals.

Membership Rationale:

The operative phrases in the membership goal are: Informed, personally effective, and dedicated membership who embrace VVA's values, mission, and goals. In other words, as we seek to expand our membership, we offer opportunities for increasing personal effectiveness to those who share our values and commitment. The new strategic plan will let prospective members know the kind of organization they are joining. Vigorous pursuit of the goals and strategies by chapters offer many opportunities for the full use of prospective members' talents according to the interests. The strategy calls for an effective external communications program to aid recruitment, combined with training to promote personal and professional development for members through their participation in chapter activities.

Membership Strategy:

Develop and implement a comprehensive master plan, which includes all levels; a targeted effort to recruit members (using professional and personal contact and face-to-face marketing resources); and a program to retain them.

Advocacy Goal:

Identify and prioritize legislative and administrative objectives to focus our energy and resources as an effective catalyst for the retention and improvement of veterans benefits.

Advocacy Rationale:

America has an "unfinished agenda" for public policy and funding of programs affecting veterans. Health care looms large at all levels of government. Other issues range from protecting and improving service-connected compensation benefits and veterans employment preferences to advocating research and/or programs addressing Agent Orange, PTSD, and homelessness as well as specialized programs relating to women, minority, and incarcerated veterans. In an age of government downsizing, veterans benefits across the board are at risk. There is an enormous educational job to be done among Vietnam veterans, public policymakers and the general public.

When it comes to passionate and powerful advocacy, VVA is clearly a leader in the veterans community, and the situation is ripe for action. More and more Vietnam veterans are being elected at all levels of government. In short, the Vietnam generation is in charge. But there are many challenges: Advocacy goals are not focused sufficiently to establish a clear agenda in order to concentrate efforts to achieve it. Not all VVA members accept a "political" role for the organization; veterans service organizations have competing legislative and administrative agendas; and VVA's own advocacy efforts are often scattered. Thus, there is a need to establish key legislative and administrative priorities in VVA and among veterans service organizations.

Advocacy Strategy:

Identify and prioritize legislative and administrative objectives, consolidate existing VVA advocacy functions and focus our energy and resources to most effectively advocate for the advancement of veterans' concerns.

Direct Services Strategy:

Maintain, expand, and support our network of veteran service representatives nationwide. Publicize direct service information and conduct training on how to build community-based coalitions. Offer the tools necessary; information and training for providing direct services and for building community-based coalitions to meet the needs of veterans and their families.

Direct Services Rationale:

VVA seeks to assure a decent, positive lifestyle for veterans by working at two levels: Actually providing VVA-sponsored services and by building the community's commitment and capacity to provide essential services to veterans and their families.

VVA has a strong base expertise in veterans benefits and provides representation for veterans to receive benefits due them. As our population ages, new concerns ranging from long-term health care to career upheavals and retirement need to be anticipated. While we continue to provide direct services, we need to help members understand the complexity of emerging needs. And we need to train members in how to build community-based coalitions to address these needs.

Direct Services Goal:

Participate in providing direct services needed by veterans and their families.

Community Service Goal:

Enable VVA members to their community and promote positive social change.

Community Service Rationale:

Creating safe and viable communities, whether rural, urban, or suburban, is high on America's agenda. The opportunity to provide meaningful service to his/her community is an important reason for any veteran to become and remain involved in a VVA chapter. VVA has a history of community involvement-chapters have conducted a wide variety of creative, effective programs attacking gang warfare, drug addiction, family strife, homelessness, help to the elderly and disabled, and education on the Vietnam War at various academic levels.

However, these efforts are largely isolated. There is no organized network for communication among community service efforts, no mentoring program, and no designated responsibility at any level of VVA. Therefore, the first step is to document how chapters are serving their communities and to organize a mentoring program among chapters to inspire continued innovation.

Community Service Strategy:

Create a database of current and past community activities and develop and implement a commmunity mentor program, which stimulates community service activities.

Financial Goal:

Continuously expand the financial base to assure adequate resources to support VVA's mission at all operational levels.

Financial Strategy:

Develop and implement a comprehensive Financial/Funding Master Plan that provides a diversified funding base for all operational levels of the organization. The plan would include: A description of the current situation, needs and priorities, existing and potential resources, training needs, opportunities and methods at all levels, restrictions, allocation formulas, and means for monitoring and evaluating achievement of goals.

Financial Rationale:

VVA has tremendous potential for fundraising. Members recognize the need to devote energy to obtaining resources. The VVA name is well established, and we have a record of success. Moreover, many Vietnam veterans who are nearing their peak earning years in successful careers represent an important and largely untapped source for financial support.


On the other hand, we lack a comprehensive approach, relying too heavily on funding from just a few sources. We need a plan based on modern fundraising techniques plus training and technical assistance to enable chapters, state councils, and the national office to participate in a well-coordinated effort. The plan should also describe how resources will be shared to support national, state, and local operations.

Communications Goal:

Create a clear communications system/structure identifying responsibility throughout VVA, effectively using new and existing technology.

Communications Rationale:

Effective, two-way communication inside VVA and with various publics is critical to our success. VVA wants to be the authoritative voice and clearinghouse for information on topics of interest to veterans. The information age is producing increasingly accessible technology for inter-personal communication through the Internet and for mass media. VVA may not be taking full advantage of these channels. Some of the technology has not reached every chapter or member. Most important, responsibility for conveying information and providing feedback has not been established throughout VVA. Hence, the need to create a clear strategy for communicating with external audiences and to establish a system and structure that defines responsibility at all levels for our internal communications.

Communications Strategy:

Establish effective communication channels and assign responsibility at all levels. Make effective use of new and existing technology to assure accurate information exchange within these channels and encourage use and feedback between all levels.

Organizational Effectiveness Goal:

Continuously improve the ability of VVA at all levels to service a growing membership.

Organizational Effectiveness Rationale:

Assuring a positive future for VVA requires an ongoing effort to continuously improve the effectiveness of the organization itself. Success depends on: a) commitment to VVA's values and vision, b) cooperation in the pursuit of clear goals and strategies c) agreement on roles-who gets to do what d) constant, accurate feedback from VVA's members and external audiences to anticipate needs and to measure accomplishment and e) effective leadership. Making this happen is not a one-shot project. It is an ongoing process, requiring constant attention and resources. Equipping VVA's leaders for continuous improvement of the organization begins by helping them to explore implications of the strategic plan through planning with their constituencies. Feedback from these discussions about VVA's directions and ways to implement the plan at national, state, and local levels will provide the basis for designing a systematic, continuous improvement process to keep VVA strong. There must also be an ongoing, periodic review of VVA's organizational and committee structure to make VVA's operations as efficient and effective as possible and to ensure that VVA's structure changes appropriately as the organization j evolves. Additionally, VVA's resource allocation must be constantly geared to making the best possible use of limited fiscal and staff resources. Doing so will necessitate prioritizing national convention and board resolutions and directives so that VVA's priorities will be determined by a deliberate process and not by reactions to emerging and changing events.

Organizational Effectiveness Strategy:

Develop and implement a process to address the purposes, roles, and responsibilities of each organizational element within VVA and define the means for the leadership of element within VVA and define the means for the leadership of each organizational elements to measure and reward accomplishments.

Implementation Roles

Role of the Board:

Approve the strategic plan; act as spokesperson for VVA's vision, values, and strategic directions; provide policy; and prioritize resources for plan implementation.

Role of Committees:

Review strategic plan; adjust agendas/objectives to support the strategies; develop work plans to measure achievement of objectives.

Role of State Council:

Review the strategic plan; develop objectives for state-level activities; provide technical advice and support to chapters.

Role of Chapters:

Review national and state strategies and objectives; decide how they are able to support them; implement appropriate activities.

Role of Conference of State Council President:

Act as advisory and leadership development resource amongst state council presidents, providing knowledge, evaluation, and feedback on the various objectives and activities implemented to fulfill the plans' goals and strategies from VVA's chapters and state councils.

Role of National Staff:

Internally - develop and implement objectives in support of the strategic plan, report to the board on implementation.

Externally - provide resources, training, and technical support to state councils and chapters to support their strategic planning and evaluation processes.

Methodology

VVA's Strategic Plan provides a roadmap for building a positive future for our organization. The strategic plan spells out the core values we share, affirms our fundamental purposes through our mission statement, and establishes a framework of goals and strategies to focus our energies and resources. The plan presents a simple and necessarily concise framework for subsequent planning and actions that must take place at all levels.

To assist the committee, we engaged Mr. Dwight Fee, a well-respected expert in strategic planning and organizational development to act as the facilitator for the planning process and to keep the committee focused.

The committee utilized the illustrated planning model as a guide through this Strategic Planning process. In addition, the Strategic Plan from 1989 was utilized from the perspective of "lessons learned," building upon the fine work of that earlier plan.

Further, the committee conducted a survey of VVA members and leaders-from chapter and state council presidents to the BOD, the national officers, and staff. The survey asked them to identify trends in society likely to affect VVA and its members. It also asked them to suggest how VVA may need to change.

The utilization of this survey data assured the committee that the "voice of the membership" was also fully recognized and incorporated into the planning process.

The committee also examined the strengths and limitations of VVA, seeking to match our strengths to the emerging opportunities in the world around us.

Strategic Plan provides a roadmap for building a positive future for our organization. The strategic plan spells out the core values we share, affirms our fundamental purposes through our mission statement, and establishes a framework of goals and strategies to focus our energies and resources. The plan presents a simple and necessarily concise framework for subsequent planning and actions that must take place at all levels.

To assist the committee, we engaged Mr. Dwight Fee, a well-respected expert in strategic planning and organizational development to act as the facilitator for the planning process and to keep the committee focused.

The committee utilized the illustrated planning model as a guide through this Strategic Planning process. In addition, the Strategic Plan from 1989 was utilized from the perspective of "lessons learned," building upon the fine work of that earlier plan.

Further, the committee conducted a survey of VVA members and leaders-from chapter and state council presidents to the BOD, the national officers, and staff. The survey asked them to identify trends in society likely to affect VVA and its members. It also asked them to suggest how VVA may need to change.

The utilization of this survey data assured the committee that the "voice of the membership" was also fully recognized and incorporated into the planning process.

The committee also examined the strengths and limitations of VVA, seeking to match our strengths to the emerging opportunities in the world around us.

This exhaustive examination not only informed our planning, it also yielded some important implications for the way we operate.

The single most important conclusion is that merely producing a strategic plan will not be sufficient to move VVA successfully into the 21st century. What is required is a planning and evaluation process that cascades through all levels of the organization to align our energies to implement the plan. Without such a process, supported by members skilled in facilitation, meaningful implementation is highly unlikely.

A second overarching conclusion is that implementing our roadmap for the future depends on empowering people at all levels through strong leadership, clear responsibility and authority, sufficient resources, and above all, a new level of cooperation among all elements of the organization.

Like every organization these days, VVA is in transition. To grow and remain relevant, we must change in order to respond to changes occurring around us. The new global economy, the march of technology, and the maturing of our membership are just a few of the forces already impacting us. Not only do we need to change, we need to change fast just to stay up.

The core values expressed in the plan are those things that our members believe are why they joined VVA and what needs to be here for them to remain committed to VVA. The committee utilized these core values to guide its decision-making during the planning process and are important to be considered when implementing the plan.

The vision statement is how we want the organization to be viewed by our members, our staff, and the public at any ideal point in the future.

The mission statement: simply addresses how and what we do as an organization based upon rethinking our basic purposes.

The goals define areas from our mission statement where we can achieve specific results.

The rationale is a summary analysis of the forces likely to effect the achievement success of the stated goal.

The strategy for each goal defines in a broad sense what should be accomplished to attain specific achievements.

Objectives and workplans committees at all levels, including chapters and state councils and the national staff, are asked to establish objectives and work plans for each goal and strategy, including measurable outcomes. This will require the committee and national staff to rethink their work and shift their resources and energy to align their work with the Strategic Plan.

Chapters and state councils should undertake an assessment of their respective entity to determine how they can best align their objectives and activities to best support this Strategic Plan.

The roles identify the responsibilities that each entity within the organization could be expected to perform for the successful implementation of the Strategic Plan.

Follow-up a continuing effort will be undertaken by leaders of VVA to: Communicate the values, mission, goals, and strategies throughout VVA; support committees, national staff, state councils, and chapters in their efforts to achieve the goals; and measure and recognize achievement.

The Proposed Strategic / Operational Planning Model

* The model is constructed from the bottom up.
* After the plans are completed, one can easily check the consistency of current activities with agreements made in preceding blocks.
* Thus, the strategic plan serves to keep the organization on course: in pursuit of its mission-consistent with realities in the environment- and aligned with the core values of its members.

Workplans - Action plans of individuals responsible for achieving the objectives.
Objectives - Major results needed to implement the strategy in certain time.
Roles - Who gets to do what to align resources and people with the plan.
Strategies -The grand design for achieving each goal.
Goals - Four of five "chunks" of the mission (area for achievement).
Mission - The "match" between the core values and the realities of the environment
determines the core business of the organization.
SWOT Analysis - Organization's strengths and weaknesses, plus anticipated opportunities and threats in the environment.
Core Values - Specific aspirations members hold for the organization.