Va Form 10-0094h - Education Affiliation Agreement Between The Department Of Veterans Affairs (Va) And A Non-Va Health Care Facility Or Agency Page 2

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Nothing in this agreement is intended to be contrary to state or federal laws. In the event of conflict between
terms of this agreement and any applicable state or federal law, that state or federal law will supersede the terms
of this agreement. In the event of conflict between state and federal law, federal law will govern.
Place a checkmark in the box that appropriately defines personal liability for participants in this VA
sponsored educational program:
Trainees of the VA sponsored educational program, and the VA-employed faculty members who
accompany them on their VA duty time, when at the non-VA health care facility or agency will have personal
liability protection provided by the provisions of the Federal Employees Liability Reform and Tort Compensation
Act, 28 U.S.C. 2679 (b)-(d) if all the following apply:
(1) the trainees and faculty members are providing professional services covered by this agreement;
(2) the non-VA facility is not providing them with compensation for these professional services; and
(3) the non-VA facility has declined to provide them with coverage under its insurance.
Faculty members and trainees of the VA sponsored educational program, when at the non-VA health care
facility or agency, and furnishing professional services covered by this agreement, will have personal liability
protection provided by the non-VA health care facility or agency.
RESPONSIBILITIES
1. The affiliated non-VA health care facility or agency has the following responsibilities:
A. Operate and manage the non-VA health care facility or agency and maintain accreditation by the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO) and other accrediting entities as appropriate.
B. Participate with the VA in the academic programs of education and research, provide an appropriate
learning environment, and supply sufficient resources for appropriate conduct of such programs.
C. Encourage appointments of non-VA faculty to the VA for participation in the VA sponsored educational
program.
D. Assure that staff with appropriate credentials will supervise trainees while at the non-VA health care
facility or agency.
E. Establish with VA, the minimal qualifications for trainees in the VA sponsored program that will rotate to
the non-VA health care facility or agency.
F. Orient trainees and faculty to the non-VA health care facility or agency and inform them that they are
subject to the rules and regulations of the non-VA health care facility or agency while in those facilities.
G. Evaluate the trainee’s performance and conduct in mutual consultation with VA faculty and according to
the guidelines outlined in the approved curriculum and accepted standards.
H. Review and sign appropriate educational program letters of agreement prepared by VA.
I.
Dismiss any trainee from non-VA health care facility or agency assignment for unsatisfactory educational
performance, noncompliance with the policies and procedures of the non-VA health care facility or agency, or for
cause.
VA FORM 10-0094h
PAGE 2 OF 4

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