Thursday, March 10, 2011

Significant Case Law for 2010, Board Fiscal Report 2010

Excerpt from Board Fiscal Report 2010:

Significant Judicial Precedent and Its Effect on the Board

 Henderson v. Shinseki, 589 F.3d 1201 (Fed. Cir. 2009), cert. granted, 130 S. Ct. 3502 (2010):
The U.S. Court of Appeals for the Federal Circuit (Federal Circuit) affirmed a Court of Appeals for Veterans Claims (CAVC) decision that dismissed the Appellant’s appeal of a Board decision, as his Notice of Appeal was received more than 120 days after the mailing of the Board decision, and therefore was untimely. The CAVC relied on its interpretation of the Supreme Court’s decision in Bowles v. Russell, 551 U.S. 205 (2007), which held that in civil
cases, statutory time periods limiting the time for filing a Notice of Appeal are jurisdictional requirements, and further that courts have no authority to create equitable exceptions to jurisdictional requirements. For that reason, the CAVC held that there was no equitable tolling of the 120 day appeal period for Board decisions.
In its decision, the Federal Circuit found that 38 U.S.C. § 7266(a), which sets forth the period for filing a notice of appeal with the CAVC, is a “time of review” provision, as it specifies the time limit for review in a civil case. Also citing the Bowles decision, the Federal Circuit stated that because time of review provisions are mandatory and jurisdictional, they are not subject to equitable tolling unless Congress so provides. After reviewing the statutory language and its legislative history, the Federal Circuit found that Congress has not provided that the CAVC’s statutory appeal period is non-jurisdictional; therefore, the
Federal Circuit found that the 120 day period is not subject to equitable tolling. This decision overturned the Federal Circuit’s prior cases Bailey v. West, 160 F.3d 1360 (Fed. Cir. 1998) and Jaquay v. Principi, 304 F.3d 1276 (Fed. Cir. 2002) which found that 38 U.S.C. § 7266(a) was subject to equitable tolling. The U.S. Supreme Court held oral argument on this case on December 6, 2010 and as such, this important aspect of Veterans law is set to be clarified.

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 Tyrues v. Shinseki, 23 Vet. App. 166 (2009):
In this significant case, the CAVC addressed the scope of its jurisdiction in relation to “inextricably intertwined” issues. The Veteran had filed a claim for service connection for a lung disorder, both on a direct and presumptive basis as due to an undiagnosed illness. In 1998, the Board issued a decision that denied service connection for this disorder on a direct basis, but, in the same decision, it remanded the matter of entitlement to service connection for the lung malady on a presumptive basis for additional development. In 2004, the case returned to the Board, and it issued a decision that denied service connection for the lung
disorder on a presumptive basis. The Veteran timely appealed the 2004 denial to the CAVC.
On appeal, the Veteran urged that the CAVC had jurisdiction to review the Board’s 1998 denial of direct service connection in addition to the 2004 denial on a presumptive basis, as the two matters were “inextricably intertwined.” The CAVC was called upon to determine whether the 1998 remand rendered nonfinal the 1998 denial of service connection on a direct basis. The CAVC rejected the Veteran’s argument and held that the remand did not render the 1998 denial nonfinal, despite the fact that the matters were closely related. In this regard, the CAVC made clear that its “jurisdiction to review a Board decision denying a claim is not controlled by whether the claim denied by the Board is ‘inextricably intertwined’ with another
claim that was either remanded or referred by the Board . . . because the facts underlying the two claims are so closely tied together.” Instead, the CAVC highlighted that its jurisdiction
is determined by whether the Board issued a decision that denied the requested relief and provided notice of appellate rights. The CAVC also made clear that once its jurisdiction is established, it retains the discretion to determine whether the matter on appeal is so closely tied to other matters still pending at VA that it should remand the issue to await disposition of those other intricately related matters by the Agency.

 Bryant v. Shinseki, 23 Vet. App. 488 (2010):
This decision addressed the responsibilities of Veterans Law Judges while conducting hearings on appeal. The CAVC held that 38 C.F.R. § 3.103(c)(2) imposed two distinct duties on a “Board hearing officer:” (1) to fully explain the issues still outstanding that are relevant and material to substantiating the claim; and (2) to suggest the submission of evidence on any issue
material to substantiating the claim when the record is missing evidence on that issue or when the testimony at the hearing raises an issue for which there is no evidence in the record. The CAVC indicated that these duties did not require preadjudication of the claim. The CAVC specifically noted that VA’s issuance of a notice letter compliant with 38 U.S.C. § 5103(a), which explains to the claimant what is necessary to substantiate the claim, had no bearing on the “Board hearing officer’s” obligation to suggest the submission of evidence that might have been overlooked. This case is significant because it applies 38 C.F.R. 3.103(c)(2) to the Board, without addressing the regulations set forth in 38 C.F.R. Part 20, Subpart H, which govern Board hearings.

 Vazquez-Flores v. Shinseki, No. 05-0355, 2010 WL 4146124 (Vet. App. Oct. 22, 2010):
When this case was initially before the CAVC, Vazquez-Flores v. Peake, 22 Vet. App. 37 (2008), the CAVC held that proper notice under 38 U.S.C. § 5103(a) required notice tailored to the specific disability of a particular Veteran, and further that such notice must inform the Veteran that he or she should submit evidence describing the effects of the disability on employment and daily life. In 2009, the Federal Circuit vacated and remanded the

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CAVC’s decision, holding that VA is not required to provide Veteran-specific notice prior to adjudication or to request evidence pertaining to the impact of a disability on a Veteran’s daily life. Rather, the notice required was generic notice based on the type of the claim.
Vazquez‑Flores v. Shinseki, 580 F.3d 1270 (Fed. Cir. 2009). In the instant case, the CAVC on remand adopted in part its initial reasoning with respect to the adequacy of the notice provided, stating that § 5103(a) notice for increased ratings requires VA to notify the claimant that he or she should submit medical or lay evidence demonstrating a worsening of the disability and the effect that worsening has on the claimant’s employment.
The CAVC further held that, with respect to whether the notice error was prejudicial to the claimant, when the notice is wholly defective as to a key element needed to substantiate the claim, such that the absence of evidence on that key element will result in a denial, the natural effect is that the claimant is deprived of a meaningful opportunity to participate in the processing of his claim. Under such circumstances, namely that there was no notice on a particular key element, VA has the burden of demonstrating that the notice error was not
prejudicial. The significance of this case is that it further defines what adequate notice is in the context of an increased rating claim, and how the prejudicial error analysis is to be conducted.

 Jones v. Shinseki, 23 Vet. App. 382 (2010):
This decision addressed the issue of when it is appropriate for the Board to rely on an examiner’s statement that an opinion cannot be reached “without resort to mere speculation.”
The CAVC explained that while such a statement is “fraught with ambiguity,” it is a medical conclusion and is not inherently inadequate. However, the CAVC held that the Board can only rely on the statement as an adequate conclusion if the examiner has explained the basis for the conclusion or the Board’s review of the evidence otherwise makes the basis apparent.
If the basis is unclear, then the Board must remand the claim for further development. The CAVC explained that the basis of a statement that an opinion cannot be reached “without resort to mere speculation” will be clear if it is supported by sufficient facts or data and provides a clear rationale that it is a conclusion reached after all relevant medical information has been sought and considered. The examiner’s rationale or the Board’s decision must clearly show that the examiner obtained and considered all tests and records that could help
illuminate any pertinent medical question. The examiner must also explain what facts he or she cannot determine and may have a duty to conduct further medical research. The CAVC noted that such research may be necessary because use of the term “without resort to speculation” should reflect limitations of knowledge in the greater medical community, not just limitations of knowledge of a single examiner. In reaching its holding, the CAVC recognized that there are limitations to medical knowledge and that VA’s duty to assist does not require VA to force an examiner to provide an opinion beyond what may reasonably be concluded from available medical evidence and literature.

 Bardwell v. Shinseki, 24 Vet. App. 36 (2010):
This appeal presented the issue of whether lay evidence can establish an in-service injury or event for the purposes of requiring a medical examination and opinion under 38 C.F.R. § 3.159(c)(4). The Veteran contended that he was competent and credible to assert that he was exposed to gases during training exercises which satisfied the requirement of an in-service
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event and therefore required VA to provide him with an examination. The Board relied on the Veteran’s service records and the lack of evidence confirming such an event to find that the Veteran’s assertions lacked credibility.
In affirming the Board’s decision, the CAVC distinguished the Federal Circuit’s decision in Buchanan v. Nicholson, 451 F.3d 1331 (Fed. Cir. 2006), which held that the Board could not reject a Veteran’s lay evidence about an in-service medical condition solely because that incident was not reported in the Veteran’s service treatment records. In rejecting the Appellant’s argument that lay evidence of any event occurred must be accepted unless affirmative documentary evidence provides otherwise, the CAVC noted that Congress has expressly provided special status to lay statements by Veterans who engaged in combat with the enemy in 38 U.S.C. § 1154(b); however, it did not do so regarding lay statements of non-combat Veterans. Rather, as in all cases, a non-combat Veteran’s lay statements must be weighed against other evidence, including the absence of military records supporting the
Veteran’s lay assertions.

In 2010, 46, 000 Veterans Denied Benefits for 8-10 Years, VA Claim Processing Efficiency

According to the Board chairman's report[see below] compensation claims[total claims 49,000 for 2010], 70%[34,300] are either awarded or remanded, which leaves 30%[13,700] that might be appealed to the Veterans Court. According to the Supreme Court in Henderson v. Shinseki, the Veterans Court reports show that 79% of the claims appealed to it are either remanded or granted on the merits, See Supreme Court decision in Henderson v. Shinseki

So, doing the rough math, it appears that if all 13,700 Board denials are appealed to the Veterans Court, that means that just 2,700 appeals are not awarded or remanded.

So, out of the 49,000 total appeals only 2,700 were finally denied after going through the 8-10 year appeal process.

The question we all want to know is, Why is the VA making 46,000 disabled veterans suffer through this ordeal when they are going to ultimately be successful in their claims?

Also, what about the costs to the tax payer, let alone the veteran, as the Board states that it costs $1,516.00 per claim at the Board, that translates into $15,150,000.00 for the 46,000 wrongly decided claims. This does not include the RO costs nor the Veteran Court costs or the EAJA awards for attorneys prosecuting these claims, which all comes out of the tax payers pocket.
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Excerpts for Report below:

"The Board issued 49,127 decisions in Fiscal Year 2010, an increase of 323 over the 48,804 decisions issued in Fiscal Year 2009."
===========================

Fiscal Year 2010
Board of Veterans’ Appeals
REPORT OF THE CHAIRMAN
DEPARTMENT OF VETERANS AFFAIRS
Chairman, Board of Veterans’ Appeals
Washington, DC 20420
February 22, 2011
The Honorable Eric K. Shinseki
Secretary of Veterans Affairs
Department of Veterans Affairs
810 Vermont Avenue, NW
Washington, DC 20420

Dear Mr. Secretary:
I am pleased to present the Fiscal Year 2010 Report of the Chairman, Board of Veterans’ Appeals (Board or BVA), for inclusion in your submission to Congress. Information on the activities of the Board during Fiscal Year 2010 and the projected activities of the Board for Fiscal Years 2011 and 2012, as required by 38 U.S.C. § 7101(d)(1), are provided in Parts I and II.
Fiscal Year 2010 saw the Board increase productivity to the highest level since Judicial Review
was enacted in 1988 and conduct a record number of personal hearings. Although Veterans benefits law continued to evolve, the employees of the Board never lost sight of the mission to produce timely, quality decisions for the Veterans we serve. Nor did they lose sight of our obligation to treat Veterans and their families with care and compassion.
I offer the enclosed report to provide you, Congress, and the Veterans we serve with an accurate and meaningful perspective on the Board’s activities of Fiscal Year 2010.
Very respectfully,
James P. Terry
Chairman
Enclosure

Table of Contents
Page
INTRODUCTION ............................................................. 1
PART I: ACTIVITIES OF THE BOARD OF VETERANS’ APPEALS
FISCAL YEAR 2010 ......................................................... 3
Successes .................................................................. 3
Succession Planning ......................................................... 5
The Board’s Goals for Fiscal Years 2011 and 2012 ............................ 6
1. Reduce the Backlog......................................................... 6
2. Promote a Modified Expedited Claims Adjudication Initiative ............... 7
3. Advocate for Legislative Initiatives ...................................... 8
4. Expand Use of Video Hearings .............................................. 8
5. Efficiently Adjudicate Paperless Appeals .................................. 9
Significant Judicial Precedent and Its Effect on the Board ................... 9
Assistance to VBA Regional Offices, VHA, and NCA ............................. 12
Veterans Service Organization Forums and Training ............................ 12
Veterans Law Review........................................................... 13
Volunteer Activities ......................................................... 13
Planning for the Future ...................................................... 14
BOARD MEMBERS ................................................................ 15
PART II: STATISTICAL DATA .................................................... 16
PROJECTIONS FOR FISCAL YEARS 2011 AND 2012 ................................ 20
ADDITIONAL INFORMATION .................................................. 21

1
INTRODUCTION
The law requires that the Chairman of the Board of Veterans’ Appeals (Board or BVA) report the
activities of the Board at the conclusion of each fiscal year. This report includes two parts. Part I
provides a discussion of BVA activities during Fiscal Year 2010 and projected activities for Fiscal Years
2011 and 2012. Part II provides statistical information related to BVA activities during Fiscal Year 2010
and projected activities for Fiscal Years 2011 and 2012.
The Board makes final decisions on behalf of the Secretary on appeals from decisions of local Department
of Veterans Affairs (VA) offices. The Board reviews all appeals for entitlement to Veterans’ benefits,
including claims for service connection, increased disability ratings, total disability ratings, pension,
insurance benefits, educational benefits, home loan guaranties, vocational rehabilitation, dependency
and indemnity compensation, health care delivery, and burial benefits.
The Board’s mission is to conduct hearings and issue timely, understandable, and quality decisions for
Veterans and other appellants in compliance with the requirements of law.
Department of Veterans Affairs
Fiscal Year 2010
Veterans Law Judges
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PART I
ACTIVITIES OF THE
BOARD OF VETERANS’ APPEALS
FISCAL YEAR 2010
The Board was established in 1933 and operates by authority of, and functions pursuant to,
Chapter 71 of Title 38, United States Code. The Board consists of a Chairman, Vice Chairman,
Principal Deputy Vice Chairman, 60 Veterans Law Judges (VLJ), eight Senior Counsel, more than
320 staff counsel, and other administrative and clerical staff. The Chairman reports directly to the
Secretary of the Department of Veterans Affairs (VA). The Board is comprised of four Decision
Teams with jurisdiction over appeals arising from the VA Regional Offices (RO), Medical Centers,
and the National Cemetery Administration, in one of four geographical regions: Northeast,
Southeast (including Puerto Rico), Midwest, and West (including the Philippines). Each Decision
Team includes a Deputy Vice Chairman, two Chief VLJs, 12 line Judges, two Senior Counsel, and
approximately 80 staff counsel. Staff counsel review the record on appeal, research the applicable
law, and prepare comprehensive draft decisions or remand orders for review by a VLJ who reviews
the draft and issues the final decision or appropriate preliminary order in the appeal. The Board also
has an Appellate Group, which consists of the Chief Counsel for Policy and Procedure, the Chief
Counsel for Operations, the Chief of Litigation Support, the Quality Review team, the Training
office, five Special Counsel, and numerous legal support personnel. The Office of Management,
Planning, and Analysis is the administrative arm of the Board, consisting of both the Case Support
Division and the Decision Team Support Division.
The Board has jurisdiction over a wide variety of issues and matters, but the vast majority of appeals
considered (95%) involves claims for disability compensation or survivor benefits. Examples of
other types of claims that are addressed by the Board include fee basis medical care, waiver of
recovery of overpayments, reimbursements for emergency medical treatment expenses, education
assistance benefits, vocational rehabilitation training, burial benefits, and insurance benefits.
In Fiscal Year 2010, the Board issued 49,127 decisions and conducted 13,515 hearings with a cycle
time of 99 days. Cycle time measures the time from the date an appeal is physically received at
the Board until a decision is dispatched, excluding the time the case is with a Veterans Service
Organization (VSO) representative. The cycle time of 99 days is the lowest it has been since 2004.
The Board physically received 52,526 appeals in Fiscal Year 2010 and expects to receive 60,000
appeals in Fiscal Year 2011.
Successes
The Board issued 49,127 decisions in Fiscal Year 2010, an increase of 323 over the 48,804 decisions issued in Fiscal Year 2009. The Board’s productivity in Fiscal Year 2010 represents the greatest number of decisions issued by the Board in any year since the beginning of judicial review of Board
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decisions. Our productivity would have been greater in Fiscal Year 2010, but for two unforeseen
events which dramatically affected our output. Record snow storms struck Washington, DC in
February 2010, shutting down the majority of operations for nearly a week. Although the Board
continued to hold hearings during this time, this period was far from fully productive. Even
more seriously, in April 2010, the Board’s computer system was attacked by a crippling virus that
suspended virtually all operations for approximately 10 days. As the Board generally averages
1,000 appeals decided per week, these disruptions took a significant toll on productivity. The Board
was able to bounce back from the effects of the inclement weather much more effectively than the
computer virus, as the virus also affected the ability of our staff to telework due to the lack of a
functioning computer system, the residuals of which lasted several weeks.
The Board conducted 13,515 hearings, which is an increase of 1,823 hearings over Fiscal Year
2009 and the most hearings ever held by the Board in a year. All of the line VLJs exceeded their
productivity goals and most traveled to at least three ROs to conduct one week of Travel Board
hearings at each site. This productivity was possible because of the extraordinary efforts of the VLJs,
staff counsel, and administrative support staff.
In addition to dispatching the 49,127 decisions issued by the Board in Fiscal Year 2010, the
Board’s administrative support staff reviewed 71,821 pieces of mail, determined the nature of the
correspondence, and associated them with claims files. The administrative staff, including our call
center in Wilkes-Barre, also answered over 96,424 inquiries from Veterans or their representatives by
phone, email, or written correspondence.
In Fiscal Year 2010, the Board focused on methods to increase the quality of the decisions rendered
while maintaining the high level of decision output. Our Office of Learning and Knowledge
Management (Training Office) created targeted training for all employees based, in part, on trends
gleaned from our quality review process, as well as on outcomes in cases heard before the Court of
Appeals for Veterans Claims (CAVC) and the United States Court of Appeals for the Federal Circuit
(Federal Circuit). The Board anticipates a long term positive impact from this successful training
program, including better quality decision writing and improved timeliness.
The Board continued efforts to eliminate avoidable remands by engaging other VA stakeholders in the
appeals process, such as the Veterans Benefits Administration (VBA), Veterans Health Administration
(VHA), National Cemetery Administration (NCA), and the Office of the General Counsel (OGC).
We cultivated stronger relationships with leadership at each of these organizations to open lines of
communications and partner on methods to improve the overall system for the benefit of the Veterans
that we serve.
The Board worked closely with other VA partners to help transform VA into a 21st century
Department. Specifically, the Board contributed to the efforts to develop a new paperless claims and
appeals system for VA by providing valuable input to software developers regarding the governing
laws of the system and the particular requirements for adjudication of appeals. BVA also met our
goal of establishing a web-based tracking system for appeals, by linking the Board to eBenefits – a
joint venture of VA and the Department of Defense (DOD), which provides Veterans the opportunity
to check the status of their claims and appeals securely online. This system has promoted
transparency and improved customer service.
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During this fiscal year, Board leadership continued to strongly promote legislative proposals that
if passed into law will implement systemic changes aimed at increasing efficiency in the appeals
process. Many of these concepts have been incorporated into a draft Senate bill.
In the upcoming fiscal year, the Board will continue to challenge its employees to maintain high
productivity while increasing the high level of quality that was achieved in Fiscal Year 2010. The
Board’s decisions reached a 94.0% accuracy rate for the fiscal year, which quantifies substantive
deficiencies in all decisions, whether an allowance, a remand, or a denial, including those deficiencies
that would be expected to result in a reversal or a remand by the CAVC. Quality deficiencies that are
identified during the quality review process are addressed through appropriate follow-up training for
the VLJs and attorneys.
Succession Planning
The Board has three Senior Executive Service (SES) positions and two Senior Level (SL) positions.
The three SES positions are the Vice Chairman, the Principal Deputy Vice Chairman, and the
Director of Management, Planning, and Analysis. The two SL positions are the Chief Counsel for
Policy and Procedure and the Chief Counsel for Operations. These positions continue to allow the
Board to recruit the best and the brightest to manage Board operations and are critically important
in the increasingly complex world of Veterans’ benefits appellate adjudication. Since the creation of
the CAVC and the rapidly increasing involvement of the Federal Circuit, the complexity and length
of BVA decisions has increased tremendously. Additionally, the number of claims filed at Regional
Offices and Medical Centers continues to increase significantly. The Board’s workload, therefore,
will also increase at least proportionally to the increase in workload at the originating agencies.
Because of the dynamic leadership of our SES and SL leaders, the Board stands ready to meet the
intensified requirements of the claims adjudication and appeals system.
The Board has eight Senior Counsel positions on the Decision Teams, three specialized Senior Counsel
positions in the Appellate Group, and one in the Office of the Chairman. These positions provide the
necessary flexibility to maintain productivity despite short-term personnel shortages and also allow the
Board’s current leaders to train and mentor future leaders. Senior Counsel perform as Acting VLJs as
authorized by 38 U.S.C. § 7101(c)(1)(A). They also function as Team Leaders and attorneys drafting
some of the most complex decisions. In addition, Senior Counsel mentor and evaluate newly hired
attorneys and supervise more experienced attorneys in need of special attention or assistance.
The Board also has a rigorous recruitment program and is able to hire some of the best qualified
attorneys and administrative personnel available. To that end, the Board has devised an in-house
program for all employees on matters of diversity and inclusion that illuminates the goals in place for
sustaining a diverse workforce. In Fiscal Year 2010, the Board hired 20 new attorneys and law clerks
from diverse law schools throughout the country. During the summer of Fiscal Year 2010, the Board
also hired 12 law clerks to work with attorneys and VLJs to draft decisions and other work products.
In addition to completing challenging writing assignments, the summer law clerks also participated
in training activities and were mentored by BVA attorneys. The Board views this internship program
as a recruitment tool, with the aim of having the law clerks apply for permanent employment with
the Board after graduation. Additionally, the Board hired 18 administrative professionals, to include
ten individuals through the Wounded Warrior Program, aimed at hiring disabled Veterans, and five
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through the Student Temporary Employment Program. The Board is able to attract high caliber law
clerks, attorneys, and administrative personnel because the mission to serve Veterans is one that is
particularly desirable to those seeking a career in public service.
The Board’s Goals for Fiscal Years 2011 and 2012
The Board’s challenge is to transform into a 21st century organization that will reduce the backlog,
increase efficiency in the appeals system, and leverage technology to better serve Veterans.
These goals will be achieved through new initiatives that are people-centric, results-driven, and
forward‑looking.
1. Reduce the Backlog
The Board will continue to focus in the coming year on reducing the backlog, within existing
resources, by concentrating on the following:
 Eliminating avoidable remands: Fewer remands mean fewer appeals returned to the Board
and, thus, more timely decisions for our Veterans and other Appellants. The Board continues
to closely track the reasons for remands, and that data is accessible by all VA components
in the adjudication system for training purposes. Additionally, the Board’s Quality Review
Office has engaged in extensive liaison efforts with VBA’s Appeals Management Center
(AMC) during Fiscal Year 2010 and will continue to do so in the future. Through this line of
communication, the Board and the AMC addressed and resolved identified issues pertaining
to the proper processing of remands, to include identifying when an appeal is ready to be
returned to the Board for a final decision. Further, for purposes of reducing remands based
on new evidence submitted directly to the Board, the Board has a process in place to solicit
a waiver of initial Agency of Original Jurisdiction (AOJ) review of such submissions. By
soliciting waivers in those cases where an appellant or representative submits evidence
without a waiver, the Board can in many cases avoid unnecessary remands.
 Strengthening BVA’s intra-agency partnerships: As in previous years, BVA continues to
meet with representatives from VBA, VHA, NCA, and OGC on a monthly basis to discuss
and resolve issues of mutual concern that adversely affect the quality of service to Veterans.
The Board will continue to contribute to this partnership and play an active role in the VA
community.
 Training: In Fiscal Year 2010, the Board’s Office of Learning and Knowledge Management
was fully operational with a new supervisory attorney training coordinator and requisite
support staff. The Board expanded training to include VBA, VHA, NCA, and OGC, as well
as Veterans Service Organizations (VSO) to ensure that all segments of the benefits system
make consistent and accurate decisions in Veterans’ cases. Training for new Board attorneys
in Fiscal Year 2010 included courses on basic Veterans’ law and off-site training at the
Adjudication Academy in Baltimore. The latter training included overview presentations on
the functions of the ROs, OGC, VSOs, the U.S. Army and Joint Services Records Research
Center (JSRRC), the AMC, and the VA Medical Centers. Throughout the past year, the VLJs
and attorneys attended courses on topics such as Traumatic Brain Injury & PTSD; CAVC
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trends in Joint Motions for Remand; Evaluating Lay Evidence; Anatomy for Lawyers; Eye
Disorders; Adjudicating Dental Claims; Navigating Service Records; Communicating with
Tact; and Efficiency in Decision Writing. Continued training efforts in the new fiscal year
will provide the VLJs and attorneys with the latest information on a variety of legal and
medical topics.
 Writing clear, concise, coherent, and correct decisions: The Board’s leadership continued
to stress to the VLJs and attorneys the value of writing clear, concise, coherent, and correct
decisions in Fiscal Year 2010. The benefits of this initiative continued to be apparent, and the
Board issued a record number of decisions. In the long term, it is expected that this initiative
will enable VLJs and attorneys to continue to improve the quality of Board decisions.
 Utilizing employee incentive, mentoring, and training programs: A number of programs
remain in use to increase employee motivation and satisfaction, as well as to increase
decision quality and productivity. Two of the most popular programs are the student loan
repayment program and the flexiplace program. The student loan repayment program
provides loan assistance for up to eight highly qualified attorneys per year. Attorneys
selected for this program are required to remain with the Board for at least three years and
maintain exceptional levels of achievement in all critical areas of performance. Effective
November 1, 2005, the Chairman authorized a permanent flexiplace program to permit
a limited number of attorneys to prepare draft decisions and other work products at their
primary residence (a pilot flexiplace program had been in effect since 1999). This program
enables the Board to retain attorneys who might otherwise have resigned due to the location
of their primary residence, other personal reasons, or because another employer would allow
more extensive telecommuting. In connection with this program, the Board has successfully
implemented a number of information security safeguards, such as encryption software for
Board laptops used by flexiplace program participants and locked cabinets at the primary
residence for the laptop and original claims folders. Each flexiplace participant agrees
to abide by the rules of the program, which include strict safeguards to protect sensitive
information. Participants are not permitted to use their own personal computers for drafting
decisions, and the home work sites are periodically inspected to ensure continued compliance
with the Board’s information security rules. In Fiscal Year 2010, the Board had over 130
employees telecommuting in some capacity, which was an increase from the prior fiscal year.
 Making use of overtime: The Board will continue to use overtime within existing resources
to enhance output.
These measures will work to reduce the backlog and to shorten the time it takes for a Veteran to
receive a fair, well-reasoned Board decision.
2. Promote a Modified Expedited Claims Adjudication Initiative
At the direction of the Secretary and in coordination with VBA, the Board proposed an Expedited
Claims Adjudication (ECA) initiative that was a two-year pilot program at four select ROs, effective
in December 2008. In order to help accelerate the timely processing of all claims and appeals,
VA offered represented claimants the option of participating in the ECA initiative for expedited
processing of claims and appeals. A claimant who elected to participate in the ECA voluntarily
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waived specified procedural rights and, in return, was placed on a fast track for adjudication. In
addition to expedited claims at a participating RO, any claims appealed to the Board under the
ECA initiative were to be screened upon arrival at the Board to ensure that the record was adequate
for decisional purposes when the appeal reached its place on the Board’s docket. If the record
was inadequate, the Board would take prompt action under existing regulations, such as soliciting
a waiver of RO consideration of additional evidence, or if necessary, remand the case for further
development.
Due to lower than anticipated participation, the initial pilot program was allowed to expire in
December 2010. However, the Board remains committed to the core principles of the initiative.
In fact, several of the key time-savings provisions set forth in the ECA have been adopted in
pending legislation introduced by then Senate Veterans Affairs Committee Chairman Daniel Akaka.
Additionally, BVA and VBA are continuing to work collaboratively to reduce appeals processing
times by introducing a modified version of the ECA in early 2011, which incorporates strategic
targets set to improve VA’s timeliness in adjudicating appeals.
3. Advocate for Legislative Initiatives
In October 2009, the Chairman testified before the House Subcommittee on Disability Assistance and
Memorial Affairs in support of parts of a draft bill. VA, as represented by the Chairman, supported
a section of the bill that would provide for an automatic waiver of AOJ consideration of evidence
submitted to VA after the filing of a Substantive Appeal. Appellants who do not want to waive AOJ
consideration would be free to specifically request non-waiver, but the default position would be to
send the evidence directly to the Board. This would have the effect of streamlining the appellate
process and improving efficiency while still ensuring that appellants’ rights are protected. Also
included in draft legislation is a provision that will allow the Board to determine what the most
expeditious avenue for a hearing is. The goal is to promote the use of video conference technology
for hearings, as this type of hearing can often be scheduled and held more quickly than the traditional
in-person hearing. These provisions, along with others proposed by the Board, are designed to
streamline the appellate process and improve efficiencies across the system.
4. Expand Use of Video Hearings
Related to one of the Board’s legislative proposals outlined above, the Board will leverage video
conference technology to increase the capability of, and access to, video hearings. The Board
is working with VA’s Office of Information and Technology (OIT) to upgrade the current video
conference technology both at BVA and at ROs. When the Board moves to a new location in 2011,
the number of video hearing rooms will increase from 8 to 13. The Board is also working with VBA
and VHA to allow video hearings to be held from more locations in the field (beyond ROs), which
will be more convenient for Veterans and make the video option more appealing. Initially, BVA will
use the expanded video capability to reduce the backlog of hearings. Updating and expanding the
Board’s video capability will reduce the time Veterans currently wait for their hearing, and will allow
VLJs to recapture travel days as decision‑generating workdays.
9
5. Efficiently Adjudicate Paperless Appeals
In Fiscal Year 2010, the Board held 14 hearings with a paperless record and completed 53 paperless
appeals. For some time now, VA has been processing Benefit Delivery at Discharge (BDD) claims
for separating Servicemembers by using a paperless claims processing system at ROs in Salt Lake
City, Utah and in Winston-Salem, North Carolina. As more of these unique appeals reach the Board,
we are refining the processes put in place to adjudicate them. The Board has worked within the
constraints of the current system and has cataloged lessons learned along the way. We are working to
have these valuable insights incorporated into the development of the upgraded paperless system that
the Department is currently creating, the Veterans Benefits Management System (VBMS).
The Board remains committed to making a paperless claims and appeals system work, as it provides
many benefits to Veterans and to VA. Electronic files are secure from loss or damage and are securely
backed up. In addition, electronic files are not subject to mailing delays between offices and allow
multiple offices to work on parts of the file simultaneously, preventing the need for down-time while
another office works on a claim. The Board anticipates a significant increase in paperless appeals in
the coming years.

Significant Judicial Precedent and Its Effect on the Board

 Henderson v. Shinseki, 589 F.3d 1201 (Fed. Cir. 2009), cert. granted, 130 S. Ct. 3502 (2010):
The U.S. Court of Appeals for the Federal Circuit (Federal Circuit) affirmed a Court of Appeals for Veterans Claims (CAVC) decision that dismissed the Appellant’s appeal of a Board decision, as his Notice of Appeal was received more than 120 days after the mailing of the Board decision, and therefore was untimely. The CAVC relied on its interpretation of the Supreme Court’s decision in Bowles v. Russell, 551 U.S. 205 (2007), which held that in civil
cases, statutory time periods limiting the time for filing a Notice of Appeal are jurisdictional requirements, and further that courts have no authority to create equitable exceptions to jurisdictional requirements. For that reason, the CAVC held that there was no equitable tolling of the 120 day appeal period for Board decisions.
In its decision, the Federal Circuit found that 38 U.S.C. § 7266(a), which sets forth the period for filing a notice of appeal with the CAVC, is a “time of review” provision, as it specifies the time limit for review in a civil case. Also citing the Bowles decision, the Federal Circuit stated that because time of review provisions are mandatory and jurisdictional, they are not subject to equitable tolling unless Congress so provides. After reviewing the statutory language and its legislative history, the Federal Circuit found that Congress has not provided that the CAVC’s statutory appeal period is non-jurisdictional; therefore, the
Federal Circuit found that the 120 day period is not subject to equitable tolling. This decision overturned the Federal Circuit’s prior cases Bailey v. West, 160 F.3d 1360 (Fed. Cir. 1998) and Jaquay v. Principi, 304 F.3d 1276 (Fed. Cir. 2002) which found that 38 U.S.C. § 7266(a) was subject to equitable tolling. The U.S. Supreme Court held oral argument on this case on December 6, 2010 and as such, this important aspect of Veterans law is set to be clarified.

10

 Tyrues v. Shinseki, 23 Vet. App. 166 (2009):
In this significant case, the CAVC addressed the scope of its jurisdiction in relation to “inextricably intertwined” issues. The Veteran had filed a claim for service connection for a lung disorder, both on a direct and presumptive basis as due to an undiagnosed illness. In 1998, the Board issued a decision that denied service connection for this disorder on a direct basis, but, in the same decision, it remanded the matter of entitlement to service connection for the lung malady on a presumptive basis for additional development. In 2004, the case returned to the Board, and it issued a decision that denied service connection for the lung
disorder on a presumptive basis. The Veteran timely appealed the 2004 denial to the CAVC.
On appeal, the Veteran urged that the CAVC had jurisdiction to review the Board’s 1998 denial of direct service connection in addition to the 2004 denial on a presumptive basis, as the two matters were “inextricably intertwined.” The CAVC was called upon to determine whether the 1998 remand rendered nonfinal the 1998 denial of service connection on a direct basis. The CAVC rejected the Veteran’s argument and held that the remand did not render the 1998 denial nonfinal, despite the fact that the matters were closely related. In this regard, the CAVC made clear that its “jurisdiction to review a Board decision denying a claim is not controlled by whether the claim denied by the Board is ‘inextricably intertwined’ with another
claim that was either remanded or referred by the Board . . . because the facts underlying the two claims are so closely tied together.” Instead, the CAVC highlighted that its jurisdiction
is determined by whether the Board issued a decision that denied the requested relief and provided notice of appellate rights. The CAVC also made clear that once its jurisdiction is established, it retains the discretion to determine whether the matter on appeal is so closely tied to other matters still pending at VA that it should remand the issue to await disposition of those other intricately related matters by the Agency.

 Bryant v. Shinseki, 23 Vet. App. 488 (2010):
This decision addressed the responsibilities of Veterans Law Judges while conducting hearings on appeal. The CAVC held that 38 C.F.R. § 3.103(c)(2) imposed two distinct duties on a “Board hearing officer:” (1) to fully explain the issues still outstanding that are relevant and material to substantiating the claim; and (2) to suggest the submission of evidence on any issue
material to substantiating the claim when the record is missing evidence on that issue or when the testimony at the hearing raises an issue for which there is no evidence in the record. The CAVC indicated that these duties did not require preadjudication of the claim. The CAVC specifically noted that VA’s issuance of a notice letter compliant with 38 U.S.C. § 5103(a), which explains to the claimant what is necessary to substantiate the claim, had no bearing on the “Board hearing officer’s” obligation to suggest the submission of evidence that might have been overlooked. This case is significant because it applies 38 C.F.R. 3.103(c)(2) to the Board, without addressing the regulations set forth in 38 C.F.R. Part 20, Subpart H, which govern Board hearings.

 Vazquez-Flores v. Shinseki, No. 05-0355, 2010 WL 4146124 (Vet. App. Oct. 22, 2010):
When this case was initially before the CAVC, Vazquez-Flores v. Peake, 22 Vet. App. 37 (2008), the CAVC held that proper notice under 38 U.S.C. § 5103(a) required notice tailored to the specific disability of a particular Veteran, and further that such notice must inform the Veteran that he or she should submit evidence describing the effects of the disability on employment and daily life. In 2009, the Federal Circuit vacated and remanded the

11

CAVC’s decision, holding that VA is not required to provide Veteran-specific notice prior to adjudication or to request evidence pertaining to the impact of a disability on a Veteran’s daily life. Rather, the notice required was generic notice based on the type of the claim.
Vazquez‑Flores v. Shinseki, 580 F.3d 1270 (Fed. Cir. 2009). In the instant case, the CAVC on remand adopted in part its initial reasoning with respect to the adequacy of the notice provided, stating that § 5103(a) notice for increased ratings requires VA to notify the claimant that he or she should submit medical or lay evidence demonstrating a worsening of the disability and the effect that worsening has on the claimant’s employment.
The CAVC further held that, with respect to whether the notice error was prejudicial to the claimant, when the notice is wholly defective as to a key element needed to substantiate the claim, such that the absence of evidence on that key element will result in a denial, the natural effect is that the claimant is deprived of a meaningful opportunity to participate in the processing of his claim. Under such circumstances, namely that there was no notice on a particular key element, VA has the burden of demonstrating that the notice error was not
prejudicial. The significance of this case is that it further defines what adequate notice is in the context of an increased rating claim, and how the prejudicial error analysis is to be conducted.

 Jones v. Shinseki, 23 Vet. App. 382 (2010):
This decision addressed the issue of when it is appropriate for the Board to rely on an examiner’s statement that an opinion cannot be reached “without resort to mere speculation.”
The CAVC explained that while such a statement is “fraught with ambiguity,” it is a medical conclusion and is not inherently inadequate. However, the CAVC held that the Board can only rely on the statement as an adequate conclusion if the examiner has explained the basis for the conclusion or the Board’s review of the evidence otherwise makes the basis apparent.
If the basis is unclear, then the Board must remand the claim for further development. The CAVC explained that the basis of a statement that an opinion cannot be reached “without resort to mere speculation” will be clear if it is supported by sufficient facts or data and provides a clear rationale that it is a conclusion reached after all relevant medical information has been sought and considered. The examiner’s rationale or the Board’s decision must clearly show that the examiner obtained and considered all tests and records that could help
illuminate any pertinent medical question. The examiner must also explain what facts he or she cannot determine and may have a duty to conduct further medical research. The CAVC noted that such research may be necessary because use of the term “without resort to speculation” should reflect limitations of knowledge in the greater medical community, not just limitations of knowledge of a single examiner. In reaching its holding, the CAVC recognized that there are limitations to medical knowledge and that VA’s duty to assist does not require VA to force an examiner to provide an opinion beyond what may reasonably be concluded from available medical evidence and literature.

 Bardwell v. Shinseki, 24 Vet. App. 36 (2010):
This appeal presented the issue of whether lay evidence can establish an in-service injury or event for the purposes of requiring a medical examination and opinion under 38 C.F.R. § 3.159(c)(4). The Veteran contended that he was competent and credible to assert that he was exposed to gases during training exercises which satisfied the requirement of an in-service
12
event and therefore required VA to provide him with an examination. The Board relied on the Veteran’s service records and the lack of evidence confirming such an event to find that the Veteran’s assertions lacked credibility.
In affirming the Board’s decision, the CAVC distinguished the Federal Circuit’s decision in Buchanan v. Nicholson, 451 F.3d 1331 (Fed. Cir. 2006), which held that the Board could not reject a Veteran’s lay evidence about an in-service medical condition solely because that incident was not reported in the Veteran’s service treatment records. In rejecting the Appellant’s argument that lay evidence of any event occurred must be accepted unless affirmative documentary evidence provides otherwise, the CAVC noted that Congress has expressly provided special status to lay statements by Veterans who engaged in combat with the enemy in 38 U.S.C. § 1154(b); however, it did not do so regarding lay statements of non-combat Veterans. Rather, as in all cases, a non-combat Veteran’s lay statements must be weighed against other evidence, including the absence of military records supporting the
Veteran’s lay assertions.

Assistance to VBA Regional Offices, VHA, and NCA
During the past year, the Board continued its efforts to reduce the backlog of cases on appeal
awaiting Board hearings at ROs. For most Travel Board visits, an attorney travels with a VLJ to an
RO to assist in preparing for scheduled hearings. Generally, 43 hearings per judge are scheduled
each week. During the course of the week, the attorneys often provide various types of assistance
and training to the RO staff. In Fiscal Year 2010, 167 attorneys provided assistance to 57 ROs.
The attorneys conducted training for adjudication personnel at 46 of the ROs visited and answered
questions with respect to individual appeals during each trip.
With respect to appeals originating from VA hospitals, the Board participated in conference calls with
VHA staff across the country that handle appeals to the Board to discuss issues of concern related to
the processing of claims and appeals. As a result of these talks, the Board has altered the way these
appeals are handled administratively, to better coordinate the movement of files.
The Board also worked closely with NCA to acclimate the Administration to appeals processing and
tracking.
Veterans Service Organization Forums and Training
The Chairman invites VSOs and attorneys who represent appellants before the Board to VSO Forums
on a quarterly basis. These meetings address questions that are raised by representatives and also
facilitate the exchange of ideas and information. An update on the Board’s activities is provided, and
matters of general interest are addressed.
The Board also provides global training to VSO representatives who are co-located with the
Board to familiarize them with our processes and procedures and with the various functions of the
administrative personnel, attorneys, and VLJs. VSOs are also invited to provide training to attorneys
and judges and to participate in the in-house training that is provided to BVA staff. This year, we
also provided training to VSOs on Virtual VA, the current software utilized in paperless claims and
13
appeals at VA. Although this system is set to be replaced in Fiscal Year 2012, in the meantime, the
Board is receiving and adjudicating a relatively small number of these appeals in the prior system.
During this fiscal year, Veterans Law Judges provided substantive training on behalf of the Chairman
to the New Jersey County Veterans Service Officers; Ohio County Veterans Service Officers; The
National Association of County Veterans Service Officers; National Organization of Veterans
Advocates; and Veterans of Foreign Wars.
Veterans Law Review
During Fiscal Year 2010, the Board published the second volume of the Veterans Law Review. This
legal journal provides a scholarly look at Veterans’ benefits law and other issues facing the Board
and VA. The Veterans Law Review offers the opportunity for attorneys both inside and outside of
VA, legal scholars, and other legal professionals to write on topics critical to the rights of Veterans
and the legal obligations of those who serve them. The Veterans Law Review also includes book
reviews addressing Veterans’ benefits, military history, and related current events. The Veterans
Law Review conducted significant outreach efforts in 2010 in hopes of expanding the visibility of
the publication and encouraging submissions from the legal community. The third volume will be
published in early 2011.
Volunteer Activities
The Board proudly supports Veterans and their families and educates VA employees by creating
educational exhibits at the Board on subjects such as the Vietnam War, the Korean conflict,
Operation Enduring Freedom, Operation Iraqi Freedom, female Veterans and Prisoners of War
(POWs). The Board also facilitates the collection and donation of comfort items for distribution
to Veterans at the Washington VA Medical Center and the United States Armed Forces Retirement
Home (U.S.A.F.R.H.); distributes DOD, VA POW/MIA Day and Veterans Day posters to Veterans;
collects Toys for Tots for the United States Marine Corps Reserve; and facilitates the collection of
calendars and valentines for Veterans to distribute at the U.S.A.F.R.H. Several Board employees
have participated in the Honor Flight Network, greeting WWII Veterans who have been flown, free
of charge, to Washington, DC to view the memorials. The Board also participates actively in the
Combined Federal Campaign.
As in previous years, the Board also sponsored two attorneys in the Overseas Military Services
Program (OMSP) that was established between VA and DOD. Under the auspices of this program,
VA provides Overseas Military Services Coordinators to military facilities in Japan, England,
Germany, and Italy as part of the Operation Transition program for those military personnel
separating or retiring. Our attorneys provided briefings on a full range of VA benefits, interviewed
active duty military personnel, and assisted in the completion of applications for benefits.
14
Planning for the Future
 Leadership Initiative: The Leadership Initiative (LI) provides opportunities for all Board
employees, as well as employees of other organizations within and outside of VA, to improve
their leadership skills through training, mentoring, and networking. Events during Fiscal
Year 2010 included a networking breakfast and Cherry Blossom walk; presentations on career
development at the Board; a luncheon for Administrative Professionals Day; a mock hearing
in conjunction with Take Your Children to Work Day; and a luncheon for the Excellence in
Leadership Award.
 Non-BVA Training Initiatives: The Board sends high quality, high producing attorneys,
VLJs, and administrative professionals to Leadership VA, as well as leadership seminars
and programs offered through Office of Personnel Management (OPM) Federal Executive
Institute and its Management Development Centers. Two employees were competitively
selected to attend Leadership VA during the past year, which seeks to contribute to the
development of leaders within VA. Through a series of experiences, Leadership VA strives to
provide an integrated view of VA to further the goal of achieving One VA; explore the internal
and external forces affecting VA; give insight into current and future challenges facing the
Department in its delivery of services and benefits to the Veterans’ community; provide an
interchange between officials from various levels and organizational elements of VA; and
increase leadership skills and provide opportunities for refining them through practice in
group settings. The Board also selected two employees to attend Leadership for a Democratic
Society at the Federal Executive Institute. This comprehensive four-week course builds the
participants’ knowledge and skills in personal leadership, transforming public organizations,
and the policy framework in which Government leadership occurs. Finally, the Board sent
16 employees to OPM Management Development Centers to participate in courses such as
the Supervisory Leadership Seminar: Learning to Lead, and other leadership development
courses. All of these various training courses are an integral part of the Board’s plan to
develop its future leaders.
 Facilities: The Board continued to plan for a significant physical move of its offices that
is scheduled to take place beginning in Fiscal Year 2011. The Board’s current location, the
Lafayette Building at 811 Vermont Avenue, NW, is scheduled for a complete modernization
in Fiscal Years 2011 and 2012. The Board’s move to 425 Eye Street, NW, is expected to
be temporary, with a return to the Lafayette Building contemplated once modernization of
the Lafayette building is completed. Board representatives continue to meet regularly with
representatives from the General Services Administration, VA’s Office of Administration,
OIT, and others to ensure that the needs of the Board, our VSO partners, Veterans, and other
appellants who visit our facilities will be met and that the resulting disruption is minimized.
15
BOARD MEMBERS
James P. Terry, Chairman
Steven L. Keller, Vice Chairman
Laura H. Eskenazi, Principal Deputy Vice Chairman
Steven L. Cohn, Deputy Vice Chairman, Decision Team 1
Robert E. Sullivan, Chief Member
Michelle L. Kane, Chief Member
Joaquin Aguayo-Pereles, Deputy Vice Chairman, Decision Team 2
Kimberly E. Osborne, Chief Member
Cherry O. Crawford, Chief Member
David C. Spickler, Deputy Vice Chairman, Decision Team 3
Wayne M. Braeuer, Chief Member
Cheryl L. Mason, Chief Member
Mary M. Sabulsky, Deputy Vice Chairman, Decision Team 4
Mark W. Greenstreet, Chief Member
Linda Anne Howell, Chief Member
VETERANS LAW JUDGES
Karen J. Alibrando George E. Guido, Jr. Andrew J. Mullen
Keith W. Allen Mark F. Halsey John E. Ormond, Jr.
Marjorie A. Auer Milo H. Hawley Kalpana M. Parakkal
Kathy A. Banfield Michael A. Herman Alan S. Peevy
Derek R. Brown Mark D. Hindin Renee M. Pelletier
Anna M. Bryant Vicky L. Jordan Ursula R. Powell
Dennis F. Chiappetta, Jr. Susan L. Kennedy Harvey P. Roberts
Vito A. Clementi Michael E. Kilcoyne Robert C. Scharnberger
Barbara B. Copeland Jonathan B. Kramer Ronald W. Scholz
John J. Crowley Michael S. Lane Howard N. Schwartz
Thomas J. Dannaher Mary Ellen Larkin George R. Senyk
Paula M. DiLorenzo Michael D. Lyon Deborah W. Singleton
Shane A. Durkin James L. March Susan S. Toth
Frank J. Flowers James A. Markey Claudia Trueba
Kathleen Gallagher Joy A. McDonald David L. Wight
Mary Gallagher Jacqueline E. Monroe Stephen L. Wilkins
16
PART II
STATISTICAL DATA
Fiscal Year (FY) 2010 Information
The following information is required by 38 U.S.C. § 7101(d)(2):
38 U.S.C. § 7101(d)(2)(A)
Historically, the Board has reported the number of cases physically received during a fiscal year and
the number of cases added to the docket separately. Effective on October 1, 2008, a change was
made to the docketing procedures to ensure fairness to every Appellant in the order of processing his
or her appeal. When a Substantive Appeal (VA Form 9 or its equivalent) is received at the AOJ, the
AOJ enters the date of receipt into the Board’s electronic database known as the Veterans Appeals
Control and Locator System (VACOLS). VACOLS automatically assigns a priority date to the appeal
based on the date of receipt, which preserves the appellant’s place on the Board’s docket. The Board
does not have control over that appeal until the AOJ certifies the appeal and the case is physically
received at the Board. Until that time, the appeal remains one before the AOJ in VA’s bifurcated
administrative appeals process. When the case is received at the Board, the appeal is activated or
reactivated and formally placed on the Board’s docket. The reporting above has been updated to
reflect this change and to more accurately report the number appeals filed during the fiscal year.
38 U.S.C. § 7101(d)(2)(B)
*Includes certified appeals pending in the field awaiting hearings, as well as cases pending at BVA.
Number of appeals filed at the Agency of Original Jurisdiction (AOJ) during FY 2010: 57,925
Number of appeals docketed (i.e. cases received): 52,526
Cases pending before the Board at the start of FY 2010: 40,688*
Cases pending before the Board at the end of FY 2010: 45,722*
Cases physically at the Board at the end of FY 2010: 32,458
17
38 U.S.C. § 7101(d)(2)(C)
Number of new appeals filed during each of the 36 months preceding FY 2010 and cases received.
Appeals Filed at AOJ Appelas Docketed Upon Receipt
Month FY 07 FY 08 FY 09 FY 10 FY 07 FY 08 FY 09 FY 10
October 3,341 4,133 4,497 5,295 3,206 3,713 3,459 5,197
November 3,321 3,646 3,392 4,853 2,754 3,201 2,879 3,611
December 3,196 2,956 3,590 4,788 3,275 2,767 3,766 3,392
January 3,615 3,703 3,730 5,246 2,949 3,248 3,462 4,926
February 3,519 3,579 3,840 3,535 3,404 3,701 3,691 3,190
March 4,085 3,389 4,593 5,697 3,498 4,351 4,467 5,069
April 3,694 3,651 4,459 4,936 2,854 3,337 5,145 4,194
May 4,170 3,629 3,801 4,462 3,532 3,121 4,278 5,289
June 3,963 3,559 4,632 5,201 3,190 3,279 5,011 4,974
July 3,855 3,696 5,003 4,526 3,695 3,107 4,653 4,462
August 3,993 3,517 4,650 4,756 4,281 3,443 4,466 3,823
September 3,585 3,893 5,294 4,630 3,179 3,648 4,506 4,399
FY Total 44,337 43,351 51,481 57,925 39,817 40,916 49,783 52,526
18
Appeals Docketed at BVA FY 07 - FY 10
Appelas Filed at AOJ FY 07 - FY 10
0
10,000
20,000
30,000
40,000
50,000
60,000
FY 07 FY 08 FY 09 FY 10 FY 11 Estimate
70,000
39,817 40,916
49,783
52,526
60,000
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
FY 07 FY 08 FY 09 FY 10 FY 11 Estimate
44,337 43,351
51,481
57,925
66,000
19
38 U.S.C. § 7101(d)(2)(D)
The average length of time between filing the appeal and the Board’s disposition was 886 days.
The following chart demonstrates the average time intervals for particular portions of the appeals process.
* This time includes the Board’s cycle time of 99 days. Cycle time measures the time an appeal is
physically received at the Board until a decision reached, excluding the time the case is with a VSO
representative for preparation of written argument.
** The Board updated the methodology used to capture this time interval in FY 2009, calculating
based on the total amount of post-remand decisions, as opposed to the total amount of all Board
decisions regardless of outcome.
38 U.S.C. § 7101(d)(2)(E)
The number of members of the Board at the end of FY 2010: 60 members
The number of professional, administrative, clerical and other personnel employed by the Board at the
end of FY 2010: 489 employees not including 60 members above.
38 U.S.C. § 7101(d)(2)(F)
Number of acting members of the Board during FY 2010: 91
Number of cases in which such members participated: 11,230
38 U.S.C. § 7101(c)(2)
Number of acting members of the Board in terms of full-time employee equivalents: 12.2
Time Interval Responsible Party Average Elapsed
Processing Time
Notice of Disagreement Receipt
to Statement of the Case AOJ 243 days
Statement of the Case Issuance to
Substantive Appeal Receipt Appellant 42 days
Substantive Appeal Receipt to
Certification of Appeal to BVA AOJ 609 days
Receipt of Certified Appeal to
Issuance of BVA Decision* BVA 212 days
Average Remand Time Factor** AOJ 493 days
20
PROJECTIONS FOR
FISCAL YEARS 2011 AND 2012
The following information is required by 38 U.S.C. § 7101(d)(3):
38 U.S.C. § 7101(d)(3)(A)
Estimated number of cases that will be appealed to BVA:
38 U.S.C. § 7101(d)(3)(B)
Evaluation of the ability of the Board (based on existing and projected personnel levels) to ensure
timely disposition of such appeals as required by 38 U.S.C. § 7101(a):
The indicator used by the BVA to forecast its future timeliness of service delivery is BVA “response
time” on appeals. By taking into account the Board’s most recent appeals processing rate and the
number of appeals that are currently pending before the Board, BVA response time projects the
average time that will be required to render decisions on that group of pending appeals. For response
time computation, the term “appeals pending before the Board” includes appeals at the Board and
those that have been certified for BVA review but are held in the field pending BVA Travel Board or
video conference hearings.
The following categories are calculated as follows:
Fiscal Year 2011: VA Form 9s Filed at the Agency of Original Jurisdiction (AOJ): 66,000
Cases docketed upon receipt at BVA: 60,000
Fiscal Year 2012: VA Form 9s Filed at the AOJ: 72,600
Cases docketed upon receipt at BVA: 66,600
FY 2010 decisions (49,127) divided by
261 work days = 188.23 Decisions per Work Day
Cases Pending end of FY 2010 (45,722)
+ New Cases expected in FY 2011 (60,000) = 105,722 Total Workload in FY 2011
Total Workload (105,722) (divided by)
Decisions per Work Day (188.23) = 562 Work Days
Work Days (562) (divided by)
261 work days = 2.2 Years
Work years (2.2) x 12 (months) = 26.4 months
21
ADDITIONAL INFORMATION
Potential BVA Workload in VBA
Number of New Notices of Disagreement Received in the Field
MONTH FY 07 FY 08 FY 09 FY 10
October 9,288 10,217 12,036 12,956
November 8,131 8,781 9,530 11,079
December 7,400 7,962 10,229 11,685
January 8,701 9,552 10,627 11,710
February 8,154 9,654 10,709 12,260
March 9,551 10,020 12,226 14,885
April 8,615 10,245 11,633 13,138
May 8,836 9,745 10,767 12,045
June 8,573 9,704 11,926 13,038
July 8,627 10,230 11,813 12,416
August 9,326 9,503 11,119 13,338
September 7,550 8,838 10,761 11,925
FY TOTAL 102,752 114,451 133,376 150,475
Notices of Disagreement Received FY 07 - FY 10
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
180,000
FY 07 FY 08 FY 09 FY 10 FY 11 Estimate
102,752
114,451
133,376
150,475
170,000
22
Potential BVA Workload in VBA
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
110,000
120,000
130,000
140,000
150,000
Appeals at BVA
Remands in Field & AMC
Form 9s in Field
NODs in Field
Sep-10
Aug-10
Jul-10
Jun-10
May-10
Apr-10
Mar-10
Feb-10
Jan-10
Dec-09
Nov-09
Oct-09
Sep-09
Aug-09
Jul-09
Jun-09
May-09
Apr-09
Mar-09
Feb-09
Jan-09
Dec-08
Nov-08
Oct-08
BVA Dispositions by VA Program (FY 2010)
APPEAL
PROGRAM ALLOWED REMANDED DENIED OTHER TOTAL
No. Percent No. Percent No. Percent No. Percent No. Percent
Burial Benefits
Compensation
Education
Insurance
Loan Guaranty
Medical
Pension
VR&E
Other Programs
7
12,739
3020
171
9876
10.1%
27.3%
12.4%
14.3%
0.0%
24.7%
15.2%
10.1%
14.6%
17
20,033
6115
224
191
257
24.6%
42.9%
25.3%
7.1%
83.3%
32.4%
29.6%
36.2%
17.1%
45
12,768
145
111
235
330
34
25
65.2%
27.3%
60.2%
78.6%
0.0%
34.0%
51.1%
49.3%
61.0%
0
1,174500
62
2733
0.0%
2.5%
2.1%
0.0%
0.0%
9.0%
4.2%
4.3%
7.3%
69
46,714
241
146
692
646
69
41
0.1%
95.1%
0.5%
0.0%
0.0%
1.5%
1.3%
0.1%
0.1%
BVA Original
Jurisdiction 12 18.2% 1 1.5% 38 57.6% 15 22.7% 66 0.1%
Multiple Program
Areas 139 24.4% 264 46.4% 156 27.4% 10 1.8% 569 1.2%
GRAND TOTAL 13,211 26.9% 20,829 42.4% 13,788 28.1% 1,299 2.6% 49,127 100.0%
FY 2009 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09
NODs in Field 100,777 101,267 103,446 109,091 114,124 113,388 115,326 116,311 118,135 114,953 121,139 116,702
Form 9s in Field 67,114 67,255 67,473 67,971 68,428 68,819 69,534 69,440 69,914 70,773 71,468 72,664
Remands in Field & AMC 27,924 28,431 28,609 28,596 28,579 28,535 27,562 27,486 27,191 27,164 26,926 27,251
Appeals at BVA 27,663 27,178 26,903 26,899 26,519 26,529 27,389 27,722 28,344 28,818 29,327 29,261
FY 2010 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10
NODs in Field 122,591 122,633 123,041 122,774 125,350 126,798 128,241 132,855 134,630 141,233 138,405 141,302
Form 9s in Field 73,413 74,666 76,334 76,503 77,764 78,531 79,560 79,700 80,344 80,808 81,965 82,499
Remands in Field & AMC 27,480 28,006 28,102 28,261 28,160 28,666 28,937 28,822 29,234 29,771 30,053 30,611
Appeals at BVA 30,283 29,898 29,650 29,952 30,391 30,700 30,904 32,133 32,538 32,788 32,525 32,458
23
BVA Dispositions by Representation (FY 2010)
REPRESENTATION ALLOWED REMANDED DENIED OTHER TOTAL
No. Percent No. Percent No. Percent No. Percent No. Percent
American Legion 2,398 26.8% 3,959 44.3% 2,272 25.4% 309 3.5% 8,938 18.2%
AMVETS 81 30.6% 106 40.0% 68 25.7% 10 3.8% 265 0.5%
Disabled American
Veterans 4,174 28.6% 6,150 42.1% 3,883 26.6% 387 2.7% 14,594 29.7%
Military Order of the
Purple Heart 155 30.9% 189 37.7% 148 29.5% 9 1.8% 501 1.0%
Paralyzed Veterans of
America 108 29.5% 161 44.0% 66 18.0% 31 8.5% 366 0.7%
Veterans of Foreign
Wars 1,494 27.2% 2,300 41.8% 1,581 28.7% 126 2.3% 5,501 11.2%
Vietnam Veterans of
America 220 27.6% 422 53.0% 134 16.8% 20 2.5% 796 1.6%
State Service
Organizations 2,179 27.1% 3,225 40.1% 2,486 30.9% 155 1.9% 8,045 16.4%
Attorney 1,072 25.0% 2,149 50.1% 935 21.8% 130 3.0% 4,286 8.7%
Agents 45 33.8% 54 40.6% 31 23.3% 3 2.3% 133 0.3%
Other Representation 298 26.5% 446 39.6% 358 31.8% 24 2.1% 1,126 2.3%
No Representation 987 21.6% 1,668 36.5% 1,826 39.9% 95 2.1% 4,576 9.3%
GRAND TOTAL 13,211 26.9% 20,829 42.4% 13,788 28.1% 1,299 2.6% 49,127 100.0%
BVA DECISIONS
Fiscal Year Decisions Allowed Remanded Denied Other
2007 40,401 21.1% 35.4% 40.9% 2.6%
2008 43,757 21.9% 36.8% 38.9% 2.5%
2009 48,804 24.0% 37.3% 36.1% 2.6%
2010 49,127 26.9% 42.4% 28.1% 2.6%
24
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
FY 07 FY 08 FY 09 FY 10 FY 11 Estimate
40,401
43,757
48,804 49,127 49,500
BVA Decisions FY 07 - FY 10
BVA Operating Statistics
FY 2007 FY 2008 FY 2009 FY 2010
Decisions 40,401 43,757 48,804 49,127
Case Receipts* 39,817 40,916 49,783 52,526
Cases Pending** 39,031 36,452 40,688 45,722
Hearings - VACO 421 672 470 589
Video 2,870 2,891 3,375 3,979
Field 6,680 7,089 7,784 8,947
TOTAL 9,971 10,652 11,629 13,515
Decisions per FTE 90.3 93.2 93.0 89.5
BVA FTE 447 469 525 549
BVA Cycle Time 136 155 100 99
Cost per Case $1,337 $1,365 $1,407 $1,516

* Case Receipts composed of: (1) new cases added to BVA’s docket; and (2) cases received at BVA, which consist of all cases physically received at the Board, including original appeals and cases returned to the Board’s docket (i.e., cases returned following remand development, cases remanded
by the Court, and cases received for reconsideration or vacate actions).
** Pending figures include certified appeals pending in the field awaiting BVA hearings, as well as cases pending before the Board.
Department of Veterans Affairs Board of Veterans’ Appeals
Report of the Chairman Fiscal Year 2010

Long Beach-VA, VAOIG Documents Poor Quality of Care in Radiation Therapy

We substantiated the allegation of poor care for 1 of the 10 patients reported and identified medical record documentation deficiencies for 9 of the 10 patients. We also substantiated that facility leaders were not aware of adverse patient outcomes in RT and found that action was not taken to correct deficiencies identified in peer reviews.

VAOIG Report atHealthcare Inspection Alleged Poor Quality of Care in Radiation Therapy VA Long Beach Healthcare System, Long Beach, California

Report Number 10-03861-119, 3/9/2011 | Full Report (PDF)

The VA Office of Inspector General conducted an inspection to determine the validity of allegations regarding radiation therapy (RT) at the VA Long Beach Healthcare System (the facility) in Long Beach, CA. Allegations included inappropriate care, lack of competence of radiation oncologists, lack of communication with facility leadership, and a hostile work environment. We substantiated the allegation of poor care for 1 of the 10 patients reported and identified medical record documentation deficiencies for 9 of the 10 patients. We also substantiated that facility leaders were not aware of adverse patient outcomes in RT and found that action was not taken to correct deficiencies identified in peer reviews. We did not substantiate the allegation that radiation oncologists lacked competence and did not address the allegation of a hostile work environment in this report. We recommended that the facility Director (1) ensures that an external peer review assessment of the treatment provided by radiation oncologists for Patient 1 is performed; (2) evaluates the care of Patient 1 with Regional Counsel for possible disclosure to the patient; (3) ensures that RT medical record documentation complies with VHA policy and ACR guidelines; and (4) ensures that RT patient outcomes are monitored by the Quality Management program and others external to the RT department to oversee the implementation of corrective actions for all adverse patient outcomes.