VA Puget Sound Health Care System

Ileana Howard, MD, outpatient medical director for Rehabilitation Care Services, VA Puget Sound Health Care System

SEATTLE, Wash. – January 11, 2019 – When Ileana Howard was a trainee at the University of Washington, she didn’t know that caring for Veterans would become her life’s work.

When she was assigned to VA Puget Sound Health Care System in the winter of 2005, it turned out to be a moment of clarity for her.

“When your work is providing health care for Veterans, you don’t just have a job; you’ve been entrusted with a very important mission,” said Howard, the outpatient medical director for Rehabilitation Care Services (RCS) at VA Puget Sound and a clinical associate professor of rehabilitation medicine at the University of Washington School of Medicine.

“It’s incredible to be surrounded by coworkers who feel the same way,” said Howard.

As a young girl, Howard remembers being drawn to science. But she enjoyed working with people more than test tubes, and found herself fascinated by the rehabilitative process once she entered medical school.

The focus of RCS is helping Veterans recover from neurological and musculoskeletal injuries to achieve their highest level of function and quality of life. It’s an area of care that presents challenges, but also inspiration.

“I am inspired by my Veterans not only for the heroism of their past accomplishments, but for the dignity, grace and self-sacrifice with which they often meet some of life’s most challenging health conditions,” said Howard.

Some of Howard’s most lasting contributions have come from working with ALS patients. VA Puget Sound has been steadily growing its ALS treatment capability since 2013, when it partnered with the ALS Association Evergreen Chapter and Paralyzed Veterans of America to better serve veterans with ALS and their families. Howard spearheaded this effort, and the next year, her team opened a clinic at VA Puget Sound’s American Lake campus in addition to the existing clinic in Seattle.

In 2018, she was awarded the Paralyzed Veterans of America Clinical Excellence Award for her work with the ALS program. Her innovations are also spreading across the nation—clinics affiliated with Yale University, Duke University, Cleveland VA Medical Center and Atlanta VA Health Care System are now equipped with tools Howard’s team developed to enhance the quality of ALS patient care in the Pacific Northwest.

“Our ALS team guides Veterans living with ALS and their families throughout the journey and assists them in maximizing the various VA benefits that are available,” said Howard. “Our rehabilitative services are second to none, and we are very grateful for the benefits available to support these families. These include coordinated medical care, durable medical equipment, funding for home modifications, assistive technology and services to aid in activities of daily living.”

Howard has shepherded the ALS rehabilitative care team through a series of certifications to demonstrate to her patients that VA care is as good or better than that available in the community. These acknowledgements have also better positioned the team as experts in service to rehabilitation teams caring for Veterans across the country. In 2015, VA Puget Sound’s clinics were awarded accreditation by the Commission on Accreditation of Rehabilitation Facilities, better known as CARF. The next year, the ALS program was recognized as a center of excellence by the ALS Association. And in 2017, the RCS electrodiagnostic laboratory was accredited by the American Association of Neuromuscular and Electrodiagnostic Medicine.

Howard’s career has come full circle—now she trains the next generation of rehabilitation physicians throughout VA Puget Sound. Several of her students are already staff rehabilitation physicians at VA hospitals around the nation. She thinks it’s important for students to have the experience of serving, regardless of their ultimate career path.

A native of Federal Way, Wash., Howard is especially passionate about ensuring access to care for Veterans in the South Sound region. She attended school in Tacoma and is very grateful for the medical care her grandfather, a U.S. Army Veteran, received at the end of his life through the VA.

Telehealth is one of the tools Howard uses to meet the health care needs of Veterans like her grandfather.

“It’s an incredible tool that allows us to provide the highest level of specialty care for our most disabled Veterans regardless of where they are located,” she said. “I’ve provided ‘house calls’ to Veterans in Eastern Montana as well as all the way to Alaska!”

“Leaving their home is a huge challenge for these patients, so it’s a big relief when we can bring our services to them, even virtually,” she added.

Working alongside her team, Howard is a natural optimist who loves her work and appreciates the opportunity to serve Veterans.

“Providing rehabilitation services to our nation’s heroes is the most rewarding job I can imagine,” said Howard. “On a daily basis, we dispense both healthcare and hope.”

VA Puget Sound provides comprehensive care to more than 110,000 Veterans across its nine facilities in the Pacific Northwest. It has the 5th largest research program within the national VA system and seven Centers of Excellence (in areas from limb-loss prevention and prosthetic engineering to primary care education and substance abuse treatment). More than 2,000 individuals participate in its undergraduate and graduate training programs each year. For more information visit www.pugetsound.va.gov.