Amputation System of Care (ASoC) - Rehabilitation and Prosthetic Services
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Amputation System of Care (ASoC)

Banner:  Amputation System of Care.  Three photos of amputees playing baseball, skiing, and on a surfboard 
Amputation System of Care LogoIn 2007, the Office of Rehabilitation Services and the Prosthetics and Sensory Aids Service collaborated on a proposal for an Amputation System of Care (ASoC) designed to reduce variance and increase access to state of the art rehabilitation techniques and prosthetic technology. The end result was a model of care that meets the expectation for the VA healthcare system to be the leader in quality, state of the art care while maintaining efficiency by utilizing existing structures within VA. After carefully developing criteria to establish VA as the premier system for amputation care and performing an analysis of VHA amputation care programs across the country, the committee recommended a four component system of care, mirroring the model utilized by VA’s Polytrauma System of Care. This model provides a system in which Veterans, depending on the complexity of their needs, will always find the expertise they require.

The Amputation System of Care (ASoC) provides specialized expertise in amputation rehabilitation incorporating the latest practices in medical rehabilitation management, rehabilitation therapies, and advances in prosthetic technology. It is a system of care designed to provide Veterans access to the full continuum of care.

Amputation System of Care Components:

Level l: Regional Amputation Centers (RACs)
Seven facilities have been designated as RACs:

  • Bronx
  • Denver
  • Minneapolis
  • Palo Alto
  • Richmond
  • Seattle
  • Tampa

Amputation System of Care Logo

Level II: Polytrauma/Amputation Network Sites (PANS)
Eighteen (18) facilities have been designated as PANS:

  • Augusta
  • Boston
  • Chicago (Hines)
  • Cleveland
  • Dallas
  • Houston
  • Indianapolis
  • Lexington
  • Philadelphia
  • San Juan, Puerto Rico
  • Salt Lake City
  • San Antonio
  • San Diego
  • St Louis
  • Syracuse
  • Tucson
  • Washington DC
  • West LA
Level III: Amputation Care Teams (ACT) Level IV: Amputation Points of Contact (APOC)


  • To be a world leader in providing lifelong amputation care.


  • To provide excellent, state-of-the-art, holistic, interdisciplinary care; to the Veteran and Servicemember with an amputation.
  • To optimize each individual's activity and participation in recognized social roles through an interdisciplinary care approach.
  • To employ wellness and preventative strategies to minimize secondary conditions, impairments, activity limitations, and participation restrictions.
  • To develop; leading treatment interventions and program processes through research and outcome assessment.
  • To be the amputation provider of choice for Veterans and Servicemembers.
  • To maximize the availability of excellence in care, irrespective of where a patient resides, through a geographically integrated health care system.

More about the Amputation System of Care