Alternative Theory Of Alternative Policy

The United States Department of Veterans Affairs (VA) was founded in 1930, and today, “operates one of the largest health care delivery systems in the nation, with 168 medical centers and more than 1,000 outpatient facilities organized into regional networks” (GAO, 2017). The VA employs nearly 350,000 people at its facilities and serves approximately 9 million veterans each year (VA, 2017).

In the past few years there has been increasing discussion about how to provide adequate care for the increasing number of veterasn who are eligible for care through the Veterans’ healthcare administration (VHA). There are concerns is that the VHA is not providing the level of access, efficiency, and quality of care that veterans expect. Lee & Begley, (2016) suggest access to care for the veteran population may be resulting in poor health outcomes. In response to these concerns, the Veterans ' Access to Care through Choice, Accountability, and Transparency Act (VACAA) of 2014, also known as the Veterans Choice Act, was created to improve Veterans’ healthcare. The VACAA proposed to do this by expanding the number of options veterans have for receiving healthcare, by providing access for healthcare at non-VA care centers as well as providing for an increase in staffing at VA facilities (U. S. Department of Veterans Affairs, 2016).

Pocahontas Memorial will focus on recruiting younger physicians no more than five years out of their training. Due to the aging physician community, younger providers are needed when the current providers retire (Cohn & Harlow, 2009). If the recruitment team focuses on the younger, newly graduated physicians, the physicians they recruit are more likely to stay with the organization longer. Younger physicians also have a different work-life balance approach (Cohn & Harlow, 2009). This is due to the more family oriented view, which, living in a rural community, it is easier to have that balance. Rural areas are generally less stressful as they do not have traditional “big city” issues such as traffic, crowding issues, and the need to rush everywhere.

Additionally, the so-called "fiscal cliff" is another issue. This prescribes further budget cuts to the VA. There is real concern that further cuts to an already cut-ravaged system will only do tremendous harm to the 2-million-plus veterans that have returned from the Middle East, in addition to the existing vets from previous wars.

Over the past 15 years, the Veterans Benefits Administration (VBA) has seen a dramatic increase in the average degree of disability, growth in the number of compensation recipients, a rise in the number of medical issues claimed and an increased level of complexity of claimed issues. To illustrate this point, prior to the September 2011 terrorist attacks, 333,700 Veterans received compensation at the 70-100 percent level; however, these figures rose to over 1.1 million by the end of 2013. Additionally, since 2009, VA’s disability compensation workload rose 132 percent. This is in large part due to an unprecedented demand resulting from over a decade of war, military downsizing, economic issues, increased outreach, the addition of presumptive conditions and an aging Veteran population.

The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 150 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliary. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million Veterans each year. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of the medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision

New physicians would be able to focus more on the quality of their practice as opposed to productivity due to being paid on a salary-basis in a large organization that is better-equipped to train incoming physicians. Staff Model HMOs provide care in extensive health systems; therefore, there are abundant resources available to physicians, both physical resources and the resource of additional physicians’ minds and expertise.

The VA health care program is a disaster. Some candidates want to get rid of it, but our veterans need the VA to be there for them and their families. That’s why the Trump plan will:

1. Elimination of the “perks” that Dr. Ingelson previously received. This will reduce the physician politics that has been occurring at Attica Memorial. It will also decrease one employee feeling underappreciated.

The problem that the numerous senators are having with The Department of Veterans Affairs is that since November 2014 has only authorized 30,000 patients or 0.37 percent out of 8.5 million cardholders to receive non VA care. This is due they believe to the VHA being too strict on their eligibility criteria “We need to make it easier, not more difficult, for veterans to get the care they need and earned, regardless of whether they live in a rural area or a big city. I am going to continue to press the VA to ensure that this happens,” Toomey, R-Lehigh Valley.

These proposals often focus on using hospital DSH payments to expand coverage rather than using these sums to make payments to hospitals, using savings from reductions in other programs, or proposing new revenues (Holahan et al., 1995). The goal is to expand coverage at small new costs to the government (Holahan et al., 1995). The key features of

However, he Veterans for America have taken to a less popular choice. Instead of completely doing away with the VA, the Veterans for America request a change in them instead. The priorities have been sorted in a list of ten that also serve as instructions. First off is the rule that veterans must come first, not the VA. This is the most important rule. They believe that the care and funding of veteran health should be the first priority. The second priority refocuses on veteran service for those with disabilities and specialized needs. The third is the improvement of the VA, or more specifically the improvement of how the VA work-such as dealing with the timing and quality of care. The fourth and fifth priorities deals with the allowing of choice concerning from who and where the veterans receive their health care from. They believe the veteran has a right to choose. Following suit, the sixth, seventh, and eighth priorities again drills upon the Veteran Affairs by suggesting reform on thing such as the possibilities of health care on their budget, veterans’ demographics, and the cycle of their ‘standard operating procedures.’ They also note that the reform of such things will require bipartisan vision, courage, and commitment-to which they state in their ninth priority and how to implement it. The tenth -but by far not the least important-priority is to hold the VA accountable for all

Stubborn to the misconceptions dealing with human trafficking acts does not demand any movement or smuggling the individual. While illegal immigrants are uncommonly liable for coercion for the fear of authority, trafficking shows the power to take advantage of other unprotected populations and grabs offensively documented individuals working in the United States and America citizens. Indeed, unprotected minors are given away for commercial sex which does not need coercion, fraud, or proof of force. The government has victoriously tried human trafficking acts in strip clubs, bars, escorts

The performance-pay compensation plan that was proposed implemented a number of aspects of the Expectancy Theory to encourage intrinsic and extrinsic motivation in order to make positive gains for both the MGOA and the MGH. There were four main aspects of the plan that had changes implemented: Physician Base Salary, Development Fund Tax, Bonus, and

In business there are strategies that need to be fulfilled. Starting a business or health care organization we need to use strategy planning. In the strategy planning of our business or health care organization we need to map out the mission, vision and goals that we want our business or health care organization to meet. My paper is going to be on the Veterans Health Administration strategy planning. This paper will review their internal and external assessments, competitive marketing analysis, identification of stakeholders, an overview and assessments of services provided, competencies and