Diversity And Disparities Among Veterans

The Miami VA Healthcare System serves Veterans in Miami-Dade, Broward and Monroe counties and operates a total of 372 hospital beds (US Department of Veterans Affairs, Veterans Health Administration, n.d.). The VA system, which is part of the Department of Veterans Affairs, is owned and run by the federal government. Consequently, the Miami VA’s audit requirements in order to provide dietary and nutrition care services in the inpatient, outpatient or long term care setting are different compared to private sector hospitals. Hospitals and health care organizations get accreditation from the Joint Commission in order to meet federal requirements and get payment from Medicare and Medicaid programs (The Joint Commission, n.d.). However, since the

The VHA scheme presents an issue when it comes to highly rural veterans since only half of the Highly Rural enrollees reside within an hour of primary care. Approximately 70% of rural veterans still have to travel for more than two hours in order to get to acute care facilities and more than four hours to obtain tertiary care (West et al).

The veteran reported that the year prior to his referral to VHN he resided in multiple VA run inpatient treatment centers and a homeless shelter in Newark, NJ. The veteran reported that he first resided at the “Dom” (VA), where he was asked to leave after he got “drunk and told the staff off.” He then went to a homeless shelter in Newark NJ that he described as a “shit hole.” He reported having to be out from 6am-4pm and all he did was walk the streets. He was offered drugs and crack again for the first time since 1995. The veteran accepted into 12B (VA inpatient psychiatric) and was referred to SHEILDS from 12B.

The PAVE program at the Madison VA is a program that exists due to a National Directive (VHA DIRECTIVE 2012-020) from the Under Secretary for Health (Veterans Health Administration, 2012). The directive was crafted out of the Office of Rehabilitation Services and Office of Patient Care Services and outlines that a PAVE program be established and maintained at all VA medical facilities. The programs purpose is to expand scope of care and treatment provided to Veterans at risk for loss of limb, and reduce number of amputations (William S. Middleton Memorial Veterans Hopsital, 2014). The program works with all clinical specialties to ensure clinical management of patients who are risk. This program affirms the Mission, Vision and Values of

Veteran has four admission and discharges in CAVHS in her record: June 2012 (3K); August 2012 (3K); March 2014 (SICU); July 2014 (3K). She has also received care from Biloxi and Texas VAMC 's in the past. Veteran served in the US Army between October/2004 to March/2004, with an Entry Level Separation (ELS- Medical) discharge and her highest rank were an E-3. Veteran reported she received an injury while

In July 1775, the Congress established a hospital or what they called it then a medical department in Massachusetts with a chief physician of the hospital, four surgeons, a pharmacist, and nurses, which are usually wives or widows of military personnel to care for military members. (TRICARE Timeline). Today health care has come a long way especially for the military; we have better equipment and more than enough surgeons, physicians, and of course, our spouses or widows are no longer our nurses. Now we have qualified individuals that are very capable of making sure that they are patched and ready to get

The United States Army is a gigantic institute with an international presence. One of its fundamental sources of power is the diversity of its personnel, which includes 1.6 million workforce across the active, reserve, civilian, and contractor parts. While the Army was at the vanguard of ethnic incorporation in the 1950s and at present is one of the most assorted institutes in the U.S., further advancement must be made on the diversity front. The term "diversity" can be classified along countless aspects; this paper concentrates on racial diversity since the exceptional and traditionally important role that race has in matters of diversity in the Army. Internal communications concerning delegate leadership throughout the force, the Army sketches power from its cultural and racial diversity.

Does the government support or fail the veterans that have come back home? Veterans who are in uniform have a hard time transitioning to civilian life. Citizens believe that the government, like the Veteran Affair(VA), is helping veterans while others believe that the government has not made any improvements or adjustment to help the veterans in need and how the citizens of the world were right. The research will prove what the government is really doing for our veterans.

VBA administers a wide variety of benefit programs authorized by Congress including Vocational rehabilitation and employment, Education service and GI Bill, Loan guarantee, Service-connected disability compensation, VA pension and fiduciary services, and VA life insurance. The following organizational chart depicts the current structure of the Veterans Benefits Administration. The Veterans Health Administration (VHA) serves the Veteran population and is responsible for providing a wide range of medical services by providing inpatient and outpatient care to 5.5 million veterans across the United States and its territories. The VHA operates one of the largest networks of health care facilities in the world. It includes 171 medical centers, 800+ outpatient clinics, 127 nursing homes and 196 Vietnam Veterans Outreach Centers. As well as, domiciliary residences, home health services, adult day care, residential care and respite care programs. In addition, the VHA helps support veterans' health care in non-VA hospitals (Choice Program) and is the country’s largest provider of graduate medical education. The following organizational chart depicts the current structure of the Veterans Health Administration. The National Cemetery Administration (NCA) provides burial space for Veterans and their eligible family members; maintains national cemeteries; marks Veterans’ graves with headstones, markers, and medallions; and administers grants for establishing or expanding state and tribal government Veteran cemeteries. The following organizational chart depicts the current structure of the National Cemetery

Current funding for veteran healthcare care is low and insufficient because of the large number of veterans, who are being discharged from the military as the country transitions to a democratic President. According to Dr. Rachel Nardin in her article about veteran healthcare, “Soldiers get excellent acute care when injured on active duty, but as revelations of poor conditions for soldiers receiving ongoing outpatient care at the Walter Reed Army Medical Center highlighted, service members often have trouble getting the care they need once active duty ends” (Nardin 1)

I’m a Dysfunctional Veteran, Leave Me Alone… and by leave me alone I mean I want everyone and their mother to know that I’m dysfunctional veteran by parading around in a t-shirt that essentially craves and begs for attention, despite wanting to be left alone.

Within the last ten years, the Department of Veterans Affairs (VA) has begun to measure and collect data on gender-neutral health screenings to determine if there were any gender specific health disparities among the veteran population. The findings of the study showed some significant disparities between sexes. In an article recently written by Whitehead, Czarnogorski, Wright, Hayes, & Haskell (2014), and published in the American Journal of Public Health, disparities among women veterans were explored as well as the statistical data surrounding the inequities analyzed. There is an urgency needed in addressing these health disparities among women veterans, as they are the fastest growing new population within the VA health

The accessible population is the elderly veterans admitted to any VA hospital for CAP during the fiscal year of 2003 (Li et al., 2015). The inclusion sampling criteria are stated in the article within the defined target population. The exclusion sampling criteria are specified as “transfers from another hospital, skilled nursing facilities, intermediate care facilities, or another healthcare facility” (Li et al., 2015, p. 288). Both the inclusion and exclusion sampling criteria are appropriate for this study because the inclusion helps keep the study focused on VA hospital data and the exclusion helps the study

Having family and friends using the VA system for their health care needs, the Veteran’s Freedom Act is of particular interest. I have often been called to advocate on their behalf in obtaining timely appointments and referrals as the quoted wait time is three to four months for a specialist appointment.

Service Delivery – VA provides a broad range of the quality and accessibility of primary care, specialized care, related medical and social benefits through a nationwide network for Veterans and their eligible beneficiaries, such as vocational rehabilitation, service members' group life insurance, traumatic injury protection, the Post-9/11 GI-Bill, the VA home loan programs, and