Implementing Complex Issues Within An Organization

Leadership is a facet of management. It is just one of the many assets a successful manager must possess. The main aim of a manager is to maximize the output of the organization through administrative implementation. To achieve this managers must undertake the four functions of management: planning, organization, leading and controlling. In some cases leadership is just one important component of the leading function. Predpall (1994) said, "Leaders must let vision, strategies, goals, and values be the guide-post for action and behavior rather than attempting to control others". In some circumstances, leadership is not required. For example, self-motivated groups may not require a single leader and may find leaders dominating. The fact that a leader is not always required proves that leadership is just an asset and is not essential.

In today’s society, veterans health care system is troubling to those aware of the problem in the outside world. Veterans are people that have sacrificed so much for the United States, yet receive very little in regards to their health and well-being, which poses a great problem. The U.S Department of Veterans Affairs (VA) is very vocal about the lack of health care options for veterans and is actively trying to make reforms and provide solutions to these problems. The Department of Veterans Affairs "strives to ensure that you have access to all of your needed services wherever you receive your VA health care” (Department of Veterans Affairs, 2016). They also claim that our veterans deserve the best care possible (Department of Veterans Affairs, 2016). While all seems well, there are still a large percentage of veterans that get denied veteran services. The goal of this study is to pinpoint the disparities among veteran health care, shine a light on the issues to increase awareness within the community, and then attempt to create solutions for these problems. This can

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).

The main research questions in this study are: 1) is veteran healthcare equal to private healthcare; 2) do veterans have to wait longer for treatment options; and 3) do veterans have limited treatment options? It is hypothesized that veterans receive inferior healthcare services compared to private healthcare and the community is unaware of the disparities.

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

According to Kotter (1990), “Leadership seeks to produce organizational change by: developing a vision of the future and strategies for making necessary changes; communicating and explaining the vision, and motivating and inspiring people to attain the vision.”

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)

Data released in October 2014 indicated an average wait time of approximately 50 days for new primary care appointments, with a range of 2 to 122 days across all VA/VHA facilities (VA, 2014c). The OIG found that VHA was not meeting the outline standards, forcing some veterans to wait as many as 60 days for an initial evaluation. This caused a great setback in meeting the measurements set forth by OIG and caused a hindrance on veterans who have returned home from war and dealing with physical and mental health aliments and disabilities. The research study will be conducted to examine the circumstances preventing veterans from receiving new patient appointments in a timely matter. Since 2012, this researcher has witnessed the VA make great efforts to implement recommendations from OIG, however, the shortage of (1) healthcare provider availability, staffing, and (2) scheduling practices with out-of-date technology continues to cause delay in effective

Josh Hicks, author at The Washing Post, says that the Veterans Affairs has an ongoing problem of delays in servicing veterans. “Phoenix VA hospital kept delays off the books with secret wait lists that allegedly included dozens of patients who died while waiting for care” (Hicks 1). “Several patients died at an Atlanta clinic because of mismanagement” (Hicks 1). “A Department clinic in Fort Collins, Colorado, falsified appointment records to give the impression that staff doctors saw patients within the agency’s goal of 14 days” (Hicks 1). In addition to these issues, other veterans waiting to hear if their disability claims had been approved for care were waiting in excess of 125 days without determination. Retired four-star Army General Eric Shinseki, serving

The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system that provides essential financial and medical assistance to veterans and their families that are located all over the world. (www.va.gov) As the country and the military’s needs change, the VA needs to continue to evolve and grow. With this thought in mind, it is necessary to understand how the department is coping with the many different challenges that they are currently facing to effectively address the current issues and policy pitfalls. The most critical issues presently facing the VA, is the concern over long increasing wait-times and backlogs for services, which have emerged since 9/11 and are primarily the result of the growing

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

All elements in this domain scored a five. The VHA focuses on diversity and disparities among Veterans. The comprehensive electronic health record captures demographic information, such as race, ethnicity, language on the initial visit to the facility. This information can then be viewed in the first pane of the patient chart. Although English is the primary language, an interpreter can be made available if necessary. Those patients who are hearing impaired are provided with an interpreter fluent in sign language. Multiple programs are available to Veterans who are underserved. A series of questions are reviewed with the patient annually, with the goal of identifying the Veteran’s needs. These questions focus on routine health care, as well

In today’s competitive world, leadership skills are crucial for both personal and professional development. Leadership is an important function of management which helps an individual or a business to maximize efficiency and to achieve goals. Leadership has different meanings to various authors.Most commonly, leadership is defined as influence, that is, the art of influencing people so that they will strive willingly and enthusiastically toward the achievement of group goals. (Koontz). Leadership is the process of influencing the activities of either formal or informal group in the task of goal setting and goal achievement. A leader is one whose magnetic personality innervates people for some cause. Not by words, but by their actions is

Leadership is a process of influencing activities of a particular group of people with the aim of attaining certain stipulated goals. In defining leadership there is need to consider a particular group, the common goals and the duties that are allocated to specific members of the group depending on their abilities (Fiedler 1976). Leadership therefore cannot successfully occur unless members of the group are given different considerations in terms of personality, traits and responsibilities. In considering leadership, it is important to look at the leader, the group or organization they are leading, the members as individuals and the situation; these are