Miami VA Healthcare System: A Case Study

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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.). Since the VA system is owned and run by the federal government, 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 Miami VA Healthcare System is a government organization and at a higher level is not required to do so (M. De La Cera, personal communication, January 12, 2017). Nevertheless, the Miami VA requests unannounced visits from The Joint Commission every three years to monitor and strengthen their performance excellence as well as keep their ongoing commitment to the safety and quality care of their patients (Office of Public and Intergovernmental Affairs, 2016). Furthermore, the Agency for Health Care Administration (AHCA) conducts unannounced onsite reviews of the Community Living Center (CLC) to review processes and procedures. Inspectors from AHCA seek…show more content…
Documentation of follow-up on the reviewed chart included: current nutritional status level, the status of previously identified nutritional problem, reassessment of the nutritional status risk and the appropriateness of the diet. Additionally, it included recommended continuation of nutritional intervention as well as the next follow-up
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