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Miami VA Healthcare System Summary

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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.). 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 …show more content…

Every fiscal year the Clinical Nutrition Manager creates a proposed chart review schedule for Outpatient Dietitians to follow (S. Kulshrestha, personal communication, March 9, 2017). For instance, if the outpatient chart review schedule is: Marcia Monica Stephany Gail Marcia; then Marcia will review Monica’s patients charts for three months, Monica will review Stephany’s and so on. Every month the peer assigned for the audit will review a different patient’s chart. The Assessment Diagnosis Intervention Monitoring and Evaluation (ADIME) audit for Outpatient Dietitians performed at the Miami VA is intended to follow the same competencies, regulation checks and audit procedures required by the Joint Commission (S. Kulshrestha, personal communication, March 9, 2017). The ADIME audit patient chart reviewing includes documentation on assessment, nutrition diagnosis, expected outcomes and reassessment (Appendix A). The mock audit I performed was based on the Joint Commissions Standards and the ADIME …show more content…

The Miami VA offers a veterans’ crisis line which is available by anonymous online chat service, confidential text messaging or by phone. The responders at the veterans’ crisis line have specialized training and experience in helping veterans of all ages and circumstances (US Department of Veterans Affairs, Veterans Health Administration, n.d.). There are also many educational materials offer to veterans and their families to recognize when to ask for help and learn about suicide prevention in English and Spanish. “Security – ID Badges” As part of the environment of care standard, all healthcare organizations are required to identify individuals entering its facilities (The Joint Commission, n.d.). It is up to the healthcare organization to determine who requires identification and how to implement the process. At the Miami VA and all the community based outpatient clinics, outpatient dietitians are required to wear their ID badges at all times while at any of the facilities.
“Records and Documentation –

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