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 –
Second, friends and family need to get their loved ones to a hospital and talking to someone who can professionally help them. Finally, the Veterans Affairs office must educate friends, family, employers, and institutions like colleges and community organizations, as to how best to recognize the signs and symptoms of suicide and Post Traumatic Stress Disorder (PTSD) so that they can get them help sooner rather than later. It is time to stop veteran suicides and to get people to understand that they are the first stepping stone to getting their loved ones the assistance they need. Friends, family, institutions and organizations must appreciate that they are capable of stopping their loved ones from committing suicide on account of the traumas inflicted upon them by military
A multitude of investigations were conducted in response to the 2014 VA Scandal with reports and audits showing manipulation of records, long wait times, delays in treatment and overwhelmed caseload by VA practitioners (Wikipedia, n.d., para. 3-7). There are also concerns about the VA’s lack of accountability once
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 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
As a consequence of the stresses of war and inadequate job training, when they get out of the service many have fallen behind their contemporaries. If they are fortunate enough to become employed, many of them are unable to hold a job due to untreated PTSD and acquired addictions without services and counseling designed for them. These factors may place our returning veterans at a higher risk of suicide. In 2007, the US Army reported that there were 115 suicides among OIF/OEF veterans. This was the highest number of suicides reported since the Army started keeping track about 30 years ago. In general, the risk for suicide among these veterans was not higher than that found in the U.S. population (Tull). However, there are several programs and 24 hour suicide hotlines available for those that may contemplate committing suicide as an option.
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
One of the most serious problems facing all veterans today is the lack of proper healthcare. Soldiers, sailors and airmen are leaving active duty without having proper healthcare to cover their physical or mental injuries. The department responsible for veteran’s healthcare is the Department of Veterans Affairs. (VA) According to The department of Veterans Affairs website, “The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is responsible for administering programs of veterans’ benefits for veterans, their families, and survivors. The benefits provided include disability compensation, pension, education, home loans, life insurance, vocational
Since it’s founding in 1951, The Joint Commission has set standards and completed evaluations and accreditations for over 20,000 health facilities. Though not a government agency,The Joint Commission has a great level of authority in the field of healthcare and approval from the organization is often required by local health departments and CMS. Receiving the Commission’s seal of approval also goes a long way with potential clients familiar with the high standard of
The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care networks and hospice. Numerous of accreditation organization is also taking place within the United States, but the Joint commission remains the largest The Joint commission accredits 20,000 organization” which” one third are Hospitals.
In 2003, The Joint Commission made one of their first goals to improve the accuracy of identifying patients to reduce or eliminate patient identification errors. This continues to be an accreditation requirement. Their recommendations to do this are to use at least two patient identifiers when administering medications, and when providing treatments or procedures. Acceptable identifiers may be the individual’s name, an assigned identification number, telephone number, or other person-specific identifier. Patient room number or physical location may not be used as an appropriate identifier. Healthcare provides should re-identify the patient with each encounter, each medication pass, and each procedure. There have been procedures and protocols throughout the country have been put into place to make the care provided to patients safer. Another element of this requirement is that all containers should be labeled in the patients presences after using the patient identifiers
West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John
In November 1970, Central Virginia Health Services opened in rural Buckingham County. The site, Central Virginia Community Health Center (CVCHC) became the first community health center in Virginia. It was created to serve the health care needs of residents of the rural counties of Buckingham, Cumberland, and Fluvanna. After initially operating out of three trailers in each of the three counties, practice operations were consolidated into the Gold Hill community of Buckingham County. In 1970, health center funding supported only medical services so that was the only service offered. CVCHC providers soon realized that patients’ needed other services, especially medications, and a pharmacy was added, followed over time by the addition of dental,
The health care organization covered is Jackson Health System in Miami, Florida. With over 2500 beds, this is one of the largest health systems in Florida and its flagship Jackson Memorial is one of the largest in the country. There are a number of strengths and weaknesses that will characterize the strategic direction that the organization will follow. Among the strengths are that Jackson has a large geographic footprint with Miami-Dade County, it has the financial backing of the county, that it has a diverse workforce, its relationship with medical school at the University of Miami, its leadership, and the multiple clinics and specialized services that it offers.
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