VA Hospital Case Study

The VA is the primary hope for veterans and where there help comes when they need it. Linda Schwartz, the head of Connecticut’s VA says the problem is probably a lot bigger than what the numbers say. “A veteran’s death often does not get reported as a suicide” (Radelat) The problem is huge and daunting to the VA. Schwartz’s VA is proud that her facilities seem to have largely missed the scandal of the VA, and the VA is offering different therapies to widen out the options for the veterans when they go to the VA.

Jefferson County has been without local access to healthcare for decades. Over 10 years ago the county commissioners agreed that a local hospital is in the best interest of the people of Jefferson County and, therefore, began a fund to achieve this goal. As of today, the fund is worth $25 million, but to build and equip an adequately sized hospital, the county needs an additional $75 million. The commissioners appointed a committee to discuss the issue and determine the best plan of action going forward.

The Orlando VA Medical Center, established in October 2006 serves over 105,000 veterans around Central Florida, including a Community Living Center, two Mental Health Rehabilitation Treatment Programs/Domiciliary in two different locations, along with three large multi-specialty Satellite Outpatient Clinics and four Community-Based Outpatient Clinics.

Improving medical care can have secondary impacts on the VA health care system. The prevalence of SCI is relatively low, and we assumed that the availability of telehealth would not be a sufficient incentive for patients with SCI to enroll in the VA health care system if they had not done so earlier. Consequently, demand for SCI care only among current SCI patients was explicitly modeled here. We assumed no change in demand for other conditions because there was no guidance for predicting such changes and because the variation in changes could be large. Finally, we assumed no changes in staffing at the VA as a result of telehealth use.

The Hampton VA Medical Center Primary Care Service recognizes _________________ for their outstanding service. Mr./Ms.____________ performed beyond expectations to ensure that our staff and veterans needs were addressed. For their efforts, I am pleased to recommend a contribution award of $2500.

The United States Department of Veterans Affairs (VA) is an executive division of the U.S. federal government responsible for programs and policies to veterans and their families. It was established in 1989 in which it succeeded the Veterans Administration formed in 1930. By the same token, the VA also operates a medical care program that includes nursing homes, clinics, and medical centers. Located in West Palm Beach, Florida, the veteran health administration medical center is a teaching hospital that provides a full range of patient care services, with state of the art technology; as well as, education and limited

Technology has come a long way over the years and continues to advance rapidly. The health care system is greatly affected by the advancements in technology. An example of this would be the use of electronic health records (EHR). In this paper I will be describing the electronic health record system. How my facility has initiated the EHR with following the six steps and describe meaningful use and how my facility is working towards this. Lastly I will discuss how to maintain patient confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.

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

The Miami VA Hospital’s Nutrition and Food Service Department assess the quality of each item that is prepared in their facility and served to each patient. Quality Assessment (QA) at the VA are done on the 3rd Thursday of every month where a tray is pulled from the line and its appearance, temperature, taste, and texture is all evaluated to ensure it meets the standards that are set in place. QA expand outside of the kitchen and are done on the nourishment areas located on every patient floor.

The reporting party (RP) arrived at the facility on 6/9/16 at 7:40AM in response to male resident Douglass Gass DOB: 7/3/42 "911" call. The resident had fallen at approximately 11:00PM the night before. Consequently the resident was non-ambulatory and sustained minor injuries. The resident was treated and transported to the VA Hospital in Westwood. The RP disclosed that the resident was the "911" caller who stated he had been on the floor the entire night and no caregiver responded to his aid. During the conclusion of the call a caregiver appeared and was of the ongoing incident. The RP state several concerning conditions were observed. The facility was in violation of several Fire Code items. The resident and his roommate had no operable signal system.

VCU Health System is a comprehensive system of care providing services in Cancer, Oncology and Palliative Care, Emergency/Trauma Care, Neurology, Rehabilitation, Surgical, Pathology, Psychiatric, Children’s Health, Women’s Health, and various Medical Services. VCU Health System offers a multidisciplinary practice to care and other specialties supporting advances in health care through research and education while ensuring that each patient receives the most comprehensive care available. VCU Health System also provides patients and their families’ access to expertise care at their care centers: Children's Hospital of Richmond at VCU, the VCU Massey Cancer Center, the VCU Pauley Heart Center, the VCU Harold F. Young Neurosurgical Center, the

Primary Care is a large service, thus in order to meet the medical needs of each veteran it is imperative to have the ability to make adjustments in “real-time”. To achieve these goals it is essential that the Primary Care Service expand and adapt the Group Practice Manager (GPM) approach. Furthermore, this approach is specifically designed for the Primary Care Service to maximize veteran care while meeting the standards of the Hampton VA Medical Center.

Sources of potential participants can be sourced from internal and external to the Veterans Health Administration (VHA). Possible internal VHA sources of participants could be from one or multiple Veterans Integrated Service Networks (VISN), and from VHA Hospitals, Medical Centers, Outpatient Clinics, Community Based Outpatient Clinics, and the VA Healthcare System; and also through the Veterans Benefits Administration (VBA) regional offices. External sources of participants can include Veterans, Private Hospitals, Medical Centers, Clinics and other non-VA Healthcare

Virginia Hospital Center (VHC) is a not-for profit, teaching facility that offers a comprehensive healthcare. Founded in 1933 as a community service project by the five women's clubs to serve the people of Washington Metropolitan Area, VHC grew from a small project into a fully operational 100 bed facility in 1944. As of today, VHC has grown to a 530,000 square foot facility featuring a nine storey hospital building with 350 beds, around 1,100 parking spaces and other newer features, which include the newly renovated Emergency Department, specifically designed for patient and visitor comfort. There have been tremendous growth and changes.

Creating immediate access to care for veterans by reducing length of stay and readmission rates.