Department of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC VHA OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES 1. PURPOSE: This Veterans Health Administration

We assessed implementation of precision medicine within the Veterans Health Administration. We analyzed the use of interleukin-28B (IL28B) pharmacogenetic test, which predicts interferon-alpha treatment response in patients with hepatitis C. Patients with favorable CC genotype exhibit a two-fold higher response than patients with less favorable genotypes (CT and TT). Linking IL28B tests to Veterans Health Administration clinical data, we analyzed test use, concordance with guidelines, subsequent interferon-a treatment, and site variations.

The National Comprehensive Cancer Network and the American Society of Clinical Oncology have established guidelines for the treatment and surveillance of colorectal cancer (CRC), respectively. Considering these guidelines, an accurate and efficient method is needed to measure receipt of care. The accuracy and completeness of Veterans Health Administration (VA) administrative data were assessed by comparing them with data manually abstracted during the Colorectal Cancer Care Collaborative (C4) quality improvement initiative for 618 patients with stage I-III CRC. The VA administrative data contained gender, marital, and birth information for all patients but race information was missing for 62.1 % of patients. The percent agreement for demographic variables ranged from 98.1-100 %. The kappa statistic for receipt of treatments ranged from 0.21 to 0.60 and there was a 96.9 % agreement for the date of surgical resection. The percentage of post-diagnosis surveillance events in C4 also in VA administrative

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By JOEL KUPERSMITH, MD. The waitlist scandals of 2014 opened a broad discussion on the future of the Veterans Health Administration (VHA). The immediate Congressional response was an Act that funded the Choice Program whereby VHA enrollees could obtain care in the community under certain circumstances. The same Act also mandated the blue ribbon Commission on Care Report and VAs Consolidation Plan, both of which had wide-ranging plans to change VHA as have similar documents by veteran service organizations (VSOs).. A central component of these plans and proposals are options for community providers to care for VHA enrollees. Although VA had only 90 days to implement the Choice Program and it has had administrative difficulties, 1 million of the 9 million VHA enrollees have received part of their care in the community via the Choice Program. Scattered programs have outsourced VHA care in the past, but a community care option is now a basic expectation for VHA enrollees, a major reform in the ...

Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the U.S. government.. Financial Support: This article is based on research conducted by the Minneapolis Evidence-based Synthesis Program and was supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Quality Enhancement Research Initiative.. Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1027.. Requests for Single Reprints: Nancy Greer, PhD, Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Mail Code 152, Minneapolis, MN 55417; e-mail, [email protected] Current Author Addresses: Drs. Greer and Wilt, Mr. MacDonald, Mr. Fitzgerald, and Mr. Rutks: Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Mail ...

Acknowledgment: The authors thank Megan Van Noord for help with the literature search and retrieval and Liz Wing for editorial assistance.. Grant Support: By the Veterans Affairs Office of Academic Affiliations (fellowship support TPM 21-022; Dr. Duan-Porter) and the Veterans Health Administration Health Services Research & Development (Career Development Award 13-263; Dr. Goldstein).. Disclosures: Dr. Duan-Porter reports grants from the U.S. Department of Veterans Affairs during the conduct of the study. Dr. Goldstein reports grants from U.S. Department of Veterans Affairs and Veterans Affairs Health Services Research & Development Service during the conduct of the study. Dr. Clowse reports other support (funding from the U.S. Department of Veterans Affairs to members of the author group) during the conduct of the study and personal fees (UCB Pharma) and grants (Pfizer and Janssen) outside the submitted work. Dr. Allen LaPointe reports other support (Center for Health Services Research in ...

Health reform increased Medicaid enrollment, but was not associated with Veterans Health Administration and private insurance enrollment among Massachusetts veterans.

As part of the Department of Veterans Affairs National Initiative, we recently started benchmarking our facilitys energy use through the EPA s Portfolio Manager. We applied for the ENERGY STAR as a part of our continuing effort to publicize our energy saving activities to our community and the nation and received the ENERGY STAR in 2006. As a part of the VAs national program, we report our energy consumption data to the Department of Veterans Affairs national database on a quarterly basis. Our focus on including energy efficiency in all retrofits and construction has increased over the years. We plan to continue our energy efficiency efforts to maximize benefits from our energy intensive systems. Several projects are in the works including the replacement of a HVAC chiller for the dermatology department (a $110,000 investment with a 2.5 year expected payback period) and connecting the lighting systems with the building automation system ...

Lawmakers on Capitol Hill mulling legislation to extend a program that lets veterans seek health care in the private sector have revived their longstanding complaints about long wait times for care at the Veterans Health Administration facilities. Veterans Affairs Secretary David Shulkin and Dr. Baligh Yehia, the agencys assistant under secretary, appeared before the House Committee on Veterans Affairs to testify on HR 369, a bill that would allow the Veterans Access, Choice, and Accountability Act to continue past its sunset date of August 2017. In 2014, after revelations of wait-time problems at some Veterans Health Administration (VHA) facilities, Congress created the three-year Choice program allowing eligible veterans to seek care in the private sector if they live 40 miles from a VHA facility or have to wait for more than 30 days for an appointment. The bill would let the VHA spend what remains of the initial $10 billion (about $1 billion) allocated to Choice on care in the private ...

Learn about veterans health care benefits such as eligibility and enrollment, medical services and medication, VA medical programs, counseling services and vocational services

Our collaborative care intervention resulted in more-rapid improvement in depression symptomatology and a more-rapid and sustained improvement in mental health status compared to a consult-liaison model that resembled the primary care-mental health relationship that exists in many primary care settings. Although there was some variability between the 2 groups in the amount of change in the SCL, SF-36 MCS, and Sheehan scales 3 and 9 months after enrollment, all significant differences favored collaborative care. Analyses adjusting for patient baseline characteristics remained significant with one exception.. To help put our findings into context, we can compare our results with the findings from a study also using the SF-36 MCS as a study outcome.45 This study of a general primary care population aged 18 to 64 compared the effectiveness of nortriptyline or 20 sessions of interpersonal psychotherapy with usual care. They found a mean change of 15 points on the SF-36 MCS in the treatment group and ...

The underlying principle of PCMH is that primary care should strive to be patient-centered-that is, focused on each patients individual needs and characteristics, rather than compelling patients to adapt to the constraints posed by the health system. VA adoption of PCMH reinforces the mission of patient-centered primary care by integrating psychosocial and environmental determinants of health. Implementation was accomplished with enhancements to staff support through new FTEE, but also by optimizing staff productivity through improved team function and interpersonal care. The expansion of primary care efforts to include care coordination and patient and family education included the expectation that a broader range of patient needs would be thereby addressed.. Nationally, GeriPACT was developed in response to the existence of a small but complex subset of patients whose primary care needs were not able to be addressed adequately in the original primary care structure (eg, within the standard ...

Thank you for being a user of Guideline Central!. As part of our continued efforts towards protecting your privacy and personal information, weve made recent updates to our privacy policy.. By updating our privacy policy with clearer language, our goal is to help you better understand what data we collect and how we use that information. When we collect your data through site visits and account creation, we agree to never sell that information to third-parties ...

The National Center for Biomedical Ontology was founded as one of the National Centers for Biomedical Computing, supported by the NHGRI, the NHLBI, and the NIH Common Fund under grant U54-HG004028 ...

There may be appointed by the Secretary such personnel as the Secretary may find necessary for the medical care of veterans (in addition to those in the Office of the Under Secretary for Health appointed under section 7306 of this title), as follows: ...

This presentation covers access to care from the perspective of traveling veterans and their unique access to care challenges in the Veterans Health Administration ...

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). HCP are individuals who, during the influenza season, work in VHA locations where patients receive care or who come into contact with VA patients as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased facilities. HCP include all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work at these facilities. HCPs that are unable to receive or otherwise decline a flu shot will be expected to wear a face mask throughout the influenza season.. ...

The failures of a prostate cancer program at the Philadelphia VA Medical Center and similar problems at 12 other VA hospitals has raised questions about whether the Veterans Health Administration can adequately oversee the safe use of radioactive materials in its health system. Wednesday, top radiation safety officials from the Department of Veterans Affairs will testify before a panel of the U.S. Nuclear Regulatory Commission in advance of the agencys decision on how to address three apparent violations of federal radiation safety regulations. - Josh Goldstein, Philadelphia Inquirer

The VA National RTLS solution deployment is part of the VAs multi-site, multi-year effort to bring together different locating technologies into a seamless Digital Hospital. This fully integrated solution tracks mobile assets, consumable assets, and sterile product processing. The goal of the innovative solution is to ensure patient safety, reduce costs, and streamline workflow across the VA healthcare system. WaveMark provides the consumable asset tracking solution in the Cardiac Catheterization and Electrophysiology Labs that integrates seamlessly with the overall Digital Hospital solution provided to the VA by HP. "The quality of veteran care and improving the delivery of our healthcare services are the driving forces behind implementing the RTLS solution," said Kimberly Brayley, director, RTLS Project Management Office, Veteran Health Administration. "Leveraging state-of-the-art technology allows VA to decrease operational costs and increase efficiencies, satisfaction and quality healthcare ...

Information from the U.S. Department of Veterans Affairs National Center for PTSD for journalists on PTSD and the potential for journalists to experience PTSD in the wake of traumatic experiences while reporting.. ...

The Veterans Health Administration (VHA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the...

Independent Study Course Released: April 2002 Sponsored by Department of Veterans Affairs Employee Education System Employee Education System This is a Veterans Health Administration System-wide Training

MINNEAPOLIS, May 21, 2019 /PRNewswire/ -- Today, healthcare innovation startup, NightWare, Inc., a privately-held digital therapeutics for mental health company

the scheme was chosen after a six-month design competition, which included other established practices adjaye associates and snøhetta.

Health care benefits and services are received through the Veterans Health Administration (VHA), a component of the United States Department of Veterans...

321 VI Using Standards Andrew Casertano VistA Imaging Disclaimer This summarizes work of the Veterans Health Administration, Office of Information (VHA OI). It may amplify elements of private sector activities or products. Slideshow 23746 by libitha

Methods In this retrospective cohort study, we identified all patients with a TBI diagnosis in Veterans Health Administration databases from October 2002 to September 2014 and age-matched 1:1 to a random sample of patients without TBI. All patients were aged 18 years and older without PD or dementia at baseline. TBI exposure and severity were determined via detailed clinical assessments or ICD-9 codes using Department of Defense and Defense and Veterans Brain Injury Center criteria. Baseline comorbidities and incident PD more than 1 year post-TBI were identified using ICD-9 codes. Risk of PD after TBI was assessed using Cox proportional hazard models adjusted for demographics and medical/psychiatric comorbidities. ...

MRI safety in Veterans Health Administration facilities is generally strong, but the VA Office of the Inspector General has recommended important areas for improvement.

The long term use of prescription opioid analgesics is associated with increased risk of new onset depression, shows an analysis of three large US healthcare databases.1. Researchers retrospectively analysed data on adults who had had opioids prescribed to treat pain for the first time in three separate US healthcare systems. They studied data on 70 997 patients from the Veterans Health Administration from 2000 to 2012, as well as 13 777 patients from Baylor Scott and White Health … ...

125 Veterans Health Administration facilities nationwide analyzed results over 2 years of the A1c test, the gold standard for monitoring how well patients have managed their diabetes in recent weeks and months. A new study offers doctors another barometer to gauge the quality of care they give patients with diabetes.

Jacquelines doctoral research examined the impact of specific components of shift work on worker health, and identified night and rotational work as risk factors for hypertension and Type II diabetes. As a postdoc and BD-STEP fellow, Jacqueline is applying methodology, primarily developed for assessing chemical mixtures in environmental epidemiology, to examine co-occurring social determinants of health. Her research seeks to understand how multiple social determinants of health can simultaneously influence veteran care and health within the Veterans Health Administration. ...

Data regarding racial/ethnic variations in use of NRT among smokers ages 25 to 44 years, a critical age for intervention, are lacking. In this sample of lifetime smokers ages 25 to 44 years, African American smokers were significantly less likely than Caucasian smokers to have ever used NRT for smoking cessation. This disparity persisted even after controlling for sociodemographic factors and smoking history (e.g., nicotine dependence). Although Latino and Asian smokers were less likely to use NRT in unadjusted analyses, this finding did not persist after controlling for sociodemographic factors and smoking history.. Our findings provide further evidence of racial/ethnic disparities in tobacco treatment by being consistent with findings of previous population-based studies documenting disparities in the use of NRT (9, 10). Our findings are also consistent with a study of veterans receiving care from the Veterans Health Administration, an equal access health-care system (4). This study consisted ...

Elnahal, who was an assistant undersecretary in the Veterans Health Administration during the Obama administration, will be taking the helm of a Level 1 trauma center.

Further, this would not "save" a half billion dollars - it would merely transfer the cost to the private insurers, which would therefore have to raise their rates to cover this new cost. The results could be especially devastating to self-insured employers who lost the service of their loyal employees to the military, and then got socked with a big bill for treatment of war- or service-related disabilities ...

The Health Information, Advice and Counselling Services Networks (the Network) forms part of the Primary Health Care Development Program.

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... Health treatment administration is really a process of comprehension and limiting the problems that sufferers face all through therapies. Conclusion makers are continually failing to address the main wellness care troubles, which have develop into the most significant worries for overall health care administration. Forecasting the long run threats will be the greatest method to overcome penalties related to well being treatment management. This essay will examine and review the emerging problems for overall health care management. According to the new approach to expense command, men and women are questioned to pay additional for their health care providers. Disparities in payments will consequence to development of tiers, which is able to benefit individuals with increased incomes. Men and women of center course and lower-middle class revenue team are going to be kept away from wider vary of wellness care ...

The Department of Veterans Affairs (VA) has made substantial progress over the last 10 years in not only ensuring every patient is given a proper screening

New health insurance policies beginning on or after Sept. 23 must cover _ without charge _ preventive care thats backed up by the best scientific evidence. Most people will see this benefit, part of the Obama administrations health care overhaul, starting Jan. 1.

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A list of the MHA programs that participated in the 2017 Modern Healthcare survey of Masters Programs in Healthcare Administration

Central Point of Coordination (CPC) is the term defining the single point of entry required by Chapter 331 of the Iowa Code. CPC is an administrative function and is a component of the managed care system for county assistance.