Tuesday, May 23, 2017

Healthcare Inspection – Delays in the Evaluation and Care of a Patient with Lung Cancer, VA Southern Nevada Health Care System, Las Vegas, NV for Tuesday, 23 May 2017 - Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States

Healthcare Inspection – Delays in the Evaluation and Care of a Patient with Lung Cancer, VA Southern Nevada Health Care System, Las Vegas, NV for Tuesday, 23 May 2017 - Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States

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Healthcare Inspection – Delays in the Evaluation and Care of a Patient with Lung Cancer, VA Southern Nevada Health Care System, Las Vegas, NV
OIG conducted a healthcare inspection to assess the merit of allegations regarding delays in the evaluation and care of a patient with lung cancer at the VA Southern Nevada Healthcare System (system), Las Vegas, NV, in 2014. We substantiated a delay of approximately 6 months occurred in the evaluation of the patient’s pleural effusion, and delays occurred in the diagnosis and treatment of the patient’s lung cancer. In conjunction with the delay in evaluation, the patient was not timely notified of test results. We identified several contributing factors, including lack of follow-up related to a non-VA provider’s lung biopsy recommendation. We did not substantiate a PCP failed to perform a physical examination during an appointment. We substantiated delays in obtaining NVCC authorizations. We identified several contributing factors to the delays: NVCC staff inconsistently applied the requirement for system providers to see the patient for services offered at the system before an NVCC consult was approved; NVCC staff failed to process the request according to the requesting provider’s urgency; Emergency Department (ED) providers failed to follow the NVCC consult request process; NVCC staff did not appear to be knowledgeable of covered services. We substantiated inadequate medication management due to delays in filling medications ordered by non-VA care providers and problems with delivery of medications. We did not substantiate a lack of continuity of care due to changes in the patient’s PCP and did not find disruptions in the patient’s care due to the changes. We found inconsistencies with the system’s peer review process. We recommended the System Director ensure that: (1) providers address and communicate test results to patients within the required timeframe; (2) providers timely follow up on non-VA care providers’ recommendations; (3) the NVCC requirement for patients to be seen by system physicians first for services offered at the system before an NVCC request is authorized does not delay care; (4) NVCC staff process requests according to the urgency noted by the requesting provider; (5) ED providers follow NVCC consult request processes; (6) NVCC staff are knowledgeable of specific services that are authorized when NVCC consults are approved; (7) the peer review process is conducted according to current Veterans Health Administration guidance; (8) a review of existing practices for filling non-formulary/restricted medications is performed to ensure that medications are ordered, reviewed, and processed timely; and (9) an evaluation of patients’ experience is completed regarding contracted companies’ processes for delivery of medications.

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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Find out if you are eligible for burial in a VA National Cemetery for Tuesday, 23 May 2017 - U.S. Department of Veterans Affairs in Washington, D.C., United States


VA Memorial Benefits
  
When Winnie’s husband passed, Winnie and her three sons – all of whom served in the Navy, like dad – knew the VA national cemetery was where he belonged.
“I didn’t have to pay anything,” Winnie says. “They put the headstone up. His name’s on the front. And when I go, mine will be on the back.”
VA’s new pre-need eligibility determination program allows Veterans and their families to find out in advance if they are eligible for burial in a VA national cemetery. This change gives families peace of mind and helps to ease the planning process.
“It’s a benefit that very few people realize is out there. You have to spend the time to sit down, look up your benefits, see what they are, and utilize them. They’re out there for you,” says Mike, Winnie’s son.
Visit Explore.VA.gov or click the button below to explore VA benefits and learn how to apply.
 
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U.S. Department of Veterans Affairs
810 Vermont Avenue NorthWest
Washington, D.C. 20420, United States
 
                                                           

US Department of Veterans Affairs
810 Vermont Avenue, NorthWest
Washington, D.C. 20420, United States 
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Craig McKinley selected as ESGR National Chair for Tuesday, 23 May 2017 - Employer Support of the Guard and Reserve in Washington, D.C., United States

The Department of Defense selected Craig McKinley to become the new national chair of Employer Support of the Guard and Reserve. McKinley wi
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Tuesday, May 23, 2017

CRAIG MCKINLEY SELECTED AS ESGR NATIONAL CHAIR 

The Department of Defense selected Craig McKinley to become the new national chair of Employer Support of the Guard and Reserve. McKinley will assume his new position June 1. 
McKinley previously served as the 26th Chief of the National Guard Bureau, becoming the first four-star general in the National Guard and leading the organization from 2008 until his retirement in 2012. McKinley then served as president of the Air Force Association until 2015, when he became the president of the National Defense Industrial Association.
McKinley
Of McKinley’s appointment, current ESGR National Chair Paul Mock said he “could not be more humbled to be followed by someone of such character and quality. He is perfectly equipped to lead the ESGR team into the future.” 
ESGR’s national chair is an official DoD volunteer position that provides leadership and vision to more than 4,000 volunteers spanning all 50 states, the District of Columbia, Guam, Puerto Rico, and the Virgin Islands. 
“It is an honor to continue to serve our National Guard and Reserve community,” said McKinley. “The work ESGR does is invaluable to Reserve Component members and the employers who support them throughout their military commitments.”
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U.S. Department of Defense
Guard & Reserve Support Network
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Healthcare Inspection—Patient Deaths, Opioid Prescribing Practices, and Consult Management, VA Greater Los Angeles Healthcare System, for Tuesday, 23 May 2017 - Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States

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Veterans Affairs Office of Inspector General (OIG)
OIG conducted a healthcare inspection to evaluate allegations related to patient deaths from drug overdose, inappropriate opioid prescribing practices, and improper consult management at the VA Greater Los Angeles Healthcare System (system), Los Angeles, CA. We did not substantiate that seven patients died from drug overdoses during an 8-month period at the New Directions housing facility. The complainant did not provide names of the seven patients; therefore, we reviewed the electronic health records (EHRs) of six patients who the system reported as having died after moving into New Directions from September 2013 through August 2014. The coroner determined that one of the six patients died from multiple drug intoxication. The drugs listed on the toxicology report had not been ordered by system providers. We did not substantiate that system psychiatrists prescribed inordinate amounts of opioids without oversight. We obtained data showing the system had a lower percentage of patients on larger amounts of opioids than the national average. We substantiated that cardiology consults were canceled or discontinued by non-physician staff members. However, this was an acceptable practice under certain circumstances. Of the 49 consults we reviewed that were canceled or discontinued by non-physician cardiology staff, 5 were inappropriately canceled or discontinued. We did not find documented evidence in the EHRs of patient harm in these five patients; however, patients can be put at increased risk of harm when consults are inappropriately canceled or discontinued. We recommended that the System Director ensure staff conduct a review of canceled or discontinued cardiology consults to determine if patients suffered harm as a result of inappropriate consult closure and confer with the Office of Chief Counsel regarding disclosure as necessary. We also recommended that system staff comply with current Veterans Health Administration policies regarding consult management.

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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Wisconsin man sentenced to more than four years in prison for falsely claiming he was a Navy SEAL wounded in Vietnam to get benefits for Tuesday, 23 May 2017 - Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States

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Veterans Affairs Office of Inspector General (OIG)
Wisconsin man sentenced to prison for posing as a Vietnam-era Navy SEAL to defraud the VA of benefits.

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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Protect your back during your PCS for Tuesday, 23 May 2017 - Military Health System in Washington, D.C., United States

Health.mil
05/23/2017
Moving

Protect your back during your PCS

Service members and their families relocate a lot, and moving to a new home is hard enough without adding a back injury to the mix. So be mindful of how you’re lifting and moving while you’re packing up and loading up. (U.S. Navy photo)
 Service members and their families relocate a lot, and moving to a new home is hard enough without adding a back injury to the mix. So be mindful of how you’re lifting and moving while you’re packing up and loading up. Try these tips to help reduce your risk of injury and properly move heavier things such as boxes and furniture.
  • Warm up, just like you would before any workout.
  • Remember to keep your core tight, and use your leg muscles, rather than your back, to lift heavy objects.
  • Keep objects as close to your body as possible.
  • Wear closed-toe shoes to protect your feet from falling items.
  • Take breaks when necessary. Stretching and reassessing your mechanics can help you maintain proper posture when lifting.
The best way to prevent back injury is to strengthen your back and core muscles. You can prep for your PCS by doing exercises, such as planks, lunges, and vertical core training, that focus on these areas.
If you’re sore from all the lifting or think you might have pulled something, you can treat the pain with ice and rest, and perhaps an over-the-counter pain reliever, for the first 48 hours. Follow the MedlinePlus guidelines on how to further treat your back pain if it’s acute. However, if the pain persists, consult your doctor to rule out a more serious back problem or injury before you do any more heavy lifting. Certain yoga stretches also might relieve your pain, build your muscles, and return your back to normal function.
Read the U.S. Army Public Health Command’s “How to Safely Perform Pushing and Pulling Tasks” for more tips. And visit HPRC’s Injury Prevention section to learn more about how to protect your back. 
Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

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Navy Medicine East stresses pursuit of mental health a sign of strength

Navy Lt. Terrance Skidmore, a social worker, speaks to a patient during a one-on-one session. The month of May is designated Mental Health Awareness Month with the purpose of raising awareness about mental illnesses. (U.S. Navy photo by Ensign Courtney Avon) 
 Navy Medicine East is focused on increasing awareness of psychological and emotional health among service members, veterans, family members and caregivers during the month of May in support of National Mental Health Awareness Month. 
NME’s health care facilities – across the eastern hemisphere – are using this opportunity to provide tools and resources to help patients better understand access to care and to promote availability treatment options with the goal of building resilience.
“We have the tools to help patients understand the treatments to help Sailors, Marines and our family members stay or become emotionally healthy to ensure mission readiness,” said Navy Capt. Gail H. Manos, senior mental health executive, Navy Medicine East. “We need to remove the stigma associated with mental health conditions, related care options, and help our patients understand that getting help is a sign of strength, not weakness.”
In many cases mental health illnesses are not only treatable, but also preventable. There are several avenues to help those who are living with these psychological health concerns and conditions, from talking to primary care managers to visiting the local chaplain or Fleet and Family Support Centers. 
Military life and its associated experiences can be especially challenging causing many service members and their families to experience various levels of stress. People can experience different types of mental health problems, from their thoughts, feelings, behaviors and even mood. It can be tasking on someone’s physical health from lack of sleep or energy to stress. 
There’s a wide range of mental health support, including inpatient treatments that provide counseling and care for emotional, behavioral, or mental health crisis, to outpatient treatments with psychiatrists and psychologists to licensed professional counselors and licensed marriage and family therapists that are committed to giving the best mental health care to patients. 
Deployment Health Centers and services offer Sailors and Marines a way to navigate that stress before, during, and after deployments. It consists of tailor-made activities and is a continuous process that screens, identifies and treats throughout deployment to enhance readiness.
Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

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