Pacific Angel 17-3 Pacific Angel exercise in Fiji focuses on exchanges of expertise US and Fijian military forces, along with several nongovernmental organizations, are Audit of Alleged Inappropriate Scheduling of Electromyography Consults at the Memphis VA Medical Center
Veterans Affairs Office of Inspector General (OIG)
Veterans Affairs Office of Inspector General (OIG). Audit of Alleged Inappropriate Scheduling of Electromyography Consults at the Memphis VA Medical Center
At the request of former Chairman of the House of Representatives Committee on Veterans’ Affairs, we reviewed an allegation of inappropriate scheduling for 143 VA Electromyography (EMG) consults at the Memphis VA Medical Center (VAMC). Additionally, the Office of Special Counsel provided similar allegations stating the intent was to disguise wait times. We substantiated that Memphis VAMC staff did not follow appropriate procedures when they discontinued the 143 EMG consults. We did not substantiate that EMG staff discontinued these consults to disguise wait times. The Assistant Chief of the Business Office made the decision to discontinue these consults and authorize Veterans Choice Program (Choice) consults. This circumvented established procedures where EMG staff should have first scheduled the veteran and placed them on the Veterans Choice List if the wait time was greater than 30 days out. This circumvention of procedures occurred because the Assistant Chief thought bypassing the required scheduling process would save time and effort, and veterans would receive more timely care through Choice. The result was that patients who did not desire Choice care risked not being scheduled. The VAMC ultimately created a new VA consults for 21 veterans who opted not to use Choice. In reviewing the allegations, we determined that Memphis VAMC did not provide care within 30 days to veterans for six consults still waiting for care. The delays resulted from insufficient staffing resources in the EMG Clinic and Business Office. On average, the veterans who received their EMG appointment waited an average of 198 days to receive care. OIG made four recommendations. The Director of the Memphis VAMC concurred with all four recommendations. VHA’s planned corrective actions are acceptable. Based on the corrective actions completed, we considered Recommendations 1 and 4 closed, and we will monitor VHA’s progress until all proposed actions are completed.
Veterans Affairs Office of Inspector General (OIG).
Veterans Affairs Office of Inspector General (OIG)
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Military Health System in Washington, D.C., United States for Thursday, 20 July 2017 "Pacific Angel exercise in Fiji focuses on exchanges of expertise"
Pacific Pacific Angel exercise in Fiji focuses on exchanges of expertise exercise in Fiji focuses on exchanges of expertise
Sergeant Natoga Anitelu, left, a medical services technician with Fiji's military forces, discusses the best ways to clear an infant's airway with U.S. Air Force Capt. (Dr.) Paola Rosa, center, and U.S. Air Force Maj. (Dr.) Scott Stewart, right, during a subject-matter-expert exchange as part of exercise Pacific Angel 17-3 at a health care center in Ba, Fiji. (Air Force photo by Capt. Samantha Morrison)
AUTOKA, Fiji — U.S. and Fijian military forces, along with several nongovernmental organizations, are participating in Pacific Angel 17-3, an exercise that focuses on humanitarian assistance and exchanges of expertise.
The exercise began July 11 and runs to July 24, with multilateral international participants from across the Indo-Asia-Pacific region working together to assist local communities and improve capabilities among one another as one team.
Missions include several concurrent civil-military assistance activities that include medical programs, various subject-matter-expert exchanges and civic and engineering assistance programs.
U.S. and Fijian service members have the opportunity to work in partnership with local nongovernmental organizations, providing humanitarian assistance to the residents in Fiji's subdivisions of Ba, Tavua and Savusavu.
While most of the Pacific Angel team worked all week to prepare for next week's health services and civil engineer programs, the subject-matter experts jumped right into information exchanges with their Fijian counterparts.
Air Force Capt. (Dr.) Paola Rosa, an obstetrician and gynecologist with the 35th Surgical Squadron at Misawa Air Base, Japan, shared how her experience better prepared her for future engagements with partner nations in the Indo-Asia-Pacific region.
”It broadened my perspective on how other countries practice medicine,” Rosa said. ”While the U.S. has specialists for nearly every ailment, Fiji has many general-practice doctors who may not necessarily have the individualized experience in specific areas of medicine, and we got to share that knowledge with them.”
She added that while they taught the Fijians some new tricks, they also learned quite a bit as well.
”They practice medicine a little differently than us in a few areas and have found some really great cures for common ailments we've never thought of in America,” Rosa explained.
Similarly, the Fijians expressed their gratitude for the information they've learned from the Americans and the opportunity to work hand in hand on topics important to the communities they serve.
”I really enjoyed interacting with the Americans,” said Alelia Vonotabua, a nurse with the Ba Mission Hospital. ”I found the information they presented fascinating, and they presented it in such a way that made it really easy to understand and [for us to] be able to take back and apply with our patients.”
Seeing Previous Training in a New Light
The Fijians said much of their medical knowledge and understanding comes from textbooks, which may not always help in real-world situations. Siteri Sautuca, a medical officer with the Nailaga Health Center, Ba Medical Center Division, said this approach helped her understand her previous training in a whole new light.
”They shared with us tools we can use, which is really going to make a difference for Fijian health care,” Sautuca explained. ”We don't have many opportunities to learn from other nations, and so this was a great experience getting to work with the Americans and exchange information in a classroom setting.”
Sautuca said she wishes the training had lasted longer.
”One week, no, two weeks, would have been much better!” she exclaimed. ”I loved learning from the Americans and look forward to future opportunities such as this one.”
Air Force Capt. Amber Britt, a public health officer with the 18th Aerospace Medicine Squadron at Kadena Air Base, Japan, also raved about the experience.
”I learned of a few local remedies I would've never thought of for various diseases present in both our countries,” she said. ”It's been fascinating exchange learning from people that are so innovative in everything they've accomplished. It was simply amazing.”
Building Relationships
Pacific Angel exercises have built positive relations through interactions over the last decade in several countries, such as Bangladesh, Cambodia, Timor-Leste, Indonesia, Vietnam, the Philippines, Sri Lanka, Thailand, Mongolia, Laos, Tonga, Nepal and Papua New Guinea.
”I'm proud of all the work our team has already accomplished and look forward to the great work we're doing alongside our Fijian partners over the next several weeks,” said Air Force Lt. Col. Catherine Grush, the mission commander. ”These operations will cement our interoperability with Fiji and provide much-needed assistance to the local community; we've got a great team and we're honored to be here at the request of the Fijian government.”
Disclaimer: Re-published content may have been edited for length and clarity. Read original post.
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