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Veteran's Health Administration (VHA) Case Study

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The Veteran’s Health Administration (VHA)
Algorithms are just as solid as the data they depend on. While algorithms for acute clinical issues (e.g., heart attack, septic stun) may not require a lot of information to predict risk, algorithms that use more prominent measures of clinical information have more accuracy precision and potential clinical applications.
The Veteran 's Health Administration (VHA), the biggest health system in the United States, has gathered electronic information from its patients for more than three decades. Starting in 2006, the VHA fabricated a corporate data warehouse as an archive for patient-level information over its national locales. The sheer measure of inpatient and outpatient information has permitted the VHA to make comprehensive algorithms that dependably foresee important results, for example, as risk of death and hospitalization. Nurse care managers utilize these scores to guide power of outpatient administrations, including end-of-life and palliative care, conveyed by multidisciplinary teams. The VHA 's interest in a coordinated EHR and data repository which is 5% of its hospital spending is significant. Be …show more content…

23 that it would purchase the company for its "R" programming language. R is a popular language for statisticians, and Revolution Analytics programs "closely" to the language for better results, according to CRN.com. The software Revolution Analytics is a prominent voice in the community of R language developers. Its main program works with enormous quantities of data by delivering a program that communicates efficiently with data warehouses. The company also offers advisory services with R experts who can determine the best service for the predictive analytics service a customer is looking for. Microsoft 's purchase of the company will likely see the language implemented on many of its software products, which also provide

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Education, information and resource referral was provided to address the following: 1. Veteran had concerns about, how to file a service connected claim. (Veteran was educated on how to process a service connected disability claim). 2. Veteran was not aware of all the services provided at the local VA Medical Center. (Veteran was provided with information about the services, clinics, and groups, i.e. Women’s Clinic, MVPC program, suicide).

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The purpose of this memo is to clarify the need for the modification of Option Year 3 of the Associated Veterans Contract to include a change in the labor categories and have an additional three months added to the period of performance. When the contract was initiated, OSP anticipated that many major VBA Transformation changes would be ramping down and in effect. For this reason, Option Period 3 included one Senior Project Manager (SPM), two Project Managers (PM), and two Project Management Assistants (PMS) for a period of nine months. As we stand, the Veterans Benefits Administration’s (VBA) Transformation changes and efforts continue to ramp up and expand.

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There are federal police, but their jurisdiction is limited to the federal property to which they are assigned. The General Services Administration and Veteran's Administration are two agencies that employ federal police officers. As stated elsewhere here, there are numerous federal law enforcement agencies with various jurisdictions to investigate federal crimes. In some states, some federal agents are authorized to make arrests for state offenses, and it is not uncommon for federal agents to prosecute for state crimes when prosecution is declined by federal prosecutors. And, state and local police can refer crimes directly to federal prosecutors in some instances, but their authority is limited to the state or local boundaries.

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The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.

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In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR

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Confidentiality and data breaches are a few of the main concerns, as many providers become neglectful when sharing patient electronic health information. Current use of Electronic Health Records (EHR) has proven to be helpful for hospitals and independent medical practice to provide efficient care for patients. Balestra reports that using computers to maintain patient health records and care reduces errors, and advances in health information technology are saving lives and reducing cost (Balestra, 2017). As technology advances EHR are going to continue to be the main method of record keeping among medical providers. Therefore, staff and medical providers need to be trained on how to properly share patients EHR safely and in a secure form in order to maintain patient confidentiality.

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You need a system that can keep up with this ever changing world to give the patients the best care possible. There is new procedures, information, diseases, and advances in science on a daily basis and if you don 't have a system that can keep up with all of the changes, you can waste time and money along with the loss of patients. Patients need and deserve the best care possible and it 's up to the doctors to make that happen. Organization is going to be a key component in an EHR system as you need important information and fast in some instances and if you don 't have a well-organized system, it could mean life or death, in some situations.

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The program plan and the action plan tie together when looking into a program; however, both have vital individual importance. The overall problem that the program is addressing is veterans not being able to find housing after going through rehabilitation with the target population being veterans who are homeless, initially in the Piedmont Triad area of North Carolina. North Carolina has one of the countries highest homeless veteran populations due to all the military bases in the state. As with any program there are interventions, determinants and goals that will happen. An intervention will need to be made before veterans begin the program.

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According to Thomas Allen Coburn, a senator, and medical doctor, reports that “Over the past decade, more than 1,000 veterans may have died as a result of VA malfeasance.” (Devine) That is a worriment, and the problem lies within management and lack of liability. CNN reported that clerks and administrators had made “secret waiting lists” to camouflage the long waiting times on the VA’s wait-list system.(Issitt) The Office of Inspector General reported “a systemic lack of integrity within some Veterans Health Administration facilities. ”(Issitt)

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Veterans of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) have high rates of unemployment and mental health disorders. In addition, traumatic brain injury (TBI) is a common injury among OIF/OEF veterans, often leading to cognitive impairments and post-concussive symptoms such as headaches, dizziness, fatigue, and difficulties with cognitive and functioning. TBI and comorbid psychiatric conditions such as depression and post-traumatic stress disorder (PTSD) limit cognitive readiness for civilian employment and may lead to impaired job performance. These conditions all serve as potential barriers for OIF/OEF Veterans entering the workforce.

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. The Department of Veteran Affairs is a federal organization that provides a variety of services to veterans and family members. The services consist of compensation and pension claims, education financial aid, loan guaranty, burial assistance, and vocational rehabilitation. A budget of $70.2 billion was provided to the Department of Veteran Affairs this year in discretionary funding, which consists of a 7.9 percent increase over the 2015 enacted level. Also, $3.2 billion in estimated medical care collections, and $95.3 billion for mandatory benefits programs.

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Lack of Government Support For Affected Veterans According to the article, “Government 's PTSD Treatment for Veterans, Lacking”, “They account for more than 75% of the roughly half a million VA patients receiving treatment for PTSD,” (Zarembo). Many veterans still continue to wait for their treatments, creating issues in their home life and even causing them to commit suicide. The 25% of the patients who are not treated suffer, this is where the government should come to play to help those people by providing more care and supporting the costs. Post Traumatic Stress Disorder should be better treated and better supported by the government to veterans because of the amount of soldiers waiting for treatment, lack of effectiveness in treatment,

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The ROI of EHRs article breaks down the importance of Electronic health records. Healthcare leaders need to have an open-mind about electronic health records to gain a better organized system. Health organizations spend billions trying to find a working system instead of changing to the electronic health records system. Most organizations are making their IT department play bigger role working along with physicians to make electronic health records a key component of healthcare facilities making EHRs an effective program. Electronic Health Records are important to improving the quality of care provided, being able to find a patients history of care at a click of a button.

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