...Veteran’s Administration Scandal and Business Ethics Case Study August 19, 2014 Abstract This paper will discuss how the Veteran’s Administration first started and how it has evolved over the years to become the entity it is today, serving our nations veterans. I will also discuss how the Veteran’s Administration has been plagued with many scandals throughout its existence, from when it was known as the Veterans Bureau during the early 1920’s and also the many issues that the Veterans Administration has dealt with over the years to include those that were involved and their official capacity in wrong doings. This paper will look at how the Veterans administration has tried to make changes to support the increased number of Veterans after many of our past wars and some of the difficulties veterans from the Vietnam War have faced to receive care and benefits that were exposed to Agent Orange. I will also looked at the many problems veterans have faced over the years to include most recent allegation that the VA has gone through since the earlier part of this year and the changes that has taken place to correct the problem. According to an article written by CNN, during the end of the Revolutionary War Congress was supposed to pay those veterans that were disabled during the war, but the service members individual states were left up to the task, leaving only a few thousand to receive any type of payment pay. Congress establishes the Veterans Bureau which...
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...Forecasting the Future Female Veteran Population and Their Increased Use of the VA Medical System - VPT2 Data-Driven Decision Making - C207 August 12th, 2015 Forecasting the Future Female Veteran Population and Their Increased Use of the VA Medical System The use of the Veterans Affairs medical care system has significantly increased over the last decade due to two recent wars and an aging Vietnam Veteran population. As females have been accepted in all roles into the military, their population within the military has progressively multiplied over the last three decades. Since females in general typically use healthcare at a higher rate than their male counterparts, it is necessary to ascertain if the female veteran population and their usage of the VA is trending in the direction of growth. Should the numbers be trending in a manner that shows significant growth, a further in-depth study would be indicated to determine future growth beyond the course of this analysis could provide. This trending information as well as future studies, should they be indicated, would assist VA management in determining future monetary and staffing budgets. Data Collection To evaluate the potential for growth within the female veteran population, data was collected online from: Veterans Affairs (VA) detailing veteran population statistics by state, age group, and gender; a Women’s Health Veteran’s Affairs Publication detailing the socio-demographic, utilization, and Costs...
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...“Transformational change is associated with organizational restructuring and represents a broad and complex radical shift, as the organization “reinvents itself.” (Johnson, 2009) In the healthcare industry, things are changing every day. New technology, medication, and the way we deal with patients changes on a daily basis. Change is necessary because there are people behind the scenes always finding new ways to better improve the quality of care we give to our patients as well as creating new technology to help assist with the way we treat our patients. Adding and taking away from departments are changing as well. With change we may want to be uninterested with it, supportive of it, to be a participate in it, or unreceptive about it. Whether the case may be, change has increased and will continue to happen whether we like it or not. Throughout this paper I will discuss two healthcare organizations that have experienced change. “Effective change has been characterized as unfreezing old behaviors, introducing new ones, and refreezing them.” (Al-Abir, 2007) Change can be random, rare, occasional, or continuous. Change that are predictable allow preparation time, whereas change that is unpredictable may be difficult for everyone to respond effectively too. Since in healthcare changes happen so fast, they are more than likely predicable. Even though change is recognized, the employees what to be able to understand why change is occurring and how it will affect them in the present as...
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...Ending Homelessness among Veterans through Housing Programs Services Mary R. Flores Southeastern University Introduction Homeless veterans have consistently existed in the United States. However, just after the Afghanistan and Iraq war, the issue has become more noticeable in the news. The National Health Care for Homeless Council defines homelessness as the absence of a normal and adequate night-time place of residence. According to the ‘National Alliance to End Homelessness’ program, 49,933 of veterans and their families are currently living without having their basic needs met (National Alliance to End Homelessness, 2015). To know whether veterans participating in the Housing First program with the Housing and Urban Department-Veterans Affairs Supported Housing (HUD-VASH) receive housing services more rapidly and keep up long term housing stability, it must be compared to the Veterans in Treatment As Usual (TAU) approach to HUD-VASH. Connection to housing service programs is critical to veteran’s successful re-integration to society after deployment. This is exemplified by the success of Housing First (HF) and the different outcome of veterans who use similar program such as Treatment As Usual (TAU). The HUD-VASH program first started in 1992 as a teamwork effort between the Veterans Affair (VA) and the HUD. HUD provides housing to homeless veterans through a resident-based program named ‘Section 8 vouchers’, while the VA provides supportive services. ‘Section...
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...The Issues Arising From the Department of Veteran Affairs Victor N. Ijoma Texas Southern University Abstract The issue of veteran’s affairs is a very important aspect to who we are as a nation. There are thousands of men and women who put on uniforms to go and defend our rights thousands of miles away, they have fought to make our dreams of living free and equal a reality and I believe we owe them the least of caring for them when they return home. The situation currently going on in the Department of Veterans Affairs is a nightmare, veterans being denied care, not being able to receive adequate support when they come home is a national disgrace to us. The effect of not being able to attend to the need of our veterans is a very dangerous trend, and unless we take the matter as an emergency situation, the very strength of our armed forces will start to lose its glory. The most important means of making sure we are taking care of our veterans is by looking into the laws and policy that currently govern the department so as to find a more responsible approach to making these laws and policy’s even better. The veterans Affairs being the second largest department in the federal government, it is crucial to have a budget big enough to be able to sustain old working programs and implement new programs in order to help give our veterans the very best care they have earned and desire. Department of Veterans Affairs As early as 1636 when the pilgrims of Plymouth Colony were...
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...Evaluation of a Health Care Legislative Bill There is currently a bill in the legislature entitled “Access to Appropriate Immunizations for Veterans Act of 2011” that proposes that the government should make all vaccinations suggested by the Advisory Committee on Immunization Practices available to all veterans in a timely manner as suggested on their immunization schedule. It also proposes that the Secretary of Health and Human Services will be responsible for setting and monitoring goals for compliance of the new program. The following is an evaluation of this bill and subsequent recommendation of whether or not it should be enacted. In order to evaluate this bill, we must take into account the economic impact that it will have on the country. Using the adult immunization schedule as recommended by the Centers for Disease Control and Prevention (CDC) and the Vaccine Price List also by the CDC, the initial cost of vaccines would be $85.48/person for normal healthy adults and a maximum of $113.21/person for high risk adults needing additional immunizations (CDC, 2011c; CDC, 2011a, p. 2). According to the National Center for Veterans Analysis and Statistics (NCVAS), as of September 20, 2010, there were 22.7 million veterans (2010). If you calculate this, the total cost of initial immunizations would be $1.94-$2.57 billion. According to the National Business Group on Health (NBGH), the lifetime cost of adult immunizations is between $380 and $480 per adult (Lindley & Bhatt...
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...RESEARCH AND PRACTICE Suicide Among Veterans in 16 States, 2005 to 2008: Comparisons Between Utilizers and Nonutilizers of Veterans Health Administration (VHA) Services Based on Data From the National Death Index, the National Violent Death Reporting System, and VHA Administrative Records Ira R. Katz, MD, PhD, John F. McCarthy, PhD, Rosalinda V. Ignacio, MS, and Janet Kemp, RN, PhD Since the start of the wars in Afghanistan and Iraq, there has been increasing interest in suicide among American military veterans. This reflects a number of important issues. First, veterans constitute a sizeable population that has been identified as being at increased risk for suicide by some1,2 but not all,3 research studies. Second, there is increasing evidence that suicide may be a consequence of the stresses related to the experience of deployment and combat.4 Third, there have been concerns about the extent to which the Veterans Health Administration (VHA), the Department of Veterans Affairs (VA) health care system, has addressed the needs of veterans, especially those who have returned from service in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), the wars in Afghanistan and Iraq. Since the start of OEF and OIF, there have been a number of reports on rates and risk factors for death from suicide among all American veterans, independent of whether they have received VHA health care services,1---3,5---9 as well as a greater number of reports on those who utilize VHA...
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...within the department of veteran’s affairs. Here the veteran can grasp onto emotions with emotional regulations, while using distress tolerance strategies (Vujanovic et al., 2011). There are drawbacks for mindfulness treatments, being that some veterans traumas are newly developed and therefore veterans do not initially have the ability to yet handle the distress of the events. In these types of cases, alternative therapies should be explored. It may depend on the veteran’s current state of functionality to determine if mindfulness treatments are to be beneficial. Within the scope of therapies, a question in research was developed. How do OEF and OIF veterans access their treatment? Do veterans...
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...Military Veterans From research studies, military veterans aren’t well compensated for their service in the military. Not only are they not well compensated, there were many combat soldiers coming home with anger issues, PTSD, depression, and other psychological problems. According to research, half of the homeless individuals are military veterans not just an opinion but it’s a proven fact. Veterans are often not honored, as they should be. Why aren’t they? Another question is why aren’t our veterans not well taken care of? No health insurance for veterans First, scientific studies show that working age veterans don’t have health insurance. According to Genevieve Kenney, a senior fellow with the Urban Institute and co-author of the report...
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...Comparative Summary The types of health care environments that are available for patients carry many different financial obligations. There is a wide range of financial situations in healthcare. The Veterans Hospital Administration (VHA) usually requires no payment for veterans. Hospitals are a varied mix due to the patient’s insurance and payment options. Even with an excellent insurance plan, many patient, find they pay a significant co-payment along with insurance. With a surgical procedure, they may be paying anesthesia, x-ray, the physician, the surgical suite and the hospital stay. Most people are fairly shocked at being billed by so many being with one visit. Assisted Living arrangements are strictly full pay and are not covered by any insurance plan. Entity from Each Health Care Financial Environment A for profit selected is the Assisted Living Centers. These are becoming more productive as adults are entering the age when they do not have the physical ability to care for themselves at their home. They may want more social interaction or may have lost their spouse and feel this is a better way of having a way of keeping up with their health issues. Often they want to be close to family and friends and an Assisted Living Center is created to be very hotel like living with a number of conveniences depending on the level of price. Hospitals are different level of financial structure but are most commonly not-for-profit. This is distinct from a non-profit in that...
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...Abstract An electronic bar code medication administration was a system developed and successfully implemented in a 118-bed Veterans Administration hospital in February 2000. Known as Barcode Medication Administration (BCMA), this software proved useful in generating fast and accurate medication administration as well as online patient medication records preservation. The application created by the Eastern Kansas Health Care System in association with Colmery-O’Neil VA Medical Center has been modified a number of times to meet the general requirements in all U.S. Veterans Health Administration medical centers. The implementation of Barcode Medication Administration software has enabled electronic bedside administration of medication of medications. Online Barcode technology is revolutionizing medication administration more aspects than originally thought, and is such a blessing to the business industry in terms of cost cutting. To be honest, the force driving the momentum in the adoption of the new systems has been majorly based on financial, rather than safety concerns. The fee for- service compensation systems has done exceedingly well in increasing revenue to hospitals resulting from additional technology-related charges levied on patients for each dose dispensed (Cohen, 2002). From the evidences adduced in this research, bar code technology seems to hold great promise for general improvements in medication safety and efficiency. Nevertheless, evidence so far is limited...
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...UNIVERSITY SCHOOL OF SOCIAL WORK ------------------------------------------------- POLICY BRIEF VETERAN TREATMENT COURT SHOULD BE EXPANDED TO THE COMMON PLEAS COURT OF CUYAHOGA COUNTY TONY D. MORRIS PREPARED FOR: Honorable John J. Russo Administrative and Presiding Judge Cuyahoga County Common Pleas Court July 1, 2014 SWK 300: SOCIAL WELFARE POLICY PROFESSOR MICHAEL A. DOVER SPRING 2014 GOAL STATEMENT The sole purpose of this policy brief is to deliver concrete and measurement evidences that Veteran Treatment Courts (VTC) promotes public safety by diverting veterans with addictions and/or mental illness into a voluntary specialized court as oppose to the traditional criminal justice system. At present the Cleveland Veteran Treatment docket is only available to veterans that reside in the City of Cleveland. By expanded the court to Cuyahoga County Common Pleas Court, veterans would have access to the resources available, especially at the county level. There are 38 cities and 19 villages in Cuyahoga County. According to the United States Census Bureau and there are 90,753 veterans residing in Cuyahoga County and increasing as service members from Operation Enduring Freedom, Operation Iraqi Freedom & Operation New Dawn (OEF,OIF,OND) begin to return and reintegrate back to civilian life. The VTC has proven to be smart, cost effective ventures that assist veterans on the road to recovery, effectively and successfully reducing recidivism. SCOPE OF THE PROBLEM ...
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...This is a research paper on Post Traumatic Stress Disorder in which it explains that the treatment of this mental condition goes beyond regular mental health treatment. Post Traumatic Stress Disorder: The War at Home Regina N. Chance Kwoya Fagin, Professor ENG215 Research and Writing 7 August 2010 Post Traumatic Stress Disorder: Takes Special Medical Care The government is awesome at getting men ready for war, but they can’t quite get them back to civilian life and a humble heart. - JUNIOR ENLISTED MARINE, POST-IRAQ After we came back, many of us were only back in body. Our souls stayed over there. – ARMY COMBAT ENGINEER, POST-IRAQ Transition can mean the big picture of how a warrior has to try to adjust back into society, but the short term is very critical, from when a warrior leaves the battlefield to when they hit the streets at home. If there’s one thing I learned from my experiences, it was that there was no transition at all. –VIETNAM VETERAN Post Traumatic Stress Disorder (PTSD) has become the major medical issue with our soldiers returning from the war in Iraq and Afghanistan. For many soldiers, it is a badge of honor to have served but for most, it is a start to an endless battle of finding the courage to continue to serve or be labeled an unfit soldier for the military and useless to their family. PTSD affects not only the soldier’s way of life but the core of who the soldier is. For this...
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...– Assignment 2 Project Charter Edward Bye Strayer University Project Management BUS 517 Dr. Ademola Asaya March 3, 2014 Project Charter |Project Name |Department of Defense’s (DoD) provision of electronic access to service treatment record (STR) information and| | |documentation by the Department of Veterans Affairs’ (VA) | |Date |February 16, 2014 | I. Background, Vision, Objectivities, Scope On April 9, 2009, President Barack Obama directed the DoD and the VA to create a Virtual Lifetime Electronic Record (VLER) which would ultimately contain administrative and medical information from the day an individual enters military service throughout their military career and after they leave the military, either through retirement, separation, or discharge (Unknown, Government Printing Office_Government , 2010). An integral portion of VLER’s is the development of a joint DoD/VA electronic health record (EHR). However, administrative and budgetary constraints, technological challenges, disparate information technology/information technology (IM/IT) systems, and political maneuvering have delayed the development of a joint EHR. At this time, it is uncertain when VLER will be implemented. Until a joint, electronic DoD/VA single system for capturing...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of...
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