Proposals To Evaluate The Future Structure Of The Department Of Veterans Affairs Health Care System

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 162 pages
Book Rating : 4.21/5 ( download)

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Download or read book Proposals to Evaluate the Future Structure of the Department of Veterans Affairs Health-care System written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1990 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.27/5 ( download)

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Download or read book Proposals to Evaluate the Future Structure of the Department of Veterans Affairs Health-care System written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1990 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309466601
Total Pages : 467 pages
Book Rating : 4.08/5 ( download)

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Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 160 pages
Book Rating : 4.77/5 ( download)

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Download or read book Proposals to Evaluate the Future Structure of the Department of Veterans Affairs Health-care System written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1990 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Commission on the Future Structure of Veterans Health Care
Publisher :
ISBN 13 :
Total Pages : 1186 pages
Book Rating : 4.07/5 ( download)

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Download or read book Proceedings of the Commission on the Future Structure of Veterans Health Care written by United States. Commission on the Future Structure of Veterans Health Care and published by . This book was released on 1991 with total page 1186 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.22/5 ( download)

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Download or read book VA Health Care written by United States. General Accounting Office and published by . This book was released on 1990 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher :
ISBN 13 :
Total Pages : 74 pages
Book Rating : 4.29/5 ( download)

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Download or read book Future Structure of Veterans Health Care written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care and published by . This book was released on 1990 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Veterans Administration
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.20/5 ( download)

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Download or read book Veterans' Administration Plans to Implement Recommendations in the Study of Health Care for American Veterans written by United States. Veterans Administration and published by . This book was released on 1978 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Commission on the Future Structure of Veterans Health Care
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.41/5 ( download)

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Download or read book Proceedings of the Commission on the Future Structure of Veterans Health Care written by United States. Commission on the Future Structure of Veterans Health Care and published by . This book was released on 1991 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781539826507
Total Pages : 38 pages
Book Rating : 4.03/5 ( download)

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Download or read book Va Health Care Processes to Evaluate, Implement, and Monitor Organizational Structure Changes Needed written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2016-10-30 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent internal and external reviews of Veterans Health Administration (VHA) operations have identified deficiencies in its organizational structure and recommended changes that would require significant restructuring to address, including eliminating and consolidating program offices and reducing VHA central office staff. However, VHA does not have a process that ensures recommended organizational structure changes are evaluated to determine appropriate actions and implemented. This is inconsistent with federal standards for internal control for monitoring, which state that management should remediate identified internal control deficiencies on a timely basis. GAO found instances where VHA actions in response to recent recommendations for organizational structure changes were incomplete, not documented, or not timely. For example, VHA chartered a task force to develop a detailed plan to implement selected recommendations from the independent assessment of VHA's operations required by the Veterans Access, Choice, and Accountability Act of 2014; according to VHA, the assessment cost $68 million. It found, among other things, that VHA central office programs and staff had increased dramatically in recent years, resulting in a fragmented and "silo-ed" organization without any discernible improvement in business or health outcomes. It recommended restructuring and downsizing VHA's central office. The task force of 18 senior Department of Veterans Affairs (VA) and VHA officials conducted work over about 6 months, but did not produce a documented implementation plan or initiate implementation of recommendations. Without a process that documents the assessment, approval, and implementation of organizational structure changes, VHA cannot ensure that it is making appropriate changes, using resources efficiently, holding officials accountable for taking action, and maintaining documentation of decisions made. VHA central office's monitoring of the Veterans Integrated Service Networks (VISN) realignment-a recent and significant organizational structure change-has been limited, and the office has provided little implementation guidance. In October 2015, VHA began to implement a realignment of its VISN boundaries, which involves decreasing the number of VISNs from 21 to 18 and reassigning some VA medical centers (VAMC) to different VISNs. VHA officials anticipate this process will be completed by the end of fiscal year 2018. VHA officials on the task force implementing the realignment told GAO they thought VISNs could implement the realignment independently without the need for close monitoring. VHA also did not provide guidance to address VISN and VAMC challenges that could have been anticipated, including challenges with services and budgets, double-encumbered positions (two officials in the same position in merging VISNs), and information technology. Further, VHA officials said they do not have plans to evaluate the realignment. VHA's actions are inconsistent with federal internal control standards for monitoring (management should establish monitoring activities, evaluate results, and remediate identified deficiencies) and risk assessment (management should identify, analyze, and respond to changes that could affect the system). Without adequate monitoring, including a plan for evaluating the VISN realignment, VHA cannot be certain that the changes being made are effectively addressing deficiencies; nor can it ensure lessons learned can be applied to future organizational structure changes.