VA Medical Center: A Case Study

Thank you for your response regards to "Rolling Meadows Community Hospital". John did not act in a fairly manner by not giving the intern the position. Even though John did confess his truly feelings it still ended up being an altercation not only for him but the hospital as well. I agree where you stated "This provide an understanding that just because one doesn’t physically touch or ask for physical contact doesn’t mean you can’t get in trouble for comment." I believe John felt like he could get away with this case just because he was the CEO of the hospital but it obviously does not matter what type of position you hold in a work environment; this should not be tolerated at any work environment.

Mr. Hamilton was interested in this scenario only if the facility was Walker Rehab in Carbon Hill, and if he could leave the facility to walk around the neighborhood whenever he pleases. After a discussion with Ms. Ginger Kilgore, Mr. Hamilton was informed that Walker Rehab does not accept his Medicare Advantage plan, and no facility would be receptive to the idea of Mr. Hamilton walking off premises. Ms. Kilgore stated that Mr. Hamilton can remain in the hospital until Monday, at which point his referral may be accepted by a local nursing home and he can transfer to their facility. Mitchell explained to Mr. Hamilton that if he agrees to this plan, he will remain in an air-conditioned environment and fed three meals a day until at least Monday, thereby avoiding the possibility of being outside in likely the hottest weekend of the year. Mr. Hamilton again refused to stay in the hospital for another day. Ms. Kilgore stated that there was nothing they could do to keep Mr. Hamilton there. He has no behaviors to warrant a psych hold, and he is medically fit for

• benefits for them. You getting a higher education and improving your skills means you can do more at your current job.

The Orlando VA Medical Center, established in October 2006 serves over 105,000 veterans around Central Florida, including a Community Living Center, two Mental Health Rehabilitation Treatment Programs/Domiciliary in two different locations, along with three large multi-specialty Satellite Outpatient Clinics and four Community-Based Outpatient Clinics.

A practice change in a non-VA primary care practice led by a Nurse Practitioner (NP) that includes identifying eligible veterans and utilizing the referral process guidelines to peer support services. In the Veterans Choice Program, 2015 the authorization for all non-VA medical care for veterans who resides more than 40 miles from a VA health care clinic or is not able to obtain a medical appointment within 30 days is eligible to receive care from a non-VA entity. The consignment of all medical care appointments are over sought by Health Net, which authorizes all non-service, secured care. PCPs are highly fortified to communicate with veterans with a courtesy memorandum for their medical appointment. PCPs must adhere to the subsequent standards

On this date worker visited Walker Rehabilitation in Carbon Hill Al., for the purpose of monitoring Ms. Phillips placement. When worker arrived Ms. Phillips was in bed sleeping but woke when her name was called out. Ms. Phillips was dressed appropriately with good personal hygiene. Ms. Phillips did not remember worker from previous visits but was friendly with worker. During visit, Ms. Phillips talked about her roommates and appears to have adjusted well to her new living arrangement. This was a concern for Ms. Phillips because she went from a room for two into a room of four. Ms. Phillips stated she enjoys the food but doesn't participate in activities. Ms. Phillips stated the only time she leaves her room is to eat and get a bath. Worker

Improving medical care can have secondary impacts on the VA health care system. The prevalence of SCI is relatively low, and we assumed that the availability of telehealth would not be a sufficient incentive for patients with SCI to enroll in the VA health care system if they had not done so earlier. Consequently, demand for SCI care only among current SCI patients was explicitly modeled here. We assumed no change in demand for other conditions because there was no guidance for predicting such changes and because the variation in changes could be large. Finally, we assumed no changes in staffing at the VA as a result of telehealth use.

The Hampton VA Medical Center Primary Care Service recognizes _________________ for their outstanding service. Mr./Ms.____________ performed beyond expectations to ensure that our staff and veterans needs were addressed. For their efforts, I am pleased to recommend a contribution award of $2500.

The worker was able to speak with Ms. Richardson advising her of her appointment with Preferred Children Services. Ms. Richardson told the worker that she was aware that the appointment was on 12/2/2016. The worker told Ms. Richardson that it was imperative that she attend the appointment.

The Miami VA Healthcare System serves Veterans in Miami-Dade, Broward and Monroe counties and operates a total of 372 hospital beds (US Department of Veterans Affairs, Veterans Health Administration, n.d.). Since the VA system is owned and run by the federal government, audit requirements in order to provide dietary and nutrition care services in the inpatient, outpatient or long term care setting are different compared to private sector hospitals. Hospitals and health care organizations get accreditation from the Joint Commission in order to meet federal requirements and get payment from Medicare and Medicaid programs (The Joint Commission, n.d.). However, since the Miami VA Healthcare System is a government organization and at a higher level is not required to do so (M. De La Cera, personal communication, January 12, 2017). Nevertheless, the Miami VA requests unannounced visits from The Joint Commission every three years to monitor and strengthen their performance excellence as well as keep their ongoing commitment to the safety and quality care of their patients (Office of Public and Intergovernmental Affairs, 2016). Furthermore, the Agency for Health Care Administration (AHCA) conducts unannounced onsite reviews of the Community Living Center (CLC) to review processes and procedures. Inspectors from AHCA seek

The Miami VA Hospital’s Nutrition and Food Service Department assess the quality of each item that is prepared in their facility and served to each patient. Quality Assessment (QA) at the VA are done on the 3rd Thursday of every month where a tray is pulled from the line and its appearance, temperature, taste, and texture is all evaluated to ensure it meets the standards that are set in place. QA expand outside of the kitchen and are done on the nourishment areas located on every patient floor.

The drugs protected by the law are safe yet still harmful. War veterans feeling the worst of the pain, after being honorably discharged for injuries sustained in action. While going through treatment for the injuries the veterans found themselves addicted to the pain medication. The veterans needing help through their addictions, PTSD, and injuries found themselves sedated for most of their treatment at the VA hospital. Waggoner; a patient at the VA hospital was addicted to pain medication and expected help from the medical staff. However instead of getting the help he needed he was given more drugs than necessary according to Cironline “The VA hospital in Roseburg kept him so doped up that he could barely stay awake. Then, inexplicably, the

A Marketing strategy is necessary to develop and implement for all health care organizations. Rush University Medical Center in Chicago learned this lesson in the most difficult circumstances. The leadership assumed the reputation of the facility would be enough to stand up against all other health care facilities in the surrounding area; supplementary publicity or lobbying was necessary. As time passed on, it was very obvious by the drastic decrease in patient census and revenue that something had to change. The implementation of an environmental scan in that particular instance would greatly influence the facility in a positive manner. It is an approach that assists in the process of identifying and recognizing all the marketing elements involved. The first step of the environmental scan is an assessment of the five major environmental forces and trends. Next, evaluate the potential impact on the organization’s target market and adjust the organizations marketing mix strategy as appropriate (Berkowitz, 2011).

On November 20, 2015 worker visited Selby Ridge Rehab and NH, for the purpose of monitoring Mr. Parker’s situation. Mr. Parker is still in the physical therapy section of the NH but will be moved to a long-term bed soon. When worker arrived, Mr. Parker was lying in bed watching TV. He was dressed appropriately with good personal hygiene. Worker introduced herself and explained the reason for the visit. Mr. Parker remembered worker from the previous visit but could not remember worker’s name.

There were 20 people charged with stealing $146 million dollars of health care funds. It included New York City physician's, patient recruiters, international money launders and office managers.