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Showing posts with label Shinseki. Show all posts
Showing posts with label Shinseki. Show all posts

Monday, June 30, 2014

Picking A New Head For Veterans Affairs Will NOT Solve The Inherent Problems. It Needs A Complete Housecleaning!

Obama Picks Ex-P&G Head to Lead Veterans Affairs

Sunday, 29 Jun 2014 04:30 PM

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President Barack Obama has picked former Procter and Gamble executive Robert McDonald as his choice to be secretary of Veterans Affairs.

McDonald, 61, is a native of Gary, Ind., who grew up in Chicago. He was at the helm of Proctor and Gamble from July 2009 to July 2013.

If confirmed by the Senate, McDonald would replace Acting VA Secretary Sloan Gibson, who replaced Eric Shinseki as head of the agency.

Shinseki resigned May 30 after apologizing for the agency's problems.
© Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


Saturday, June 28, 2014

VA Report In--Entire Department Is Messed Up And Needs Major Re-haul!

White House Review of Veterans Administration Finds 'Corrosive Culture'

Friday, 27 Jun 2014 10:59 PM

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An interim report on the Veterans Affairs Department delivered to President Barack Obama found that the VA’s medical system is hobbled by management with little accountability and a “corrosive culture” that has led to widespread personnel problems.A summary of the report by White House Deputy Chief of Staff Rob Nabors released today also said the 14-day standard set for scheduling appointments is “arbitrary, ill-defined and misunderstood” and may have motivated personnel at VA facilities to falsify records.
The department must address “significant and chronic systemic failures” and restructure the Veterans Health Administration, which oversees more than 1,700 facilities delivering health care to military veterans, it said.
The departmnt also needs to hire more doctors and other health care professionals, the report concludes.

Rep. Jeff Miller, R-Fla., chairman of the House Veterans’ Affairs Committee issued this statement:

“It appears the White House has finally come to terms with the serious and systemic VA health care problems we’ve been investigating and documenting for years. While it’s extremely unfortunate President Obama did not heed our warnings about the very real and very deadly problems within the VA health care system sooner, we stand ready to work with stakeholders inside and outside the administration to institute VA reforms that will improve services to America’s veterans while bringing real accountability and efficiency to the department.”
The White House released the report summary after Nabors delivered it to Obama during a meeting that also included acting VA Secretary Sloan Gibson. Obama asked Nabors to remain in his temporary role assisting the VA.
Former VA secretary Eric Shinseki stepped down May 30 amid a growing scandal over revelations of extended waits for veterans seeking medical appointments and alleged falsification of records regarding those wait times.
An internal VA audit of 731 veterans’ medical facilities released June 9 found more than 120,000 veterans were either waiting for care longer than 90 days or hadn’t received an appointment. The Federal Bureau of Investigation’s Phoenix office is conducting a criminal investigation of the delays.
Manipulated Records
An earlier review, before Shinseki resigned, found scheduling staff were told to manipulate appointments to cover up wait times at 64 percent of VA facilities.
As part of the effort to speed care to veterans, Nabors’ report suggests convening a panel of health-care experts and industry leaders to develop a set of best practices. It also cautions against using performance measures, such as wait-time data, as a gauge of the quality of care.
Congress is working on legislation that would authorize billions of dollars to shorten long wait times for veterans seeking medical care at Veterans Affairs facilities and to make it easier to fire employees at the agency.
According to the Congressional Budget Office, the Senate version would cost as much as $35 billion over 10 years while the House version would double VA health spending and cost as much as $44 billion over five years. A House-Senate conference committee will resume talks on the measure next month when Congress returns to Washington.
The VA has an influx of patients as about half of the 1.9 million troops discharged after serving in Afghanistan or Iraq return to the U.S. in need of medical care, according to VA data. The department operates the U.S.’s largest integrated health system.
© AFP 2014

Saturday, June 21, 2014

ObamaCrapCare Preview--Execs Cut Costs, Hide Reality, Get Bonuses

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WASHINGTON – A senior U.S. Department of Veterans Affairs official told a bipartisan congressional panel Friday that the VA’s senior executives often conduct their own performance reviews with little or no oversight – a circumstance that likely resulted in a bonus payout totaling $2.8 million in 2012.
The VA’s Assistant Secretary for Human Resources and Administration, Gina Farrisee, told Congress that from FY 2010 to FY 2013, not one of the 470 members of the Senior Executive Service, or SES, whose pay typically ranges between $121,749 and $181,500, received a less than fully satisfactory or successful rating.
As WND reported in late May, The VA’s highly controversial bonus system came under fire by agency critics who say the incentive money motivates some employees, especially managers, to misrepresent achievements in order to meet performance goals.
However, in early June two VA senior executives were among 100 nominated from various government agencies to receive the 2013 Presidential Distinguished and Meritorious Rank awards, which makes them eligible for a bonus equal to 20 percent of their salary if one of them were to win the award.
During Friday’s hearing, Rep. Jeff Miller, R-Fla., cited several glaring examples of alleged misconduct on the part of VA senior executives. Miller and other committee members said the VA on Friday finally relinquished long-awaited information regarding the removal of six SES employees.
Gross negligence for financial gain?
As WND has reported, last February, Sharon Helman, the former director of the VA medical center in Phoenix received an $8,500 end-of-year performance bonus. After relentless probing by the Veterans Affairs committee members, the VA said she received the award as a result of a “clerical error.”
The Phoenix location was cited by the first whistleblower as a location where veterans were put on secret wait lists for appointments that were so long multiple eligible care recipients died waiting for appointments.
Miller said in his testimony that the error regarding Helman’s bonus is unlikely because “past documentation from VA has stated that all performance reviews and awards are ultimately reviewed and signed by the secretary.”
The former director of the VA regional office in Waco also received a total of $53,000 in bonuses. Miller said that under the director’s management, the Waco office’s average disability claims processing time “multiplied to inexcusable levels.”
Miller cited another example where in a May 2013 congressional hearing, VA construction chief Glenn Haggstrom struggled to explain why he collected almost $55,000 in performance bonuses “despite overseeing failed construction plans that cost our government nearly $1.5 billion in cost overruns.”
Washington jockeys for solution
The bureaucratic shuffle continues in Washington as lawmakers scramble to find a viable solution to long wait times and lost paperwork.
Acting U.S. Secretary of Veterans Affairs Sloan Gibson told members of the media Wednesday that even though he still is not 100 percent confident that all wait times listed on VA computers are accurate, “I have vastly greater confidence” in the list than he did in the past, when manipulation of patient times was widespread across the VA system.
House and Senate Veterans Affairs delegation, led by Miller and Sen. Bernie Sanders, I-Vt., approved separate resolutions last Wednesday that appointed 28 lawmakers – 14 from each chamber – to serve on a conference committee and work on a compromise so veterans have better access to medical care.
Lucrative contract awards while vets linger
At the same time, the agency allocated millions for computer equipment and management training while veterans fell further into a bureaucratic death list oblivion.
In 2011, 14 defense contractors won a $12 billion VA information technology contract with the goal of reducing the backlog of benefit claims, improving the continuity of care for veterans, ensuring physicians have the most accurate medical history of a patient, and significantly improving patient safety.
And WND uncovered a Defense Department news document that showcases Obama’s plan for a “total transformation” of VA healthcare through his Integrated Electronic Health Record, or IEHR, which “will create a single, jointly created common health record for all DoD and VA medical facilities that, when completed, will be the nation’s single largest health record system.”
There was no mention of the cost to taxpayers for such an endeavor.
“I’m asking the Department of Defense and the Department of Veterans Affairs to work together to define and build a seamless system of integration with a simple goal. When a member of the armed forces separates from the military, he or she will no longer have to walk paperwork from a DoD duty station to a local VA health center; their electronic records will transition along with them and remain with them forever,” he said in 2009.
DoD and VA officials in the document lauded the results of their program, saying that because of their efforts, the DoD and the VA “share digital treatment information on 1.1 million service members and veterans,” including:
  • 23 million more laboratory results, for a total of 92.8 million results shared
  • 3.6 million more radiology reports, for a total of 15 million shared, and
  • 24 million more pharmacy records, for a total of 95.7 million shared.
Information sharing of this magnitude was intended to slash wait times in half and give veterans direct access to their records so they can bring them to a facility of their choice. But that is not what happened. Instead, the Obama administration courted the biggest players in the defense contracting industry, offering them a chance at record-sized contracts, and subsequently profits.
Instead of receiving much-needed medical tests, and direct access to life-saving care – veterans ended up on those much-documented extended wait lists.
Farrisee, who assumed her position of chief human resources czar last September, told the congressional panel Friday that she believes “there is room for change in the VA,” but part of that change “will come with more training of our senior executives and understanding our critical elements that are put in the performance plans in establishing very real goals and the metrics we have talked about.”
Farrisee, a veteran herself, said that performance reviews were conducted entirely on paper until recently and that a senior executive’s performance is measured against the strategic and organizational goals of the VA, though she did not say what those goals are.
Miller fired back and said that he is sure it is not to allow veterans to die while awaiting care and other panel members questioned Farrisee’s sincerity.
But she did not give the committee any specifics about senior executive training except to say that they will be able to see their performance metrics in advance and they will, “do a lot more training with our senior executives on what the critical elements mean.”
Right after Obama began his first term, then-Deputy Secretary Scott Gould testified before the House Veterans Affairs Oversight and Investigations Committee on his strategy to implement a Performance Management Accountability System, or PMAS, “to enhance the competencies of the VA’s Senior Executive Service.”
The result was a multi-million dollar contract awarded in 2010 to a Northern Virginia firm that specializes in teaching program management to mid- to senior-level government employees and executives.
Documents WND uncovered stated that “the VA’s PMAS and Office of Management and Budget’s information technology dashboard provide useful sources of metrics for measuring progress…which meets Kirkpatrick Level 2 evaluation through the self-assessment component of action plans.”
During congressional testimony Farrisee struggled to explain the methodology VA uses for determining the dollar amount of bonuses except to say that it was based on “a percentage…and performance metrics.”

Read more at http://www.wnd.com/2014/06/surprise-va-execs-think-theyre-doing-good-job/#1uYTsmwAIl5rDvJp.99

Friday, June 6, 2014

Death Counts At VA Hospitals Will Get Higher As Investigations Continue

Interim VA Secretary: 18 Confirmed Deaths From Secret Wait Lists

Thursday, 05 Jun 2014 08:15 PM
By Jason Devaney
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Sloan Gibson, the temporary head of the Department of Veterans Affairs, confirmed Thursday that 18 current and/or former members of the military died after being put on a secret waiting list.

The troubled agency is embroiled in a scandal involving fake waiting lists and reports that 40 veterans died while waiting months to be seen by doctors at the Phoenix VA hospital.

Gibson, a former Army infantry officer who earned both Airborne and Ranger qualifications during his military service, was hired to be the VA's deputy secretary in February. He was temporarily promoted to secretary after Eric Shinseki resigned on May 30 while a permanent replacement is found.

Dr. Sam Foote, who worked at the Phoenix hospital until his retirement in December, spent months trying to alert VA authorities about the false record keeping that was taking place in the facility. There were allegedly two waiting lists — the real one, which was kept in secret, and a false one, which was used for reporting purposes. Veterans seeking treatment for a variety of injuries and ailments reportedly had to wait months just to see a doctor, a fact that remained hidden because of the fake list.

Whistleblower Foote claimed that 40 veterans died while waiting for care in Phoenix.

Gibson, according to the Arizona Republic, said 1,700 patients were held on the secret waiting list at the Phoenix hospital. The 18 who died were among that group. Gibson did not know if the 18 deaths were part of the 40 Foote referenced.

"We have to work to earn back the trust of each veteran and we'll do that one veteran at a time," Gibson said.

Gibson said he had details on 14 of the deaths, and most of the patients had come to the VA for "end of life care," according to the Arizona Republic report.

"None of that excuses us," Gibson said. "These lists were not being worked — inexcusable."

Since the news of the Phoenix hospital scandal, other VA hospitals across the nationhave been found to use similar wait list tactics. A whistleblower at the St. Louis VA Medical Center said he's been bullied and punished after saying doctors at that facility were not working as much as they should.

And in Florida, VA hospitals have been said to have "deplorable" conditions.

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