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Showing posts with label Veterans Administration. Show all posts
Showing posts with label Veterans Administration. Show all posts

Wednesday, January 3, 2018

Illegal VA policy allows hiring since 2002 of medical workers with revoked licenses

Donovan Slack
USA Today
Originally published December 21, 2017

The Department of Veterans Affairs has allowed its hospitals across the country to hire health care providers with revoked medical licenses for at least 15 years in violation of federal law, a USA TODAY investigation found.

The VA issued national guidelines in 2002 giving local hospitals discretion to hire clinicians after “prior consideration of all relevant facts surrounding” any revocations and as long as they still had a license in one state.

But a federal law passed in 1999 bars the VA from employing any health care worker whose license has been yanked by any state.

Hospital officials at the VA in Iowa City relied on the illegal guidance earlier this year to hire neurosurgeon John Henry Schneider, who had revealed in his application that he had numerous malpractice claims and settlements and Wyoming had revoked his license after a patient death. He still had a license in Montana.

The article is here.

Sunday, December 31, 2017

VA knowingly hires doctors with past malpractice claims, discipline for poor care

Donovan Slack
USA Today
Originally published December 3, 2017

Here is an excerpt:

A VA hospital in Oklahoma knowingly hired a psychiatrist previously sanctioned for sexual misconduct who went on to sleep with a VA patient, according to internal documents. A Louisiana VA clinic hired a psychologist with felony convictions. The VA ended up firing him after they determined he was a “direct threat to others” and the VA’s mission.

As a result of USA TODAY’s investigation of Schneider, VA officials determined his hiring — and potentially that of an unknown number of other doctors — was illegal.

Federal law bars the agency from hiring physicians whose license has been revoked by a state board, even if they still hold an active license in another state. Schneider still has a license in Montana, even though his Wyoming license was revoked.

VA spokesman Curt Cashour said agency officials provided hospital officials in Iowa City with “incorrect guidance” green-lighting Schneider’s hire. The VA moved to fire Schneider last Wednesday. He resigned instead.

The article is here.

Tuesday, October 3, 2017

VA About To Scrap Ethics Law That Helps Safeguards Veterans From Predatory For-Profit Colleges

Adam Linehan
Task and Purpose
Originally posted October 2, 2017

An ethics law that prohibits Department of Veterans Affairs employees from receiving money or owning a stake in for-profit colleges that rake in millions in G.I. Bill tuition has “illogical and unintended consequences,” according to VA, which is pushing to suspend the 50-year-old statute.

But veteran advocacy groups say suspending the law would make it easier for the for-profit education industry to exploit its biggest cash cow: veterans. 

In a proposal published in the Federal Register on Sept. 14, VA claims that the statute — which, according to The New York Times, was enacted following a string of scandals involving the for-profit education industry — is redundant due to the other conflict-of-interest laws that apply to all federal employees and provide sufficient safeguards.

Critics of the proposal, however, say that the statute provides additional regulations that protect against abuse and provide more transparency. 

“The statute is one of many important bipartisan reforms Congress implemented to protect G.I. Bill benefits from waste, fraud, and abuse,” William Hubbard, Student Veterans of America’s vice president of government affairs, said in an email to Task & Purpose. “A thoughtful and robust public conservation should be had to ensure that the interests of student veterans is the top of the priority list.”

The article is here.

Editor's Note: The swamp continues to grow under the current administration.

Tuesday, May 5, 2015

For one VA whistleblower, getting fired was too much

By Donovan Slack
http://www.wausaudailyherald.com
Originally posted April 12, 2015

Here are two excerpts:

There, officers found the body of Christopher Kirkpatrick, a 38-year-old clinical psychologist who had shot himself in the head after being fired from the Tomah Veterans Affairs Medical Center.

Kirkpatrick had complained some of his patients were too drugged to treat properly, but like other whistleblowers at the facility, he was ousted and his concerns of wrongdoing were disregarded.

Retaliation against whistleblowers has become a major problem at VA facilities across the country. The U.S. Office of Special Counsel is investigating 110 retaliation claims from whistleblowers in 38 states and the District of Columbia.

(cut)

VA officials said since Kirkpatrick's death, the agency has implemented online whistleblower training for 32,000 managers and executives at the agency, and now requires all employees to take a course every other year that includes a component about whistleblower rights. VA spokeswoman Genevieve Billia said notices of termination should contain language informing the affected employee of those rights. She did not respond to a message asking if that was mandatory.

The entire article is here.

Tuesday, August 26, 2014

Minneapolis VA studies invisible scars from combat

By Jeremy Olson
The Star Tribune
Updated August 11, 2014

Here is an excerpt:

A study of survey results for 814 Minnesota National Guard members who served in Iraq over the past decade showed that those who experienced moral injury had higher levels of depression and post-traumatic stress disorder (PTSD).

Moral injury generally refers to any type of guilt, shame, or depression that arises from actions that may have violated deeply held beliefs. But for this study, which was presented at the Minneapolis VA Medical Center last month, soldiers met the criteria if they killed in combat, felt their actions were unforgivable, and believed that God had abandoned them.

The lack of resiliency among soldiers who met this definition was alarming, said Dr. Irene Harris, the VA psychologist leading the research. “Basically, [they feel] at my spiritual functioning level, I don’t think I belong here in the world. I’m not worth it. I have a sense that I should not be here.’’

The entire article is here.

Podcast Episode 7: The Moral Self, Moral Injury, and Moral Emotions addresses the moral self and moral injury related to PTSD.

Monday, August 4, 2014

Bottlenecks in Training Doctors

By The Editorial Board
The New York Times
Originally published July 19, 2014

The new head of the Department of Veterans Affairs, Sloan Gibson, told a Senate committee last week that he needed $17.6 billion over the next three years to hire some 1,500 doctors, 8,500 nurses and other clinicians to reduce the unconscionably long waiting times that many veterans now endure before they are able to see a doctor.

That news was bad enough, but the department’s problems are emblematic of an even deeper problem: a nationwide shortage of doctors, especially primary care doctors, and other health care professionals, that will only get worse in coming years. No less alarming, the current medical education system is ill-equipped to train the number of professionals needed.

Experts disagree over how bad the current shortages are. But virtually all agree that the problem is acute in rural areas and in poor urban neighborhoods. As of June 19, according to one estimate cited by analysts in the Department of Health and Human Services, there was a shortage of 16,000 primary care physicians in such underserved areas.

The entire story is here.

Thursday, May 22, 2014

Second VA doctor blows whistle on patient-care failures

By Dennis Wagner
The Republic
Originally published May 2, 2014

Here is an excerpt:

Both physicians, as well as other VA employees who asked not to be named for fear of retribution, said the Phoenix VA leadership disdains internal criticism and retaliates against those who speak out. In interviews and a written statement, Mitchell told The Republic she can no longer remain silent.

"I am violating the VA 'gag' order for ethical reasons," she wrote. "I am cognizant of the consequences. As a VA employee I have seen what happens to employees who speak up for patient safety and welfare within the system. The devastation of professional careers is usually the end result, and likely is the only transparent process that actually exists within the Phoenix VA Medical Center today."

The entire story is here.

Thursday, December 19, 2013

VA Is Broken: Death, Medical Mistreatment, Claims Backlogs And Neglect

By Jamie Reno
International Business Times
Originally posted on November 27, 2013

Here is an excerpt:

One presidential administration after another has vowed to fix the embattled VA, which employs more than 300,000 men and women and is the second largest department in the federal government after the Pentagon. President Obama has even increased VA's annual budget to an all-time high of $150 billion. But VA’s health care system continues to worsen in more and more dangerous ways, severely underserving the nearly 7 million veterans who rely on the network for care annually.

In just the past year, we've learned about at least 21 preventable deaths of military veterans at VA facilities across the nation as well as the spread of infectious diseases at these hospitals and clinics. In addition, there is evidence of bonuses awarded to executives at troubled VA hospitals and a lengthy ongoing disability claims backlog. Meanwhile, frustrated lawmakers hold hearings on VA shortcomings, adopt new rules in hopes of turning the VA around, and even create websites highlighting VA's many problems -- to no avail.

“It’s become apparent to me and many others that there is a culture of complacency among the agency’s middle management,” Rep. Jeffrey Miller (R-Fla.), chair of the House Veterans Affairs Committee (HVAC), told International Business Times.

The entire story is here.