The Battle for Veterans’ Healthcare


Book Description

In The Battle for Veterans' Healthcare, award-winning author Suzanne Gordon takes us to the front lines of federal policymaking and healthcare delivery, as it affects eight million Americans whose military service makes them eligible for Veterans Health Administration (VHA) coverage. Gordon’s collected dispatches provide insight and information too often missing from mainstream media reporting on the VHA and from Capitol Hill debates about its future. Drawing on interviews with veterans and their families, VHA staff and administrators, health care policy experts and Congressional decision makers, Gordon describes a federal agency under siege that nevertheless accomplishes its difficult mission of serving men and women injured, in myriad ways, while on active duty. The Battle for Veterans’ Healthcare is an essential primer on VHA care and a call to action by veterans, their advocacy organizations, and political allies. Without lobbying efforts and broader public understanding of what’s at stake, a system now functioning far better than most private hospital systems may end up looking more like them, to the detriment of patients and providers alike.




Wounds of War


Book Description

U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country—one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.




The Praeger Handbook of Veterans' Health


Book Description

This four-volume set provides a history of veterans' healthcare that examines programs of care and veterans' special needs, and offers insight into future directions for veteran's healthcare in the 21st century. This comprehensive contribution to understanding veterans' healthcare uniquely draws on a national and international cadre of scientists and practitioners, both within the Department of Veterans Affairs and specialists beyond the institution, providing a matrix view of veterans' healthcare, past, present, and future, both nationally and internationally. This work will prove an essential reference set that examines and identifies veterans' healthcare through the first decade of the 21st century, invaluable to health and psychology researchers and students, policymakers, social workers, and veterans. The Praeger Handbook of Veterans' Health: History, Challenges, Issues, and Developments is organized to cover four key elements. Volume I presents a history of veterans' healthcare, the various veteran's eras, and the global healthcare provided to our veterans. Volume II examines several of the programs of care and veterans' special needs. Volume III is devoted to the several aspects of mental health care, treatment, and rehabilitation services offered to veterans through the healthcare system. The last volume offers insights into future directions for veterans' healthcare.




Burdens of War


Book Description

How have Americans grappled with the moral and financial issues of veterans’ health care? In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care. Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.




Best Care Anywhere


Book Description

Phillip Longman tells the amazing story of the turnaround of the Department of Veterans Affairs health-care system from a dysfunctional, scandal-prone bureaucracy into the benchmark for high-quality medicine in the United States. Best Care Anywhere shows that vast swaths of what we think we know about health, health care, and medical economics are just plain wrong. And the book demonstrates how this extraordinarily cost-effective model, which has proven to be highly popular with veterans, can be made available to everyone. New to this edition is an analysis of how the shortcomings of both so-called Obamacare and Republican plans to privatize Medicare reinforce the need for applying the lessons of the VA. Also included are completely updated statistics and research, as well as examples of how the private sector is already beginning to learn from the VA's example.




Failure Masquerading as Success


Book Description

President Lincoln in 1865 said: To care for him who shall have borne the battle and for his widow and his orphan. This quote was later adapted as the VAs motto. General Omar N Bradleys VA Mission Statement We are dealing with veterans, not procedures- with their problems, not ours has been quoted repeatedly during the seventy five years since. In 1982 President Reagan approved $55.6 million in financial aid toMeharryMedicalCollege. An acute care facility was established atMurfreesboroVAfor training Meharry students. Bob Stump [Rep, Arizona], the chairman of the House Committee on Veterans Affairs, recently heard that, in some VAs, incompetent managers are not fired on the spot, but instead, reassigned or transferred. The fix was the immediate removal of Konik as the failed director at theSalisburyVAand recycling him as our new director in the summer of 1996. . On Tuesday April 14th, 1998, an E-Mail was disseminated with following quotation: Weak leadership at the York VA Medical Center has prompted changes in the hospitals administration staff, with hospital Director Gene Konik reportedly asking for reassignment, VA officials said. Mr. Dandridge began to initiate his long-term plan for integratingMurfreesboroandNashvilleVA.One of his famous quotations was: Practice, practice makes perfect. Another of his public quotations was: Having theNashvilleVAsurgical residents perform the surgery would provide world-class surgery to the area veterans. . In the last five years, York has seen four different directors. Gordons office has been bombarded with complaints from ailing veterans and their families about lack luster care. Those whove died as a result of the administrative and service changes cant complain anymore. Current York VA Director David Pennington has never spoken to the press about anything, but did send a memo to the medical staff warning them to get online or get out! Our last crop of veterans is dying because of VA medical mismanagement, and our next batch is being loaded onto airplanes to fly back to an uncertain future. Mr. Sullivan, a gulf War I vet and VA project manager stated: This administration is so absolutely corrupt, incompetent and malevolent; it pales anything that came before it. Why is our economy tanking? The war, the war, the war.




Evaluation of the Department of Veterans Affairs Mental Health Services


Book Description

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.




The Battle Over Health Care


Book Description

As the most substantial health care reform in almost half a century, President Obama's health care overhaul was as historic as it was divisive. In its aftermath, the debate continues. Drawing on decades of experience in health care policy, health care delivery reform, and economics, Rosemary Gibson and Janardan Prasad Singh provide a non-partisan analysis of the reform and what it means for America and its future. The authors shine a light on truths that have been hidden behind a raucous debate marred by political correctness on both sides of the aisle. They show how health care reform was enacted only with the consent of health insurance companies, drug firms, device manufacturers, hospitals, and other special interests that comprise the medical-industrial complex, which gained millions of new customers with the stroke of a pen. Health care businesses in a market-oriented system are designed to generate revenue, which runs counter to affordable health care. Gibson and Singh take a broader perspective on health care reform not as a single issue but as part of the economic life of the nation. The national debate unfolded while the banking and financial system teetered on the brink of collapse. The authors trace uncanny similarities between the health care industry and the unfettered banking and financial sector. They argue that a fast-changing global economy will have profound implications for the country's economic security and the jobs and health care benefits that come with it, and they predict that global competition will shape the future of employer-provided insurance more than the health care reform law.




Beyond the Checklist


Book Description

The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal? Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel. The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery. The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.




Best Care Everywhere


Book Description

Best Care Everywhere provides a path to the standardization of best practices that have been developed by the front line of US Department of Veterans Affairs' personnel, serving the U.S. veterans population to improve the quality of healthcare and delivery experience from any of the current 1,700 VA healthcare facilities. This book contains numerous successful stories and innovations that will hopefully build trust in the ill, injured, and aging American veteran. America's veterans, their spouses and families, VA personnel, private and public medical community may be interested in this cutting-edge resource. Additionally, business developers, leaders, and students pursuing coursework in business development may be interested in these innovations that are being developed within an organization to make major strides in the health care populations that they serve. Related collections: Organizational Behavior & Process Improvement:https://bookstore.gpo.gov/catalog/organizational-behavior-process-improvement Veterans Benefits and Health Issues:https://bookstore.gpo.gov/catalog/veterans-benefits-health-issues Mental Health collection Healthcare Teamwork & Patient Safety resources collection Out of the Crucible: How the US Military Transformed Combat Casualty Care in Iraq and Afghanistan Other products produced by the U.S. Department of Veterans Affairs