Navigation Links
NYU Langone internist calls for VA system reform
Date:6/10/2014

An NYU Langone internal medicine specialist who served as a White House fellow at the US Department of Veteran's Affairs says the headline-grabbing failures of the VA health system's administration stand in sharp contrast to the highly rated care the system delivers.

In an editorial in The New England Journal of Medicine online June 5, Dave Chokshi, MD, MS, an assistant professor at NYU Langone Medical Center, says the paradox has created a watershed moment to reform and refocus the way the entire system is structured, staffed, and managed, while also building on its clinical excellence.

"With so much public attention focused on the VA's mandate to provide medical care, the time is right to broaden the discussion from access and correcting gaps in the system to actively thinking about how do we design a better VA system that best serves our nation's veterans' medical needs," says Dr. Chokshi.

In the commentary, Chokshi writes that persistent and systemic care-access problems, with long wait times for appointments and scheduling scams, contrast sharply with the documented experience of most veterans who, once in the hands of caregivers, achieve above-average health outcomes and receive high-quality clinical care backed up by laudable patient-satisfaction surveys and scores comparable to private health facilities.

Dr. Chokshi suggests key reforms he says will build on the VA's historic inpatient strengths, including:

  • changing the culture of the VA health care system with respect to communications, expectations, and accountability;

  • creating new scheduling systems and rapid-response teams to deal with backlogs or surges in demand;

  • hiring more primary care physicians to supply basic medical needs to the more than 1 million additional veterans enrolled in VA health care services since 2005;

  • funding increased primary care using the $9 billion already designated for primary care in the 2015 federal budget;

  • attracting clinicians to practice in VA medical centers by establishing cooperative agreements with academic medical centers, where many skilled professionals already have a patriotic desire to help veterans in some meaningful, albeit part-time, way;

  • establishing performance measures for access to, as well as delivery and cost of health services, and using the data to compare them with other medical facilities;

  • renewing VA medical leadership by giving the secretary of the department more latitude in dismissing current executives who fail to meet performance measures that serve veterans' best interests (note: a bipartisan senate bill doing just that was announced last week.)

Dr. Chokshi says he was motivated to weigh into the current debate because the VA responded well to a previous "crisis of confidence" in the 1990s by transforming itself into a quality system for clinical care and averting threats of privatization. "Now it needs to protect the best elements of its infrastructure, build aroundholistic care of each veteran, while embarking on another round of reforms," he adds.


'/>"/>

Contact: David March
david.march@nyumc.org
212-404-3528
NYU Langone Medical Center / New York University School of Medicine
Source:Eurekalert

Related medicine news :

1. Bcureful® Helps Fund Promising Tuberous Sclerosis Complex Research Project at NYU Langone Medical Center
2. NYU and NYU Langone researchers devise method for enhancing CEST MRI
3. NYU Langone Medical Center receives $17 million gift from the Steven A. and Alexandra M. Cohen Foundation
4. NYU Langone experts present research, clinical advances at neurosurgeons meeting
5. Internists recognize todays rotten anniversary
6. Internists review progress, challenges and opportunities
7. Internists respond to SFC with ideas on how to make improvements following repeal of SGR
8. Internists issue 2-pronged plan to improve health care system
9. Internists offer recommendations for solutions to medicare payment problems
10. Internists praise primary care practices inclusion in CPCI
11. Internists recommend principles on role of governments in regulating patient-physician relationship
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/10/2016)... ... February 10, 2016 , ... Compliancy Group LLC is pleased ... professionals throughout the country. The Guard was specifically designed to handle each element ... training, regulatory updates, and compliance coaching. , In addition to meeting the compliance ...
(Date:2/10/2016)... SAN FRANCISCO, Calif. (PRWEB) , ... February 10, 2016 , ... ... category: Best Water Brand. There were three leading bottled water brand owners that topped ... edge services that enhance connectivity and optimize conversion. The premier brand was Tibet 5100, ...
(Date:2/10/2016)... ... 2016 , ... Ongoing news of the ravages of traumatic brain injury (TBI) ... survey that takes a closer look at cases of TBI being managed by their ... TBI among the aging population, and identifies the challenges associated with their care. , ...
(Date:2/10/2016)... (PRWEB) , ... February 10, 2016 , ... Gout is ... and brings pain that is often severe, with intense swelling and redness. It is ... eight million people, but older adults are the most susceptible, according to the February ...
(Date:2/10/2016)... ... February 10, 2016 , ... AHRA: The Association ... inspirational speaker Jan Fox will serve as keynote speaker at the organization’s 2016 ... with tools to more effectively communicate with their own organizational staff and leadership. ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... 2016 Urologix, the market leader for in-office ... Prostatic Hyperplasia (BPH), announces new private ownership and is ... medical device industry veteran of more than 20 years, ... Plymouth, Minn. The ... and Prostiva® RF Therapy, will continue to be broadly ...
(Date:2/10/2016)... 2016 Immune Pharmaceuticals Inc. (NASDAQ: IMNP ... it has filed a patent application directed to the ... --> --> The new ... Ceplene (histamine dihydrochloride) in combination with immune checkpoint inhibitors. ... efficacy of Ceplene and IL-2 therapy in patients with ...
(Date:2/10/2016)... Feb. 10, 2016  Rich Pharmaceuticals, Inc. (OTC Markets: ... 1-for-100 reverse split of its issued and outstanding shares ... on Thursday, February 11, 2016. The Company,s common stock ... number 76303T308 and temporary ticker symbol "RCHAD". After 20 ... the ticker symbol (RCHA).  --> ...
Breaking Medicine Technology: