Navigation Links
The Need for Cultural Reform at the VA
Date:12/4/2008

AUSTIN, Texas, Dec. 4 /PRNewswire/ -- As a physician who proudly serves our veterans of war, I was deeply saddened by the recent revelation of deceptive practices at VAs in New York -- a Newsday article reported that hundreds of veterans' benefit claims were misdated by the VA to make it appear that they were processed on time. This latest affront to integrity comes at the heels of the House Veterans' Affairs Committee roundtable discussion on November 19th regarding the VA's shredding of hundreds of claims at other sites. These are metastatic manifestations of a systemic illness: failures of leadership and a cultural decay at the VA.

The VA bureaucratic remedy? Plans for the VA shredding debacle include having three persons perform an inspection of a document before shredding in the future. But the root problem is not the paper but the prize on productivity. As one House roundtable participant emphasized, "the VA needs to change how it measures work... it creates incentives for shortcuts for credit." Performance based on quantity, an easily measured unit, appears to be the driving force for recognition and reward. The dishonest practice of changing dates of processing of claims illustrates how a cultural emphasis on quantity trumps quality and integrity.

Quality of care is more elusive to quantify and characterize. But therein lies what ought to be at the core of our pledge and commitment to those who, as Lincoln said, have "borne the battle," taken great risks, suffered great wounds or given their lives for us.

How to fix the mess? It begins with leadership. Failures in integrity and leadership are evidenced when Ira Katz, M.D., VA official for mental health, sent an e-mail in February of this year to "Shh" others about 1000 suicide attempts monthly by veterans at VA facilities. Closer to my home in Texas, the closing of a Dallas VA psychiatric ward in April after 4 suicides in 4 month
'/>"/>

SOURCE Robert W. Van Boven, M.D., D.D.S.
Copyright©2008 PR Newswire.
All rights reserved

Page: 1 2 3

Related medicine news :

1. Experts: Targeted agricultural investments will yield high results, slash poverty in Africa
2. Deathways open doors to unexpected cultural practices
3. Author of Juneteenth State Holiday Legislation Endorses the Second Annual Houston Juneteenth Multicultural Health Festival
4. Announcing the 2nd Annual Houston Juneteenth Multicultural Health Festival
5. Kellogg School of Management Expert Finds Multicultural Experience Enhances Creativity
6. Cultural metamorphosis: Better doctors through better relationships
7. HCCS Partners With UHC to Deliver Cultural Competency Courses
8. Arizona State bioethicist says mental illness is subject to biological and sociocultural factors
9. Cultural Beliefs May Keep Blacks From Hospice Care
10. DuPont Hosts Meeting of Leading Plant Scientists to Improve World Agricultural Productivity
11. 32-Year-Old Breast Cancer Survivor, Fashion Model Featured in Benefit Concert Music of the Light at Skirball Cultural Center
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/31/2014)... July 31, 2014 (HealthDay News) -- Preschoolers with special ... have strong language skills, according to a new study. ... growth in children with disabilities, researchers found. On the ... their classmates have weak language skills, they said. ... children,s language skills at the end of the school ...
(Date:7/31/2014)... (PRWEB) July 31, 2014 The ... in Lake Como, NJ, is proud to announce ... services! , Advanced PMR proudly offers many services, ... They also offer medical supplies. Some of their ... pediatric therapy, and geriatric therapy among a vast ...
(Date:7/31/2014)... July 31, 2014 ANS and Dr. Yaron ... the ANS Skull Base Center and what the future holds ... Skull Base Surgery Center ?, Skull base surgery is a ... of the brain, an area historically considered very delicate and ... these areas was by retracting healthy brain tissue, leading to ...
(Date:7/31/2014)... York (PRWEB) July 31, 2014 The ... a major factor driving the global geriatric care services ... outstrips the supply of these services across the globe. ... forming a home care agency to few large companies ... the market is underserved and is also highly fragmented. ...
(Date:7/31/2014)... ANN ARBORA new bill introduced in Congress with bipartisan ... from University of Michigan research, which could improve the ... they spend on the medicines and tests they need ... Reps. Diane Black and Earl Blumenauer, grew out of ... with the U-M,s Institute for Healthcare Policy and Innovation. ...
Breaking Medicine News(10 mins):Health News:Preschoolers With Special Needs May Gain From 'Inclusion' Classrooms 2Health News:NJ Top Docs' Approved, Advanced Physical Medicine and Rehabilitation Now Offering Chiropractic & Podiatric Services 2Health News:Dr. Yaron Moshel of Atlantic NeuroSurgical Specialists (ANS) Discusses Brain Tumor Surgery 2Health News:Dr. Yaron Moshel of Atlantic NeuroSurgical Specialists (ANS) Discusses Brain Tumor Surgery 3Health News:Geriatric Care Services Market (Home Care, Adult Day Care, and Institutional Care): Global Industry Analysis, Size, Share, Growth, Forecast 2013 - 2019 2Health News:Geriatric Care Services Market (Home Care, Adult Day Care, and Institutional Care): Global Industry Analysis, Size, Share, Growth, Forecast 2013 - 2019 3Health News:Geriatric Care Services Market (Home Care, Adult Day Care, and Institutional Care): Global Industry Analysis, Size, Share, Growth, Forecast 2013 - 2019 4Health News:Geriatric Care Services Market (Home Care, Adult Day Care, and Institutional Care): Global Industry Analysis, Size, Share, Growth, Forecast 2013 - 2019 5
... HealthDay Reporter , TUESDAY, Nov. 23 (HealthDay News) ... performance, but not necessarily in autistic children, a new ... spelling and math abilities of 30, "high-functioning" 9-year-old autistic ... parental and teacher reports at ages 6 and 9. ...
... cells (CSCs), the aggressive cells thought to be resistant to ... estrogen via a pathway that mirrors normal stem cell development. ... of breast CSCs, a finding that suggests a new drug ... the Proceedings of the National Academy of Sciences ...
... Exercising to music reduces the risk of falls among elderly ... adults, mostly women, average age 75.5 years, who were at ... intervention group that did a music-based multitask exercise program or ... six months, the participants switched groups for the next six ...
... , TUESDAY, Nov. 23 (HealthDay News) -- Implantable ... while preventing sudden death among heart failure patients ... real-world situations as they are in controlled study ... based on an analysis of nearly 186,000 patients ...
... the dangers of excessive fructose in diet. A new review ... of the American Society of Nephrology ( JASN ) ... Richard J. Johnson, MD and Takahiko Nakagawa, MD (Division ... concise overview of recent clinical and experimental studies to understand ...
... 22 (HealthDay News) -- Deaths from congenital heart defects in ... continuing a decades-long decline, a new study finds. Congenital ... These include a variety of conditions that range from mild ... as irregular heartbeats, congestive heart failure and high blood pressure ...
Cached Medicine News:Health News:For Autistic Kids, IQ May Not Predict School Achievement 2Health News:For Autistic Kids, IQ May Not Predict School Achievement 3Health News:Discovery halts breast cancer stem cells 2Health News:Practicing Moving to Music May Help Elderly Avoid Falls 2Health News: Implanted Heart Devices Have 'Real-World' Benefits: Study 2Health News: Implanted Heart Devices Have 'Real-World' Benefits: Study 3Health News:Deaths From Congenital Heart Defects on the Decline 2
(Date:7/31/2014)... 2014 The Galien Foundation today announced the ... USA Awards. The Prix Galien Award ... the technical, scientific and clinical research skills necessary to ... brings the highest number of nominees since the inception ... Nominees include biomedical products across three categories – biotechnology, ...
(Date:7/31/2014)... -- Genomic Health, Inc. (Nasdaq: GHDX ) today announced ... on Thursday, August 7 at 4:30 p.m. Eastern Time to ... webcast will follow the release of the second quarter financial ... access the live conference call on August 7 at 4:30 ... the United States and ...
(Date:7/31/2014)... , July 31, 2014  Celsion Corporation (NASDAQ: ... will host a conference call to discuss its second ... Thursday, August 7, 2014. To participate in the call, ... ) or 1-785-830-1924 (International/Toll) and ask for the ... 8283269) to register ten minutes before the call is ...
Breaking Medicine Technology:The Galien Foundation Announces 2014 Prix Galien USA Nominees for "Best Biotechnology Product," "Best Pharmaceutical Agent," and "Best Medical Technology" 2The Galien Foundation Announces 2014 Prix Galien USA Nominees for "Best Biotechnology Product," "Best Pharmaceutical Agent," and "Best Medical Technology" 3The Galien Foundation Announces 2014 Prix Galien USA Nominees for "Best Biotechnology Product," "Best Pharmaceutical Agent," and "Best Medical Technology" 4The Galien Foundation Announces 2014 Prix Galien USA Nominees for "Best Biotechnology Product," "Best Pharmaceutical Agent," and "Best Medical Technology" 5Genomic Health to Announce Second Quarter 2014 Financial Results and Host Conference Call on Thursday, August 7, 2014 2Genomic Health to Announce Second Quarter 2014 Financial Results and Host Conference Call on Thursday, August 7, 2014 3Genomic Health to Announce Second Quarter 2014 Financial Results and Host Conference Call on Thursday, August 7, 2014 4Celsion Corporation to Hold Second Quarter 2014 Financial Results 2
... On World COPD Day, Physicians Urged to Use Wider Screening Criteria ... Alpha-1 ... new study finds that a,higher than expected number of COPD and ... the need for broader,criteria for AAT deficiency testing. AAT deficiency, also ...
... with 200 mg/week mipomersen experienced 48% further reduction in LDL-cholesterol, ... ... Investor Day today - webcast live at 9:00 a.m. EST ... at http://www.isispharm.com , CARLSBAD, Calif., Nov. 13 Isis,Pharmaceuticals, ...
Cached Medicine Technology:Study Shows Need to Test More COPD and Asthma Patients for Underdiagnosed Pulmonary Disease 2Study Shows Need to Test More COPD and Asthma Patients for Underdiagnosed Pulmonary Disease 3Study Shows Need to Test More COPD and Asthma Patients for Underdiagnosed Pulmonary Disease 4Study Shows Need to Test More COPD and Asthma Patients for Underdiagnosed Pulmonary Disease 5Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 2Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 3Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 4Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 5Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 6Isis Reports New Data for Mipomersen in Routine High Cholesterol Patients and Provides Cumulative Safety Summary 7
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... ARUP Laboratories is a national reference ... laboratory research and development. ARUP offers an ... unique medical tests in clinical and anatomic ... ARUP Laboratories' clients include more than half ...
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
Medicine Products: