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Pamela Hall
Kerri Drennan
At the completion of this presentation you will be able to:
Describe the current health policies, organization, and financing related to military and veterans health
Identify stakeholders in military and veterans health
Identify values and goals in military and veterans health
Identify the consumers and what these consumers need or want
Identify changes to improve the system
CURRENT HEALTH POLICIES Combat injuries
PTSDTBI
Suicide Base realignment and closure/integration Personnel Tobacco use Emergency contraception
ORGANIZATION OF CARE
Direct Care:
Care for active duty personnel
Care for wounded military
TRICARE:
Health benefit plan for military
beneficiaries
President
Secretary of defense
Assistant Secretary of Defense
Surgeons General
Air Force Medical Facilities
Army Medical Facilities
Navy Medical Facilities
Funding for Veterans Affairs (VA)
-presidential and congressional
authorization
-Office of Management and Budget
disbursement (Mason, Leavitt,&
Chaffee, 2012, p. 184).
Commander-in-chief
President Obama
Secretary of Defense
Chuck Hagel
Assistant Secretary of Defense of Health Affairs
Dr. Jonathan Woodson
Head of the Department of Veterans Affairs
Sloan Gibson (replaced Eric Shinseki)
Congress (Mason, Leavitt,& Chaffee, 2012, p. 176).
VALUES AND GOALS OF
STAKEHOLDERS
Military Readiness Mission
Health Care Benefits Mission (Mason, Leavitt, & Chaffee, 2012, p. 176).
CONSUMERS:
Army Coast Guard
Air Force National Guard
Navy Reservists
Marines Families (Mason, Leavitt, & Chaffee,
2012, p. 177).
Needs:
“The care they were promised and benefits they have earned”-President Barack Obama (Veterans and military families, 2014).
Wants:
“All we want is an opportunity”-J.R. Martinez, US army veteran, actor, best selling author, and champion of Dancing with the Stars (J. R. Martinez, 2013).
ADVANTAGES: ACCESS: is for those who served honorably in the
military; hospitals, clinics, and vet centers QUALITY: The VA Performance and Accountability
Report (PAC), full accreditation, top performer (U.S. Department of Veterans Affairs [VA], 2014).
COST: “means test” to determine co-pay ($8), out-patient primary care ($15), specialty ($50), current Medicare rate, long-term care (depends on type and eligibility to pay (Military and veteran benefits, 2014).
ACCESS: VA scandal: 51,000 waiting at least 3 months for doctor’s appointment (Cannon & Preble, 2014).
Long wait times and long distances to treatment facilities (Elnitsky, Andresen, Clark, McGarity, Hall, & Kerns, 2013).
QUALITY: Secretary Shinseki resigned, apologized for failures in VA system (Shinseki resigns, 2014).
COST: May cost taxpayers 500 billion over next decade (Cannon & Preble, 2014).
Mississippi State Veterans Affairs Board Free advice
State nursing homes
Education
Burial
Low interest mortgages
Assists in finding state job openings
1. No bonuses for government employees
2. Allow veterans easy access to hospitals which
currently receive Medicare and Medicaid
3. Build additional small clinics
4. Full practice authority for APRNs in VA system
Veterans Choice Act of 2014
Proposed: Senator John McCain, Arizona
Referred to committee
Senator Roger Wicker
Member of the Armed Services Committee
Served in Air Force and then Air Force Reserves
Retired from reserves 2004 with rank of lieutenant colonel
555 Dirksen Senate Office Building
Washington, D.C. 20510
U. S. Representative Steven Palazzo
Marine Veteran of the Persian Gulf War
Member of the Mississippi National Guard
Washington DC, Office
331 Cannon House Office Building
Washington, DC 20515
Cannon, M., & Preble, C., (2014, June 16). The other veterans scandal. The New York Times. Retrieved from http://www.nytimes.com/2014/06/16
Elnitsky, C., Andresen, E., Clark, M., McGarity, S., Hall, C., & Kerns, R. (2013). Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom. BMC Health Services Research, 13498. Doi:10.1186/1472-6963-13-498
J. R. Martinez: All we want is an opportunity. (2013, Nov 11). Retrieved from website: http://newday.blog.cnn.com/2013/11/11/jr-martinez
Mason, D., Leavitt, J., & Chaffee, M., (Eds.). (2012). Policy & politics in nursing and health care (6th ed.). St. Louis, MO: Elsevier Saunders.
Military and veteran benefits. (2014). Retrieved from website: http://www.military.com/benefits
Shinseki resigns over growing VA scandal. (2014, May 30). Retrieved from website: http://foxnews.com/politics/2014/05/30
The White House, (2014).Veterans and military families. Retrieved from website: http://www.whitehouse.gov/issues/veterans
U.S. Department of Veterans Affairs, (2014). Retrieved from website: http://www.va.gov
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