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Sean Eagan
Life Member VFW NY Post 53
American Cold War Veterans, Inc.
Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |
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Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |
Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |
VA Official Outlines Progress in Reducing Claims BacklogFrom a Department of Veterans Affairs News Release WASHINGTON, Dec. 11, 2013 - A senior Veterans Affairs Department official today outlined progress made by the Veterans Benefits Administration in reducing the backlog of veterans' disability compensation and pension claims by 36 percent since March, attributing the success to the combined impact of transformation initiatives and increased employee productivity. Allison A. Hickey, undersecretary of veterans affairs for benefits, testified at a hearing of the Senate Veterans Affairs Committee. "We know there is much more work to be done to reach our goal of eliminating the disability claims backlog in 2015," Hickey said. "But I'm encouraged that the improved tools and processes we've put in place so far are having a real impact so that we may better serve our nation's veterans, their survivors and their families." Hickey detailed the elements of the Veterans Benefits Administration's transformation plan, which includes retraining and reorganizing its workforce, streamlining business processes, and building and implementing new technology solutions. With each transformation milestone, she said, VBA is successfully moving away from a paper-bound, manual process to improve benefits delivery through paperless claims processing. She also noted that if full funding is received, mandatory overtime for VBA claims processors, which helped to bring down the backlog this year, will continue for much of 2014. The undersecretary highlighted several accomplishments in the testimony: -- Decreasing the pending inventory of claims by 22 percent; -- Decreasing the number of claims in the backlog pending for more than 125 days by 36 percent; -- Increasing claim-level accuracy from about 83 percent in 2011 to 90 percent today; -- Increasing medical issue-level accuracy to about 97 percent today; -- Completing processing of 99.9 percent of all claims that were pending for more than two years; -- Completing processing of 97 percent of all claims that were pending for more than one year through the end of October; -- Converting more than 360 million images of paper claims documents into a digital format for electronic processing; and -- Establishing more than 3.2 million veteran, service member and family member accounts in eBenefits, the joint Defense Department/VA Web portal for accessing and tracking VA benefits. Also, Hickey said, VA's Web-based, paperless electronic claims processing solution, the Veterans Benefits Management System, or VBMS, was deployed to all 56 of VA's regional benefits offices across the country, six months ahead of schedule. VBMS has also been fielded to the Appeals Management Center, the Records Management Center, the Board of Veterans' Appeals, VA's National Call Center, and all VA Medical Centers. Currently, about 75 percent of the VBA's claims inventory is in digital form for electronic processing in VBMS --– a percentage that is growing daily, Hickey said, adding that VBMS will continue to add new features and capability. Hickey thanked the committee members for their support, noting that VA will rely on their continued support for resourcing the information technology and automation advancements needed to meet the dDepartment's goal of eliminating the backlog in 2015. In fiscal year 2013 alone, VA provided more than $59 billion in compensation benefits to 4 million veterans and survivors, and more than $5 billion in pension benefits to more than 515,000 veterans and survivors. VA officials urge veterans and separating service members who are planning to file a disability claim to do so by filing fully developed claims, known as FDCs, electronically through eBenefits. Veterans and separating service members who need help filing their claims can contact their local veteran service organization for assistance, officials said. Under current law, veterans filing initial disability compensation claims as FDCs now through Aug. 5, 2015, may be eligible for up to one year of retroactive benefits. Registered eBenefits users with a Premium account can file a claim online, track the status, and access a variety of other benefits, including pension, education, health care, home loan eligibility, and vocational rehabilitation and employment programs. |
Biographies: Allison A. Hickey Related Sites: |
Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |
Colleagues and Fellow Veterans,
This past Friday the Bureau of Labor Statistics released the November unemployment data. Attached is our 'cheat sheet' summarizing the information.
Overall, the National unemployment rate decreased to 7.0%, and the Veteran unemployment rate decreased to 6.7%. The Veteran unemployment rate is slightly higher than November of last year but lower than the November 2011 rate of 7.4%.
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November 2013 Unemployment | ||||||||
Cohort (% of total) | Rate | Change | Level | Change | Non-Vets | |||
National | 7.0% | -0.3% | 10.9M | 400,000 | - | |||
>27 Weeks |
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| 4.1M | - | - | |||
All Veterans (100%) | 6.7% | -0.2% | 724,000 | -26,000 | 6.4% | |||
Male | 6.5% | -0.2% |
Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |
Patients at Department of Veterans Affairs hospitals are not being adequately protected from doctors who have histories of providing substandard treatment, according to a new report from the Government Accountability Office.
None of the four Veterans Affairs hospitals examined by the GAO complied with all of the requirements for peer review of patient care that results in a bad outcome, which could include patient deaths.
Cases that warranted possible disciplinary action also were not always followed up on properly, according to the report.
The Veterans Health Administration has procedures in place to ensure quick reviews in cases that have bad outcomes.
Those can range from a confidential review by senior doctors to more formal investigations that can lead to discipline.
Among the standards the hospitals failed to meet were timely completion of the reviews and development of clear triggers that would signal the need for more in-depth investigation of the patient's care, according to GAO.
"Failure of VAMCs (Veterans Affairs medical centers) to adhere to the protected peer review policy elements may result in missed opportunities to identify providers who pose a risk to patient safety," GAO concluded.
"VHA cannot provide reasonable assurance that VAMCs are using the peer review triggers as intended, as a risk assessment tool. This weakens VAMC's ability to ensure they are identifying providers that are unable to deliver safe, quality patient care," GAO said.
Investigations by VA's inspector general and media reports have documented at least 21 preventable deaths and a series of sanitary and safety lapses at VA hospitals.
Recent reports have linked poor patient care, maintenance issues and unsanitary practices to at least six preventable deaths in Columbia, S.C., five in Pittsburgh, four in Atlanta, and three each in Memphis and Augusta, Ga.
There are three levels of review after an adverse incident at a VA hospital. The most informal is peer review in which experienced medical providers examine the treatment a patient received to determine whether it was appropriate.
That process is considered "protected," meaning it is confidential and the results cannot be used in disciplinary proceedings.
The other two levels examine the doctor's competence and determine whether the adverse outcome is due to misconduct. They are not protected, and the results can be used to discipline the health care provider.
If an investigation in a protected review uncovers evidence that the doctor or dentist's actions put patients at risk, the case can be forwarded to the higher level of unprotected examination. There are supposed to be clear triggers to make that determination.
The initial review must be completed within 45 days under VA policies. If it is determined the case should have been handled differently, it is supposed to be sent to a higher-level panel, which is supposed to make a final determination within 120 days.
Other VA policies require cases in which patient care or doctor competence are questioned to be sent to an unprotected review, and that each hospital develop clear triggers that would flag a case for further investigation.
But when GAO studied the peer review processes at VA hospitals in Dallas, Nashville, Seattle and Augusta, Maine, it found none met all four requirements.
Only one hospital completed all initial reviews within the required 45 days. It also completed final reviews within the 120-day deadline in 97 percent of the cases.
Two other veterans' hospitals met the 45-day deadline less than 80 percent of the time. Final reviews at those two hospitals were done within the required 120 days in 89 percent of the cases.
The last hospital could not be assessed because its records were incomplete.
The hospitals were not identified by name.
All four hospitals did have standards to trigger a higher level of review if the quality of care or doctor competence was questioned.
Three of them appropriately sent questioned cases for further examination between 96 and 100 percent of the time.
But the same hospital that had the sloppy records sent only 79 percent of the cases that should have been given more scrutiny to a higher level of review.
VA officials generally agreed with the GAO findings and said the agency plans to implement the recommended changes.
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Curt Cashour
House Committee on Veterans' Affairs
Web: | http://americancoldwarvets.org/ |
Blog: | Cold War Veterans Blog |
Email: | Sean.Eagan@gmail.com |
Phone: | 716 720-4000 |
Network: | My Fast Pitch! Profile |