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Population Management and Genomics at core of New VA Data Partnership

VA Data Partnership

The Veterans Health Administration and Kaiser Permanente teamed up earlier this year to to form a new VA data partnership. They will collectively study veterans health care to include population management. According to India Insurance News, the two organizations provide care for over 18 million Americans.

The partnership will allow both entities to share resources and best practices in the following four areas:

  1. Population management and large data set analytics
  2. Genomics
  3. Connected health and virtual care
  4. Care of patients who are veterans and also members of Kaiser Permanente

This is not the first time the duo has worked together. In 2010, Kaiser and VA shared medical data through a pilot project that used the Nationwide Health Information Network. That program allowed clinicians from both Kaiser and VA to use electronic health record information. This information included data about health issues, medications and allergies. It likely included other unlisted information as well. The project set the stage for the upcoming VA Exchange.

The new partnership is being pursued with the goal of improving care for all patients, not just those of Kaiser and VA. It will also allow both entities to improve “population management” tools.

Apparently, VA claims the union will improve access to care for veterans, somehow. “We are eager to continue to redesign the experience of our veterans seeking health care to increase ease of access and quality of services,” said Patrick Littlefield, director of the VA Center for Innovation. Hopefully it will stop deaths from fraudulent scheduling practices.

According to the Deputy Under Secretary for Health for Policy and Services, Madhulika Agarwal, MD, MPH, “We are proud to join in this mutually beneficial partnership with Kaiser Permanente; together we will focus on enhanced coordination of care for our veteran patients, connected health care as well as advanced analytics and genomic medicine.”

Interestingly, the article from India Insurance News included that last quote from VA Deputy Under Secretary Madhulika Agarwal, MD, MPH. The same quote and any mention of Dr. Agarwal was omitted from an article on the partnership in Healthcare Matters.

 

About the VA Executives

Madhulika Agarwal is Deputy Under Secretary for Health for Policy and Services. She earned $271,000 in 2013 from VA. She received her medical degree from Rajasthan University in Inida and her Internal Medicine training from Georgetown University. Dr. Agarwal previously worked on VA’s Suicide Prevention Program and was the Chief Officer for Patient Care Services.

 

Patrick Littlefield is the Acting Director of Center for Innovation (VAi2) at VA. His salary is not publicly listed. Mr. Littlefield took over the VAi2 after the previous director, Jonah Czerwinski, resigned following the exposure of a VA sexting scandal within the agency. Before VA, Mr. Littlefield was founder and chairman for WaveMark, Inc. His firm developed solutions for RFID tracking devices and supply chain business models in SAAS.

 

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15 thoughts on “Population Management and Genomics at core of New VA Data Partnership”

  1. Sounds to me like she probably earned a VA bonus for “managing” the veteran suicide rate while in that job and running it up to 22 per day. But she knows that figure is based on data from only 21 states with 29 still to go. (It states that qualification in the official VA report on the suicide crisis; get it & read it). The true rate is certainly more like 50 or more per day. God only knows, or wait, Dr. Agarwal likely really knows………

    After all, her specialty is crunching data to glean for metrics to “improve” the suicide rate. And that will be her job in this new joint endeavor, “population management,” using the skills she acquired while Chief Officer for Patient Care in VA’s Suicide Prevention Program.

    You see, the program was designed to “prevent” the rate from going Down. And that’s their real idea of population management — by ridding themselves of us who have so many medical issues that when we are gone — their costs will go and disappear too.

  2. I’ve been reading the politians and veterans talk about voucher systems or fee’d out to the private sector. For a long while this sounded real good and very logical to me. But then I researched more about this from my own experiences and with very open talks to certain VA clinical employees. The problems with vouchers or fee-outs is the private doctors don’t do a good, thorough or comprehensive enough job on the veteran (patient) and the veteran has to wait for the VA to correct the problem at the VA clinic or hospital. By then the damage is worse. It seems like private practicioners think the VA doesn’t pay enough for the services to be done right. They cut corners and don’t provide quality but do take any money the VA throws at them. The doctor business (and the dental business is very competitive and cut-throught , and not nice. Many practices won’t even consider VA fee basis or vouchers. The doctors that do will most likely give you the service the VA will pay them – which is cheap and not at all in line with the rates doctors get. It’s a way to make a buck inbetween ‘real’ patients.

    So the veteran loses again. Any voucher system put in place because of what’s going on now with the VA is going to be thrown together like shit, and a year from now there will be more news on how that didn’t work out.

    Let’s face it – something has to give. The management skills and realistic thinking of these the clowns really suck big. But they are the ones who are getting away with this and the veteran is the one that gets kicked in the ass.

  3. “Population management” is eugenics, and having an “East Indian” Dr.Madhulika Agarwal as the programs gate-keeper is nothing surprising. As a British Caribbean expat, I learnt that the caste system is steeped in eugenics ideologies’ and that the British & the United States have always used the East Indians as pawns on their grand chess-board in new world domination A.K.A. “population management” These two articles may make the East Indian caste system a little clearer.

    https://www.sabhlokcity.com/2013/08/indian-eugenists-accepted-as-specimens-not-as-scientists-the-story-of-indian-eugenics-1/

    https://www.sabhlokcity.com/2013/08/the-story-of-indian-eugenics-2-aryan-supremacy-and-most-importantly-the-caste-system/

  4. In related news, know this: Senator Burr is under fire yesterday for saying all vet orgs besides the American Legion are pawns for the VA. Hey, call the Legion, see how they act. They act like the VA and worse, I mean try calling the American Legion at your nearest VA regional office that is in the same building as the VA. You will immediately see that they are clones of the VA. All vet orgs have been taken over by the VA. They golf together, drink together, go to lunch together, they are all buddies. The VA has absolutely infiltrated every single VA organization, including the Legion who is actually the worst because they have everyone convinced that they are actually doing something besides talking.

    1. SPOT-ON, Bruce. But you left out on thing — They also sleep together, literally.
      My DAV reps at the early stages of my VA disability claim were the same.
      Also, these AL executives also get inside info. on plum VA/DoD contracts.
      They then flip the info to their contractor buddies who sell to VA/DoD.
      Join AL and the other Vet groups & get a “detailed accounting” of their revenue/donors.
      You’ll see who some of their biggest donors are.
      You won’t see them in Las Vegas though.
      They prefer yachts in the Caribbean — or anywhere.

  5. J. Edward Vernon jr.

    DENNIS/FED UP, YOU READ MY MIND. PROGRAMS, PROGRAMS, PROGRAMS ETC. HAVEN’T WE HAD ENOUGH ? PROGRAMS DO NOT WORK WHEN THE ADMINISTRATORS ARE BOUND BY “S.O.P.”. IT JUST ADDS TO MORE “CONFUSION/RED TAPE”, WHICH, BY THE WAY, IS THE PROBLEM NOW !!

    GENTLEMEN, A LOT OF OUR WARRIORS HAVE DEFINITE, IDENTIFIABLE “PHYSICAL” MALADIES, BUT 100% OF THEM HAVE “HIDDEN, UNIDENTIFIABLE” MENTAL PROBLEMS. WE DO NOT ADDRESS THOSE VETS’ NEEDS. MORE PAPERWORK WILL MAKE IT EVEN MORE ARDULOUS FOR US. I DO NOT KNOW OF A “QUICK” SOLUTION”, BUT ADDING MORE “WAIT” TIME TO AN ALREADY “TIMELESS” PROCESS, DOESN’T SEEM LIKE THE WAY TO GO.

  6. Your article says that the salary of Patrick Littlefield the Acting Director of Center for Innovation (VAi2) at VA is “not listed” for public disclosure. As I understand government policy regarding disclosure of salaries, this almost always indicates CIA connection. If that is the case here, I find it chilling that a CIA spook would be involved it a VA program the description of which contains the ominous term “population management.” Is the VA working on thinning out the ranks of us troublesome vets with a little “population management?”

    1. While in the reserves I worked for a “gatekeeper” HMO, called Bristol Park Medical Group. My job was to authorize care. Everyone knew then, and still do, that Kaiser is the world’s worst when it comes to authorizing care. Any HMO, managed care, or gatekeeper medical organization makes their money by denying care, plain and simple. They are masters of secret waiting lists, and in fact have waiting lists that make you wait to get on the next waiting list, along with a real life version of the kid’s game “Chutes and Ladders” thrown in for good measure. Kaiser has a long history of getting their patient’s killed so it is no comfort to know that they or any other medical bureaucracy is going to be added to the equation. We need a voucher system or better yet just up front authorization to go to any doctor we want then the VA gets the bill. With VA doctors getting up to $900,000 to screw around working 4 days a week or less there is plenty of money to get us care in a timely and effective manner and end up with 100’s of millions of dollars more at the end of the day.

  7. I tend to get worried the more my ” personal information ” is shared or ” managed ” by people with NO NEED TO KNOW, using one of our own Governments favorite phrases. I am a VET, disabled but still proud, and still a PRIVATE human being, it just seems that is to be violated again by our Government in the name of ” progress ” scary proposition to me !!

    1. This is why I never enrolled in the Million Veteran Program as I believe it’s a sham and a scam. Hundreds of privacy invading “researchers” sucking the money out of taxpayers so they can find out even more about you so they can “improve the medical quality of life” for future veterans. If you believe that I’ve got a bridge in Brooklyn to sell you. They’re already getting your DNA every time you give a blood and urine sample, or get your saliva from the thermometer just stuck in your mouth at the VAMC’s. My parents are deceased and my non-military serving siblings do NOT want to have anything revealed about themselves as well.

  8. This so called “data set analytics” has me thinking that veterans are just human guinea pigs once more.

  9. please define “population management.” is this a politically correct term for eugenics? Is this how they’re going to weed us all out; most especially older veterans and those injured by the ongoing wars?

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