Electronic Health Records: VA Sec Says Agency To Use Common Sense Fix

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Electronic Health Records

Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common sense solution to its antiquated VistA system.

Right now, there is a massive problem at every VA medical center and CBOC. Their medical records systems are difficult to manage and do not communicate with their military counterparts to allow review of both present VA medical records and military medical records.

Finding a solution has cost taxpayers billions with no solution in sight until yesterday. Yes, while video games and other systems can communicate with each other, neither the Department of Veterans Affairs or Department of Defense could find a way to cooperate.

In an announcement yesterday, Shulkin said he would adopt the same system the Department of Defense (DOD) uses so that the systems can communicate with each other.

“It’s time to move forward, and as secretary I was not willing to put this decision off any longer,” Shulkin said.

“These commercial systems don’t talk together and we need them to talk together,” said Shulkin at a White House press briefing following the announcement on Monday.

‘Why is this significant?’ you might be wondering. ‘VA spends billions all the time on software solutions. Who cares?’

RELATED: DOD Goes Live With MHS Genesis, $9 Billion Contract

Meme from March 2013 article covering same issue.

RELATED: VA, DOD Blow $1 Billion With No Strategic Plan

Electronic Health Records Fight

For more than a decade, VA has wrangled with the DOD to implement a unified electronic health records (EHR) system for its medical operations. After spending literally billions to figure out what to do, VA will now use an off-the-shelf commercial solution for the integration.

RELATED: Audit Shows Spending Billions Cannot Fix VA, DOD IT Problem

The move closely aligns with a more common sense approach to agency computing methods. Instead of always created brand new systems for every need using contractors and federal employees, VA will now start using commercial solutions that work, hopefully.

The debate over the fate of VistA has been hotly contested for decades. Initially, VA had the infrastructure and know-how to update and maintain the EHR. But cutbacks and drawdowns within VA under Bill Clinton resulted in an outstripping of the institutional knowledge. Now, the agency is wholly reliant on the private sector for a variety of projects including the majority of information technology initiatives.

“This is one of the biggest wins for veterans in decades,” said President Donald Trump in a statement yesterday after announcing privatization of air traffic controllers.

President Trump lauded the announcement as move to improve access and efficiency for veterans transitioning from the military to VA.

Shulkin indicated VA will avoid the competitive bidding process since DOD is already using a vendor and opening up the bid would create a two-year lag before a decision is made.

Instead, the secretary said his goal is full implementation within the next 3-6 months.

Possible Benefit To Veterans

As an attorney, I am onboard with this move so long as the new system is easy for veterans and outsiders to read when reviewing the records.

Presently, VA’s system is incredibly redundant, and it takes medical experts far longer to review when compared to standard commercial EHR solutions.

Community care providers not training in VistA tend to struggle to review the medical records veterans submit to them for review when seeking non-VA care. Hopefully, the new EHR solution will be better.

Fingers crossed.

Source: http://www.cbsnews.com/news/va-secretary-shulkin-unveils-new-electronic-health-record-system/

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Crazy elf
Crazy elf

Like I said, y’all need to Google the “Kansas City Based CERNER company.
It has a long list of Controversies attached to it!

OLDMARINE
OLDMARINE

Also in May, a $31 million Cerner implementation at the Athens Regional Health System in Georgia turned into a fiasco, with reports of botched orders, medication mistakes and patient care problems /////////On top of all that, Cerner is still in court-ordered arbitration in Kansas after a small rural hospital system sued the company in U.S. District Court after an attempted 2010 install, claiming Cerner ratcheted up charges and eventually dropped the project, leaving Girard Medical Center with no EHR system. ……a good honest company.LOL I am sure i barely scratched the surface

LAISLYING INC
LAISLYING INC

us taxpauers just bend over tge cerner co inc is going to screw real good out of $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ US TAXPAYERS HERE COMES THE CERNER CO BIG SCREW !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

OLDMARINE
OLDMARINE

Yea…..It’s called crooks gone wild

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

that’s great to have the record system efficient, but what about the rest of the crapola from the bureaucrats and ”Doctors” from Timbuktu who can’t speak English, and the psychologists who sabotage veterans’ records and the Nurse Practitioners and Physicians’ Assistant who are practicing medicine instead of VA providing qualified Doctors, and how about “Choice” which only refers to doctors or clinics of lesser standard who accept just Medicare for payment, and how about, the millions of dollars spent on Rocks and “Vestibules” and how persons who commit negligent homicide of vets can’t be fired, OR PROSECUTED EITHER………………and how about…………………….putting lil’ cocks on a spit………………………………………….and like the ads say: “SO MUCH MORE…” (GET OUT OF BREATH…)

cj
cj

Amen!

namnibor
namnibor

“[Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common sense solution to its antiquated VistA system.]”

(corrected and translated to what this means to taxpayers):

“Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common CENTS solution to its antiquated VistA system.”
(which means shoveling more $$$$ into that black hole called the VA as a FIX for myriad of past FIXES that surely will require MORE FIXES to their ratty network.)

The VA could employ Merlin himself and it matters not because even when idiots mess with magic they cannot get out of the locked cage submerged into water.
I am ALL FOR linking the DoD and VA, but expect resistance within the ratty network in the form of engineered failure.

What I am proposing is, this is a smokescreen for a cash grab, nothing more. What about all those Billions going to IBM and Partners? Did Watson get medically altered by the VA already?

namnibor
namnibor

Or did IBM’s Watson go on strike after realizing he was dealing with psychopathic idiots? Did IBM’s Watson get turned into a hall monitor for the DBC or was it more suited to AFGE’s basic human needs at the VA such as porn on their ratty network?
Or…is Watson in various parts & pieces after various parts came-up mysteriously missing?

namnibor
namnibor

What will come *next*, if this link-up with DoD works even half-assed: The VA will then declare that ALL their **hardware** is obsolete and needs a total reset.

The VA would be correct in the obsolete and need of total reset, but it’s not the electronics we’re speaking of being obsolete in need of a total reset.

“You can’t fix stupid!!” – Gump

cj
cj

@namnibor: The way the VA fixes stupid, is by hiring doctors from a more primitive country than they do now.

Coming to a VAMC near you, introducing Dr. Tsiinu, from the Baniwa tribe Amazon.

Reminds me of an old joke.
A woman is waiting at the airport for her daughter and ​her new son in-law. From the aircraft, her daughter emerged with a 7 foot Zulu, with a bone through his nose. The young bride’s mother yells out to her “I said RICH DOCTOR”

Seymore Klearly
Seymore Klearly

Sorry Namnibor,

Regarding Watson, it is just a machine and a algorithm with no conscience. So, the first thing it did when it started working with the VA files was join the AFGE. Now it too is fighting against Veteran’s rights out of self preservation just like the rest of the VA.

Don Karg
Don Karg

06/06/2017

Dear Benjamin Krause,

Just maybe be with the old Lockheed counsel out of the way [“nut case”] we will see what has happened to all that IT money. Could you add all the IT money up and see what we got for it?

I believe this is one of the big crimes at the VA, underneath the “murders”/”homicides.”

Last official count has been “508” in Phoenix since October of 2016.

Common Sense is a rare item in America.

Paine’s thoughts were just briefly used to get America going, just imagine if we would apply common sense to this treasonous VA Problem?

Sincerely,

Don Karg

James Clement
James Clement

Following.

James Clement
James Clement

Following. Missed Boxes.

Leatherneck
Leatherneck

Hello Veterans Rise and Shine call your Senators and Representatives I tell them that you believe how you feel that a New Veteran Benefit Law should be passed and tell them passed on to on the Veteran Affairs Committee in Washington, DC do not Surrender.

T
T

I have become a full blown pessimist, so I am not buying it. Just have to wait and see. Instead of all the lip service and blowing smoke why don’t they just give all disabled vets a million bucks each since they seem to lose as much everywhere. Then we can pay cash for care. LOL They can dig deeper into those deep black budgets and hook us up.

Well maybe more since less than a week stay at a Eskenazi critical care unit is over that amount.

Local scuttle-butt news said Eskenazi is supposed to come to town and offer that service to the new med school being built. But really it’s just paving the way for more of their services and hype. So all these ‘resources’ would have to use the same systems wouldn’t they? Private MD offices, clinics, hospitals, VA, medicare, maybe medicaid, insurance companies, seems very extensive and complicated.

Like those KIOSK we are supposed to have used, not many I dealt with even functioned. Or like those new cards they gave us to scan with failed.

I see major problems when it comes to Medicare, VA, payments for out-sourcing, and delving into the civilian scene. All those electronic file transfers consent forms I have signed giving them permission to use seems to never function either. From MD’s office to whatever Medicare office and to a clinic or specialist is futile. So they would connect and centralize it all, it seems to me. We can’t trust VA techs or contractors computer techs for security like deleting some communications and records, so this would give more eyes to see, and more activist, the corrupt, to have their way with our info and communications.

I don’t have to worry about the VA file sharing or keeping cause I am never going back.

namnibor
namnibor

Sorry but I had a thought:

What if…(just go with me for a minute here…)… VA Sec. Shulkin and the AFGE Rats already and SUDDENLY have seen the writing on the wall with POTUS’s announcement of privatizing the air traffic controllers and the VA is taking this bold move to make it an even harder integrated ratty network to fire and replace when the AFGE is ALSO BANNED from Federal Workplaces???

I know it sounds almost absurd but I’m telling you this supposedly had already been attempted in past with DOD and the obstinate rats would not make it work.
With Shulkin suddenly pulling this solution out ass and dusting it off, it reeks to me of a stragic chess move to make things more of an….integrated KNOT that would be harder to detangle and…privatize.

I’m probably wrong but that’s the polar opposite of a happy place where the VA and DoD magically can all get along and communicate over a campfire and kumbaya….as long as the burnt marshmallows and bloated hotdogs are still at the help of VA Titanic, it’s still headed for icebergs.

Wait for it….

namnibor
namnibor

**strategic** damn neuropathy

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

right on the money, Privatise no more bureac rats just go to private doctors and let lawyers do the adjudications, very simple lots less money…………………………………………..

T
T

Supposed to be a ‘Right to Work” brief, hearing, whatever, coming up to the SCOTUS. Unions, all, locally are hating losing some shops and want their powers back. That includes the AFGE, SEIU, along with the others. They all want closed shops and globally today. Especially the SEIU crowd.

James Clement
James Clement

@Namnibor – – – The only thing that sounds absurd – – – is when you said “I know it sounds absurd”. I think you are quite correct. Intentional Plan.

Once they are “partnered up” – – – then like so much else that SHOULD NOT BE, the government will assign a security classification – – – probably SECRET to military member’s health records.

Or maybe tre Records will be classified as TOP SECRET/NOFORN/LIMDIS/FUCKED UP VETERANS WILL NEVER GET YOUR BENEFITS NOW documents.

Back in the eighties as a Watch Supervisor at the CincPacFlt Operational Command Center, I saw quite a few Admiral’s Golf Scorecards marked SECRET NOFORN/LIMDIS. Golf scores as a National Security Issue.

Imagine that!

Crappy as some of those Admirals shot – – – They probably should have been classified TOP SECRET/SCI.

Your post was not absurd at all.

T
T

Golf scores! That got me.

Oh well. Our records are supposed to be open to law enforcment when wanted or needed. The same will go for the rest like Homeland Security IT will have to comply or have the ability to function with all others. Hell with it. All they have to do is plug in to the NSA or CIA since they are capturing everything we do and say, or going on in our lives.

I wish I could become a hacker. If I only had a brain.

James Clement
James Clement

@T – – – they are doing WAY more than capturing everything we do or say in our daily lives. Take a good look at “http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=6506148.PN.&OS=PN/6506148&RS=PN/6506148”

Remove the quotes. This is some scary shit that has been a work in progress for the last 15 years or so.

Regards.

T
T

James Clement. Now that’s a real tree shaker. I guess the show Jesse Ventura once had “Conspiracy Theories’ was on target somewhat about this technology and using weird beams or radio frequencies to mess with peoples minds, or ruin them. And why a guy on RBN radio sells some equipment that is supposed to fight this form of dis-ease and health problems. John Moore is his name. I think.

This government is far ahead on things, science, that we are made aware of. Maybe like this issue year later. Oops too late to defend ourselves or make younger ones aware of such things.

James Clement
James Clement

@T – – – Never watched. But I do know who J. Ventura is. All the way back to his time with the UDT at Subic Bay during Vietnam.

T
T

That was a heck of a show. He moved to Mexico after the networks and supposedly the government shut it down. Some can probably be found on Youtube, maybe. They would report on some very serious hot topics, plus about the “shadow government” and them being years ahead of the general public with technology.

He had some high level people on there. Upset some people when investigating 9/11 and asking questions about what some scientist were reporting on. Government men in those secret black ops stuff. You would have to watch it because I don’t even know how to explain some of the high tech weapons and mind control stuff they had on there. Scared the hell out of him several times.

Had a deal where a subject or target would get voices in their heads from using some kind of monitor or the TV screen stuff. Turn the monitor away from the target they could here nothing but a regular program, turn it to face the subject they’d get voices in their heads, or whatever was programed or used in that unit. Really strange far out equipment.

figure8fan
figure8fan

following, did not miss the boxes

Don
Don

The issue of using the same VA staff with the same work ethic is a problem. The VA has lost decades of my medical records, sent me approx. one thousand pages of other veterans records and are stonewalling me on my missing records.

Lem
Lem

About time. Sounds like finally getting a software solution to a software problem instead of a lock in to a contractor through a hardware solution with burned software which doesn’t work and can’t be fixed. And too costly to effect needed changes.

namnibor
namnibor

“This has all happened before”- ‘Battlestar Galactica’

Dennis
Dennis

It does indeed sound like a solution. As a matter of fact, it sounds precisely like a VA solution. VA has announce so many godamn solutions involving money they have gotten really good at announcing solutions, right. “But….”, you might quickly quip back in defiant retort, “Now we have Trump, a man of solutions.” Agreed… indeed he hit the pavement running with his very first VA solution on his very first day which promised through decisive action a whole string of future solutions. It was the firing of one of the most corrupt VA officials never to show up for work at VA! The guy is an absolute crook.

How is that going anyway?….

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

It is not a mistake it is intentional, I caught them red handed raise hell find out where the last goon had the last records be like a maddog on their Achilles tendon, Grr…………………….. These are not nice people and should not be treated with any respect..

Crazy elf
Crazy elf

I believe everyone on here has just about covered all the bases!
I’m also in agreement over what namnibor has opined about concerning the Air Traffic Control person’s.
I believe “David Little Cox-sucker” is in denial over how President Trump is privatizing his little asswipe workers! And, just maybe, the VA is next!
Maybe that’s why he’s against anything President Trump is doing. As is a majority of democrats and RINO’s in Washington!

One thing I do know is, we are seeing history in the making. There’s never been anything like this in my lifetime!

T
T

“One thing I do know is, we are seeing history in the making. There’s never been anything like this in my lifetime!”

A big AMEN to that. Coming at us from every direction too. My pondering is:just how will the historians write it up, or revise it. Not many are reliable about some truth or reality.

Dennis
Dennis

DoD almost certainly does not flag military patients as violent and disruptive prefering instead to defer to military justice under the UCMJ. Want to take any bets about the newest giant clusterfuck VA runs headlong into when the new record system is not designed for the kangaroo courts known as the notorious Disruptive Behavior Committee?

They are gonna change systems? Uh-huh. What will the new DBC implementation be? A chalkboard in the lobby with names? Will tall pointed paper hats will be required of all DBC patients while on campus? A scarlet “D” painted on the back? Or will they just keep a paddle handy in the vice principles office and take care of the problems as they occur daily?

I am gonna hold my breath until I know! Godamnit, please don’t let them make it legal to spit on a VA sidewalk! The place will get filthy!

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

The first time the Disruptive Behavior Committee took any action against any vet, the DAV, VFW, Am. Legion and all the others should have filed a cause of action to dissolve the Committee as an unconstitutional leverage of administration of justice. The DBC is not a valid entity, it is just a Boogie Man, and if they charge you with something it better be a misdemeanor at least, provable in a court of law, beyond a reasonable doubt. This is not the military where you get “office hours” or a school where you do not have all of your constitutional rights yet. These bureaucrats have been getting away with literally murder to cover up their other crimes, i.e. he/she is “acting out”. There are valid instances of misbehavior but not for becoming extremely frustrated for being denied the care to which the duty is owed by the VA to the veteran.

Rob D
Rob D

Sometimes I’m amazed at the incompetence. “Were spending billions of $$$ on our Vetera….Ooops….I mean our IT again! Yipeee!!” Another round of “our system is down” excuses for the next 5 years. I don’t even shake my head anymore when I read about VA problems, I just think they are going to something even more hair-brained to make the last mistake look miniscule. Sure seems like they shoot that $$$ everywhere but in the direction of the Vets.

Cassie
Cassie

Now, if they could only make Myhealthevet show our records prior to January 1, 2013!!! The next issue I’d like looked at is that all of our VHA care providers (and the VBA Chapter 31 counselors when we are using that benefit) can see our psych chart notes, which can limit what we confide about our VA medical care in other departments. Yes, they are only supposed to have access to them when we are being treated, but at that time can look at everything! Even our dentists can read them when they are providing us with treatment! Most civilian health groups have these specific chart notes considered to be confidential, so why not VA? Just sayin………

Rob D
Rob D

I’ve requested MyHealthevet e-mail records back from 2014 to present. Low and behold all the pertinent messages I was looking for were left blank along with dozens of others. You can find all your Pharmacy renewal requests and simple stuff like that, and they’re in your records too like they’re supposed to be. But it seems anything that they deemed negative for them, they erased, not even in your records either. I asked the Myhealthevet coordinator about it and she said they only allow appt. requests to be deleted as she specifically instructed everything else is to be left in secure messaging. I showed her five messages I had copied after I sent them to be forwarded to a Dr. as my condition I had was degrading back then, and asked where they were in the e-mail records as she could go back to the time period. Nothing, all deleted, she said she didn’t know how that could possibly have happened, she’ll look into it and that was the last I heard from her. Just had to get that off my chest when I saw MyHealthevet in your comment, they manipulate that too. I also asked for my medical records on a disc, they sent it in a format that couldn’t even be opened, even brought it to a computer place and they couldn’t even open it. I did get 8 boxes of medical records with thousands of pages though.

Lem
Lem

Pharmacy records were interfaced from the beginning with the mail out pharmacy. Going all the way back to the 1990s. The separate VA Medical Facilities each had their own congressional district pork barrel IT contractor which set up “hard ware with burned operating systems” that enabled the contractor to guarantee a lock on his contract for the future by maintaining the “code” inaccessible to other companies. So it was a bunch of individual contractors not giving up their code in an attempt to get the whole VA contract that brought us to where we are today on anything more than the pharmacy record and the interface with the call center that only lists the problems assessed.

And we can’t get our medical records with the actual progress notes from any of them. I’ve been seen by at least 10 VA Medical Facilities since the first computerization of progress notes in the 1990s. An FOIA request has been in the works since 2012 without results to all of the facilities and because of changes in contractors I’m unable to get copies needed of progress notes.

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Well, Hell, I just better get a look at my records more closely; Your psych records can affect the care you receive from other physicians and be used as a flimsy excuse for not administering the proper care.

T
T

After waiting a couple of months for my new, lame, MD playing PCP to get my files in black and white since the electronics failed, the second question from him was “you’re not taking any suggested anti-depressants for all the chronic pain you’re having.” Then I proceeded to tell him the story, like he seemed to care. Then saying there’s a lot wrong with you it’s going to take time to get this figured out. Then, you should go back to the VA. ” I received over ten inches of paper on you so far.”

Next visit two weeks later my file couldn’t be located there, New nurse and desk person. Doc couldn’t remember what we discussed and wasn’t in his notes. Then had to ask him why he called a prescription in to the wrong pharmacy, something for pain, but Gabapentin after me telling him several times I could not take the darn stuff. And on it goes. Such is life in Indiana. So it’s not only in the VA but a trickly down affect using PCPs and all the new laws and junk. Seen that one twice, his pain clinic referral twice and been searching for better care since.

So my records are being dumped all over the place.

Dennis
Dennis

@FPG

It is MUCH more insideous and juvenile than you think when your shrink shares the same damn notes with your PCP doctor. Ask any nurse in Primary Care and Mental health care to relate the relationship that exists between psychiatric doctors and THEIR diagnosis and primary care doctors and THEIR diagnosis. I can certify with ZERO hesitation that far and away the single biggest failure in place that virtually destroys therapy for a mental patient inside of VHA is ego.

The local rivalries are well known and the nearly constant feud that exists between the primary care egos and the mental health egos has escalated to epic proportions. We lament that DoD and VA do not get along? Try applying that same test between the mental health clinics and primary care. Ask yourself how many shrinks do you see mingling with primary care in the private sector? Those folks just do NOT get along well because just like a carpenter will see every problem needing more nails, a plumber will try to fix the same problem with a wrench. Enter the ego unbridled when you start calling somebody “Doctor” and suddenly the carpenter is telling the plumber how to go about unplugging the toilets while the plumber is installing a load bearing structure made of pipes to build a house.

Does this not sound like VA of today? I say truthfully the biggest concern a mental health patient needing primary care has is that the government has jammed these enormous conflicting egos into close proximity. It is kind of like a retired porn superstar reunion in which everyone has a different definition of twelve inches and EVERYONE stinks to high heaven!

Joe Fultz
Joe Fultz

Another attempt of a fix by throwing $ at a problem. Where is the real common sense?

I was the systems Administrator for a small but multidepartment business. I have no computer degree. I was told to take this on. I educated myself by classes and other studies. I quickly learned that the software maker was less than knowledgeable of our business.

The VA has too many systems. As a Veteran we have more than a few choices for Healthcare networking and information. Why can’t one system capable of interfacing with all necessary government agencies be designed?

One system,covering all department bases with multilevel security, providing one source for everyone to go to, even outside providers is a must.

Keep the Bureaucracy out of the design. Included users, with knowledge of departmental needs help design one big secure system.

In this day and age, there is no excuse for kicking the money can down the road.

Dennis
Dennis

@Joe Fultz

Agreed whole heartedly that the VA has WAY too many systems. The ones that come to mind are racketeering, embezzlement, bribery, and coercion. I think the system I most favor be applied to solve the VA problems is a special system that believe it or not is custom made to SOLVE EVERY SINGLE VA PROBLEM.

It is called the Criminal Justice System and it is really good at solving problems when America grows weary of crime and points its finger at ANY of the above sytems and says, “Sic ’em boys!!!” Lets try this system first or anything else we do is in vain.

namnibor
namnibor

What worries me is the very real possibility of the VA corruption, just like a virus, will then naturally fully corrupt the DoD and next thing you know the UCMJ is replaced with Union Bylaws and Agreements.

The AFGE absolutely must go.

Then, employ Veterans FIRST, and institute a ~~LITE VERSION UCMJ~~ to keep it running squeaky tight.

Above all, the VA needs accountability but without any code of ethics, like the UCMJ, or let’s call it Uniformed Code of Veteran Justice, (UCVJ), and that structure *and* making the VA a true **system**, where it matters not if you go to a VA in Delaware or Arizona or Hawaii, you get the same treatment without some fucking HACKS trying to tear apart your diagnosis by saying, “Well, we do it differently HERE…”
Until there’s basic STRUCTRE and ETHICS, you can spend a TRILLION $$$ on new IT and as long as the same Purple Team is there, well, the virus remains.

The AFGE Lamprey must go.

Rant Out. (happy b-day mam…June 6, 1944)

namnibor
namnibor

**mom**

Dennis
Dennis

Shulkin wants to take away I.U. from us older vets and channel that money over to Veterans Choice. But will Veterans Choice work for vets? I’ve got doubts. I just look at Medicare and how there’s many doctors and specialists that won’t see a Medicare patient. I can see the same thing happening with this Veterans Choice. Suppose a veteran can’t get in to see a specialist and decides to go back to the VA and Shulkin & company have decided to put a halt to any vet on veterans choice to come back? This veterans choice as I see it is the start of this privatization scheme, Stealth Privatization, the American Legion calls it. What if all vets are placed on veterans choice and then you can’t be seen by the specialist you need to be seen by and then there’s no more VA to go back to?

Seymore Klearly
Seymore Klearly

Really Dennis. Your here quoting American Legion hyper-bullshit. What the fuck is your major malfunction?

cj
cj

Right now, there is a massive problem at every VA medical center and CBOC.

Yeppers, it’s called the AFGE/SES!!!!! Simple fix, follow James Clement’s 9 part plan. Won’t charge the taxpayers a red cent for that detailed information.

cj
cj

.

Dennis
Dennis

@cj

A much more subtle form of protest is available and though likely it is illegal the recipient won’t DARE report the crime….

Go into the employee parking lot and leave a scratch from front bumper to back bumper with the key of your choice. Then scratch AFGE into the windshield. VA folks won’t notice you doing this anymore easily than they spot dead bodies but more importantly as you pointed out this is a union shop which means union tactics 101 is a prerequisite..

You won’t be reported out of fear that the vandalizer was sent by the union to explain why it was a bad idea to flip off the shop steward last year. Unions, or rather the people belonging to them are like elephants (ref: Ben’s bad art) and they do NOT FORGET! There would be no way to know if the AFGE scratched into the windshield represents a resentment towards VA or pride in a brotherhood. Take it from me growing up as a younger brother, you just don’t want to piss off big brother…

Seymore Klearly
Seymore Klearly

Dennis you are suggesting people commit the crime of criminal damage to property. The amount of damage you are recommending could end up with a Veteran arrested for a felony.

ANutterVet
ANutterVet

I would hope that the VA has brought in the best IT Networking Professionals for consult with finding a platform compatibility. If VA foresees this to be a long term problem, it may be best for the VA to determine if a separate platform can be created that contains many applications, for the sole purpose of maintain the records of the VA. I don’t know to much about platforms, but I’d think uniformity would be in the mix.

“Tear it all down, and then builder right back up. Now do it again. Come on now, move. I know, I know. But, listen everyone else is complaining how terrible this is to. We can’t help it, that’s what they sent us. Deal with it, may be their product don’t work, but at least we got a program named for it.”

The VA. A money pit that has no boundaries. The Whole VA Network Systems of Operations is amuck. I’m no accountant, but this I do know, the VA is accountable to no one. An Agency that is loaded with mud, sludge, and slime.

The VA Network as a Whole, is unmanageable even when there are managers that are present. This past week someone from the VA said that they have no idea of where the VA’s Controlled Substances are illegally obtained or stole. VA doesn’t know what is going on nor do they know where something needs to be evaluated or fixed.

Bring in FBI + Bring in Best Accountants = Their Lucked Up + Accountability = Real Service + Saved $$$

James Clement
James Clement

@AnutterVet – – – Pssst! Hey mac, heard a rumor that the new net is going to be named CLUSTERFUC – – (Cough) Excuse me. COVFEFE in honor of the POTUS whose budget will allocate the money to construct it.

ANutterVet
ANutterVet

@James Clement – – – Hey, you know how those capitalists are. There’re full opportunists with the light always green. I don’t know if they have enough Anti-ClusterFuc in stock. Production runs can’t keep up with demand from President Donald Trump, Designated Family Members, Wife, and other non-Designated Family Members.

VA isn’t capable of holding itself accountable, they don’t know how, and they don’t know where.

CRAZY ANYMORE . . .

James Clement
James Clement

CJ is correct. I would NEVER charge a red cent for doing my duty to try to help improve the lives of my fellow veterans. Here is what he was referencing:

FIX THE DAMN BROKEN VA:

1. Recognize the problems inherent in the VA are SYSTEM-WIDE, not just limited to a few locations.

2. Fire all the Lazy No Good Workers. Fire EVERY single AFGE/SES Employee.

3. Sell off all the VA facilities. Alternatively, they may be converted into housing for homeless veterans.

4. Issue all veterans a card that allows them to choose their own doctors within their community that they can TRUST.

5. The United States Government will PAY those doctors promptly (Within 45 days) for the care they provide veterans.

6. ELIMINATE the “Federal Protection” Umbrella for incompetent QUACKS that the VA sends to other states to practice other than their own. Going to practice in Hawaii? You need to be LICENSED in Hawaii. Same applies to all other states.

7. Any claim a veteran submits that requires more than 90 days to adjudicate, is automatically found to be in favor of the veteran. If a claim filed by a veteran is found to be a false one designed to scam the system, the VA will have to prove in civil court that a false claim was intentionally submitted.

8. All veterans will be allowed to seek/retain the services of a Veterans Rights Attorney from their first initial contact with the VA.

9. No AFGE, nor any other Labor Union business will be allowed to take place in any Federal Workplace. Conducting Union Business during working hours will be STRICTLY PROHIBITED, and will be STRICTLY ENFORCED. Should any government employee be found violating this provision, it will result in IMMEDIATE LIFETIME DISMISSAL FROM ANY/ALL GOVERNMENTAL EMPLOYMENT. Attorney’s for appeal will be retained at the former employee’s PERSONAL expense. U. S. Taxpayer’s will not be subject to payment of legal bills for incompetent personnel with regards to Governmental Employment.

POTUS Reagan broke up PATCO in the ’80’s. POTUS Trump and our current Congress Critters do NOT have Veterans Interests at heart. Perhaps their replacements will. VOTE OUT all these WORTHLESS INCUMBENTS. Give their replacement’s one term to take care of the Veterans. If they cannot MUSTER THE STONES to do it properly – – – vote their worthless asses out as well. Party should NOT MATTER. What SHOULD MATTER is their VOTING RECORDS ON VETERANS ISSUES.

NO Combat Veteran should be surprised when the next McVeigh Incident occurs. Bound to happen. Just a matter of time . . .

cj
cj

Most excellent!!!!!!
VA would save the taxpayers hundreds of millions, by paying this gentleman, 1/10 that amount to fix their deep rooted COVFEFE!!

Veterans from all four corners of globe for the first time in a great number of years, could be seen with smiles on their faces ?.

namnibor
namnibor

I would even suggest a very strong #10 for consideration:

Make the VA a transition from active military to civilian career path utilizing the already specialized educational shovel-ready on the job skillsets to replace all the mammoths at the VA and VA Voc. Rehab. would be fiercely integrated with that transition.
With such an active duty to VA civilian career path, of course also utilize older veterans already in the meatgrinder and some things such as expensive IT fixes could be handled by some very specialized veterans working at the VA with other skillsets…you get my drift.
I want to believe if the AFGE were gone and our own brethren and sisters were taking care of us, including at management levels, the head of the snake would be agreed upon in 20/20 hindsight, the AFGE.

(#9 & #10 are entirely codependent)

James Clement
James Clement

@Namnibor – – – Taken for advisement and consideration.

T
T

Great list, great addition and needful. Should be a priority. Would have to change a lot of things in the local arena due to such things like “Nepotism.” Or trying to over-come the cliques and other machinery.

T
T

I love the links and info I get here. Plus the understanding of all issues.

Locally all I get is flak from a far left winger town completely ruled by same, and the neocons. Nepotism rules. Called a conspiracy theorist, racist, misogynist, crazy, crazy crazy etc. Gets old. Then the subtle threats, to censoring, and inability to go to meetings because of health issues and other possible problems. Vet groups included. There is no way to protect ourselves alone in a meeting, say a sugar crash, then having a young attorney, the son of a sitting town attorney hop in your path and keep dancing with you making a swift (ha ha) exit difficult and in that shape. Especially when I am greying out, sweating profusely, soaked, shaking, and absolutely intentional with not one persons offer for help. That is what living in a one party college town is like. I should have grabbed the pencil neck, big eared fool and broke him in half. But now he moved up to be a corrupt appointed king. But that too is fantasy according the nepotism club present or not even present at the meeting. Guess I need a body cam too.

Ooops run of on a rant.

Back. No, this IT issue and asking the wrong questions or some relatively small complaints led to other more serious issues and the VA abuse and mistreatment.

We are guaranteed top security like with “Secure Messaging” or the Healthy E-Vet thing. Wrong.

1. It seemed my prescriptions were deleted, changed or played with on daily basis. (near constant changes in pcps didn’t help)
2. Those so-callled private communications got totally deleted especially when they showed the incompetence, and intentional gaming going on. From the Advocates, to making appointments then cancelling them as I drive a couple hundred miles to hear oh that was rescheduled. I just checked messaging that morning.

Like, they would call and let it ring twice. Enough to capture it on the answering machine, then hang up. Then tell me all the time that they tried to contact me. Wrong. Why hang up the second I may get up on two rings to answer to have them hang up. Then later leaving a Secure Message stating that they have tried in great effort to contact me. Then that’s gone.
3. To find out after being told only a PA, MD’s clinic nurse, , special clinics can see my info and not clinic to clinic either. Liars. Then to find out it was the VA and the contractors IT at the CBOC that deleted everything on that site before I could get home, log in and get in all copied. After I woke up to see what was going on. Or had the presence of mind to cover my ass better.

4. Then to get into a heavy argument with the VA IT stating that she was allowed to monitor the site. And saying she could delete my stuff if she wanted to. Or if it was causing issues with the system. Whatever that is. It was in her job description and in her power to do so. I asked about privacy. Then I wasn’t supposed to dare question a ” powerful, independent woman doing her professional job.” Being so highly trained. Ahh so I am dealing with a Marx feminist man hater seemingly, hubris, big psycho ego, thin skin, and pissed that I didn’t back down because of her power position. And more. So left the CBOC after them claiming perfection, among other issues, jumping into the fire going to Indy. Down hill from there. To VA retaliation, more abuse, more intentional neglect and gaming and on.

So we are dealing with a system of pathological liars, social justice warriors, special interest activist, psychos, sick egos claiming to the best, and more. Then to get that mess of papers/files showing more lies and file modifications to suit their purpose? Yeah, we can’t see behind the screens or know just how many people in reality have access to our personal lives or issues. Being told Homeland Security has total rule over everything including property to health care is difficult for me to decipher, understand. or agree to.

A cocky P Advocate said he could bring all that info that was deleted back up. Never happened. Led to more arguments. People that knew the info loss and other stuff happening refuse such accusations. But my secure messaging was left…. empty. NO response came from that question with the clear evidence at hand. Then the barrage of P advocates claiming to be there to help, or what my problem was.

So who can we trust? No one, nada, none, zero. The files, the IT, record keeping, notes, manipulations is all in their hands, not ours. Who said it…’In God We Trust” all others trust is earned, like respect.

Glenn Williams
Glenn Williams

I need a lawyer real bad. 37 years ago the VA changed my record then destroyed original documents and intentionally changed the record. This happened because of a “SOFT ERROR”. in the transition from Card Fed Computer System to Disc Operating System. There truly was a thing called ” ERROR 1979″. The VA intentionally minimized my condition on my initial C&P Review, because my record was in LIMBO at 10% Service Connected. 22 years later I went for another C&P for fractured index finger, which they did not address the first time as they stated. raised me to 20%. My claim was also for PTSD, I surmise they tried to cover the first lie with another lie by setting me up with a Psychiatrist that truly had a Narcissitic Personality disorder. The VA took 11 month’s from application to review. This shrink ripped me a new asshole, by ridiculing everything I said, and I mean everything I said. I don’t drink, but by her evaluation I became an alcoholic in a minute, because I was aware that I had only 12 Mikes Hard Lemonade drinks over a 12 month (1 year) period, also accused me of DWI, purely a Narcisstic projection of her alcoholism and her DWI. I was awarded 10 more %. PTSD was denied. Because the VA changed the record in 1979/1980 didn’t receive RETRO/lump sum compensation. As it happens had 2 service connected TBI, which rendered me with Amnesia, long term memory loss and short term memory loss. so I never realized that they had fabricated the VA Form 21-526 because of that SOFT ERROR. 6 yrs later had another C&P Review, I admit I shouldn’t even made the claim. Then in November 2014, I realized through long term memory restored to me that I had the TBI’s and memory loss, which until then was unaware of. I filed for C&P evaluation, which was contracted out to qualified specialist, and was awarded 90% Service connected. Only then did I realize they had changed the record. They never gave me copies of anything, and what documents I did have were lost as I moved many times. It is very much more complicated and very much deeper than that. Thats why I need a lawyer. I figure they owe me at least $500,000.00 plus dependents benefits 1981-2011. Please Mr. Krause contact me, this is another records scandal with many many lies on the part of the VA, that they are trying to cover up.