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