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VA hospitals secret list and wait times

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#1 Dmacleo

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Posted 24 April 2014 - 01:14 PM

http://www.cnn.com/2...lays/index.html

(CNN) -- At least 40 U.S. veterans died waiting for appointments at the Phoenix Veterans Affairs Health Care system, many of whom were placed on a secret waiting list.
The secret list was part of an elaborate scheme designed by Veterans Affairs managers in Phoenix who were trying to hide that 1,400 to 1,600 sick veterans were forced to wait months to see a doctor, according to a recently retired top VA doctor and several high-level sources.
For six months, CNN has been reporting on extended delays in health care appointments suffered by veterans across the country and who died while waiting for appointments and care. But the new revelations about the Phoenix VA are perhaps the most disturbing and striking to come to light thus far.
Internal e-mails obtained by CNN show that top management at the VA hospital in Arizona knew about the practice and even defended it.
Dr. Sam Foote just retired after spending 24 years with the VA system in Phoenix. The veteran doctor told CNN in an exclusive interview that the Phoenix VA works off two lists for patient appointments:
There's an "official" list that's shared with officials in Washington and shows the VA has been providing timely appointments, which Foote calls a sham list. And then there's the real list that's hidden from outsiders, where wait times can last more than a year.
Deliberate scheme, shredded evidence
"The scheme was deliberately put in place to avoid the VA's own internal rules," said Foote in Phoenix. "They developed the secret waiting list," said Foote, a respected local physician.
The VA requires its hospitals to provide care to patients in a timely manner, typically within 14 to 30 days, Foote said.
According to Foote, the elaborate scheme in Phoenix involved shredding evidence to hide the long list of veterans waiting for appointments and care. Officials at the VA, Foote says, instructed their staff to not actually make doctor's appointments for veterans within the computer system.
Instead, Foote says, when a veteran comes in seeking an appointment, "they enter information into the computer and do a screen capture hard copy printout. They then do not save what was put into the computer so there's no record that you were ever here," he said.
According to Foote, the information was gathered on the secret electronic list and then the information that would show when veterans first began waiting for an appointment was actually destroyed.
"That hard copy, if you will, that has the patient demographic information is then taken and placed onto a secret electronic waiting list, and then the data that is on that paper is shredded," Foote said.
"So the only record that you have ever been there requesting care was on that secret list," he said. "And they wouldn't take you off that secret list until you had an appointment time that was less than 14 days so it would give the appearance that they were improving greatly the waiting times, when in fact they were not."

Then there is this:

http://freebeacon.co...l-got-9k-bonus/

The director of the Phoenix VA hospital where at least 40 military veterans died from delays received more than $9,000 in bonus pay in 2013, public records show.
Last year, Sharon Helman, the director of the Phoenix Veterans Affairs Health Care System, got a $9,345 bonus, in addition to her annual base salary of $169,900. Overall, leadership at the hospital was paid more than $700,000 in taxpayer money, according to publicly available salary data.


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Who read this topic? (Total Views: 2) Dmacleo


#2 Dmacleo

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Posted 05 May 2014 - 11:21 AM

http://usatoday30.us...USABrd_ST_U.htm

 

Clerks at the Department of Veterans Affairs clinic in Fort Collins were instructed last year how to falsify appointment records so it appeared the small staff of doctors was seeing patients within the agency's goal of 14 days, according to the investigation.

A copy of the findings by the VA's Office of Medical Inspector was provided to USA TODAY.

Many of the 6,300 veterans treated at the outpatient clinic waited months to be seen. If the clerical staff allowed records to reflect that veterans waited longer than 14 days, they were punished by being placed on a "bad boy list," the report shows.

"Employees reported that scheduling was 'fixed,' " the findings say.

Department officials revealed last month that 23 deaths of veterans were linked to delayed cancer screenings dating back four years. More recently, a retired doctor, Sam Foote, alleged that 40 other veterans died because of treatment delays at a VA hospital in Phoenix. VA officials say there's no evidence to support those claims, but the hospital administrator was placed on leave pending an investigation by the agency's inspector general.

 

man this pisses me off

 

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#3 Dmacleo

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Posted 07 May 2014 - 10:23 AM

http://www.mystatesm....3786698.735360  

 

A Department of Veterans Affairs scheduling clerk has accused VA officials in Austin and San Antonio of manipulating medical appointment data in an attempt to hide long wait times to see doctors and psychiatrists, the American-Statesman has learned.

In communications with the U.S. Office of Special Counsel, a federal investigative body that protects government whistleblowers, the 40-year-old VA employee said he and others were “verbally directed by lead clerks, supervisors, and during training” to ensure that wait times at the Austin VA Outpatient Clinic and the North Central Federal Clinic in San Antonio were “as close to zero days as possible.”

The medical support assistant, who is seeking whistleblower protection and has been advised to remain anonymous by federal investigators, said he and other clerks achieved that by falsely logging patients’ desired appointment dates to sync with appointment openings. That made it appear there was little to no wait time, and ideally less than the department’s goal of 14 days. In reality, the clerk said, wait times for appointments could be as long as three months.

 

I wonder how many more we will hear about....just as I am about to call local VA to set up appt as I have not been seen in years....

 

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#4 Dmacleo

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Posted 08 May 2014 - 12:11 PM

http://www.cnn.com/2....html?hpt=hp_t2

 

Veterans Affairs Secretary Eric Shinseki has ordered a "face-to-face audit" at all Department of Veterans Affairs clinics, a spokeswoman told CNN on Thursday.

Earlier in the day, the House Veterans Affairs Committee voted to subpoena Shinseki in the wake of accusations that his department is responsible for treatment delays at some of its hospitals that cost veterans their lives.

The Shinseki subpoena will cover e-mails that allegedly discussed the destruction of a secret list, first reported by CNN, of veterans waiting for care at a Phoenix VA hospital.

The House panel agreed to issue the subpoena in a verbal vote Thursday morning.

 



#5 Dmacleo

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Posted 09 May 2014 - 08:15 PM

http://www.cbsnews.c...-patient-waits/  

 

A Veterans Affairs employee at the VA Medical Center in Cheyenne, Wyoming, has been placed on administrative leave after CBS News obtained an email showing an employee directing his staff on how to game the appointments system to make it appear as though veterans were being seen within the VA's 14-day directive.

The email, written by Telehealth Coordinator David Newman, a registered nurse, describes how patients at the Cheyenne VA Medical Center are always listed getting appointments within a 14-day window, no matter when the appointment was first requested, and no matter how long the patient actually waited. The memo admitted, "Yes, this is gaming the system a bit..." because "when we exceed the 14 day measure, the front office gets very upset, which doesn't help us." The employee further instructs staff on how to "get off the bad boys list" by "cancelling the visit (by clinic) and then rescheduling it with a desired date within that 14 day window."

 

 

 

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#6 Dmacleo

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Posted 13 May 2014 - 10:11 AM

http://www.wncn.com/story/25498455/2-durham-va-employees-on-leave-over-inappropriate-scheduling

 

DURHAM, N.C. -

The Veterans Health Administration has placed two Durham VA Medical Center employees on administrative leave after learning the employees may have "engaged in inappropriate scheduling practices."

In preparation for an audit, VHA learned on Monday that some employees at the Durham VA "may have engaged in inappropriate scheduling practices at some point between 2009 and 2012."

The audit was scheduled as part of a national audit of patient access and scheduling as directed by Department of Veterans Affairs Sec. Eric Shinseki.

"A VHA audit team will be on site this week to assess current scheduling practices and determine if inappropriate behavior occurred," the VA said in a statement Monday.

The VA said that if the allegations are found to be true, the scheduling practices do not comply with VHA's policy on Outpatient Scheduling Processes and Procedures.

It was not made immediately clear what sort of scheduling practices the employees may have engaged in.

The latest allegations come as the federal department defends itself against claims of potentially deadly delays at other facilities throughout the nation. CNN previously reported on a secret wait list in Phoenix.

The VA's official policy is that all patients should be able to see a doctor, dentist or some other medical professional within 14 days of their requested/preferred date. But many veterans end up waiting longer and the delays are never reported, veterans and their advocates say.

 

 

 

 

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#7 Dmacleo

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Posted 13 May 2014 - 08:30 PM

CBS: Another VA Hospital Using A Secret Waiting List To Hide Appointment Delays

 

 

http://therightscoop...-about-bonuses/

A great report from CBS News on the VA center in Chicago where nearly the exact same practices that are happening in Arizona is happening there. And the VA social worker, who says many employees are coming to her from all over the hospital, says it’s all about the administrators getting a bonus.

 

This makes 7 now

 

http://www.nbc33tv.c...vidence-shows-v

 

The VA is auditing all of its medical facilities after whistleblowers claimed employees were manipulating patient schedules to hide long wait times which may have contributed to patient deaths.

“I think every American should be outraged about how our veterans are being treated American Legion National Commander, Daniel Dellinger.

An internal memo from March 2013 obtained by NBC shows top VA officials learned of the problem well before the current allegations, and had been quietly trying to fix it. …

“The question to the Secretary is, did he know? And if not – if he did not know what was in a GAO report or Inspector General’s report, why not?” asked Senator Jerry Moran, ® Kansas.

 

 



#8 91Veteran-Guest

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Posted 15 May 2014 - 12:23 AM

Dmacleo

 

I saw your post on Hotair, and wanted to add to your list. It has been frustrating seeing the media suggest Phoenix is the only place...this was first reported in February at the Los Angeles VA where an employee recorded a staff meeting in which wait lists were discussed, the recording given to the IG, and the employee fired:

 

http://dailycaller.c...requests-audio/

 

It has also happened at the Columbia, SC VA (note the date of the article, November 2013):

 

http://www.cnn.com/2...th-care-delays/

 

This CNN report on the Augusta, GA VA is from November 2013 as well:

 

http://www.cnn.com/2...th-care-delays/

 

More on the Augusta VA:

 

http://chronicle.aug...g-resolution-va

 

In addition to the above, I have read news articles describing the same problems at the Atlanta, Dallas and Pittsburgh VA's.

 

Also, here is another article of the VA admitting to doing sloppy research on Gulf War veterans...but again the Whistle Blower was fired:

 

http://www.ibtimes.c...idal-tendencies

 

Thanks for keeping track of the list.

 



#9 Dmacleo

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Posted 15 May 2014 - 06:20 AM

Thanks for adding to it, going to do my best to keep track.



#10 Dmacleo

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Posted 15 May 2014 - 06:31 AM

http://www.theconser...ar-backlog-r680

 

thought I had that audio here somewhere as its been removed from youtube, will search to see if I kept copy.

 

edit: fixed now



#11 Dmacleo

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Posted 16 May 2014 - 09:59 AM

and number 8

 

http://www.ocala.com...140519797?tc=ar  

 

Three mental health administrators at the Malcom Randall VA Medical Center in Gainesville have been placed on administrative leave after U.S. Department of Veterans Affairs officials found a "secret" waiting list of more than 200 patients, a local union president said Thursday.

The director of the North Florida/South Georgia Veterans Health System, Thomas Wisnieski, however, said what officials found was a paper list of patients who needed appointment callbacks. That list isn't considered proper protocol, Wisnieski said.

Wisnieski said the list was not a secret waiting list, but he also said he did not know about it until a VA team discovered it while visiting the hospital Tuesday for a review.

 

 



#12 Dmacleo

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Posted 16 May 2014 - 03:50 PM

http://www.reuters.c...EA4E0JS20140516

 

The top health official at the Department of Veterans Affairs resigned on Friday amid a growing scandal about healthcare delays that has also seen calls for the ouster of VA Secretary Eric Shinseki.

Shinseki, in a statement, said he accepted the resignation of Dr. Robert Petzel, the VA's undersecretary for health who had already been expected to retire, and acknowledged the need to ensure more timely treatment of America's military veterans.

"As we know from the veteran community, most veterans are satisfied with the quality of their VA health care, but we must do more to improve timely access to that care," Shinseki said.

He stopped short of blaming Petzel for delays, however, and did not explicitly say why Petzel resigned. In a statement last September, the VA said Petzel already had planned to retire in 2014 and it was taking steps to find candidates to replace him.

Two VA officials declined to elaborate on the reasons for Petzel's resignation.

 

 

 

May be related to his actual job performance.

http://www.washingto...rs-undersecret/

 

Dr. Petzel testified before Congress last month that he had found no sign of the alleged list in the early stages of the investigation.

“To date, we found no evidence of a secret list and we have found no patients who have died because they’ve been on a wait list,” he said at a Senate Veterans Affairs Committee hearing on April 30. “If the allegations are true, they’re absolutely unacceptable.”

 

 

And as HotAir noted he was due to retire soon anways

http://hotair.com/ar...gns-in-scandal/

 



#13 Dmacleo

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Posted 17 May 2014 - 12:50 PM

Oh this is just precious

 

http://www.breitbart...-Laden-Hospital

 

On May 1, the Obama administration nominated Dr. Jeffrey Murawsky to replace Dr. Robert Petzel, the outgoing undersecretary of health at the Department of Veterans Affairs, who "resigned" suddenly on Friday.

But Murawsky is also tied to the very scandal that has led to Petzel's resignation. Murawsky, ABC News reports, "is currently the network director--effectively the CEO--of the VA region that includes the Edward Hines, Jr. VA Hospital in Chicago. Before he moved up the VA hierarchy, he worked as a manager at the hospital."

The Hines hospital, though, is figuring prominently in the growing scandal that has led to the deaths of an unknown number of military veterans who were waiting for medical care that never came before they died. Investigations are finding that the VA failed to schedule timely health care for thousands of ailing veterans, allegedly placing them on secret lists that saw wait times of perhaps up to four months. On top of the overly long wait times to receive healthcare services, several hospitals, including Hines, reportedly engaged in a cover-up of the failures so that administrators and doctors would continue to receive bonuses and benefit increases.

 



#14 Dmacleo

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Posted 19 May 2014 - 11:48 AM

Number 9

 

http://www.thedailyb...w-hospital.html

 

 
Veterans with serious heart conditions, gangrene, and even brain tumors waited months for care at the Albuquerque VA hospital, a whistleblowing doctor tells The Daily Beast.

Add Albuquerque, New Mexico’s to the growing list of VA hospitals accused of keeping secret waiting lists to hide delays for veterans seeking medical care. And it may already be too late to get to the truth and find out what harm, if any, was done to veterans there—VA officials are already destroying records to cover their tracks, a whistleblower inside the hospital tells The Daily Beast.

 

SNIP

 

“The ‘secret wait list’ for patient appointments is being either moved or was destroyed after what happened in Phoenix,” according to a doctor who works at the Albuquerque VA hospital and spoke exclusively with The Daily Beast. “Right now,” the doctor said, “there is an eight-month waiting list for patients to get ultrasounds of their hearts. Some patients have died before they got their studies. It is unknown why they died, some for cardiac reasons, some for other reasons.”

There’s no proof yet that veterans died while waiting for treatment, like what allegedly happened in Phoenix. But the doctor says it’s quite possible that some veterans would still be alive if they hadn’t been pushed through a record-keeping trap door that buried their requests for medical care.

 

More at the source



#15 J. Freeman-Guest

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Posted 19 May 2014 - 02:00 PM

here is a story from Fox News last week:

More whistleblowers detail VA abuses, suffer retaliation: "He argued that his boss told them to require three successive fecal occult blood tests before sending the patient for a colonoscopy, a delay that could cause potential colon cancer to go from a treatable stage 1 to a deadly stage 4, if unaddressed."

http://www.foxnews.c...er-retaliation/

 

and, from AP:

 

VA hospital wait time concerns spread to South Texas

http://www.stripes.c...-texas-1.282774



#16 Dmacleo

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Posted 19 May 2014 - 02:49 PM

thanks for posting that.



#17 Dmacleo

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Posted 19 May 2014 - 08:31 PM

Good catch by the people at NewsBusters

http://newsbusters.o...w-about-ongoing

 

Documents obtained by the Washington Times revealed that the Bush Administration warned the Obama Administration about problems within the Veterans Administration as early as 2008, yet both the ABC and NBC evening news broadcasts ignored the story on Monday, May 19. 

Of the big three networks, only the CBS Evening News with Scott Pelley covered the new revelations in the VA scandal. CBS News host Scott Pelley noted that “The Bush White House was so concerned about this back in 2008 that it warned the incoming Obama Administration.”

CBS Evening News and Fox News’ Special Report with Bret Baier were the only evening news programs to cover the report while NBC Nightly News and ABC World News remained silent.

 

 



#18 Dmacleo

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Posted 20 May 2014 - 11:44 AM

A story about the Phoenix office.

 

http://www.latimes.c...ory.html#page=1

 

Posted Image

 

 

Three years ago Edward Laird, a 76-year-old Navy veteran, noticed two small blemishes on his nose. His doctor at the Veterans Affairs hospital in Phoenix ordered a biopsy, but month after month, as the blemishes grew larger, Laird couldn't get an appointment.

Laird filed a formal complaint and, nearly two years after the biopsy was ordered, got to see a specialist — who determined that no biopsy was needed. Incredulous, Laird successfully appealed to the head of the VA in Phoenix. But by then, it was too late. The blemishes were cancerous. Half his nose had to be cut away.

"Now I have no nose and I have to put an ice cream stick up my nose at night ... so I can breathe," Laird said. "I look back at how they treated me over the years, but what can I do? I'm too old to punch them in the face."

 

 

 



#19 Dmacleo

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Posted 21 May 2014 - 01:41 PM

video of the bastards speech today 5-21-2014

 



#20 Dmacleo

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Posted 23 May 2014 - 01:01 PM

Open the book investigation (link)

 

Forty plus veterans may have died waiting for care, and up to 1,600 veterans waited months for critical appointments-at the Phoenix facility alone. 

 
Now, at least SEVEN VA centers are being investigated for "secret" waiting lists. Here are the bonuses into these troubled facilities (2011-2013):  
1. Edward Hines, JR Hospital, Cook County, IL ($4.1356 million) 2. Malcolm Randall VA Medical Center, Gainesville, FL ($575,400) 3. New Mexico VA Health Care System Albuquerque, NM ($2.646 million) 4. Gulf Coast Veterans Health Care System Home, Biloxi, MS ($247,103) 5. Miami VA Healthcare System Miami, FL ($334,987) 6. Fort Collins Outpatient Clinic, Fort Collins, CO ($4,150) 7. Phoenix VA Health Care System Home, Phoenix, AZ ($843,000) 
TOTAL:  12,549 bonuses for $8.787 million (2011-2013

 

Full report attached.

 

Attached File  Seven_Troubled_VA_Facilities_and_Bonuses_Study.pdf   4.14MB   10 downloads

 

and this is only 2 years....

 

more here too

http://hotair.com/ar...ies-since-2011/

 

VA Dr. Whistleblower: Returning Wounded Vets Forced To Wait More Than 10 Months Before Treatment!

 

 

 

 

 

 





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