The government has a large number of defunct and/or overpaid positions due to the fact that no one really seems to know that the need for the position has been greatly reduced or eliminated. This are most often 13 and 14 positions. There are people who supervise one position. Remove that level. Contract out or cross train individuals to perform more than one function.
Department of Veterans Affairs
VA should do a trial of NAET, Nambudripads Allergy Elimination Techniques. It is a low cost, non-invasive form of reducing sensitivities to various allergens, toxins, foods, etc. in our environment. The end result is that the immune system is strengthened, and the body can begin to heal again on its own. Many MDs are now incorporating NAET into their practices, including adding it into cancer protocols. NAET practitioners... more »
Appendix A is 6 pages. Recommend to maintain this checklist on file if there are no changes to an existing order with an vendor. The current requirement is wasting time and resources.
This is a contracting process.
Recommend that the grade/funding of VACO-mandated positions match the local classification of the position to avoid the accumulation of excessive hiring lag funds. For example, HUD/VASH SW positions typically are funded as GS12-5 from VACO though locally classified and posted as GS11 (at least in my VISN). This resulted in subtantial hiring lag funds that "had" to be spent in other ways, as returning funds to VISN/VACO... more »
Employees spend too much time on the computer doing non work activities such as shopping, banking, etc. Develop or buy a program that warns employees that the web site they are accessing is not work related, and make them agree.
Then, monitor the computer access to non work related activities.
I have worked at the VA, here in Northern AZ for the last 12 years. When I started here, there was much talk about going 'paperless' with the charts and patient information. There was a short time when it looked like it would happen but to this date, we still have orders printed out and we compare them to the computer orders. this seems futile since they were printed from the computer so they should be (and are) identical.... more »
Travel pay has become a source of income for many veterans.
Develop timeliness guidelines for GI endoscopy for alarm symptoms, such as dysphagia, iron deficiency anemia, hematochezia, weight loss
This would help GI Endoscopy Units prioritize scheduling and expedite diagnosis of GI cancers. This would decrease the costs of treating cancer, and decrease malpractice suits for delayed diagnosis of cancer.
Add a link from within CPRS electronic medical record for submitting suggestions for improving CPRS, and have CPRS link send these suggestions to the national CPRS developers
Make sure that each employee has access to a computer or thin client, with the software they need to do their job. Expedite the process for requesting computer equipment and software so that: 1) Employees can directly submit their requests to IRM, and 2) IRM is required to meet with each employee, to learn what computer equipment and software, the employee needs to do their job. 3) IRM is required to promptly provide... more »
The personnel and equipment costs associated with performing complex medical procedures are extraordinary. For example to perform complex spine surgery to repair a fracture ideally the surgeon requires a Jackson operating table (140k) and intraoperative 3D visualization systems such as an O-arm (900k). Such equipment and personnel should be localized to regional centers to which appropriately complex patients should... more »
Improve the process for setting up direct uploading of GI Endoscopy photos and reports to Vista Imaging. This responsibility was transferred from IRM to Biomed, but Biomed was not taught how to connect GI endoscopy equipment to Vista Imaging Capture and was not given the authority to order needed computer hardware, and software, or to connect the equipment to the VHA network. Directly uploading GI Endoscopy photos and... more »
Save millions, stop the implementation of the VAN emergency notification system and investiage using Microsoft Communicator Adavanced.
In Vista Imaging Display of scanned documents, allow us to enter page numbers to Go To.
Currently, the only way to access a particular page in a long scan, is to page through the scan, one page at a time. This wastes time.
Create a national VHA SharePoint for CPRS templates, and allow any CPRS user to post and download templates. To make templates easier to find on the SharePoint site, group templates of each type.