Department of Veterans Affairs

Department of Veterans Affairs

Radiation specialist and other underutilized positions

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.

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Department of Veterans Affairs

LOW COST Veteran care

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 »

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Department of Veterans Affairs

VACO funded positions

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 »

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Department of Veterans Affairs

Medical Technologist

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.

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Department of Veterans Affairs

Another waste of paper and time, too.

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 »

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Department of Veterans Affairs

Timeliness guidelines for GI endoscopy for alarm symptoms

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.

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Department of Veterans Affairs

CPRS

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

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Department of Veterans Affairs

Computer software

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 »

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Department of Veterans Affairs

Centralization of surgical/medical high tech care

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 »

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Department of Veterans Affairs

GI Endoscopy photos and reports

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 »

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