At the VA Medical Center, we recently switched from having catheter bags that we attach to the indwelling catheter or Texas catheter, and now have these kits. Our facility doesn't have any of the stand-alone catheter bags anymore, so whenever we need a urine specimen and use a Texas catheter, or use a Texas catheter on someone who is incontinent, we have to open a whole CAUTI kit. It seems like the solution would be ...more »
As government employees we receive hordes of information via e-mail from our own agencies that do not pertain to each and every member of the agency. I propose that we cut out extraneous information that is sent to everyone in a certain or specific email directory/organization. If the correspondence is for information only, at least allow us the opportunity to ‘unsubscribe’ from some of these directories. All important ...more »
For example, in SSA, if someone is denied disability benefits, we send them another medical authorization form, adult / child disability report, & a large return envelope. Have them only submit new info & go into the offices since everything is already electronic from the initial claim. Rep Payee accountee forms & disability update forms are sent out several times over. Suspend benefits if they can't return forms on time. ...more »
Why does a completely tax exempt organization voluntarily throw away billions of dollars by paying taxes on travel? I travel a lot for the Navy and detest that taxes for TDY travel expenses are charged to my government credit card. Though the Government Treasury will get the taxes back, for the Navy and the Program Office (PMA), those funds are lost. Those lost and unrecoverable funds, which can quickly add up to billions, ...more »
This isn't really a call to change any government policy...more of a call for common sense among my fellow environmentally-conscious men. My humble suggestion is that men should stop flushing urinals after every single trip to the bathroom. Too often I see people go for literally three seconds and then press the lever. It's an epic waste of water and an enduring pet peeve of mine, but it's not like I can give offenders ...more »
IRB processing is currently paper-based and horribly inefficient. Hundreds of pages of paper are used to process research applications for the most minimal-risk studies and usually take a full year to process. Gaps in the process due to forms not having numbers, forms being replaced with e-mail verifications, etc. make the process wasteful, time consuming, confusing and require extra staff to check for completion that ...more »
Create a local Quality Assurance Panel in each VA to randomly check the accuracy of claims for eligibility. If we can identify where the holes are in each VA, we will then know how to close that hole. For each pt who fraudulently applies for and is granted eligibility for health care benefits, there is a cascade effect: pt not only gets inpt stays, costly medications, dental work, etc. but can then apply for housing, ...more »
I believe that the government spends thousands of dollars each year on excessive office supplies. Generally, there are standard supplies that everyone needs to do their job e.g. staplers, tape dispensers, scissors, ink pens, post it notes etc. There should be a supply room (something similiar to a SPD supply room for medical supplies) where employees can go and get administrative supplies. Have you ever seen an area ...more »
"I generate, and respond, to email and phone calls for a living".... Get rid of these people, and we'll save a fortune.
We received a detailed letter that is apparently widely passed around in prisons, the letter essentially provides detailed instructions on how to file for SSI/RSDI after getting out of jail/prison. It provides for a very "assured" way of getting in by successfully faking mental disorders. After carefully reviewing the instructions we determined that in fact if followed properly, anyone following the instructions could ...more »
All agencies can benefit from secure document collaboration spaces, similar to Google Docs. The collaboration space could be made more secure for classified or sensitive documents. This would save server space required for E-mails, as people would no longer have to E-mail large files to eachother. The cost for purchasing, housing and maintaining servers would significantly decrease. This would also prevent printing of ...more »
Merge the online training platforms that all of our agencies are creating/using, into one accredited online training program, that government workers can use to move into private sector jobs. This will open up entry level government positions for the unemployed, and eventually it could lead to a free online university for every American citizen.