VHA’s Type 1 Diabetes Telehealth Care Saves Time, Money

April 22, 2018

ATLANTA — About 5% of the United States population has been diagnosed with type 1 diabetes, and the great majority are diagnosed before age 25. Since a diabetes diagnosis prevents enlistment in the military, relatively few veterans have the condition compared to type 2 diabetes, which affects about a fourth of VHA patients.


Tele-Critical Care Helps MTF Expand to More Complex Surgeries

April 22, 2018

SAN DIEGO — Most research suggests that hospitals with intensivists, board-certified physician who provides specialized care for critically ill patients save more lives.


Telenephrology Brings Better Care to VA CKD Patients in Remote Areas

April 22, 2018

BRONX, NY — For patients with chronic kidney disease (CKD), living more than 30 miles from their nephrologist is associated with many unfavorable outcomes. They have lower rates of clinic visit adherence, more limited access... View Article


Shulkin Ousted, White House Physician Nominated for VA Secretary

April 16, 2018

WASHINGTON — After several weeks of speculation regarding his future in the Trump Administration, VA Secretary David Shulkin, MD’s tenure came to an abrupt end on March 28.


Late Breaking News


Departments

Department of Veterans Affairs (VA)

Shulkin Ousted, White House Physician Nominated for VA Secretary

WASHINGTON — After several weeks of speculation regarding his future in the Trump Administration, VA Secretary David Shulkin, MD’s tenure came to an abrupt end on March 28.

Department of Veterans Affairs (VA)

Congress Seeks More Oversight of VA EHR Program

WASHINGTON — Legislation under consideration by Congress would increase oversight of VA’s adoption and implementation of its forthcoming electronic health record (EHR) system. The VA announced last year that it would adopt the same Cerner... View Article

Department of Defense (DoD)

GAO: ‘Gaps’ in MHS Physician Specialties Could Affect Wartime Readiness

WASHINGTON — Legislation under consideration by Congress would increase oversight of VA’s adoption and implementation of its forthcoming electronic health record (EHR) system. The VA announced last year that it would adopt the same Cerner... View Article

Department of Veterans Affairs (VA)

Congress, VSOs Have Wait-and- See Position on Jackson Nomination

WASHINGTON — Legislation under consideration by Congress would increase oversight of VA’s adoption and implementation of its forthcoming electronic health record (EHR) system. The VA announced last year that it would adopt the same Cerner... View Article

Department of Veterans Affairs (VA)

VA Vows to Meet Deadline for Revamp of Veteran Claims Appeal Process

WASHINGTON — Legislation under consideration by Congress would increase oversight of VA’s adoption and implementation of its forthcoming electronic health record (EHR) system. The VA announced last year that it would adopt the same Cerner... View Article

Department of Veterans Affairs (VA)

Vets With Respiratory Disease More Responsive to ‘Quit’ Programs

WASHINGTON — Legislation under consideration by Congress would increase oversight of VA’s adoption and implementation of its forthcoming electronic health record (EHR) system. The VA announced last year that it would adopt the same Cerner... View Article




Department of Veterans Affairs (VA)

Long-term Opioid Prescribing Declines in VHA, Bucking National Trend

Extended Prescribing Dropped from 9.5% in 2012 to 6.2% in 2016 By Brenda L. Mooney IOWA CITY, IA—Long-term prescribing of opioid painkillers is on the decline at the VA, in contrast to what appears to be happening outside of federal medicine.




Department of Veterans Affairs (VA)

New VA Budget Requests Seeks Community Care Expansion

Extended Prescribing Dropped from 9.5% in 2012 to 6.2% in 2016 By Brenda L. Mooney IOWA CITY, IA—Long-term prescribing of opioid painkillers is on the decline at the VA, in contrast to what appears to... View Article





Clinical Topics

" -->
Diabetes

VHA’s Type 1 Diabetes Telehealth Care Saves Time, Money

ATLANTA — About 5% of the United States population has been diagnosed with type 1 diabetes, and the great majority are diagnosed before age 25. Since a diabetes diagnosis prevents enlistment in the military, relatively few veterans have the condition compared to type 2 diabetes, which affects about a fourth of VHA patients.

" -->
Kidney Disease

Telenephrology Brings Better Care to VA CKD Patients in Remote Areas

Do Financial Incentives Lead to More Medicare Interventions? By Brenda L. Mooney PALO ALTO, CA—VA patients dying of cancer are far less likely to receive excessive and unnecessary end-of-life interventions than those treated by Medicare.... View Article

" -->
Neurology

First-Ever Study Focuses on How Well VHA Cares for TIA Patients

INDIANAPOLIS — While many healthcare systems measure the quality of their stroke care, looking at performance early in the vascular disease process can help avoid acute events altogether.

" -->
Oncology

VA Patients Lack Testing to Optimize CLL Treatment

SALT LAKE CITY — The presence of deletion 17p (del17), determined by chromosome analysis and/or fluorescence in situ hybridization (FISH), is a strong negative prognostic marker in chronic lymphocytic leukemia (CLL), according to a report in the Journal of Clinical Oncology.1

" -->
Cancer

Cognitive Dysfunction Affects Blood Cancer Survival

BOSTON — With an aging population, cognitive impairment is increasingly common. The question raised by a new study was what effect that has on survival for older patients with hematologic cancers.

Cardiology

Mental Health Diagnoses Increase Coronary Artery Disease Risks in Women Veterans

BOSTON — Depression and anxiety can be debilitating on their own. For women veterans, the conditions raise an additional concern: They significantly increase the risk of coronary artery disease (CAD)—the leading cause of death in the United States.




COPD

Supplemental Oxygen Needs Rarely Addressed in COPD Inpatients

CHICAGO — Patients hospitalized with chronic obstructive pulmonary disease (COPD) who require supplemental oxygen (O2) are at increased risk of hospital readmissions, but little information exists on the quality of evaluation and documentation regarding the need for supplemental O2 in that population.





Non-Clinical Topics

Pharmacy

Military E-Prescriptions Exceed 50% Goal Set Three Years Ago

FALLS CHURCH, VA — As of January 2018, 54% of prescriptions filled by MTFs were submitted electronically, exceeding the initial goal of 50% set when the e-prescribing program first rolled out three years ago.

Electronic Health Records

Congress Seeks More Oversight of VA EHR Program

SEATTLE – At the VA, many smokers admitted for chronic obstructive pulmonary disease (COPD) are not given smoking cessation medications at discharge.A study published recently in the Journal of General Internal Medicine noted that the... View Article

Personnel

White House Physician Nominated as VA Secretary After Shulkin Ouster

The nominee for new VA secretary has served as the White House physician for the last three presidential administrations.

Policy

Congress Urged to Find a Cost-Effective Way to Expand Benefits to Pre-9/11 Veteran Caregivers

WASHINGTON — Veterans from earlier eras should have expanded benefits related to family caregiver, but only if they are severely injured, VA officials have told Congress.

News

Engineer Seeks to Make VAMCs More Energy Efficient Without Interrupting Their Mission

WASHINGTON—Anyone who’s ever worked in a hospital knows how much energy a facility of that size consumes. From the electricity to keep the lights on and the technology running to the water used to keep everything sterile, medical facilities can be far from energy efficient.

Policy

VA Promises Changes After Widespread Failure to Report Clinician Safety Issues

VA officials sought to reassure lawmakers that the agency is responding appropriately to an oversight report finding that several medical providers who gave harmful care to patients were never reported to the National Practitioner Data Bank (NPDB) or state licensing boards (SLB).




Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up