Agencies


Department of Defense (DoD)

DoD acknowledges its medical adverse event reporting is ‘unreliable’

The process for tracking the DoD’s most serious adverse medical events is “fragmented, impeding the Defense Health Agency’s (DHA) ability to ensure that it has received complete information,” according to a new review.

Department of Defense (DoD)

Automation Speeds Results and Increases Accuracy for Point-of-Care Testing at Walter Reed NMMC

With a long history of point of care testing at both of its predecessor organizations, the Walter Reed National Military Medical Center (WRNMMC) laboratory services staff were keenly aware of the advantages of using portable testing devices to obtain rapid patient assessments.

Department of Defense (DoD)

High Rate of Pectoralis Tears Among Deployed Servicemembers Lifting Weights

Lifting weights is one way servicemembers keep in peak physical condition during deployment.

Department of Defense (DoD)

DoD Study Finds That Type 2 Diabetes Increases Breast Cancer Mortality

Having Type 2 diabetes mellitus (DM-2) increases mortality risk in breast cancer patients, regardless of whether diabetes was diagnosed before or after breast cancer, according to a recent study.

Department of Defense (DoD)

Now Hear This: Otolaryngologist Leads Effort to Prevent Auditory Issues

Among those who are exposed to combat, it’s the weapons fire that does it. In the Navy, it’s the noise levels in engine rooms and on the decks of carriers.

Department of Defense (DoD)

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

WASHINGTON — The military services need to develop “targeted and coordinated strategies” to alleviate military physician gaps, a recent report recommended.

Department of Defense (DoD)

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

WASHINGTON—VA has told legislators that the agency is on track with a new law that will give veterans more options to have their claims appeals reviewed.

Department of Defense (DoD)

DoD, VA Still Struggle with Diagnosing, Treating Mild Traumatic Brain Injuries

Diagnosing and treating mild traumatic brain injury continues to pose challenges for clinicians, TBI experts told lawmakers.

Department of Defense (DoD)

VA Promises to Resolve Late Payment Issues with Community Healthcare Providers

Slow Reimbursement Frustrated Clinicians, Hurt Veterans’ Credit By Sandra Basu WASHINGTON—Citing the importance of providing payments in a “timely and consistent manner,” the VA announced that it has revised its regulations for payment and reimbursement... View Article

Department of Defense (DoD)

Change in VA/DoD Guidelines for Low Back Pain Surprising Even for Authors

If VA clinicians are surprised by the significant changes in the updated recommendations recently issued by the VA and DoD for the diagnosis and management of low back pain, they are not alone. The evidence review even shocked many members of the work group that wrote the new clinical practice guidelines.

Department of Defense (DoD)

‘Hacking’ to Improve Care for Wounded Warriors

Hacking isn’t always a bad thing, especially if the result is devices that can help protect servicemembers from injuries.

Department of Defense (DoD)

Trials Provide Promising Results for Army-Developed Zika Vaccine

A vaccine developed by Army researchers to combat Zika virus not only induced a robust immune response in trials but also was found to be safe and well-tolerated in healthy adults.

Department of Defense (DoD)

Army Pharmacy Finds Shorter Hours Reduces Wait Times

The pharmacy team at McDonald Army Health Center (MCAHC) on Joint Base Langley-Eustis in Virginia had a common problem—longer than desired wait times for patients to pick up prescriptions.

Department of Defense (DoD)

Device Developers ‘Kicked a Hornet’s Nest’ in Hemorrhage and Shock Treatment

For Air Force Col. Todd Rasmussen, MD, and Jonathan Eliason, MD, the idea for a new way to treat internal hemorrhaging on the battlefield was hard-won.

Department of Defense (DoD)

DoD Policies Ensure Sufficient Yellow Fever Vaccine Despite Global Shortage

In mid-2016, Sanofi Pasteur announced that manufacturing issues could produce a YF-VAX shortage that might last for several months.

Department of Defense (DoD)

DoD Advances Development of Freeze-Dried Plasma for Battlefield Deployment

For the first time since the Korean War, American troops have access to freeze-dried plasma in the field. Currently only available to special forces, the blood product has already saved lives.

Department of Defense (DoD)

Navy Functional Restoration Pain Program Shows Success

Chronic pain is the leading cause of medical discharge from active duty military service. Disability payments related to the condition also are a significant economic cost to the DoD.

Department of Defense (DoD)

Award-Winning Army PA Seeks to Improve Battlefield Emergency Care

Maj. Jonathan Monti, DSc, PA-C, says he does not believe in haphazardly adding new technology to the already-overwhelming amount of gear carried by those providing medical care on the battlefield.

Department of Defense (DoD)

MHS Implements Multiple Programs to Improve PTSD and Depression Care

In the year since the release of a RAND report critical of follow-up within the Military Health System (MHS) for patients with post-traumatic stress disorder (PTSD) and depression, the DoD has released results of several new programs to improve screening, increase the number of therapeutic visits and track mental health measures.

Department of Defense (DoD)

Military Physicians Unprepared to Treat Transgender Patients as Deadline Approaches

When the DoD lifted the ban on transgender individuals serving in the armed forces last year, it set an aggressive goal of June 2017 for proficiency in treating personnel with gender dysphoria.

Department of Defense (DoD)

Most Post-9/11 Veterans Report Doing Well at Work and at Home

BOSTON – The overwhelming majority of veterans of U.S. conflicts since the terrorist attack on 9/11/2001 are nothing like the post-traumatic stress disorder (PTSD)-addled, homeless opioid-addicts too often depicted in the media and in political campaigns.

Department of Defense (DoD)

Post-Deployment Factors Influence Gambling Addiction

WEST HAVEN, CT—Gambling disorder and its comorbid diagnoses are observed at higher rates in military veterans than in the general population, but a significant research gap exists regarding the relationships of veterans' life and service experiences to problematic gambling, according to a new study.

Department of Defense (DoD)

Battlefield Genitourinary Damage Alters Lives Beyond Physical Injuries

Recent improvements in battlefield medical care have allowed more servicemembers to survive devastating injuries.

Department of Defense (DoD)

Army Pharmacy Pilots New Service Model at Four Sites

Four Army pharmacy sites have taken the lead in shifting the patient experience from a transactional paradigm to a service-oriented model the Army hopes to replicate across all facilities.

Department of Defense (DoD)

Don’t Forget Leishmaniasis When Servicemembers Have Mysterious Symptoms

Military physicians stumped by a diagnosis might want to consider leishmaniasis in personnel returning from Iraq or Afghanistan, according to a new report.

Department of Defense (DoD)

Navy Psychologist Uses Nontraditional Methods to Improve Mental Healthcare

It was 7 a.m. on a Wednesday in January—a time when most clinical psychologists would be making their way to the hospital or clinic. But instead of heading to her office at the Naval Hospital Jacksonville Deployment Health Center, Tracy Hejmanowski, PhD, was driving an hour south of the city to begin a new patient on a course of equine-assisted therapy.

Department of Defense (DoD)

Army Child Abuse, Neglect Cases Under-Reported

Abuse and neglect of children of Army personnel appears to be under-reported, according to a new report which also suggests a breakdown of communication between civilian child protective services and the military.

Department of Defense (DoD)

Forum Describes Alternatives to Treat Veteran Pain

A pilot program integrating complementary and integrative health approaches in pain management and mental health services at 15 VA facilities has the potential to help facilitate the understanding of nonpharmacological approaches to treating pain.

Department of Defense (DoD)

Goolsby Uses Variety of Tools to Prepare Military Physicians for Challenging Roles

Maj. Craig Goolsby, MD, wears a lot of hats at the Uniformed Services University of the Health Sciences (USU).

Department of Defense (DoD)

Telemedicine Allows Army, Indian Health Service to Expand Range of Diabetes Care

To reach the growing number of individuals in their care who have diabetes, both the Army and the Indian Health Service have aggressively adopted telemedicine

Department of Defense (DoD)

Suicide Risk Remains Much Higher for Military, Veterans Than Civilian U.S. Population

Suicide rates in the general U.S. population rose to their highest level in 30 years in 2014, but among both active-duty servicemembers and veterans, the rates were higher still.

Department of Defense (DoD)

AMSUS Meeting Aids Adjustment to ‘New Normal’ in Federal Medicine

The state of medicine, including federal medicine, is always evolving, and that is why conferences such as the annual AMSUS Annual Continuing Education Meeting are so vital to federal providers, according to AMSUS Executive Director Michael Cowan MD, VADM, USN (Ret.).

Department of Defense (DoD)

TRICARE Launches Urgent Care Pilot, Simplifies EHR Sharing

The Defense Health Agency (DHA) launched two programs this summer to ease access to care and improve communication between military and civilian healthcare providers.

Department of Defense (DoD)

Army Research Produces Zika Vaccine Candidate in Record Time

Drawing on deep experience with flaviviruses that started with its namesake’s research on yellow fever in the 1800s, the Walter Reed Army Institute of Research (WRAIR) and collaborators brought two Zika vaccine candidates through early testing in just four months this spring.

Department of Defense (DoD)

Walter Reed Researchers Seek to Improve Accuracy in CVD Risk Scoring

Primary care physicians and cardiologists increasingly rely on risk factor-based scores to determine who should start preventive therapy for atherosclerotic cardiovascular disease.

Department of Defense (DoD)

Patients Flip (Ratings) Over Robotic Efficiency at Cherry Point Pharmacy

CHERRY POINT, NC—Prior to a renovation late last year, patients at Naval Health Clinic Cherry Point’s pharmacy left negative feedback twice as often as positive. Installation of a robotic pharmacy system reversed those numbers, however. Today, two-thirds of comments are upbeat.

Department of Defense (DoD)

Senators Get Update on DoD, VA Treatment for TBI, PTSD

WASHINGTON — While the science of traumatic brain injury (TBI) is growing, clinical understanding still lags behind conditions such as post-traumatic stress disorder (PTSD), where there is years of research.

Department of Defense (DoD)

Lung Cancer Screening Program at Walter Reed ‘Exceeds Expectations’

BETHESDA, MD — When it comes to the war against lung cancer, Walter Reed National Military Medical Center (WRNMMC) is on the front lines.

Department of Defense (DoD)

Guice Replaces Woodson as DoD Health Assistant Secretary

WASHINGTON — Karen Guice assumed duties last month as the DoD acting assistant secretary for health affairs with the retirement of Jonathan Woodson, MD, who stepped down at the end of April.

Department of Defense (DoD)

Bill Funds Program to Help Military Trauma Specialists Maintain Skills

WASHINGTON — In an effort to ensure that military emergency medicine and trauma specialists are able to maintain their skills off the battlefield, a proposed program would establish a Joint Trauma Education and Training Directorate.

Department of Defense (DoD)

59th Medical Wing Pharmacies Reduce Patient Wait Times by 700 hours a Day

By Annette M. BoyleJOINT BASE SAN ANTONIO-LACKLAND, TX — Process improvement efforts oftentimes frustrate staff and irritate patients, but the 59th Medical Wing pharmacies at Joint Base San Antonio have implemented 65 process improvements during... View Article

Department of Defense (DoD)

Major Military Advancement in Trauma Care Now Adopted by Civilian Medicine

By Brenda L. MooneyBOSTON — In yet another example of how battlefield medicine has altered civilian healthcare practice, damage-control resuscitation (DCR) now is being widely used in trauma centers across the United States.A survey of... View Article

Department of Defense (DoD)

DoD Develops Medical Capabilities List to Maintain Readiness

Military Trauma Clinicians Struggle to Stay SharpBy Sandra BasuWASHINGTON — In an effort to maintain medical readiness after the Iraq and Afghanistan conflicts, DoD officials are developing a list of joint essential medical capabilities that... View Article

Department of Defense (DoD)

New Army Surgeon General Is First African-American to Head MEDCOMM

In another first for the Army, an African-American woman became the new surgeon general last month.

Department of Defense (DoD)

Civilian Healthcare Providers Need Training to Appropriately Treat Veterans

Civilian healthcare providers need to acquire more "military/veteran cultural competence" to provide adequate care to veterans, servicemembers and their families.

Department of Defense (DoD)

Report Finds MHS Mental Healthcare Varies From Excellent to Inadequate

By Brenda L. MooneySANTA MONICA, CA — The MHS does an excellent job following up with patients after being discharged from mental healthcare treatment but falls short in some other areas, according to a new... View Article

Department of Defense (DoD)

VA, DoD Adopting Earlier HIV Treatment to Dramatically Reduce AIDS Risk

Pre-infection Immunological Health Achieved in Some CasesBy Annette M. Boyle SAN ANTONIO — For years, clinicians have not recommended treating human immunodeficiency virus (HIV) patients with antiretroviral therapy (ART) before they saw a significant drop... View Article

Department of Defense (DoD)

Guidelines Offer No Set Recommendations for How to Deal with First Seizures

While veterans and servicemembers who have experienced a single unprovoked seizure and the clinicians who treat them would like clear, consistent next steps, new guidelines take them into solidly gray areas.

Department of Defense (DoD)

MRI Study Finds ‘Brain Scars’ in Troops With Blast-Related mTBI

“Brain scars” were detected in more than half of the active-duty servicemembers who underwent magnetic resonance imaging (MRI).

Department of Defense (DoD)

Air Evacuation Could Worsen Condition of Brain-Injured Servicemembers

U.S. warfighters injured in combat in Iraq and Afghanistan had a 90% or more rate of survival, with a substantial part of that success attributed to medical evacuation teams that swiftly flew wounded servicemembers to locations such as Landstuhl Regional Medical Center in Germany or to Brooke Army Medical Center in Texas.

               
           

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