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Tag Archive: Eric Shinseki


Last I  checked the excuse for the shuffling that was  going on with  scheduling appointments.  Was not an  isolated incident as it was  being  done in more than one  VA Hospital.  Taking place due to  policies being implemented  to  monitor the productivity and efficiency of Hospital personnel and their respective departments. 

Protocols such as this are generally handed down from corporate hierarchy to regional and then local.   It is doubtful that regional or local management implemented these measures on their own and just happened to coincide with similar incidents in other  hospitals in the same way. 

If these protocols were being implemented and enforced  throughout all VA Hospitals , logic would dictate that  they originated higher up the food chain and that local as well as regional management had a stake in the ultimate outcome of these assessments.  After all ,  corporate politics would dictate that promotions and rewards would directly correlate with the outcome of said assessments as well as departmental records.

To establish unrealistic goals without providing adequate means to accomplish said goals effectively.  As well as establishing a competitive situation without adequate control measures to keep the  overzealous and unscrupulous from doing exactly what has been done.  Is an obvious failure on the part of corporate management, Eric Shineski, in this case.  To gloss over that fact is naive at best and criminal at worst.  But then Mr. Obama is no stranger to criminal negligence , gross ineptitude and just plain ignorance of the actions taking place around him.  So I suppose he can sympathize…..

 

~Desert Rose~

 

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VA Secretary Eric Shinseki. (Reuters/Jonathan Ernst).

VA Secretary Eric Shinseki. (Reuters/Jonathan Ernst).

 The Washington Post

 

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House votes 390-33 to speed up VA firings

The House on Wednesday overwhelmingly passed a bill to grant the Veterans Affairs secretary expanded authority to fire senior executives for poor performance.

The measure passed on a 390-33 vote amid allegations that veterans encountered delays in access to medical care at multiple VA hospitals across the country, leading to dozens of deaths. All 33 votes in opposition came from Democrats, including ledership Reps. Steny Hoyer (Md.) and James Clyburn (S.C.). House Minority Leader Nancy Pelosi (D-Calif.) voted to approve the measure.

Under the bill, the VA secretary would be authorized to dismiss senior executives or demote them to the civil service. It would require the VA secretary to notify Congress of such a firing or demotion within 30 days.House Veterans Affairs Committee Chairman Jeff Miller (R-Fla.) said the measure would help rid the department of incompetent employees in light of the controversy.

“The committee has received nothing but disturbing silence from the White House and only excuse after another from the Department of Veterans Affairs,” Miller said.

Rep. Corrine Brown (D-Fla.) said the legislation would send a message that the VA would be held accountable.

“It is very important as we go into Memorial Day that we let the veterans know that we appreciate their service. And we also need to let them know that we’re going to do all we can to make sure they have the quality health care they deserve,” Brown said.

An administration official said the White House supports the overall goals of the legislation, but also had concerns that it could have unintended consequences.

 

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Obama vows fix to veterans’ health care troubles

 

WASHINGTON (AP) – With outrage mounting over veterans’ health care, President Barack Obama declared Wednesday that allegations of misconduct at VA hospitals will not be tolerated, and he left open the possibility that Secretary Eric Shinseki, a disabled war veteran, could be held to account.

“I will not stand for it – not as commander in chief but also not as an American,” Obama said following an Oval Office meeting with the embattled Shinseki.

Congress moved to keep up the pressure on the administration, with the House easily approving a measure Wednesday evening that would give the VA secretary more authority to fire or demote the 450 senior career employees who serve as hospital directors or executives in the agency’s 21 regions. The vote was 390 to 33.

Rep. Jeff Miller, R-Fla., chairman of the House Veterans Affairs Committee, sponsored the measure, saying VA officials who have presided over mismanagement or negligence are more likely to receive bonuses or glowing performance reviews than any sort of punishment. He declared that a “widespread and systemic lack of accountability is exacerbating” the department’s problems.

The White House said it supported the goal of seeking greater accountability at the VA but had unspecified concerns about the legislation.

The growing furor surrounding the Department of Veterans Affairs centers on allegations of treatment delays and preventable deaths at VA hospitals. The department’s inspector general’s office says 26 facilities are being investigated nationwide, including a Phoenix hospital facing allegations that 40 people died while waiting for treatment and staff kept a secret list of patients in order to hide delays in care.

The allegations have raised fresh concerns about the Obama administration’s management of a department that has been struggling to keep up with the influx of new veterans returning home from the wars in Iraq and Afghanistan. Obama’s comments Wednesday – his first on the matter in more than three weeks – signaled a greater urgency by the White House to keep the matter from spiraling into a deeper political problem in a midterm election year.

 

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Possible drawbacks of the VA firing bill scheduled for Wednesday vote

The House is set to vote this week on a bill that would give the head of the Department of Veterans Affairs authority to fire or demote senior executives for perceived performance problems without going through the usual administrative procedures.

House Majority Leader Eric Cantor (R-Va.) added the measure to the weekly docket on Thursday, the same date VA Secretary Eric Shinseki testified about reports that VA health clinics throughout the country have cooked their books to hide treatment delays, some of which may have affected patients who died while waiting for care.

VA Secretary Eric Shinseki. (Reuters/Jonathan Ernst).

VA Secretary Eric Shinseki. (Reuters/Jonathan Ernst).

Ironically, the American Legion has called for Shinseki’s removal because of the alleged coverups, along with other problems such as a longstanding backlog of disability claims and preventable deaths at various VA hospitals. If the secretary departs, his critics would have to wait for a replacement to fire senior officials for the recent controversy.

Shinseki said during the hearing that he is “mad as hell” about the reported treatment delays, and he vowed to stick around until he improves VA services for veterans or President Obama asks him to resign.

MORE: Shinseki faces tough questions on VA scandal, vows to ‘accomplish a mission’

Although firing VA officials may quell the recent outrage over reported coverups, the Senior Executives Association has raised concerns about the House bill. Below is a summary of the measure’s drawbacks, as outlined in recent statements from the group:

* Due process: Senior executives can appeal firings and demotions to an administrative panel known as the Merit Systems Protection Board, which determines whether the personnel actions were warranted. However, the hearings are informal and the decisions are non-binding for agency executives, unlike with rank-and-file employees.

The SEA said the House bill would rob employees of the right to recourse when department chiefs wrongly punish their workers. They also noted that accountability processes already exist for senior executives.

Agencies must provide a 30-day written notice when they decide to remove senior executives. The officials can then argue against removal, choose to resign, or return back to work at a lower position. They may also be eligible for immediate retirement.

 

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Roll Call: Latest News on Capitol Hill, Congress, Politics and Elections

Obama Backs Shinseki Amid Calls to Resign (Updated)

VA Budget 03 042313 445x295 Obama Backs Shinseki Amid Calls to Resign (Updated)

Updated 6:22 p.m. | The White House is backing Veterans Affairs Secretary Eric Shinseki after he faced calls to resign Monday over allegations that veterans died waiting for care in Phoenix and other problems in his department.

“As the President said last week, we take the allegations around the Phoenix situation very seriously,” said Shin Inouye, a White House spokesman. “That’s why he immediately directed Secretary Shinseki to investigate, and Secretary Shinseki has also invited the independent Veterans Affairs Office of Inspector General to conduct a comprehensive review,” he said.

“We must ensure that our nation’s veterans get the benefits and services that they deserve and have earned. The President remains confident in Secretary Shinseki’s ability to lead the Department and to take appropriate action based on the IG’s findings.”

Earlier Monday, the American Legion called on Shinseki to resign, although the Veterans of Foreign Wars declined to do so. Sen. John McCain, R-Ariz., said he wants the investigation to go forward first. 

 

 

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Senator demands independent investigation as VA scandal spreads

By Jeremy Schwartz

The chair of the Texas Senate’s veteran affairs committee on Monday called for an independent investigation into allegations that wait time data was manipulated at Department of Veterans Affairs clinics in Central Texas and San Antonio.

Sen. Sen. Leticia Van de Putte, D-San Antonio, made her comments as the burgeoning scandal over VA patient care reached the Rio Grande Valley, where a former VA doctor accused the department of delaying colonoscopies for veterans with cancer and jeopardizing veterans’ visits to non-VA specialists because the agency took so long to reimburse private providers.

In Austin, Van de Putte demanded accountability from top VA leaders over claims that scheduling clerks were trained to falsely input appointment data to make it appear that waiting times were far shorter than they really are. The VA aims to see patients within 14 days of their desired appointment dates, and medical centers are graded on their ability to hit those targets.

“It appears the motivation for the deception…was a personal pay day in the form of a VA performance bonus,” Van de Putte said. “Someone is responsible. These scheduling clerks didn’t just decide to falsify reports all over the country at the same time…The allegations show a pattern that crosses multiple clinics and shows the actions were condoned at a pretty high level.”

The claims of whistleblower Brian Turner, a VA scheduling clerk who said he saw data manipulation in Waco, Austin and San Antonio, were first reported by the American-Statesman last week.

On Monday, new allegations emerged against the VA Health Care Center in Harlingen, and officials with the VA’s Texas Valley Coastal Bend Health Care System, which oversees the facility. Dr. Richard Krugman, former associate chief of staff at the center, told investigators that “patient care was impacted by the VA’s requirements to cut costs,” according to documents obtained by the American-Statesman.

 

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Cornyn Demands Answers From VA Secretary

May 13 2014

WASHINGTON – U.S. Senator John Cornyn (R-TX) today announced on Fox News he has sent a letter to Veterans Affairs Secretary Eric Shinseki after several reports surfaced of abuse and mismanagement in VA clinics in Texas and across the country.  The letter asks several questions of Sec. Shinseki, and calls on the Secretary to provide answers during his testimony before the Senate Veterans’ Affairs Committee on Thursday, May 15. A video of Sen. Cornyn’s Fox News interview regarding VA failures can be viewed here. Sen. Cornyn’s questions for Sec. Shinseki include:

“Can you confirm that supervisors at VA facilities in Texas have not and are not ordering employees to ‘game the system’ by concealing wait times?

“Can you confirm that veterans diagnosed with cancer of any kind that requires chemotherapy are provided that treatment in a timely manner by the VA? 

“Can you confirm that any bonuses or pay raises are on hold for senior leaders at VA facilities in San Antonio, Austin, Waco, Harlingen, and all VA facilities where similar allegations have been made?

“Can you confirm that staff at facilities currently under investigation for allegations of falsified reports will not be assigned to investigate other VA facilities? 

“Can you confirm that documents are being preserved at all Texas VA facilities?”

The full text of the letter is below and attached.

May 13, 2014

The Honorable Eric K. Shinseki
Secretary of Veterans Affairs
810 Vermont Avenue, NW
Washington, DC  20420

Dear Secretary Shinseki:

I write to reiterate my deep concern regarding the numerous, troubling reports that continue to surface regarding mistreatment of our nation’s veterans at Department of Veterans Affairs (VA) facilities across the country.  These reports indicate that incidents—including the withholding of life-saving care from some veterans—were the result of a culture of cover-ups, indifference as to the health and welfare of our veterans, and a complete lack of accountability that pervades your Department.  Yet, the Administration’s response to these troubling revelations has been lethargic and its inaction puzzling.

During your testimony before the Senate Veterans’ Affairs Committee on Thursday, I call on you to provide direct, clear answers to these questions:

1.         According to recent reports, you have ordered a “face-to-face audit” of all Department of Veterans Affairs clinics.  Can you describe in detail how you intend for this audit to be conducted, its timeline for completion, and what measures are being taken to ensure these audits are conducted in an independent and transparent manner?  If the allegations are substantiated, what type of action are you willing to take to right these wrongs, and how will the responsible officials be held accountable?

2.         A whistleblower in Texas claims that during his time as a scheduling clerk for VA facilities in Austin, San Antonio, and Waco, he was directed by supervisors to hide true wait times by inputting false records into the VA’s scheduling system.  VA officials in San Antonio deny this, while VA officials in Austin claim employees may have been discouraged from using the electronic scheduling tool that would reveal long wait times, but that those orders did not come from “executive leadership.”  Can you confirm that supervisors at VA facilities in Texas have not and are not ordering employees to “game the system” by concealing wait times?

3.         An Austin-based surgeon recently contacted my office to inform me he is not accepting any further subcontracts from the VA due to failures in patient care that he has personally witnessed.  Specifically, he saw a veteran in August of 2013 who was referred to him by the VA after they detected a lesion they suspected was cancerous.  Already two months had lapsed between the time they detected the lesion and the time he saw the veteran.  This surgeon performed a biopsy and diagnosed it as laryngeal cancer.  He informed the VA that the veteran needed immediate chemotherapy – that they had a real chance to treat his cancer if they started chemotherapy right away.  Almost two months later, he followed up on his case only to learn the VA never provided chemotherapy, with no good excuse as to why.  The veteran died several days later.  Can you confirm that veterans diagnosed with cancer of any kind that requires chemotherapy are provided that treatment in a timely manner by the VA?

4.         A whistleblower in South Texas who formerly served as associate chief of staff for the VA Texas Valley Coastal Bend Health Care System in Harlingen, TX, told the Washington Examiner this week that roughly 15,000 patients who should have had the potentially life-saving colonoscopy procedure either did not receive it or were forced to wait longer than they should have.  He also claims that approximately 1,800 records were purged to give the false appearance of eliminating a backlog.  Can you confirm that veterans requiring colonoscopies to detect cancer are provided with the procedure in a timely manner?

5.         In 2012, VA medical facilities in Central Texas reported that 96 percent of veterans were seen by providers within 14 days of their preferred appointment date.  In the South Texas region that includes San Antonio, the statistics were even more impressive: 97 percent of veterans were seen within two weeks, according to annual performance reports.  Can you produce documents that show the original dates of veterans’ requests for appointments for 2012?

6.         According to public records, the director of the Phoenix VA hospital, where news investigations have discovered at least 40 veterans died while waiting for care and languishing on secret lists, received more than $9,000 in bonus pay in 2013.  Can you confirm that any bonuses or pay raises are on hold for senior leaders at VA facilities in San Antonio, Austin, Waco, Harlingen, and all VA facilities where similar allegations have been made?

7.         My staff attended a Quarterly Congressional Staffer and Veterans Service Organization Representative Meeting at the Central Texas Veterans Health Care System (CTVHS) Friday, May 9, 2014.  Sallie Houser-Hanfelder, director of the Central Texas Veterans Health Care System, told meeting attendees that, as part of the face-to-face audits you have ordered, a quality systems manager from CTVHS would be sent to another VA facility to assist with investigations there.  Can you confirm that staff at facilities currently under investigation for allegations of falsified reports will not be assigned to investigate other VA facilities?

8.         A former VA employee at the VA Greater Los Angeles Medical Center told the Daily Caller that employees at the Center destroyed veterans’ medical files in a systematic attempt to eliminate backlogged veteran medical exam requests.  The former employee said, “The waiting list counts against the hospital’s efficiency.  He said the chief of the Center’s Radiology Department initiated an “ongoing discussion in the department” to cancel exam requests and destroy veterans’ medical files so that no record of the exam requests would exist, thus artificially reducing the backlog.  In addition, you have been subpoenaed by the House Veterans Affairs Committee over concerns by Chairman Jeff Miller that evidence in Phoenix may have been destroyed after the Committee issued a document-preservation order on April 9.  A top VA official testified on April 24 that a spreadsheet of patient appointment records, which may have been a “secret list” proving misconduct, was shredded or discarded.  Can you confirm that documents are being preserved at all Texas VA facilities?

I look forward to your prompt and detailed responses to these pressing questions.

Sincerely,

JOHN CORNYN
United States Senator

 

 

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By Steve Vogel / The Washington PostSecretary-of-Veterans-Affairs-Eric-K.-Shinseki

Via Veterans Today

WASHINGTON — A petition signed by a reported 26,000 veterans and sent to the White House on Tuesday calls for President Obama to fire Secretary of Veterans Affairs Eric Shinseki, saying a change of leadership is needed to eliminate the lengthy backlog of veterans awaiting action on their disability claims.

In advance of the petition, the Department of Veterans Affairs on Monday released figures reporting that the backlog of claims pending more than 125 days is down by almost 20 percent from its highest point more than four months ago.

The VA progress continues a trend first reported in June, when department officials said they had reached “a tipping point,” with the number of cases awaiting action declining.

The claims backlog — those cases pending 125 days or longer — stands at 490,000, which is down from the 530,000 reported June 15, figures show. The VA says its total claims inventory of 773,000 is the lowest since April 2011, and down from 808,000 on June 15.

The group that organized the petition, Concerned Veterans for America, said the progress is not enough.

“There are still 500,000 veterans waiting in the disability claims backlog, and this is unacceptable,” the group said in a statement. “CVA is keeping the heat on and will ensure the voices of veterans are heard.”

The White House has praised Shinseki’s efforts to reduce the backlog.

Obama told a veterans group this month that the administration was “turning the tide” in the effort to reduce the backlog. “We are not where we need to be, but we’re making progress,” Obama said in an address to the Disabled American Veterans’ convention in Orlando Aug. 10. “In the last five months alone, it’s down nearly 20 percent.”

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VA Hires More Mental Health Professionals to Expand Access for Veterans

Part of Comprehensive Effort to Boost Mental Health Services

Veterans Today

WASHINGTON – The Department of Veterans Affairs (VA) today announced that it has made significant progress in providing increased access to mental health care services for our Nation’s Veterans by hiring new mental health professionals. Last year, Secretary Eric K. Shinseki announced a goal to hire 1,600 new mental health clinical providers and 300 administrative support staff. The President’s Aug. 31, 2012, Executive Order requires the positions to be filled by June 30, 2013. As of Jan. 29, VA has hired 1,058 mental health clinical providers and 223 administrative support staff in support of this specific goal.

“We aren’t slowing down our efforts even after these initial positive results,” said Shinseki. “We still need to hire more mental health professionals in order to reach our goal, but each new hire means we can treat more Veterans and provide greater access to our mental health services.”

Overall, VA has set aggressive goals to fill these new positions as well as existing and projected mental health vacancies within the VA system. As of Jan. 29, VA has hired a total of 3,262 mental health professionals and administrative support staff to serve Veterans since the goal was announced, which includes the new 1,058 mental health clinical providers and 223 administrative support staff. The mental health professionals hired include psychiatrists, psychologists, social workers, mental health nurses, licensed professional mental health counselors, licensed marriage and family therapists, and addictions therapists.

 

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