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Objectives. We examined the utility of the Veterans Health Administration (VHA) universal screening program for military sexual violence.

Intro -- Contents -- Preface -- Chapter 1 -- The Veterans Choice Program (VCP): Program Implementation (Updated)* -- Abstract -- Introduction -- Scope and Limitations -- Medical Services under VCP -- Eligibility -- Choice of Care -- VCP Providers -- Program Administration -- Third-Party Administrators (TPAs) -- End of Contract with Health Net -- Community Care Provider Participation -- Consults/Referral Processes -- Unusual or Excessive Burden Determination -- Authorization of Care and an Episode of Care -- Appointment Scheduling -- Medication Process -- Processing Medical Claims -- Medical Services Not Previously Authorized -- Payments -- Veterans' Out-of-Pocket Costs -- Cost Shares for Veterans with Other Health Insurance (OHI) -- Provider Payment Methodologies -- Appendix A. Veterans Choice Program (VCP) High-Level Work Flow -- Appendix B. VA Information Pertaining to the End of the Contract with Health Net -- Chapter 2 -- Department of Veterans Affairs: Expanded Access to Non-VA Care through the Veterans Choice Program( -- Report under 5 U.S.C. 801(A)(2)(A) on a Major Rule Issued by the Department of Veterans Affairs, Entitled "Expanded Access to Non-Va Care through the Veterans Choice Program" (RIN: 2900-AP60) -- Cost-Benefit Analysis -- Agency Actions Relevant to the Regulatory Flexibility Act (RFA), 5 U.S.C. 603-605, 607, and 609 -- Agency Actions Relevant to Sections 202-205 of the Unfunded Mandates Reform Act of 1995, 2 U.S.C. 1532-1535 -- Other Relevant Information or Requirements under Acts and Executive Orders Administrative Procedure Act, 5 U.S.C. 551 Et Seq. -- Chapter 3 -- Veterans Health Administration: Greater Focus on Credentialing Needed to Prevent Disqualified Providers from Delivering Patient Care( -- Abbreviations -- Why GAO Did This Study -- What GAO Recommends -- What GAO Found -- Background.

Optimizing the well-being of Canada's military community through high-impact research.

Shipping list no.: 95-0208-P. ; Cover title. ; Mode of access: Internet.

Introduction - a solemn obligation: war, and federally sponsored health care vi -- An extra-hazardous occupation: preparing for the health outcomes of war -- A stupendous task: dynamics and challenges of domestic military health care -- War was hell but the after-war effects were 'heller': an Army responsibility becomes a societal obligation -- The debt we owe them: advocating, funding, and planning for veterans' health Care -- One of the epochs of veteran relief: creating and growing the Veterans' Bureau and its hospitals -- The scope of the scheme is widened: experiencing and entrenching a federal health system -- State medicine: enduring under fire -- Conclusion: A huge policy success story? The legacy of Great War health policy

The purpose of this study was to conduct the first assessment of burnout among Veterans Health Administration (VHA) mental health clinicians providing evidence-based posttraumatic stress disorder (PTSD) care. This study consisted of 138 participants and the sample was mostly female (67%), Caucasian (non-Hispanic; 81%), and married (70%) with a mean age of 44.3 years (SD = 11.2). Recruitment was directed through VHA PTSD Clinical Teams (PCT) throughout the United States based on a nationwide mailing list of PCT Clinic Directors. Participants completed an electronic survey that assessed demographics, organizational work factors, absenteeism, and burnout (assessed through the Maslach Burnout Inventory-General Survey, MBI-GS). Twelve percent of the sample reported low Professional Efficacy, 50% reported high levels of Exhaustion, and 47% reported high levels of Cynicism as determined by the MBI-GS cut-off scores. Only workplace characteristics were significantly associated with provider scores on all 3 scales. Exhaustion and Cynicism were most impacted by perceptions of organizational politics/bureaucracy, increased clinical workload and control over how work is done. Organizational factors were also significantly associated with provider absenteeism and intent to leave his/her job. Findings suggest that providers in VHA specialty PTSD care settings may benefit from programs or supports aimed at preventing and/or ameliorating burnout.

AbstractThe VA health care system is the largest source of public mental health care in the country, providing specialty mental health care services to more than 550,000 veterans annually. This chapter reviews the nature and scope of VA psychiatric emergency services.