Military and Veterans Administration Health Systems
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Military and Veterans Administration Health Systems
The United States Military and Veterans Administration Health Systems
Contemporary Overview and Policy Challenges
John S. Murray
“No one who fights for this country should ever have to fight for a job, or a roof over their head, or the care that they have earned.”
President Barack Obama
The U.S. Military Health System (MHS) provides a number of important health care services to as many as 8.3 million service members, military retirees, and their families (Murray & Chaffee,
2011; The Kaiser Foundation, 2012). Military health care is provided by approximately 140,000 military, civilian, and contract personnel working around the globe at 59 military treatment facilities
(MTFs) capable of providing diagnostic, therapeutic, and inpatient care. Additionally, care is delivered at hundreds of military outpatient clinics and by private sector civilian providers
(Government Accountability Office [GAO], 2012; Murray & Chaffee, 2011).
Military nursing consists of several components: active duty, reserve, National Guard, enlisted medical technicians, and federal civilian registered nurses. The Army Nurse Corps is comprised of
40,000 nursing team members, whereas the Air Force has 18,000 and the Navy approximately 5,800 (U.S. Senate Committee on Appropriations, 2012). Active duty military nurses in all armed
forces must have a bachelor’s degree in nursing (BSN) from an accredited school to serve in the military.
The MHS has two missions (Figure 39-1):
- A military readiness mission: supporting wartime and other deployments (GAO, 2012; Murray & Chaffee, 2011).
- A health care benefits mission: providing medical services and support to members of the armed forces, retirees, and their dependents (GAO, 2012; Murray & Chaffee, 2011).
The Veterans Health Administration (VHA) is home to the United States’ largest integrated health care system consisting of 152 medical centers, nearly 1,400 community-based outpatient
clinics, community living centers, Vet Centers, and residential homes for disabled veterans. More than 239,000 staff, including 53,000 licensed health care clinicians, work to provide
comprehensive care to more than 8.3 million veterans each year at these facilities. The VHA nursing team consists of 77,000 personnel nationwide composed of registered nurses, licensed
practical/vocational nurses, and nursing assistants. Of these, approximately 5440 are advanced practice nurses (Certified Registered Nurse Anesthetists, Nurse Practitioners, and Clinical Nurse
Specialists). A BSN degree is not a requirement to work for the VHA (U.S. Department of Veterans Affairs Office of Nursing Services, 2010). The VHA’s primary mission is to honor America’s
veterans by providing exceptional comprehensive care that improves their health and well-being. It accomplishes this benchmark of excellence by
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providing exemplary services that are both patient centered and evidence based (U.S. Department of Veterans Affairs, 2013a).
Military and Veterans Administration Health Systems
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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