by
Chaplain Kathie
The idea that medical records should be linked between the DOD and the VA seemed like a great one. After all, if they are wounded while in the service, it would only make sense to have it documented by the Department of Defense so that after they are discharged the VA would have their records a lot faster. That's what a lot of people think. The news reports have left the impression this is something new. Aside from the fact it has not been done, the backlog of claims rises and veterans wait months, even years, to have their claims approved, the systems are still not joined.
ELECTRONIC HEALTH RECORDS
DoD's Struggle to Streamline with VA
September 8, 2010
As you can see this video was uploaded September 2010. With Iraq and Afghanistan producing over 2 million more veterans, Vietnam veterans also sought claim approvals for Agent Orange and Post Traumatic Stress Disorder as the rules to file these claims were changed.
What do they live off of when they can't work due to a true "service connected disability" that has not been approved due to backlog of claims and lack of records? They have heard every excuse used over and over again along with hearing that the problem is being addressed. What good does it do to set rules if no one is enforcing them?
This outrageous situation has been allowed to continue because as members of congress change what has been done is all forgotten about.
The need to connect the DOD and the VA was addressed 14 years ago before troops were sent into Afghanistan and Iraq, long before the rule changes to file claims for Vietnam Veterans and still they wait while all of this could have been avoided.
U.S. Department of Defense
Office of the Assistant Secretary of Defense (Public Affairs)
News Release
IMMEDIATE RELEASE
No. 658-97
December 04, 1997
VA, DOD AGREE ON PRE-DISCHARGE EXAMS FOR DISABILITY CLAIMS
Under an agreement between the Department of Veterans Affairs (VA) and the Department of Defense (DoD), active duty military personnel should have an easier process for and get faster decisions on their disability compensation claims as well as their eligibility for VA health care.
When fully implemented, the new national policy calls for separating or retiring servicemembers expecting to file a claim for VA disability compensation to undergo a single physical exam prior to discharge. The exam will meet VA requirements for claims determinations, as well as DoD needs for a separation medical examination. The new policy will be phased in as expeditiously as possible as details are worked out at the local level.
Previous procedures required two separate examinations several months apart. Until now, military personnel have first had to get a DoD physical exam prior to discharge from active duty. These personnel then usually have to undergo a second exam by VA after filing claims for disability compensation because of differences between VA and DoD protocols. The results of these examinations are a determining factor in eligibility for VA health care.
The new national policy was spearheaded by VA Under Secretary for Health Dr. Kenneth W. Kizer and DoD Acting Assistant Secretary of Defense for Health Affairs Dr. Edward D. Martin following months of work on this and other matters of joint interest.
Kizer said, "This change will help us avoid unnecessary or redundant physical exams, improve the quality of the examination process, and improve service for separating servicemembers by eliminating lengthy delays in claims decisions and health-care eligibility determinations. We are hopeful the new policy also will enhance ongoing efforts to reduce the time it takes to process compensation claims and, further, it should reduce costs."
Martin said, "By reengineering the system to require only one physical, we are making life easier for our beneficiaries. This is a good news story."
In pilot tests of the dual-purpose exam at VA and Army facilities, claims processing time was reduced to less than one-third of national levels under the existing system. The current national average for processing an original compensation claim is 133 days.
Under the new policy, VA physicians generally will conduct the pre-discharge exams. In areas where VA physicians are not available, DoD physicians will conduct the exams according to VA protocols.
Imagine if this was done 14 years ago there wouldn't be so many veterans waiting for what they were in fact owed for their disabilities caused by service to this country.
Paul Sullivan of Veterans For Common Sense sent an email to let me know that back when this started, he was part of getting it done.
In 1997, while I was executive director of the National Gulf War Resource Center in Washington, DC, I worked with Rep. Lane Evans to pass the Force Health Protection Act that mandated the records and exams.
After prompting by VCS, in 2009, one of President Obama's first actions for VA and DoD was to push forward with the single record.
In my VCS Congressional testimony since 2007, I repeatedly asked for the records and exams.
Then, surprise, in late 2010, DoD confirmed they are doing more of the exams. DoD did a test to see if exams and more doctors improved the health of the troops. And they did, according to a New York Times article published in October 2010.
Are VA and DoD going in the correct direction? Yes. Are they going fast enough? Hell no. Troops still need their pre- and post-deployment medical exams, and our troops and veterans need the electronic lifetime medical record so toxic exposures, exams, and prescriptions are all documented.
As you can see, while Paul has been a "go to guy" for reporters over the last few years, he's been working hard for veterans for a very, very long time.
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