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Under VA Chief, Effort to Aid Wounded Vets Stalled, Ex-Employee Charges
March 07, 2007 4:30 PM
A proposal to keep seriously wounded vets from falling through the cracks of the bureaucracy was shelved in 2005 when Jim Nicholson took over as the secretary of the Veterans Affairs Department, according to the former VA employee who was responsible for tracking war casualties.
As a result, seriously wounded veterans continued to face long delays for health care and benefit payments after being discharged from the military, says former VA project manager Paul Sullivan.
The program, called the Contingency Tracking System, had been approved by Nicholson's predecessor but died once Nicholson took over the VA, Sullivan told ABC News.
Click Here for Video of the World News Report.
Sullivan said he was told the cost of the system -- less than $1 million to build and requiring a handful of staff to maintain -- was prohibitive.
When asked about the Contingency Tracking System at the White House Wednesday, Nicholson told ABC News, "I'm not sure I know what program you're referring to." He added that "when the VA gets patients...we instantly create an electronic medical record for them."
Click Here for Full Blotter Coverage.
In testimony before Congress today, a VA official confirmed that its current tracking system still depends on paper files and lacks the ability to download Department of Defense records into its computers, a key flaw originally identified as leading to veterans getting lost between the cracks.
Throughout 2004, the new program sat on a shelf while returning veterans struggling with serious brain injuries, psychological trauma, paralysis or worse spent weeks and months fighting the VA bureaucracy to receive the benefits they deserved after being discharged from the armed services, veterans advocates say.
"In that gap...people find themselves not being able to pay for their car, their mortgage, they may have marital problems because they can't pay their bills," said Steve Robinson, director of veterans' affairs for the advocacy group Veterans for America. "You find suicide, alcohol abuse, drug abuse, domestic violence."
Yesterday, President Bush put VA Secretary Nicholson in charge of an interagency task force to determine what can be done to deliver benefits and health care now to thousands of wounded vets who have struggled to receive care.
The announcement came almost exactly two years after Nicholson had received the newly designed system, itself the result of an internal VA task force studying how to make sure wounded soldiers were "seamlessly" transitioned from military service to veteran status with the care and benefits they'd earned.
Despite Nicholson's apparently cool reception to the inexpensive solution, others thought the system had merit. "It was a great idea," said Cynthia A. Bascetta, a congressional expert on veterans' health care who was briefed on the project just prior to its completion. After the briefing, she said, she didn't hear any more about it.
Newspaper exposes in 2004 prompted former VA Secretary Principi to come up with a plan to fix the problem of wounded vets returning from Iraq and Afghanistan and not receiving timely care and benefits.
"You read a story about someone who was caught in between and I said, 'Wait a minute. We have to do better than that,'" Principi, now a lobbyist for the Pfizer pharmaceutical company, told ABC News.
Sullivan and his team designed the "Contingency Tracking System" (CTS), a secure online database that would capture Department of Defense data on soldiers wounded on the battlefield and track their status through their medical care and treatment at both Defense and VA facilities.
To keep costs down, he said, he cadged computer hardware from other offices which weren't using theirs.
CTS would record each vet's diagnosis and help VA staff make sure he or she received all of the dozens of benefits they might qualify for as soon as possible, from rehabilitative care to disability payments, vocational training and more.
"Before the CTS, VA had no nationwide system for tracking casualties from the battlefield," Sullivan said. Instead, the department relied on a haphazard system of casualty records manually kept on spreadsheets at several locations, which sometimes did not match up with Defense Department casualty records. That process hampered vets' timely access to medical care and other benefits after discharge, Sullivan said.
Sullivan left the VA in March 2006; he is now an advocate for improving care for veterans. He reacted with dismay at yesterday's announcement that Nicholson would be leading the new effort to make sure wounded veterans get the care and benefits they deserve.
"I don't think it's a good idea for the people responsible for the problem to be in charge of fixing it," he told ABC News.
In a written response to ABC News, the VA said a new tracking system "very near deployment" would allow them to track casualties soon after they left the battlefield, much the way CTS was designed to do in 2004.
This post has been updated.
March 7, 2007 | Permalink | User Comments (59)
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Well, considering that Walter Reed Medical Center isn't the ONLY one with a "Black Eye," I think it has a lot to do with it. Do you really think that Walter Reed is the ONLY hospital or facility that has these kinds of problems? Have you seen any VA hospitals around the country lately? I'm not talking of just the one or two nearby where you live. I am talking about VA hospitals from several states. Well, I have. I have seen some that are exemplary and some that are a disgrace. But sadly, once you see more than one like Walter Reed, your heart falls apart. So much for "Supporting Our Troops."
Posted by: Tito | Mar 7, 2007 9:34:42 PM
Jim obviously isn't a critical thinker. The VA is the next step the veterans face after discharge from the military. It is very important that the VA in this nation give quality care to our military coming back from the middle east as well as all of our veterans who have served. This is a promise that was made and our veterans expect our government to keep it. Since there are 3 branches of government, it is only right and honorable that an investigation into all the medical facilities that serve our veterans be given a look over to make sure they are given the care that is expected. It isn't about the wrong the VA has committed it is about the doing the "right thing" for our veterans.
Posted by: gypsy | Mar 7, 2007 10:01:11 PM
Why do we tolerate Bush and his incompetent morons? What happened to Johnson and is he getting treatment? I know there are many excellent VA facilities and what's taking so long to get him help?
Posted by: Dan Voller | Mar 7, 2007 10:04:22 PM
quick correction, my comment was directed at rplat not Jim.
Posted by: gypsy | Mar 7, 2007 10:10:44 PM
Wrongs the VA committed:Now almost a 700,000 backlog of veterans waiting for appointments and claims decisions -cutting week day emergency care hours at hospitals and no emergency care on weekends, probable cause of death of veteran at Spokane Washington VA Sept.30, and veterans arriving after hours taken by ambulance to private hospitals where VA denies payment and veterans suffer financial disaster as a result-18 VA hospitals being considered for closing at a time when the VA can not care for the influx of veterans now--suspending 'Priority Group 8'veterans from receiving care in the VA Health Care System-VA is under funded and a disgrace concerning the care of all our veterns-Need more wrongs, let me know.
Posted by: Brian | Mar 7, 2007 10:19:28 PM
Not only can the VA not "talk" w/DOD via computers, as of 2003 none of the VA hospitals are connected.
If you move and transfer to another VA hospital, you have to request that your files be mailed!
GAO needs to be looking into this. It's obsued and borders on criminal!
Posted by: Jerry Headley | Mar 7, 2007 10:44:15 PM
Nicholson needs to resign now.
Posted by: Dale Peters | Mar 7, 2007 11:31:57 PM
To rplat: Walter Reed was not mentioned in the article. There's no mix-up here -- the article is clear: Jim Nicholson was put in charge of the VA; he was given an option to install a rather inexpensive system to track soldiers after they leave the military (Walter Reed) and go into the VA system; he turned the fix down; it's still done with pen and paper; now Nicholson has been appointed by Bush to straighten out a problem that Nicholson seems to have exacerbated; Nicholson seems to have "forgotten" that he could have fixed the problem years ago.
Hint: this is not "the government's" fault. This is a question of another bad appointment made by an administration that seems to specialize in them.
Posted by: JL | Mar 8, 2007 12:58:30 AM
I am a veteran who has recieved inadequate care by the VA in GA. I am currently contemplating sueing the VA for refusal to treat me and for malpractice. Basically they messed up my leg then refused to fix it. There is a hell of a lot more to the story but too much for the blog. Bottom line, no one seems to care about the vets after they(we)leave service. I am trying to get my benefits and am constantly bombarded by red tape, idiotic workers who have an attitude every time you talk to them, and yes racism. The VA needs a total makeover!!!
Posted by: Scott | Mar 8, 2007 1:06:46 AM
Nothing has changed at the VA. The VA has always been incompetent and will always be incompetent. I retired from military service in 1970 and applying to the VA hospital in Bedford, MA I was initiated into the bumbling,stumbling, fumbling rules and requirements necessary for treatment. Even though I have a "C" number from the VA I still had to prove beyond a reasonable doubt that I had a right to be there.
After about a year I gave up on the VA and sought treatment elsewhere. The cost at times was prohibitive but at least I was getting the treatment that was necessary. I have not returned to the VA nor will I ever return to the VA for medical treatment. I am appalled to learn that They still don't have a viable computer records system in place within the VA.
This current furor over treatment at Walter Reed and other veterans care facilities will eventually quiet down and we will again return to the normalcy of mediocrity in the veteran's health care system. The return of the ineffectual Jim Nicholson to head a task force overseeing veteran's health care only shows the incompetence of our elected leaders.
SNAFU.
Posted by: John Murray | Mar 8, 2007 1:08:06 AM
The VA isn't innocent in this either. Their facilities suffered a noticeable change in care as they became more overloaded. Appointments became harder to get and even the staff started turning veterans away who were sick and injured. The whole system needs a major injection of overhaul to keep it up and running.
Posted by: okiereader | Mar 8, 2007 2:07:19 AM
This must be even much more difficult for unmarried, adult Veterans who do not have families to go back home to.
Imagine moving in with ageing parents. Or if none are alive - being a burden on relatives or as a final resort, moving to a homeless shelter.
In areas like New York City where rents are expensive, it must be even more harsh.
Posted by: security | Mar 8, 2007 4:04:47 AM
I find this report appauling. I work for a local VA Hospital and we put the Iraq Vet at the top of our list. We have put into place a special program for our combat vets. We also get the wounded vets on Conveselant leave and they are HIGH PRIORITY.
If it weren't for the Veterans we would not have a job. I love my job and I love our veterans.
Posted by: Marita | Mar 8, 2007 8:07:53 AM
I have a question - why are these people unable to pay their bills? Aren't they still being paid while they move from active duty to veteran status? Don't tell me they are taken off the payroll just because the went and got themselves disabled while carrying out the absurd commands of this administration!
Posted by: jlawrence | Mar 8, 2007 10:57:59 AM
I am a disabled vet and it angers me when the government puts morons in charge of taking care of the disabled vets. Once again the government will continue to let an idiot run an important organization like the VA.
Posted by: david | Mar 8, 2007 12:01:30 PM
Clearly the Bush administration's priority with the huge defense budget is to seeing that Haliburton and their kind make billions. US soliders are not a priority to this administration.
Posted by: JelloBiafra | Mar 8, 2007 12:50:13 PM
Thank you Bush and Cheney for not caring about our soldiers and their families. Using slimy intimidation practices to contain your lies as to what you both have done to soldiers and families.
God will remember your soldier abuse!
Posted by: Nelected & Abused | Mar 8, 2007 1:01:30 PM
My father was head of nursing in the Waco, Texas, VA Hospital in the mid-1960s and became a whistle blower because of the untenable conditions for patients while doctors napped in their air-conditioned offices--so the problems and the corporate culture go back a long ways. I can't imagine the horror of smaller VA hospitals if Walter Reed is such a mess.
Posted by: Eileen Bartlett | Mar 8, 2007 2:18:00 PM
Plain and simple. Jim Nicholson should be fired. Today. No severance package, no kuddos from the President for his excellent job well done....just fired.
Posted by: Anne Cosper | Mar 8, 2007 2:20:09 PM
I was in the emergency facility at Ann Arbor V.A. Medical Center and I was diagnosed w/walking pneomonia. I have COPD. While they were trying to get my oxygenated blood level to 94% form 79%, so they could let me go home, I was talking to one of the tech's there. This was in 2004. He was telling me about the news that had come down from the White House.
He said that I was safe....because I had been in the system for more then 5 years but that any other vets applying for aid would probably not get it. He told me not to miss any appt's or I would get on a list that would imperil my status They had been told to refuse giving treatment to any new vet that had not been in the system for at least 3 years.
I never knew his name and did not see him again. But he scared me badly. I have never missed an appt. since them and have seen his staements come true. I feel that the Iraq vets will have a long fight to get what they deserve, rightfully so, and the treatment that they have coming for defending the people that are abusing them. God help them and we will have to help them too.
Posted by: "B" | Mar 8, 2007 2:20:37 PM
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