Relevant bibliographies by topics / VA Health Administration Center

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'VA Health Administration Center'

Author: Grafiati
Published: 4 June 2021
Last updated: 5 February 2022

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Journal articles on the topic "VA Health Administration Center"

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Callegari, Lisa, Stephanie Edmonds, Sonya Borrero, Ginny Ryan, Caitlin Cusack, and Laurie Zephyrin. "Preconception Care in the Veterans Health Administration." Seminars in Reproductive Medicine 36, no. 06 (November 2018): 327–39. http://dx.doi.org/10.1055/s-0039-1678753.

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AbstractPreconception care (PCC), defined as a set of interventions to help women optimize their health and well-being prior to pregnancy, can improve pregnancy outcomes and is recommended by national organizations including the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists. Women Veterans who use the Department of Veterans Affairs (VA) health care system may face elevated risks of adverse pregnancy and birth outcomes due to a high prevalence of chronic medical and mental health conditions as well as psychosocial stressors including sexual trauma history and intimate partner violence. Many women Veterans of childbearing age experience poverty and homelessness, which are key social determinants of poor reproductive health outcomes. Furthermore, racial/ethnic disparities in maternal and neonatal outcomes are well documented, and nearly half of women Veterans of reproductive age are minority race/ethnicity. High-quality, equitable, patient-centered PCC services to address modifiable risks in this population are therefore a priority for VA. In this article, we provide a brief background of PCC, discuss the health risks of Veterans associated with adverse pregnancy outcomes, and highlight VA initiatives related to PCC. Lastly, we discuss implications and future directions for PCC research and policy within VA and across other health systems.
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Nichols, Linda. "Reader's Comments on "Practicing Medical Anthropology at a Veterans Administration Medical Center"." Practicing Anthropology 36, no. 1 (January 1, 2014): 48. http://dx.doi.org/10.17730/praa.36.1.x585785825154526.

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As an anthropologist in the Department of Veterans Affairs (VA) for the past 30 years, I read with some concern the article in the latest issue of Practicing Anthropology, "Practicing Medical Anthropology at a Veterans Administration Medical Center: An Investigation of the Health Care Experiences of WWII-Era Veterans" by Dr. Denver Lewellen (Practicing Anthropology 35[3]:44-48).
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Miller, Edward Alan, Stefanie Gidmark, Emily Gadbois, James L. Rudolph, and Orna Intrator. "Nursing Home Referral Within the Veterans Health Administration: Practice Variation by Payment Source and Facility Type." Research on Aging 40, no. 7 (September 13, 2017): 687–711. http://dx.doi.org/10.1177/0164027517730383.

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Veterans enrolled within the Veterans Health Administration (VHA) of the U.S. Department of Veterans Affairs (VA) may receive nursing home (NH) care in VHA-operated Community Living Centers (CLCs), State Veterans Homes (SVHs), or community NHs, which may or may not be under contract with the VHA. This study examined VHA staff perceptions of how Veterans’ eligibility for VA and other payment impacts NH referrals within VA Medical Centers (VAMCs). Thirty-five semistructured interviews were performed with discharge planning and contracting staff from 12 VAMCs from around the country. VA staff highlights the preeminent role that VA priority status played in determining placement in VA-paid NH care. VHA staff reported that Veterans’ placement in a CLC, community NH, or SVH was contingent, in part, on potential payment source (VA, Medicare, Medicaid, and other) and anticipated length of stay. They also reported that variation in Veteran referral to VA-paid NH care across VAMCs derived, in part, from differences in local and regional policies and markets. Implications for NH referral within the VHA are drawn.
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Matsumoto, Rachel A., Bryant R. England, Ginnifer Mastarone, J. Steuart Richards, Elizabeth Chang, Patrick R. Wood, and Jennifer L. Barton. "Rheumatology Clinicians’ Perceptions of Telerheumatology Within the Veterans Health Administration: A National Survey Study." Military Medicine 185, no. 11-12 (November 1, 2020): e2082-e2087. http://dx.doi.org/10.1093/milmed/usaa203.

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Abstract Introduction The Department of Veterans Affairs Veterans Health Administration (VA) Strategic Plan (Fiscal Year 2018–2024) identified four priorities for care including easy access, timely and integrated care, accountability, and modernization, all of which can be directly or indirectly impacted by telemedicine technologies. These strategic goals, coupled with an anticipated rheumatology workforce shortage, has created a need for additional care delivery methods such as clinical video telehealth application to rheumatology (ie, telerheumatology). Rheumatology clinician perceptions of clinical usefulness telerheumatology have received limited attention in the past. The present study aimed to evaluate rheumatologists’ perceptions of and experiences with telemedicine, generally, and telerheumatology, specifically, within the VA. Materials and Methods A 38-item survey based on an existing telehealth providers’ satisfaction survey was developed by two VA rheumatologists with experience in telemedicine as well as a social scientist experienced in survey development and user experience through an iterative process. Questions probed VA rheumatology clinician satisfaction with training and information technology (IT) supports, as well as barriers to using telemedicine. Additionally, clinician perceptions of the impact and usefulness of and appropriate clinical contexts for telerheumatology were evaluated. The survey was disseminated online via VA REDCap to members of the VA Rheumatology Consortium (VARC) through a LISTSERV. The study protocol was approved by the host institution IRB through expedited review. Survey responses were analyzed using descriptive statistics. Results Forty-five anonymous responses (20% response rate) were collected. Of those who responded, 47% were female, 98% were between 35 and 64 years old, 71% reported working at an academic center, and the majority was physician-level practitioners (98%). Respondents generally considered themselves to be tech savvy (58%). Thirty-six percent of the sample reported past experience with telemedicine, and, of those, 29% reported experience with telerheumatology specifically. Clinicians identified the greatest barrier to effective telerheumatology as the inability to perform a physical exam (71%) but agreed that telerheumatology is vital to increasing access to care (59%) and quality of care (40%) in the VA. Overall, regardless of experience with telemedicine, respondents reported that telerheumatology was more helpful for management of rheumatologic conditions rather than initial diagnosis. Conclusions While the majority of rheumatology clinicians did not report past experience with telerheumatology, they agreed that it has potential to further the VA mission of improved access and quality of care. Rheumatology clinicians felt the suitability of telerheumatology is dependent on the phase of care. As remote care technologies continue to be rapidly adopted into clinic, clinician perceptions of and experiences with telemedicine will need to be addressed in order to maintain high-quality and clinician- and patient-centric care within VA rheumatology.
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Mäkinen, K. K., D. Pemberton, J. Cole, P. L. Mäkinen, C. Y. Chen, and P. Lambert. "Saliva Stimulants and the Oral Health of Geriatric Patients." Advances in Dental Research 9, no. 2 (July 1995): 125–26. http://dx.doi.org/10.1177/08959374950090020901.

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Root-surface caries (RSC) has been recognized as a specific and important dental disease. Significant advances have been made in the pathology and microbiology of RSC, and the need to standardize the guidelines for recording RSC data has been recognized. Researchers have emphasized the increasing impact RSC will have on the geriatric population, especially since the methods to treat and prevent this disease are limited. The purpose of this study was to investigate the possibility of limiting RSC in a Veterans Administration (VA) patient population, using polyol-containing saliva stimulants that were voluntarily consumed by residents of a VA Medical Center (VAMC) over a period of from six to 30 months. Another aim was to study the effect of this program on the gingival health of periodontal patients.
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Cashion, Winn, Walid F. Gellad, Florentina E. Sileanu, Maria K. Mor, Michael J. Fine, Jennifer Hale, Daniel E. Hall, et al. "Source of Post-Transplant Care and Mortality among Kidney Transplant Recipients Dually Enrolled in VA and Medicare." Clinical Journal of the American Society of Nephrology 16, no. 3 (February 18, 2021): 437–45. http://dx.doi.org/10.2215/cjn.10020620.

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Background and objectivesMany kidney transplant recipients enrolled in the Veterans Health Administration are also enrolled in Medicare and eligible to receive both Veterans Health Administration and private sector care. Where these patients receive transplant care and its association with mortality are unknown.Design, setting, participants, & measurementsWe conducted a retrospective cohort study of veterans who underwent kidney transplantation between 2008 and 2016 and were dually enrolled in Veterans Health Administration and Medicare at the time of surgery. We categorized patients on the basis of the source of transplant-related care (i.e., outpatient transplant visits, immunosuppressive medication prescriptions, calcineurin inhibitor measurements) delivered during the first year after transplantation defined as Veterans Health Administration only, Medicare only (i.e., outside Veterans Health Administration using Medicare), or dual care (mixed use of Veterans Health Administration and Medicare). Using multivariable Cox regression, we examined the independent association of post-transplant care source with mortality at 5 years after kidney transplantation.ResultsAmong 6206 dually enrolled veterans, 975 (16%) underwent transplantation at a Veterans Health Administration hospital and 5231 (84%) at a non–Veterans Health Administration hospital using Medicare. Post-transplant care was received by 752 patients (12%) through Veterans Health Administration only, 2092 (34%) through Medicare only, and 3362 (54%) through dual care. Compared with patients who were Veterans Health Administration only, 5-year mortality was significantly higher among patients who were Medicare only (adjusted hazard ratio, 2.2; 95% confidence interval, 1.5 to 3.1) and patients who were dual care (adjusted hazard ratio, 1.5; 95% confidence interval, 1.1 to 2.1).ConclusionsMost dually enrolled veterans underwent transplantation at a non–Veterans Health Administration transplant center using Medicare, yet many relied on Veterans Health Administration for some or all of their post-transplant care. Veterans who received Veterans Health Administration–only post-transplant care had the lowest 5-year mortality.
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Day, T. Eugene, Ajit N. Babu, Steven M. Kymes, and Nathan Ravi. "Discrete Event Simulation and Real Time Locating Systems." International Journal of E-Adoption 4, no. 4 (October 2012): 16–28. http://dx.doi.org/10.4018/jea.2012100102.

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The Veteran’s Health Administration (VHA) is the largest integrated health care system in the United States, forming the arm of the Department of Veterans Affairs (VA) that delivers medical services. From a troubled past, the VHA today is regarded as a model for healthcare transformation. The VA has evaluated and adopted a variety of cutting-edge approaches to foster greater efficiency and effectiveness in healthcare delivery as part of their systems redesign initiative. This paper discusses the integration of two health care analysis platforms: Discrete Event Simulation (DES), and Real Time Locating systems (RTLS) presenting examples of work done at the St. Louis VA Medical Center. Use of RTLS data for generation and validation of DES models is detailed, with prescriptive discussion of methodologies. The authors recommend the careful consideration of these relatively new approaches which show promise in assisting systems redesign initiatives across the health care spectrum.
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Poorani, Ali A., and Vincent Kane. "Veteran Patient Experience Academy: Putting Veterans First." Journal of Patient Experience 8 (January 1, 2021): 237437352110346. http://dx.doi.org/10.1177/23743735211034619.

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With a national priority to make the Veteran Health Administration (VA) a leading customer service organization and provide patient-centric services to veterans and their families, the Wilmington VA Medical Center (W VAMC) partnered with the University of Delaware’s Department of Hospitality and Sport Business Management at the Lerner College of Business & Economics to develop the VA Patient Experience Academy. The program focused on employee training and provided tools to enhance the veterans’ experience, operationalized the VA Way (VA Core Values, Service Behaviors, Service Recovery), and Own the Moment. Phase 1 of the VA Patient Experience Academy launched with 25 managers in February 2019 and were followed by 5 cohorts including physicians, nurse practitioners, registered nurses, licensed practical nurses, medical staff assistants, and staff. The participants were selected from the W VAMC and 5 Community-Based Outpatient Clinics. The results were measured on 3 levels: Learning outcomes, application of training to practice, and the veterans’ satisfaction scores. Scores in all 3 areas showed significant improvements.
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Etingen, Bella, Jamie Patrianakos, Marissa Wirth, Timothy P. Hogan, Bridget M. Smith, Elizabeth Tarlov, Kevin T. Stroupe, Rebecca Kartje, and Frances M. Weaver. "TeleWound Practice Within the Veterans Health Administration: Protocol for a Mixed Methods Program Evaluation." JMIR Research Protocols 9, no. 7 (July 20, 2020): e20139. http://dx.doi.org/10.2196/20139.

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Background Chronic wounds, such as pressure injuries and diabetic foot ulcers, are a significant predictor of mortality. Veterans who reside in rural areas often have difficulty accessing care for their wounds. TeleWound Practice (TWP), a coordinated effort to incorporate telehealth into the provision of specialty care for patients with skin wounds, has the potential to increase access to wound care by allowing veterans to receive this care at nearby outpatient clinics or in their homes. The Veterans Health Administration (VA) is championing the rollout of the TWP, starting with regional implementation. Objective This paper aims to describe the protocol for a mixed-methods program evaluation to assess the implementation and outcomes of TWP in VA. Methods We are conducting a mixed-methods evaluation of 4 VA medical centers and their community-based outpatient clinics that are participating in the initial implementation of the TWP. Data will be collected from veterans, VA health care team members, and other key stakeholders (eg, clinical leadership). We will use qualitative methods (ie, semistructured interviews), site visits, and quantitative methods (ie, surveys, national VA administrative databases) to assess the process and reach of TWP implementation and its impact on veterans’ clinical outcomes and travel burdens and costs. Results This program evaluation was funded in October 2019 as a Partnered Evaluation Initiative by the US Department of Veterans Affairs, Diffusion of Excellence Office, and Office of Research and Development, Health Services Research and Development Service, Quality Enhancement Research Initiative Program (PEC 19-310). Conclusions Evaluation of the TWP will identify barriers and solutions to TeleWound implementation in a small number of sites that can be used to inform successful rollout of the TWP nationally. Our evaluation work will inform future efforts to scale up the TWP across VA and optimize reach of the program to veterans across the nation. International Registered Report Identifier (IRRID) DERR1-10.2196/20139
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Dixon, Brian E., Susan Ofner, Susan M. Perkins, Laura J. Myers, Marc B. Rosenman, Alan J. Zillich, Dustin D. French, Michael Weiner, and David A. Haggstrom. "Which veterans enroll in a VA health information exchange program?" Journal of the American Medical Informatics Association 24, no. 1 (June 6, 2016): 96–105. http://dx.doi.org/10.1093/jamia/ocw058.

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Objective: To characterize patients who voluntarily enrolled in an electronic health information exchange (HIE) program designed to share data between Veterans Health Administration (VHA) and non-VHA institutions. Materials and Methods: Patients who agreed to participate in the HIE program were compared to those who did not. Patient characteristics associated with HIE enrollment were examined using a multivariable logistic regression model. Variables selected for inclusion were guided by a health care utilization model adapted to explain HIE enrollment. Data about patients’ sociodemographics (age, gender), comorbidity (Charlson index score), utilization (primary and specialty care visits), and access (distance to VHA medical center, insurance, VHA benefits) were obtained from VHA and HIE electronic health records. Results: Among 57 072 patients, 6627 (12%) enrolled in the HIE program during its first year. The likelihood of HIE enrollment increased among patients ages 50–64, of female gender, with higher comorbidity, and with increasing utilization. Living in a rural area and being unmarried were associated with decreased likelihood of enrollment. Discussion and Conclusion: Enrollment in HIE is complex, with several factors involved in a patient’s decision to enroll. To broaden HIE participation, populations less likely to enroll should be targeted with tailored recruitment and educational strategies. Moreover, inclusion of special populations, such as patients with higher comorbidity or high utilizers, may help refine the definition of success with respect to HIE implementation.
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More sources

Dissertations / Theses on the topic "VA Health Administration Center"

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Walker, Madelyn Grace. "Architectural Mediation: A Community Anxiety Center in Alexandria, VA." Thesis, Virginia Tech, 2019. http://hdl.handle.net/10919/90291.

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Anxiety Disorders are the most common mental illness in the United States. While nearly 18% of Americans will experience an anxiety disorder within any given year, only one-third of those will receive treatment. Current mental health treatment facilities must navigate opposing needs for both awareness and access as well as privacy and respite. This thesis explores the ability of architecture to influence emotion and mediate between opposites through the design of a community anxiety treatment center in the heart of Old Town Alexandria, VA. The building combines community services, outpatient treatment, and in-patient treatment under one roof. Rather than a treatment facility that is removed from the city, the center is placed within an urban community, creating increased awareness and access to treatment as well as an expanded care journey through community connectivity. The building itself mediates between urban and therapeutic space, sequentially removing patients from urban stimuli as they move through increasing levels of treatment. As patients recover and begin to return to the city itself, the building gradually reintroduces them to the urban environment. Post-treatment, the location in Alexandria, VA allows patients to continue recovery through community support groups and activities.
Master of Architecture
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Robisnon, Brenda Joyce. "Is there an Association between Non-VA Medical Care Coordination and Utilization of Care?" ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2376.

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The Non-Veteran Administration Care (NVC) is a program in which the Veterans Health Administration purchases health care when it cannot provide the health services needed for eligible Veterans. The rising cost of this program led to audits by the Office of the Inspector General and other entities. The scholarly problem for this DNP Project was the lack of oversight, accountability, and management, found throughout the audits of NVC, as well as a lack of evaluation of NVC. The purpose of this project was to ascertain if there was a relationship between the Non-VA Care Coordination program (NVCC) and utilization of care. The NVCC was implemented to eliminate the deficiencies cited by audits. Sleep study and chiropractic consults for FY 2013 (pre-NVCC) and FY 2014 (post-NVCC) were examined. Sleep apnea service was available at the local Veteran Administration Medical Center and chiropractic service was not. Utilization of care was determined by emergency room (ER) visits and admissions related to the consult. A logic model was used to conceptualize the project and the longer-term implementation and evaluation of NVCC, and descriptive statistics were used to analyze trends in the chiropractic data (sleep study consults were excluded from the analysis due to the minute number). There were a total of 859 chiropractic consults and 2,184 approved visits analyzed. The results revealed that Veterans who utilized the consults had no ER visits or admissions related to referrals for chiropractic consults. Completed chiropractic consults remained proportionality the same both years. NVCC had no association with the utilization of care. This scholarly project contributes to social change by empowering consumers and providing transparency in the government through audits that facilitate quality improvement and evaluation of the NVCC program.
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Asomaning, Margaret. "Impact of a Wellness Clinic Visit on Cardiovascular Risk Biomarkers in Employees of a VA Medical Center." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3713.

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Background: Worksite screening programs are increasingly being provided by employers as a means to reduce cardiovascular risk in employees. A screening program that consists of fasting serum analysis of glucose plus a lipid panel is offered yearly to employees at the VA medical center in Tampa. A retrospective study was conducted to determine if a wellness clinic exposure resulted in significant changes in employees' markers of cardiovascular risk. Methods: Computerized records were used to follow serial outcomes for glucose, triglycerides, HDL cholesterol, and LDL cholesterol in employees whose screening results showed abnormal levels of one or more of these markers. An intervention group with 66 subjects received a wellness clinic visit including a health risk assessment and education for lifestyle change, and a reference group with 109 subjects received only serum analysis. Outcomes at repeat screening were compared for the two groups. Results: Both groups showed improvement in cardiovascular risk. In the intervention group there was significant intra-subject improvement from baseline for all markers except glucose. For triglycerides and LDL cholesterol there was a significantly greater proportion of subjects who improved in the intervention group. In addition, the improvement for triglycerides was significantly better in the intervention group. Conclusions: This investigation confirms the value of a worksite wellness program in reducing cardiovascular risk in the population studied. A differential impact of age and gender was seen for glucose and triglycerides and indicates that such modifiers should be considered through covariate analysis in assessing wellness program effectiveness. Increasing levels of employee wellness participation to targets identified in this study and adding a health risk assessment for everyone screened will help to identify the specific benefits of the face to face wellness counseling intervention.
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Arana, Carla Paola. "WeCare Fertility Support Center| A Business Plan." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10839065.

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Many individuals or couples have a strong desire to have their own biological children. When experiencing difficulty conceiving many struggle with high levels of anxiety, stress, and depression. Infertility is caused by a variety of factors affecting both women and men. Treatment can be medically invasive and expensive. The purpose of this project is to offer a well-rounded perspective on infertility to help clients cope and start a family. WeCare Fertility Support Center will be a comprehensive counseling center improving the lives of many individuals and couples by providing educational guidance on infertility treatments, communication skills, psychological support and direction with adoption. Patient’s will have someone to rely on every step of the way offering support and guidance. WeCare Fertility Support Center will provide physical, emotional and psychological well-being for patients in Long Beach CA and its surrounding neighborhoods.

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Devine, Debbie T. "Levels of Distress Among Women Veterans Attending a Women’s Health Specialty Clinic in the VA Healthcare System." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6490.

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Currently, between 21.9 and 23 million veterans have served in the United States armed forces. Of those, 2 million are women, and of those, only 6.5% use the Veterans Health Administration system. These females often suffer from physical and mental health disorders, and overall impaired quality of life (QOL), rendering their healthcare needs complex. Seeking, and providing care in this specialty area may become overwhelming not only for the women seeking the care, but also for healthcare systems that are unfamiliar with the specific needs of this population. A retrospective medical records review was completed of 51 female veterans between the ages of 40 and 60 years, and who attended a women’s health specialty clinic in a women’s health center in the VA healthcare system. This center provides comprehensive women’s health services to female veterans. By attending this center, female veterans are having most if not all of their healthcare needs met in one location. Some of the services provided at the center include: primary care; gynecology; other gender specific health care needs; mental health care; and social assistance among other issues that may be associated with the overall QOL and depression. Despite this study having a small sample size (n = 51), the participants were ethnically diverse: White (52.9%); African American (29.4%); Hispanic/Latino (15.7%); and Asian/Pacific Islander (2%). The overall results of this study reveal that female veterans who attend this clinic, have significantly lower baseline scores for QOL when compared to a North American population reference value. Means and standard deviation for total Menopause Rating Scale (MRS) score were; (n = 51, M = 21.2, SD = 9.2) compared to the North American women population reference values (n = 1,376, M = 9.1, SD = 7.6), z = 9.41, p < .0001, cohens d = 1.31. These results were significantly lower for all MRS subsets. The higher the means and standard deviation, the lower the QOL. A paired sample t-test indicated significant improvement in QOL after treatment in QOL (t = 7.80, p < .0001), and depression levels (t = 3.74, p < .0001) among female veterans attending the women’s health specialty clinic. Forward stepwise multiple linear regression models were fit to explore the association between the following variables and the outcomes of QOL and depression levels: low socioeconomic status (SES); number of deliveries; years of service; and military sexual trauma (MST). The only predictor that appeared to be significantly associated with higher MRS scores at baseline was a history of MST (β = .363; t = 2.44; p = 0.02). Higher MRS scores can be interpreted as lower QOL among female veterans. Despite the complexities and unique needs of female veterans, the findings of this study suggest that timely, comprehensive and gender specific healthcare can significantly improve overall QOL and depression levels. In addition, further studies are need to assess what other variables may have a direct association with QOL, depression levels, and overall health of female veterans.
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Koppenhaver, II Kenneth E. "Effects of an Integrated Electronic Health Record on an Academic Medical Center." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2666.

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The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to explore the people, processes, and technology factors that change as a result of an EHR implementation. Complexity theory was used as the lens to evaluate the effects of the EHR on the holistic system of healthcare. Data were collected using semistructured interviews and observations of physicians, nurses, and administrators, as well as document reviews of organizational documents related to the EHR. Data were analyzed using open coding to identify themes and patterns of usage that redesign or restructure institutional resources. The results of this study demonstrated positive changes in the interactions of healthcare providers with increasing collaboration on process changes and reliance on EHR for communication. These findings may positively affect government policy and the organizational approach to adoption and ongoing use of EHRs to create organizational change beyond the implementation of such systems, thus benefiting both health care employees and patients.
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Jones, Cathy. "Creation of a Diabetic Health Literacy Program for Staff Of a Rural Federally Qualified Healthcare Center." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5633.

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Adult residents in rural communities have a higher incidence of chronic diseases. This fact coupled with low health literacy and a lack of primary and specialty care services makes the management of diseases such as diabetes difficult. The purpose of this doctoral project was to develop a diabetic health literacy program for staff of a rural federally qualified health care center (FQHC) that is the largest primary care center within a 5-county area in a rural mid-Atlantic region of the United States. Most residents have difficulty understanding diabetic information as it is presented to them, which leads to an increase in nonadherence to treatment plans, decreased health stature, increased comorbidities, and an increase in utilization of emergency room and acute care resources. A prior study of 140 randomized adult diabetic patients was the basis for the need of this project. Designed as a staff development in-service to educate nursing and the care provider team, this program integrated health literacy and therapeutic communication techniques into diabetic care. Using the health literate care model universal precautions approach, the project began as a pilot at one of the FQHC's clinical sites by assessing all patients for health literacy using the Newest Vital Sign screening tool. Staff were instructed on the validity of using health literate therapeutic communications as a bridge to adherence to diabetic treatment regimens. The project has potential to improve the overall health and promote positive social change in the rural community.
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Miles, James Leon. "The Center for Total Health: Healthcare Reform in Cook County, Illinois." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1856.

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The Patient Protection and Affordable Care Act (PPACA) of 2010 requires hospital systems in the United States to shift the culture of patient care from a focus on sick-care to a focus on prevention and wellness care. Little is known about how hospital systems will make this culture shift while retaining quality patient care. The purpose of this case study of a pioneering hospital-based PPACA-compliant initiative was to answer the research question of how Wallace's revitalization movement theory (RMT) "a rapid culture change model"could serve as a transferable evaluation framework for PPACA prevention and wellness care compliance in hospital-based programs. Kingdon's policy streams theory provided a conceptual framework. Data analysis included iterative, thematic coding of interviews with 3 primary stakeholders responsible for developing the policy, planning, and program implementation strategies of the Center for Total Health (CTH). Nineteen extensive primary source documents were included in the analysis as well. Findings supported the utility of the RMT structure and definitions in the identification of culture change dynamics in CTH. Additionally, this structure served as a scaffolding for grouping individual and institutional rapid culture change dynamics into stages that could be evaluated in terms of PPACA compliance. These stages effectively identified a Kingdon policy window in which PPACA mandates could be expected to result in culture change in multiple streams of public policy development, not only in wellness and sickness prevention, but also in local, state, and national health cost-saving initiatives in food-as-medicine, community identity, public health support networks. It could also reduce chronic disease and the rising institutional care delivery costs.
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Jackson, Robert Jackson. "Discovering Opportunities to Improve Profitability at a Federally Qualified Health Center." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3565.

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Federally Qualified Health Center (FQHC) organizations, which provide health care services to low-income, underserved patients, are underfunded. From 2000 to 2007, the cost of treating an FQHC patient increased by $146, while federal compensation to FQHCs increased by only $44 per patient. One FQHC organization in rural Alabama experienced financial losses from the fiscal year 2011 through 2014, jeopardizing services to approximately 6,000 low-income patients. The purpose of this qualitative case study was to analyze the subject organization and discover opportunities to improve financial performance. The research question pertained to the opportunities for improving profitability at the subject organization. The conceptual framework was the systems thinking model. Along with data from the literature review, reviews of the organization's archived data containing employee feedback and feedback from unstructured interviews of four of the 14 FQHC chief executive officers in Alabama were used to develop the profitability model. No employees were interviewed or surveyed during this study, however, a review of archived documents revealed information provided by employees that was helpful in developing the profitability model. To help determine the subject organization's performance, data from independent auditors, technical assistants, FQHC performance reports, the organization's electronic health record system, accounting system, meeting minutes and performance reports were coded, classified, and analyzed. Data from these sources was compared to the profitability model and a gap analysis was used to identify the areas and causes of poor performance. The results indicated that the rural environment impacted the organization's financial performance. The subject FQHC organization may be able to use the results of this study to improve profitability. This study contributes to positive social change by providing a profitability model that other FQHC organizations may use to improve their financial viability and expand services to underserved patients throughout the United States.
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KRZYWKOWSKI-MOHN, SARA M. EdD. "Diabetic Control and Patient Perception of the Scheduled In Group Medical Appointment at the Cincinnati Veterans Administration Medical Center." University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1210103113.

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Books on the topic "VA Health Administration Center"

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Center, VA Health Administration. Strategic plan: Fy 2005. Denver, CO]: VA Dept. of Veterans Affairs, Health Administration Center, 2004.

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Office, General Accounting. VA health care: Veterans' demand for outpatient care : report to congressional requesters. Washington, D.C: The Office, 1989.

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United States. Government Accountability Office. VA medical centers: Internal control over selected operating functions needs improvement : report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representives. Washington, D.C: U.S. Government Accountability Office, 2004.

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Office, General Accounting. VA health care: Assessment of surgical services at two medical centers in the Southwest : report to congressional requesters. [Washington, D.C.]: The Office, 1989.

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Office, General Accounting. VA health care: Access for Chattanooga-area veterans needs improvement : report to congressional requesters. Washington, D.C. (P.O. Box 37050, Washington 20013): U.S. General Accounting Office, 2004.

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Office, General Accounting. VA health care: Retargeting needed to better meet veterans' changing needs : report to Congressional requesters. Washington, D.C: The Office, 1995.

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Office, General Accounting. VA health care: Medical centers are not correcting identified quality assurance problems : report to the chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1992.

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Office, General Accounting. VA health care: Status of efforts to improve efficiency and access : report to the chairman, Subcommitte on VA, HUD, and Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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Office, General Accounting. VA health care: More veterans are being served, but better oversight is needed : report to Congressional requesters. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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Office, General Accounting. VA health care: Opportunities for service delivery efficiencies within existing resources : report to the Chairman, Subcommittee on VA, HUD, and Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C: The Office, 1996.

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Book chapters on the topic "VA Health Administration Center"

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Anindo, Roy, Larry Forrester, and Richard Macko. "Adaptive Control of Modular Ankle Exoskeletons in Neurologically Disabled Populations#This material is based upon work supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, VA Maryland Health Care System, Baltimore VA Medical Center." In Adaptive Control for Robotic Manipulators, 172–207. Taylor & Francis Group, 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742: CRC Press, 2016. http://dx.doi.org/10.1201/9781315166056-10.

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Syed, Khajamoinuddin, William Sleeman IV, Joseph Nalluri, Payal Soni, Michael Hagan, Jatinder Palta, Rishabh Kapoor, and Preetam Ghosh. "Treatment Practice Analysis of Intermediate or High Risk Localized Prostate Cancer: A Multi-center Study with Veterans Health Administration Data." In Computational Advances in Bio and Medical Sciences, 134–46. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46165-2_11.

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Nathan, Susan, Andrea Wershof Schwartz, and David R. Topor. "My Life, My Story." In Cases on Instructional Design and Performance Outcomes in Medical Education, 70–91. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-5092-2.ch004.

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Contemporary healthcare institutions strive to provide humanistic and patient-centered healthcare. To reach this goal, healthcare systems must first look to the patient as a person, before treating a specific malady or pathology. This chapter will illustrate a humanistic approach to the provision of healthcare using the case of the My Life, My Story program in the United States Veterans Health Administration. My Life, My Story is a patient-centered, life story work intervention where learners complete a life story interview with a veteran using standardized prompts from the My Life, My Story protocol. This chapter will describe the My Life My Story program at the VA Boston Healthcare System, the steps and rationale in program development and discussion of impact on the learners, the patients, and humanizing the healthcare system.
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"COMMUNITY HEALTH CENTER CASE." In The Public Administration Casebook, 115–19. Routledge, 2015. http://dx.doi.org/10.4324/9781315662404-15.

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Sassani, Joseph W. "Physician Rewards in the Academic Medical Center." In Portable Health Administration, 253–66. Elsevier, 2004. http://dx.doi.org/10.1016/b978-012780590-0/50055-9.

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SASSANI, J. "Physician Rewards in the Academic Medical Center." In Portable Health Administration, 253–66. Elsevier, 2003. http://dx.doi.org/10.1016/b978-012780590-0/50015-8.

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Stefaniak, Jill E. "Resuscitating Team Roles within Wayburn Health System." In Healthcare Administration, 921–31. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch048.

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Administrative leadership of Wayburn Health System decided to move forward with a training program to address communication between healthcare professionals within their emergency center. After a few sentinel events where errors had occurred that compromised patient safety due to miscommunication amongst healthcare team members, hospital administration decided that communication processes needed to be standardized within the emergency center during trauma resuscitations. Four hundred employees from various departments and disciplines would require training. An instructional designer was brought onto the project to ensure that training was customized to fit the specific needs of the trauma resuscitation team.
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Costa, Fábio, Patrícia Santos, João Varajão, Luís Torres Pereira, and Vitor Costa. "Risk Management Information System Architecture for a Hospital Center." In Healthcare Administration, 755–70. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch038.

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In modern day's institutions, risk management plays a crucial role as it aims to minimize the likelihood of adverse events and contributes to improve the quality of services delivery. In health care, an effective risk management is only possible if supported by information systems that can produce high quality measures and meaningful risk indicators. These indicators will then allow the healthcare organization to self-assess by identifying critical gaps and opportunities for improvement in several frontiers. Such an organizational thrust is not only warranted for competitiveness but also fundamental for the purpose of benchmarking, accreditation and certification. Additionally, monitoring of specific indicators is often required by the tutelage. However, the development of a risk management system can be an arduous process due to the inherent complexity of clinical systems. This paper presents an architecture for the implementation of a risk management information system, using as example the case of CHTMAD, a Portuguese hospital center.
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Noteboom, Cherie. "Physician Interaction with EHR." In Healthcare Administration, 1088–100. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch058.

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Research Medical Center is a regional medical center that meets the needs of residents of a rural area in the Midwest. It is part of a large healthcare system. The primary care hospital implemented the Electronic Health Record (EHR). The endeavor to implement Health IT applications including Computerized Physician Order Entry (CPOE), EHRs, nursing documentation, and paperless charts, adverse drug reaction alerts, and more were introduced with the corporate initiative. The core applications were clinical and revenue cycle systems, including CPOE. The planning, implementation, and training was developed by the parent operating company and efforts to engage the local physicians were minimal. There were over 300 physicians involved. The physicians were primarily not hospital employees. They had the ability to choose to adopt the EHR and adapt their social, work, and technology practices, or to avoid usage. Follow up research indicated the change management and support efforts were not successful for the physician stakeholder.
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Motorny, Sergey P. "Big Information Technology Bet of a Small Community Hospital." In Healthcare Administration, 1034–51. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch054.

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Broadlawns Medical Center (BMC) is a teaching acute care community hospital of 200 beds located in Des Moines, Iowa. As other safety net providers across the nation, the hospital operates in a difficult environment with a growing number of uninsured patients and simultaneously dwindling tax support. By 2005, George Washington University and several Joint Commission reports had publicly highlighted the hospital's challenges of financial sustainability and the provided quality of care. The hospital's senior management team decided to adopt an Electronic Health Record (EHR) system in an attempt to gain access to real-time performance data. The EHR adoption project posed many organizational, managerial, and technological challenges but also provided numerous eventual benefits. BMC had not only successfully resolved the stated problems of healthcare quality, financial stability, and patient satisfaction scores, but also became one of the national leaders in healthcare information technology.
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Conference papers on the topic "VA Health Administration Center"

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Pasaribu, Fani Ratny, and Syamsir. "The Influence of Employee Integrity on Employee Satisfaction in the Community Health Center in Padang." In International Conference on Public Administration, Policy and Governance (ICPAPG 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/aebmr.k.200305.189.

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Pleasants, Roy, Armando Bedoya, Robert Kundich, Anne Reihman, Karen Welty-Wolf, and Robert Tighe. "Combined idiopathic interstitial pneumonia(IIP) and emphysema(E) in the Veterans Administration(VA) health system: characteristics, tobacco Use, and outcomes." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa2207.

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Elder, Sarah G., and Michelle Berny-Lang. "Abstract 1666: Developing healthcare data scientists using Veterans Health Administration (VHA) data resources: The NCI/VA Big Data Scientist Training Enhancement Program (BD-STEP)." In Proceedings: AACR Annual Meeting 2019; March 29-April 3, 2019; Atlanta, GA. American Association for Cancer Research, 2019. http://dx.doi.org/10.1158/1538-7445.am2019-1666.

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Elder, Sarah G., and Michelle Berny-Lang. "Abstract 1666: Developing healthcare data scientists using Veterans Health Administration (VHA) data resources: The NCI/VA Big Data Scientist Training Enhancement Program (BD-STEP)." In Proceedings: AACR Annual Meeting 2019; March 29-April 3, 2019; Atlanta, GA. American Association for Cancer Research, 2019. http://dx.doi.org/10.1158/1538-7445.sabcs18-1666.

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Turistiati, Ade, and Wulan Lenggana. "Innovation Adoption and Communication Strategies in Implementing The Smart Governance Program (Case Study of Simpus Utilization at Bogor City Community Health Center)." In 1st International Conference on Science and Technology in Administration and Management Information, ICSTIAMI 2019, 17-18 July 2019, Jakarta, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.17-7-2019.2303395.

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Nucera, Claudio, and Francesco Lanza di Scalea. "Nonlinear Guided Waves for Structural Health Monitoring: Numerical Algorithm and Application to Railroad Track." In ASME 2012 Conference on Smart Materials, Adaptive Structures and Intelligent Systems. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/smasis2012-8139.

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The University of California at San Diego (UCSD), under a Federal Railroad Administration (FRA) Office of Research and Development (R&D) grant, is conducting research to develop a system for in-situ measurement of the rail Neutral Temperature in Continuous-Welded Rail (CWR). It is known that CWR can break in cold weather and can buckle in hot weather. Currently, there is a need for the railroads to know the current state of thermal stress in the rail, or the rail Neutral Temperature (rail temperature with zero thermal stress), to properly schedule slow-order mandates and prevent derailments. UCSD has developed a prototype for wayside rail Neutral Temperature measurement that is based on non-linear ultrasonic guided waves. Numerical models were first developed to identify proper guided wave modes and frequencies for maximum sensitivity to the thermal stresses in the rail web, with little influence of the rail head and rail foot. Experiments conducted at the Large-scale Rail NT Test-bed indicated a rail Neutral Temperature measurement accuracy of a few degrees. Field tests are planned at the Transportation Technology Center (TTC) in Pueblo, CO in June 2012 in collaboration with the Burlington Northern Santa Fe (BNSF) Railway.
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Close, Natasha, Julia Dilley, and Janet Baseman. "Poison Center Reports of Cannabis Exposures among Children in Washington State, 2016." In 2020 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2021. http://dx.doi.org/10.26828/cannabis.2021.01.000.20.

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Washington State began legal cannabis retail sales in 2014. Legalization of adult use cannabis and retail sales may result in more cannabis products in homes and opportunities for accidental exposures among young children. Consumption of cannabis by young children can result in significant adverse health effects. This study examined details of cannabis exposure events involving children under age 12 that were reported to the Washington State Poison Center (WAPC) during January – December 2016. Redacted charts were obtained from the WAPC “Toxicall” database. 50 eligible events were identified. Structured data were used to describe child age and gender and to obtain information about the involved products, route of administration, exposure setting, and clinical effects. Additional information about the exposure event was available in case notes; qualitative methods were used to develop themes and categorize the cases. Most exposure events (62%) were for children ages 0-2, and 26% were for ages 3-5. None of the exposures were reported as intentional. Of those where the source of the product could be determined (N=29) either a parent (n=20, 69%) or grandparent (n=6, 21%) was the most common source. Nearly all (94%) exposures occurred at the patient’s home and involved a single substance (90%). Of those that noted the type (N=13), 85% indicated that the cannabis was obtained for medical purposes. Most exposures were by ingestion (86%), and edibles were the most often reported form (52% of 41 cases with product specified). Nearly all edibles were brownies, cookies, and candies (96%). Baked goods were reported to be both homemade and purchased. Three cases were exposures to cannabidiol (CBD) among children being treated for seizures by their parents: one was the result of a therapeutic error, one an adverse reaction, and one an unintentional exposure. A single child was reported as exposed through breastmilk. Of those with known medical outcomes (N=33), nearly all caused no or minor clinical effects (78%), and nearly all had symptoms for less than 24 hours, most commonly lethargy and drowsiness (50%), but five children were hospitalized for non-critical care and one child with a history of seizures, who was given CBD oil containing THC, required intensive care and intubation. Risk for accidental exposures to cannabis among young children may be increasing as legal cannabis markets become more common. Although most exposures do not cause long-lasting harms, some children can experience significant harm requiring medical intervention. Caregivers of young children are advised to safely store cannabis products in the home so that they are out of reach of children, and to use caution and consult with a healthcare provider about use of cannabis products for medical treatment of a child or adult use while breastfeeding. Clinicians may play a role by screening for household cannabis use among parents and other caregivers, and advising about safe home practices. Continued regulatory approaches to limit exposure, such as limits on THC potency and single-serving packaging designs, may also be useful.
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Carroll, Ernest A., and Dan B. Rathbone. "Using an Unmanned Airborne Data Acquisition System (ADAS) for Traffic Surveillance, Monitoring, and Management." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-32916.

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This paper presents the history of and current status of a U.S. DOT and NASA sponsored program designed to demonstrate the feasibility of using a small-unmanned airborne data acquisition system (ADAS) for traffic surveillance, monitoring, and management. ADAS is ideally suited for application in monitoring traffic flow, traffic congestion, and supporting ITS assets. GeoData Systems (GDS), Inc., with principal offices at 10565 Lee Highway, Suite 100, Fairfax, VA 22030 has developed a revolutionary new class of airborne data acquisition systems. In this effort, GDS has teamed with traffic experts DBR & Associates; P.O. Box 12300 Burke, VA. The GDS ADAS has a gross takeoff weight of less than 55 lbs, which includes both the airframe and sensors. It is capable of sustained flight for periods in excess of two hours while carrying a sensor payload of up to 20 lbs. ADAS has nine interchangeable sensor platforms under development to include a hyper-spectral visible-near-IR sensor, a multi-spectral visible near-IR mid-IR sensor, a synthetic aperture radar (SAR) sensor, and a highly flexible high-resolution real-time video sensor. The GDS high-resolution real-time video sensor is ideally suited for traffic monitoring and other highway monitoring applications. The ADAS platform is capable of flying under a combination of pre-programmed Differential Global Positioning Satellite (DGPS) based navigation and manual direct ground control. The ADAS is being fully tested and is planned for use in several DOD base-monitoring studies this year. It should be noted that the ADAS has several levels of backup systems, which allows for a safe descent to the ground via parachute in a worst-case scenario. The system and any liability resulting from its use are fully insured by a major provider. The use of ADAS in traffic surveillance, monitoring, and management is unique and, as far as can be ascertained, has not been used in an official capacity in this way. Because of its ability to collect traffic data, survey traffic conditions, and collect highway inventory and environmental data in a cost-effective manner, and because every metropolitan area needs to collect at least some traffic data, the potential payoff from applying the ADAS is significant. The estimated potential payoff resulting from the use of the ADAS was calculated by taking into consideration information from a recent study conducted for the Federal Highway Administration by the Volpe National Transportation Systems Center1. Using a reported average amount of funds expended annually for traffic data collection by transportation agencies in metropolitan areas with a population of over 200,000 and taking into consideration the estimated budget for staff involved in data collection, it is calculated that transportation agencies in an average metropolitan area spend approximately $5 million per year in traffic data collection. The ADAS can play a cost-saving role in about half of all data collection procedures and can reduce the total cost by 20 percent. Nationally, this could produce an annual savings of $75 million. An additional area where the ADAS can play a useful role is in incident management. It is well documented that more than half of the traffic congestion in the U.S. is caused by incidents, and the problem is getting worse: The percentage of congestion due to incidents is estimated to increase to 70 percent by the year 20053. The Federal Highway Administration further estimates that incident-related traffic congestion will cost the U.S. more than $75 billion in the year 2005, mainly due to lost time and wasted fuel. Comprehensive, accurate surveillance of major incidents will result in a more effective overall response. It can facilitate the process of completing police documentation of incidents, which further reduce their duration. A recent study4 showed that a 23-minute reduction in average incident duration in the Atlanta area saved $45 million in one year. The ADAS is able to provide real time overhead video feeds of an incident and the surrounding traffic situation. In addition, the ADAS can record the incident on video, capturing especially those incidents that are not within the visibility range of any CCTV system, therefore reducing the recording burden of police officers. The valuable role that airborne real-time video can play has been recognized by transportation agencies: The Virginia Department of Transportation (VDOT) has commented enthusiastically on this approach: “…VDOT definitely supports the use of an Unmanned Airborne Sensor for traffic management during a highway incident.” In addition, the Director of the Center for Advanced Transportation Technology of the University of Maryland also has responded positively, writing that, “A project which evaluates the effectiveness of an unmanned airborne data acquisition system in monitoring traffic flow seems to be a step in the right direction toward identifying appropriate and cost-effective remote sensing applications.” Further, in a recent study conducted by the Virginia Transportation Research Council in cooperation with the Federal Highway Administration, researchers concluded that: “the air video reduces the time and personnel needed to acquire data from the field. Further, aerial video may facilitate an objective evaluation of a jurisdiction’s incident response procedures. Finally, aerial video may allow a transportation agency to adopt a proactive approach to traffic management by identifying and evaluating potential problems before they occur. Specifically, problems include the use of residential neighborhoods to bypass congested arterials and heavily used facilities needing snow removal.” Our project is demonstrating how the ADAS can be used in traffic surveillance monitoring and management. The study team is using input from transportation agencies at the state and local level to fine-tune the design of the ADAS application and the analysis and evaluation of the results. Areas where the ADAS can be applied effectively and efficiently are being identified. When completed, the end product of this effort will be a document that will indicate when it is cost-effective to use ADAS relative to other possible methods of data collection and analysis.
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Alvarenga, Jessica, Francisco Peña, and Helen Boussalis. "Validation of a Strain-Based Wing Shape Prediction Algorithm for Control and Monitoring of an Uninhabited Air Vehicle." In ASME 2012 Conference on Smart Materials, Adaptive Structures and Intelligent Systems. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/smasis2012-8113.

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Recent improvements in technology has enabled the use of very sophisticated sensors such as embedded fiber bragg gratings (FBGs) to obtain strain measurements from a variety of structural types. Conventional strain gauges tend to be heavy and bulky. Because of their accuracy, light weight, small size and flexibility these fiber optic sensors have big potential to be used in space exploration and the aerospace industry especially for flying aircraft that have strict weight and size limitations. These strain measurements can be used to predict the deformation shape of aircraft during real-time flights. The development of such methods for monitoring and control can potentially reduce the risk of in-flight breakups, such as that of the Helios Wing. The Structures, Propulsion, And Control Engineering (SPACE) NASA sponsored University Research Center (URC) of excellence has concentrated in the development of small, lightweight Uninhabited Air Vehicles (UAVs) that have excelled in the area of endurance. Today, the UAV project is focused on the design of a multi-mission multipurpose air system that can operate autonomously. The configuration is a twin boom, pusher, and conventional wing design. In this paper, methods developed by the National Aeronautic and Space Administration (NASA)’s Dryden Flight Research Center for real-time deformation shape prediction of lightweight unmanned flying aerospace structures for the purposes of Structural Health Monitoring (SHM) and condition assessment are investigated. SHM may allow for useful monitoring that would prevent such an event by providing wing shape information and structural monitoring to either a pilot or the flight system, allowing for evasive maneuvers before the breakup would occur. These methods also have the potential for increasing safety, allowing monitoring of structural integrity, detecting damages, and providing real-time flight control feedback. These methods are applied to the SPACE Center UAV for the purpose of assessing the effectiveness of the method and the potential for both SHM and control applications. In this paper, a computational finite element model of the SPACE Center UAV is developed and used to examine the method.
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Nassau, Christopher J., and Ramesh K. Agarwal. "Shape Optimization of a Trumpet-Tipped LVAD Inflow Cannula to Reduce Blood Damage Using a Genetic Algorithm." In ASME-JSME-KSME 2019 8th Joint Fluids Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/ajkfluids2019-4690.

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Abstract Use of computational fluid dynamics (CFD) in the field of blood-contacting medical device design and analysis has been growing in recent years. For example, the U.S. Food and Drug Administration (FDA) Center of Devices and Radiological Health (CDRH) has accelerated interest in industry and academia with nozzle and blood pump benchmarks to uncover best practices and to hopefully elevate the status of CFD to be applied as a safety analysis tool for medical devices. One area, not discussed as often as the pure simulation is the design optimization of hemodynamic devices. A systematic shape “optimization” should be distinguished from a simple “design improvement” by performing many flow field computations and design iterations to improve performance. In this paper, the shape optimization of a trumpet-tipped inflow cannula is presented using a single-objective genetic algorithm (GA) to minimize the blood damage. Many varying accounts in the literature have pointed to the advantages of the trumpet-tipped left ventricular assist device (LVAD) cannula for low blood damage and uniform velocity distribution with little to no backflow when compared to other shapes such as blunt, beveled and caged cannulas.
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Reports on the topic "VA Health Administration Center"

1

Health hazard evaluation report: HETA-91-395-2244, Veterans Administration Medical Center, Los Angeles, California. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, August 1992. http://dx.doi.org/10.26616/nioshheta913952244.

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Health hazard evaluation report: HETA-96-0129-2615, Roudebush Veterans Administration Medical Center, Indianapolis, Indiana. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, December 1996. http://dx.doi.org/10.26616/nioshheta9601292615.

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Health hazard evaluation report: HETA-86-280-1788, Veterans Administration Medical Center, Ann Arbor, Michigan. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, April 1987. http://dx.doi.org/10.26616/nioshheta862801788.

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Health hazard evaluation report: HETA-88-312-L1978, Veterans Administration Medical Center, Clarksburg, West Virginia. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, July 1989. http://dx.doi.org/10.26616/nioshheta88312l1978.

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Health hazard evaluation report: HETA-92-296-2243, Veterans Administration Medical Center, East Orange, New Jersey. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, August 1992. http://dx.doi.org/10.26616/nioshheta922962243.

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Health hazard evaluation report: HETA-85-062-1652, Veterans Administration Center and Regional Office, Philadelphia, Pennsylvania. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, January 1986. http://dx.doi.org/10.26616/nioshheta850621652.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2010. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, April 2011. http://dx.doi.org/10.32747/2011.7291310.aphis.

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As the research arm of Wildlife Services, a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS), NWRC develops methods and information to address human-wildlife conflicts related to agriculture, human health and safety, property damage, invasive species, and threatened and endangered species. The NWRC is the only Federal research facility in the United States devoted entirely to the development of methods for effective wildlife damage management, and it’s research authority comes from the Animal Damage Control Act of 1931. The NWRC’s research priorities are based on nationwide research needs assessments, congressional directives, APHIS Wildlife Services program needs, and stakeholder input. The Center is committed to helping resolve the ever-expanding and changing issues associated with human-wildlife conflict management and remains well positioned to address new issues through proactive efforts and strategic planning activities. NWRC research falls under four principal areas that reflect APHIS’ commitment to “protecting agricultural and natural resources from agricultural animal and plant health threats, zoonotic diseases, invasive species, and wildlife conflicts and diseases”. In addition to the four main research areas, the NWRC maintains support functions related to animal care, administration, information transfer, archives, quality assurance, facility development, and legislative and public affairs.
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