The United States Military and Veterans Administration Health Systems Paper

The United States Military and Veterans Administration Health Systems Paper

Paper on the Health Systems of the United States Military and Veterans Administration

Complete the assigned readings for this week, chapters 39-43. After finishing the readings, write a one-paragraph reflection about your thoughts, opinions, questions, or concerns about one or more of the specific topics covered in the textbook readings. Determine which MSN Essential most closely relates to your chosen topic in your discussion.

Remember that no scholarly sources are required, and students are not required to respond to a classmate’s original post. This post does not have an end date, but please try to finish it before next week’s discussion post is posted and/or due to avoid falling behind.

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CHAPITRE 39

Paper on the Health Systems of the United States Military and Veterans Administration

Current Situation and Policy Challenges

Murray, John S.

“No one who fights for this country should ever have to fight for a job, a roof over their head, or the medical care that they deserve.”

Barack Obama, President

The United States Military Health System (MHS) provides a variety of vital health-care services to up to 8.3 million service members, military retirees, and their families (Murray & Chaffee, 2011; The Kaiser Foundation, 2012). Military health care is provided by approximately 140,000 military, civilian, and contract personnel working at 59 military treatment facilities (MTFs) around the world that can provide diagnostic, therapeutic, and inpatient care. Furthermore, care is provided at hundreds of military outpatient clinics as well as by private sector civilian providers (Government Accountability Office [GAO], 2012; Murray & Chaffee, 2011).

Active duty, reserve, National Guard, enlisted medical technicians, and federal civilian registered nurses are all components of military nursing. The Army Nurse Corps has 40,000 nursing team members, while the Air Force has 18,000 and the Navy has about 5,800. (U.S. Senate Committee on Appropriations, 2012). To serve in the military, active duty military nurses in all armed forces must have a bachelor’s degree in nursing (BSN) from an accredited school.

Figure 39-1 depicts the MHS’s two missions:

Supporting wartime and other deployments is a military readiness mission (GAO, 2012; Murray & Chaffee, 2011).
A mission to provide medical services and support to members of the armed forces, retirees, and their dependents (GAO, 2012; Murray & Chaffee, 2011).

The Veterans Health Administration (VHA) operates the largest integrated health care system in the United States, with 152 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers, and residential homes for disabled veterans. These facilities employ over 239,000 people, including 53,000 licensed health care clinicians, to provide comprehensive care to more than 8.3 million veterans each year. The VHA nursing team includes 77,000 registered nurses, licensed practical/vocational nurses, and nursing assistants across the country. Approximately 5440 of these are advanced practice nurses (Certified Registered Nurse Anesthetists, Nurse Practitioners, and Clinical Nurse Specialists). Working for the VHA does not necessitate a BSN degree (U.S. Department of Veterans Affairs Office of Nursing Services, 2010). The primary mission of the Veterans Health Administration is to honor America’s veterans by providing exceptional comprehensive care that improves their health and well-being. It achieves this level of excellence by providing exceptional services that are both patient-centered and evidence-based (U.S. Department of Veterans Affairs, 2013a).

Paper on the Health Systems of the United States Military and Veterans Administration

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource