Citing compatibility and technical issues, Pentagon officials have postponed activation of the $4.3 billion MHS GENESIS EHR system until early next year, with the initial rollout planned for a single base. The system will go live in February at Fairchild Air Force Base in Washington state, and additional locations will be connected to the system in June.
Brig. Gen. Donald Bolduc says he knows firsthand the effects of post-traumatic stress disorder and has made it a priority to let troops know it's OK to seek treatment for mental health problems and brain injury. "The powerful thing is that I can use myself as an example," he said.
Previously deployed veterans with a history of self-inflicted injury face more than double the risk of suicide as veterans who were never deployed, researchers report in The Lancet Psychiatry, and elevated risk of suicide persisted for six or more years after veterans left the military. Other predictors of suicide included major depression, substance abuse, bipolar disorder and other psychotic and mental health conditions.
Concerns involving the Cincinnati VA Medical Center's relationship with the University of Cincinnati College of Medicine prompted a special Department of Veterans Affairs administrative investigation board to visit the hospital last week. Medical schools have worked with the VA for 70 years, but problems have emerged with the system, including difficulty establishing contracts, billing problems, disputes over breakthroughs and care delivered outside VA settings.
The HHS Office of Inspector General released two reports saying substandard quality of care at federal Indian Health Service hospitals was linked to outdated equipment and technology, resource shortages, and trouble keeping and recruiting staff. The reports criticized how IHS oversees compliance with federal regulations and quality of care, and called for CMS inspectors to do more frequent surveys at IHS facilities.
A man who lost his arms and legs while serving as a Marine in Afghanistan received a double arm transplant at Brigham and Women's Hospital in August and is learning to use his new limbs. Surgeon Simon Talbot, the hospital's director of upper extremity transplantation, said a brief episode of tissue rejection was averted with medication, and it will take months to gain full sensation and use of the hands.
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