Download the AMN app for your mobile device today - FREE!

VA Nurse: This Is Gaming The System A Bit

Cheyenne VA Medical Center
May 09, 2014

A nurse at the Cheyenne, WY VA Medical Center sent an email that appears to corroborate charges of widespread, cynical fraud at the Department of Veterans’ Affairs.

From: Newman, David G.
Sent: Wednesday, June 19, 2013 8:53 AM
Subject: 14 days from desired date measure

We have a facility measure called >[14] days desired date of appointment. What this means is they want the actual appointment booked within 14 days [of] the desired date that you enter In appointment management. So here is how I handle it.

Patient comes to me and says I want to see Dr. Smith. I pull the patient up in appointment management and see Dr. Smith appointments. I see that Dr. Smith’s first open visit is August 15th. So I say Dr. Smith’s first available is August 15th, when would you like to be seen? Patient says August 15th. I then back out of that screen, and go back in with date of August 15 and book the patient. If the patient says anytime after August 15th, and I see that there are visits every day after August 15th, I can still put the 15th as the desired date, and just make sure that whatever appointment I book is no later than 14 days later, or August 29th.

Yes, it is gaming the system a bit. But you have to know the rules of the game you are playing, and when we exceed the 14 day measure, the front office gets very upset, which doesn’t help us. Let me know if this doesn’t make sense.

Also, most of the people I’ve listed on this email have that situation going on . Some of the visits have come and gone and it is too late. But if you want to call me (at x7460 today), I can give you the patient and visit date for the ones that haven’t happened yet. You can still fix this and get off the bad boys list, by cancelling the visit (by clinic) and then re-scheduling it with a desired date within that 14 day window.