Jump to content


  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • Trouble Remembering? This helped me.

    I have memory problems and as some of you may know I highly recommend Evernote and have for years. Though I've found that writing helps me remember more. I ran across Tom's videos on youtube, I'm a bit geeky and I also use an IPad so if you take notes on your IPad or you are thinking of going paperless check it out. I'm really happy with it, I use it with a program called Noteshelf 2.

    Click here to purchase your digital journal. HadIt.com receives a commission on each purchase.

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 0
Sign in to follow this  
Buck52

More on Sleep Apnea

Question

Opportunities Missed to Contain Spending on Sleep Apnea Devices and Improve Veterans’ Outcomes

Veterans Affairs Office of Inspector General (OIG) sent this bulletin at 01/14/2020 12:34 PM EST

Opportunities Missed to Contain Spending on Sleep Apnea Devices and Improve Veterans’ Outcomes

01/13/2020 07:00 PM EST

 

The VA Office of Inspector General (OIG) conducted this audit to determine if the Veterans Health Administration (VHA) is efficiently managing positive airway pressure devices (sleep apnea devices) and supplies for veterans diagnosed with sleep apnea. The number of veterans diagnosed with sleep apnea who receive devices and supplies increased dramatically between fiscal years 2014 and 2018.

This has significantly increased the financial risk to VA. If VHA does not change its practices and leverage opportunities to save money, the OIG estimates it risks spending about $261.3 million over the next five years on devices and supplies veterans will not use. VHA did not efficiently manage sleep apnea devices and associated supplies. The OIG found that almost half of the 250,000 veterans issued a device from October 2016 through May 2018 used it less than half the time. This can reduce therapy effectiveness.

The mismanagement occurred in part because VHA did not identify and follow up with veterans who were not using their devices as recommended. The OIG also found that VHA did not have a sleep medicine staffing model to help ensure it conducted patient follow up. A model will determine staffing to help ensure follow up is conducted. VHA could save up to $39.9 million per year by loaning devices to veterans rather than issuing them for permanent use. A loan program would allow unused devices to be returned and reused. VHA could save up to an additional $12.4 million per year by not purchasing device supplies for veterans who do not use their devices. The OIG made three recommendations to the under secretary for health regarding sleep apnea device management. The recommendations include studying staffing levels, looking at using existing technologies to better monitor device use, and looking at alternatives to purchasing devices.

Share this post


Link to post
Share on other sites

Recommended Posts

  • 0

Loaners, eh? That worries me because of all the gear the military loaned me while in the service which had issues and problems. Imagine getting your loaner CPAP machine and it craps out after a couple of days because it's previous user did a shoddy job taking care of it.

These thing are not built sturdy, like portable oxygen generators.

  • Like 2

Share this post


Link to post
Share on other sites
  • 0

I'm not sure I like the idea of a loaner either. I can see a unit being returned, not inspected and cleaned up, and just put on the shelf to be shipped out to some other veteran. And speaking about clean, that doesn't sound too great either. Gotta be germs just sitting  there waiting to get into you. And, unless you live close enough to hand carry it to the VAHC for an immediate replacement, it's gotta take several days to ship it back and get another one in the return mail. That's several days of unhealthy sleeping.Na, I don't think I like the idea.

  • Like 1

Share this post


Link to post
Share on other sites
  • 0

They need better adjustable fitting mask and offer veteran option of a longer hose instead of him finding out about this after the fact from other vets.  Last visit they said there was no need for me to even bring the machine with me as they can tell from there read outs if it is being used.  I have had trouble with two of their mask and may buy one for a better fit if I can find it.  As in many cases the VA never volunteers any additional info that might help the vet.  He has to learn a lot from other vets.

Edited by Dustoff 11
  • Like 1

Share this post


Link to post
Share on other sites
  • 0

Dustoff 11 Last September I got 2 replacement masks after getting a hard time from them; seems usage is supposed to be minimum of 2 months per mask. I told the tech that the rubber wouldn't hold up and would tare after only 3 or 4  weeks. I used to use masking tape to patch them up so they wouldn't leak.This last 2 replacement masks are GREAT! They must have changed suppliers or something. As it so happens, I ordered and just receive some new equipment; new mask, harness and hose. And you are right about them collecting the data; they get it every morning digitally. We don't have to bring it in unless it is a repair situation. I just hope the material used for the mask is the same as my last ones.

  • Like 2

Share this post


Link to post
Share on other sites
  • 0
1 hour ago, Dustoff 11 said:

They need better adjustable fitting mask and offer veteran option of a longer hose instead of him finding out about this after the fact from other vets.  Last visit they said there was no need for me to even bring the machine with me as they can tell from there read outs if it is being used.  I have had trouble with two of their mask and may buy one for a better fit if I can find it.  As in many cases the VA never volunteers any additional info that might help the vet.  He has to learn a lot from other vets.

You are so correct. There were some nights when I awaken to find out that I rolled over and pulled the machine off the table beside my bed.

  • Like 1

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

  • Ads

  • Our picks

    • Tinnitus comes in two forms: subjective and objective. In subjective tinnitus, only the sufferer will hear the ringing in their own ears. In objective tinnitus, the sound can be heard by a doctor who is examining the ear canals. Objective tinnitus is extremely rare, while subjective tinnitus is by far the most common form of the disorder.

      The sounds of tinnitus may vary with the person experiencing it. Some will hear a ringing, while others will hear a buzzing. At times people may hear a chirping or whistling sound. These sounds may be constant or intermittent. They may also vary in volume and are generally more obtrusive when the sufferer is in a quiet environment. Many tinnitus sufferers find their symptoms are at their worst when they’re trying to fall asleep.

      ...................Buck
        • Like
    • Precedent Setting CAVC cases cited in the M21-1
      A couple months back before I received my decision I started preparing for the appeal I knew I would be filing.  That is how little faith I had in the VA caring about we the veteran. 

      One of the things I did is I went through the entire M21-1 and documented every CAVC precedent case that the VA cited. I did this because I wanted to see what the rater was seeing.  I could not understand for the life of me why so many obviously bad decisions were being handed down.  I think the bottom line is that the wrong type of people are hired as raters.  I think raters should have some kind of legal background.  They do not need to be lawyers but I think paralegals would be a good idea.

      There have been more than 3500 precedent setting decisions from the CAVC since 1989.  Now we need to concede that all of them are not favorable to the veteran but I have learned that in a lot of cases even though the veteran lost a case it some rules were established that assisted other veterans.

      The document I created has about 200 or so decisions cited in the M21-1.   Considering the fact that there are more than 3500 precedent cases out there I think it is safe to assume the VA purposely left out decisions that would make it almost impossible to deny veteran claims.  Case in point. I know of 14 precedent setting decisions that state the VA cannot ignore or give no weight to outside doctors without providing valid medical reasons as to why.  Most of these decision are not cited by the M21.

      It is important that we do our due diligence to make sure we do not get screwed.  I think the M21-1 is incomplete because there is too much information we veterans are finding on our own to get the benefits we deserve

      M21-1 Precedent setting decisions .docx
        • Thanks
        • Like
      • 5 replies
    • Any one heard of this , I filed a claim for this secondary to hypertension, I had a echo cardiogram, that stated the diagnosis was this heart disease. my question is what is the rating for this. attached is the Echo.

      doc00580220191213082945.pdf
      • 7 replies
    • Need your support - T-shirts Available - Please buy a mug or a membership
      if you have been thinking about subscribing to an ad-free forum or buying a mug now would a very helpful time to do that.

      Thank you for your support
      • 18 replies
    • OK everyone thanks for all the advice I need your help I called VSO complained about length of time on Wednesday of this week today I checked my E benefits and my ratings are in for my ankles that they were denying me 10% for each bilateral which makes 21% I was originally 80% now they’re still saying I’m 80% 

      I’m 50% pes planus 30% migraine headaches 20% lumbar 10% tinnitus and now bilateral 21% so 10% left and right ankle Can someone else please do the math because I come up with 86% which makes me 90 what am I missing please help and thank you
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines