Veterans Health Administration, National Center for Patient Safety, Ann Arbor, Michigan.
J Am Assoc Nurse Pract. 2020 Nov;32(11):717-719. doi: 10.1097/JXX.0000000000000510.
As a recently retired Army Nurse Corps officer with almost 30 years of service to my country, I want to ensure that my fellow nurse practitioners (NPs) are aware of their role in ensuring high quality and safe patient care to all veterans who are accessing care outside of the Veterans Health Administration (VHA). Specifically, NPs who work outside the VHA have an opportunity to participate in patient safety efforts aimed at reducing veteran suicide. On June 6, 2018, Congress passed Public Law 115-182 or the Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act. A goal of the MISSION Act is to ensure that veterans have access to health care by streamlining eligibility criteria for community care. A veteran who drives more than 30 minutes or waits more than 20 days for a primary care or mental health appointment may be eligible to be sent to a community care provider such as an NP. Therefore, NPs and other providers who work in community settings have an obligation to know more about the mental and physical health care needs of veterans as well as the resources that have been developed by the VHA to assist them.
作为一名刚退休的拥有近 30 年军龄的陆军护士队军官,我希望确保我的护士从业者同行们了解他们的角色,即确保所有在退伍军人健康管理局 (VHA) 之外寻求护理的退伍军人都能获得高质量和安全的护理。具体来说,在 VHA 之外工作的护士从业者有机会参与旨在减少退伍军人自杀的患者安全工作。2018 年 6 月 6 日,国会通过了第 115-182 号公共法案,即退伍军人事务部维持内部系统和加强综合外部网络 (MISSION) 法案。MISSION 法案的目标是通过简化社区护理的资格标准,确保退伍军人能够获得医疗保健。如果一名退伍军人开车超过 30 分钟或等待超过 20 天才能预约初级保健或心理健康护理,他们可能有资格被送往社区护理提供者,如护士从业者。因此,在社区环境中工作的护士从业者和其他提供者有义务更多地了解退伍军人的身心健康需求,以及 VHA 为帮助他们而开发的资源。