by JD Palmer
No doubt about it. VA is facing enormous challenges. Rather than looking for new answers, maybe we should be looking for new questions. Here’s a start:
Take a taxi ride in a major US city
In cities like NY and DC, there are apparently hundreds of taxi drivers who are foreign educated physicians trying to earn enough to be able take their boards to qualify for US internships and residencies. They are other places, too, often doing menial jobs. That’s a big pipeline for primary care docs for VA and underserved communities. Plus, before they enter internships, the VA could use their expertise in evaluating Compensation and Pension claims. Could be as simple as a work/study program.
Ask some simple business questions for programs and contracts
- Why are we doing this?
- What is the expected outcome and how does it improve mission performance?
- What if we don’t do this?
Align VA and Veteran Community Perceptions and Expectations
- How long is 125 days – when does the clock really start and stop?
- What is a C&P error? Is it not fully following the checklist or not arriving at the right determination?
- What is meant by PL 109-461 with regards to the term “verify?” Is it intended to duplicate or rely on SBA’s statutory authority to adjudicate ownership, control and size?
- What is really meant by “Veterans First?”