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"GAO’s interviews with claims processors suggest that they evaluate claims for these conditions inconsistently based on inaccurate interpretations of VA’s claims processing procedures. Specifically, during interviews at three selected offices that process Agent Orange claims, GAO heard inaccurate statements about (1)when the 1-year manifestation period requirement applies and (2) what types of evidence can be used to address this requirement or to support requesting a medical opinion that could be used to support veterans’ claims. VA’s guidance does not clearly address these issues. Without clear guidance, claims processors may incorrectly apply the 1-year manifestation period requirement when veterans have evidence suggesting a direct connection to service and, in turn, could inappropriately deny benefits to some Vietnam veterans." more »

The 2022 Urban Trauma Library Study, spearheaded by a group of New York City-based librarians, surveyed urban library workers and found nearly 70% said they had dealt with patrons whose behavior was violent or aggressive, from intimidating rants and sexual harassment to people pulling guns and knives or hurling staplers at them. Few of the workers felt supported by their bosses. “As the social safety net has been dismantled and underfunded, libraries have been left to pick up the slack,” wrote the authors, adding that most institutions lack practical guidelines for treating traumatic incidents that over time can lead to “compassion fatigue.” Library administrators have begun to acknowledge the problem by providing training and hiring staff members experienced in social services. more »

“Specialty care, including neuropsychological assessments, are pretty critical for people with dementia to get an accurate diagnosis and set a symptom management plan,” said Wendy Yi Xu of Ohio State’s College of Public Health, in a statement accompanying the study’s publication in JAMA Network Open. “These are advanced, complex tests that most primary care physicians are not trained to perform.”    ALICIA LASEK     Primary care doctors and nurse practitioners, rather than specialists, are more likely to provide care for early-onset dementia in rural areas, putting these patie… more »

Sexual harassment in the workplace can cause harmful psychological, physical, occupational, and economic effects for workers. Several federal laws, executive orders, and agency directives are aimed at preventing and addressing sexual harassment at federal agencies. GAO issued a June 2020 report (GAO-20-387) that reviewed VA's efforts to prevent and address sexual harassment at the agency. In this report, GAO made seven recommendations. This testimony discusses VA's efforts to implement GAO's recommendations to 1) ensure VA's EEO structure is properly aligned; 2) improve the agency's policies to prevent and address sexual harassment of VA employees; 3) collect and analyze data to inform VA about sexual harassment of its employees; and 4) improve relevant training. more »