Los Angeles Times

Obama sees progress at VA after major overhaul

He visits the Phoenix medical center cited for long wait times linked to deaths.

- By Christi Parsons and Michael A. Memoli christi.parsons @latimes.com Twitter: @cparsons michael.memoli @latimes.com Twitter: @mikememoli

WASHINGTON — Almost a year after ordering a massive shake-up of the Veterans Affairs Department, President Obama gave one troubled outpost a onceover Friday to see whether his massive staff houseclean­ing led to improvemen­ts.

In a trip to the VA hospital in Phoenix, where a whistle-blower exposed the existence of waits so long that dozens of veterans may have died awaiting treatment, Obama declared that his new VA leadership was “chipping away at those problems.”

“We’ve brought in a new team that has been tackling these issues to make sure that wait times for scheduling, access to providers, is greatly improved,” the president told reporters. “But what we know is there is still more work to do.

“Trust,” he said, “is one of those things that you lose real quick, and then it takes some time to build.”

Aides to the president say the Phoenix center has shown progress since the revelation­s last April, as has the rest of the agency’s division charged with providing healthcare to American veterans. Promising accountabi­lity, new VA Secretary Bob McDonald fired or discipline­d hundreds of employees and hired a net increase of more than 8,000 doctors, nurses and other healthcare workers, according to administra­tion figures.

But change hasn’t come quickly or thoroughly enough for some veterans advocates, who hope Obama will see the job as only half done during his review.

The conservati­ve Concerned Veterans for America publicly warned the president against the perils of a “whitewashe­d tour” by hospital administra­tors who were part of the problem.

A whistle-blower who helped bring attention to the problems said she had seen signs of improvemen­t but expressed hope that Obama would get an unvarnishe­d view, not just a meeting with senior executives.

“The person that he should be meeting with is the person that works the night shift on the psychiatri­c floor or who works the busiest shifts in the ER or the housekeepe­r that is struggling to clean all these really important places,” said Katherine Mitchell, a physician who testified before Congress last summer that she suffered retaliatio­n routinely for reporting health and safety concerns at the troubled facility.

“If they want to find out what’s going on in the hospital, they need to speak with the people on the front lines,” Mitchell said in an interview before Obama’s tour.

While at the center, Obama met with executives of the healthcare system and members of Congress as well as with two nurses, a mental health practition­er, a scheduler and a labor representa­tive, according to the White House.

The overhaul at the VA came after a CNN report said that at least 40 veterans had died waiting for appointmen­ts in the Phoenix VA Health Care System, many of them after being placed on a secret waiting list designed to hide their months-long delays in getting healthcare.

Other reviews showed long patient wait times at hospitals and clinics across the country, with data manipulate­d to downplay the delays.

Rep. Jeff Miller, chairman of the House Committee on Veterans’ Affairs, said he’s still worried about a lack of accountabi­lity for those who caused the problems, especially in Phoenix.

Noting that no one has been fired at the Phoenix hospital, Miller, a Florida Republican, said a “dearth of accountabi­lity also exists at VA facilities across the nation, as evidenced by the fact that VA has not fired a single senior executive for wait time manipulati­on.”

 ?? Photograph­s by Jacquelyn Martin
Associated Press ?? PEOPLE GATHER to watch President Obama’s motorcade as he heads to the VA hospital in Phoenix to review whether staffing changes had improved services at the site where extreme wait times were reported.
Photograph­s by Jacquelyn Martin Associated Press PEOPLE GATHER to watch President Obama’s motorcade as he heads to the VA hospital in Phoenix to review whether staffing changes had improved services at the site where extreme wait times were reported.
 ??  ?? WHILE HE acknowledg­ed improvemen­ts had been made, Obama said that “there is still more work to do” to build veterans’ trust in the VA health system.
WHILE HE acknowledg­ed improvemen­ts had been made, Obama said that “there is still more work to do” to build veterans’ trust in the VA health system.

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