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U.S. Department of Defense Disability Compensation Under a Fitness-For-Duty Evaluation Approach

U.S. Department of Defense Disability Compensation Under a Fitness-For-Duty Evaluation Approach PDF Author: Stephanie Rennane
Publisher:
ISBN: 9781977408006
Category : History
Languages : en
Pages : 0

Book Description
The joint U.S. Department of Defense (DoD)-Department of Veterans Affairs (VA) Integrated Disability Evaluation System is the process by which DoD determines fitness for duty and separation or retirement of service members because of disability. Service members who are evaluated for disability undergo a comprehensive medical examination to document all medical conditions and receive a disability rating for every condition documented during the exam. DoD and the VA use these ratings to determine the amount of disability compensation service members receive if they are determined to be unfit to continue serving and consequently medically discharged. Proposals for reforming the DoD compensation system have been considered in the past, but a rigorous evaluation of what those alternatives might look like and how they would affect service member benefits and costs to DoD has not been conducted. In this report, the authors describe their evaluation of four hypothetical alternative disability compensation approaches that would support a simpler disability evaluation process: compensating based on the current objectives of the DoD system (and using current benefit formulas), compensating on the basis of a military career, compensating on the basis of unfitting conditions, or compensating similar to U.S. allies. Each alternative reduces reliance on disability ratings for determining DoD disability compensation and focuses primarily on a single decision about whether a service member is fit to perform his or her duties. The authors evaluate the potential effects of each alternative on service member compensation, processing times, end strength, lost skills and experience, and readiness.

U.S. Department of Defense Disability Compensation Under a Fitness-For-Duty Evaluation Approach

U.S. Department of Defense Disability Compensation Under a Fitness-For-Duty Evaluation Approach PDF Author: Stephanie Rennane
Publisher:
ISBN: 9781977408006
Category : History
Languages : en
Pages : 0

Book Description
The joint U.S. Department of Defense (DoD)-Department of Veterans Affairs (VA) Integrated Disability Evaluation System is the process by which DoD determines fitness for duty and separation or retirement of service members because of disability. Service members who are evaluated for disability undergo a comprehensive medical examination to document all medical conditions and receive a disability rating for every condition documented during the exam. DoD and the VA use these ratings to determine the amount of disability compensation service members receive if they are determined to be unfit to continue serving and consequently medically discharged. Proposals for reforming the DoD compensation system have been considered in the past, but a rigorous evaluation of what those alternatives might look like and how they would affect service member benefits and costs to DoD has not been conducted. In this report, the authors describe their evaluation of four hypothetical alternative disability compensation approaches that would support a simpler disability evaluation process: compensating based on the current objectives of the DoD system (and using current benefit formulas), compensating on the basis of a military career, compensating on the basis of unfitting conditions, or compensating similar to U.S. allies. Each alternative reduces reliance on disability ratings for determining DoD disability compensation and focuses primarily on a single decision about whether a service member is fit to perform his or her duties. The authors evaluate the potential effects of each alternative on service member compensation, processing times, end strength, lost skills and experience, and readiness.

Ides Guidebook

Ides Guidebook PDF Author: United States Government Army
Publisher: CreateSpace
ISBN: 9781490991856
Category : Law
Languages : en
Pages : 210

Book Description
In 2007, the Department of Veterans Affairs (VA) and Department of Defense (DoD) received presidential direction to conduct a joint program to modernize and improve the disability evaluation and compensation process for wounded, ill, and injured Soldiers. VA and DoD collaborated to develop the Integrated Disability Evaluation System(IDES).The goals of IDES are to:• Reduce the overall time it takes a Soldier to progress through the IDES process, starting at the time of referral to the Medical Evaluation Board (MEB) and ending upon receipt of VA benefits or return to duty (RTD);• Utilize a single examination process that meets the needs of VA and DoD; and• Increase transparency of both the military disability evaluation system and VA claims processes for wounded, ill, and injured Soldiers and their families.The IDES process identifies all medical and/or psychological conditions that impact military occupational function for the purposes of determining fitness for duty and entitlement to military and/ or VA disability compensation. The core IDES process is standardized to ensure that each Soldier, Command, and the Army Staff understand their critical contributions to case processing. Accountability measures based on the minimum necessary standards are in place at all levels across the Army. This guidebook clarifies the processes, roles and responsibilities, and standards measured at each IDES step.The IDES Guidebook is intended solely to provide MTFs and their personnel with a description of IDES practices and procedures. The IDES Guidebook should not be construed or referenced as an authoritative source for IDES regulations or policy. In-text citations refer to authoritative IDES policy and regulations. Readers should always seek out these authoritative sources when necessary and should not, in any case, cite to the IDES Guidebook as Department of the Army policy.

Methods & Actions for Improving Performance of the Department of Defense Disability Evaluation System

Methods & Actions for Improving Performance of the Department of Defense Disability Evaluation System PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

Book Description
The Disability Evaluation System (DES) is a management tool used by the Department of Defense to determine the disposition of a service member who has a medical condition that calls into question the member's ability to perform his or her duties. The DES exists to evaluate service members with such medical conditions, remove those unable to fulfill their duties, and determine a disability rating for those who are removed. This book focuses on four major research tasks related to improving system performance: developing a basis for assessing DES outcomes, identifying issues of variability in DES policy application, conducting a DES training analysis and presenting recommended changes, and developing a method for continuously monitoring DES performance. As part of their findings, the authors constructed a set of desired system outcomes and from that framework suggest comprehensive training and information management interventions to improve overall system performance. The authors also identify groups of primary DES participants and outline the specific bodies of knowledge and skills the participants require to execute disability policy consistently throughout the military departments.

Review of the VA and DOD Integrated Disability Evaluation System

Review of the VA and DOD Integrated Disability Evaluation System PDF Author: United States. Congress. Senate. Committee on Veterans' Affairs
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 64

Book Description


DoD and VA: Preliminary Observations on Efforts to Improve Health Care and Disability Evaluations for Returning Servicemembers

DoD and VA: Preliminary Observations on Efforts to Improve Health Care and Disability Evaluations for Returning Servicemembers PDF Author: John H. Pendleton
Publisher: DIANE Publishing
ISBN: 1437909833
Category :
Languages : en
Pages : 28

Book Description
In Feb. 2007, a series of Wash. Post articles disclosed deficiencies in the provision of outpatient services at Walter Reed Army Med. Center, raising concerns about the care for returning servicemembers. These deficiencies included a confusing disability evaluation system and servicemembers in outpatient status for years without a clear understanding about their plan of care. In response, the Army took a number of actions and DoD formed a joint DoD-VA Senior Oversight Comm. This statement provides info. on the near-term actions being taken by the Army and the broader efforts of the Senior Oversight Comm. to address longer-term systemic problems that impact health care and disability evaluations for returning servicemembers. Illustrations.

Military Disability System

Military Disability System PDF Author: Daniel Bertoni
Publisher: DIANE Publishing
ISBN: 1437910610
Category : Technology & Engineering
Languages : en
Pages : 54

Book Description
In Feb. 2007, a series of articles in ¿The Washington Post¿ about conditions at Walter Reed Army Medical Center highlighted problems in the military¿s disability evaluation system (DES). Subsequently, the Dept. of the Army, the DoD, and the VA undertook initiatives to address concerns with the DES. In 2007, the Army took steps to streamline its process, and DoD and VA began piloting a joint evaluation system to address systemic concerns abut timeliness and the potential inefficiency of having separate DES. This report examines: (1) recent actions by the Army to help servicemembers navigate its DES; and (2) the status, plans, and challenges of DoD and VA¿s efforts to pilot and implement a joint DES Includes recommendations. Illustrations.

Use of Physical and Psychiatric Examinations to Determine Fitness for Duty

Use of Physical and Psychiatric Examinations to Determine Fitness for Duty PDF Author: United States. Congress. House. Committee on Post Office and Civil Service. Subcommittee on Compensation and Employee Benefits
Publisher:
ISBN:
Category : United States
Languages : en
Pages : 100

Book Description


Improving the Presumptive Disability Decision-Making Process for Veterans

Improving the Presumptive Disability Decision-Making Process for Veterans PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309164397
Category : Medical
Languages : en
Pages : 813

Book Description
The United States has long recognized and honored the service and sacrifices of its military and veterans. Veterans who have been injured by their service (whether their injury appears during service or afterwards) are owed appropriate health care and disability compensation. For some medical conditions that develop after military service, the scientific information needed to connect the health conditions to the circumstances of service may be incomplete. When information is incomplete, Congress or the Department of Veterans Affairs (VA) may need to make a "presumption" of service connection so that a group of veterans can be appropriately compensated. The missing information may be about the specific exposures of the veterans, or there may be incomplete scientific evidence as to whether an exposure during service causes the health condition of concern. For example, when the exposures of military personnel in Vietnam to Agent Orange could not be clearly documented, a presumption was established that all those who set foot on Vietnam soil were exposed to Agent Orange. The Institute of Medicine (IOM) Committee was charged with reviewing and describing how presumptions have been made in the past and, if needed, to make recommendations for an improved scientific framework that could be used in the future for determining if a presumption should be made. The Committee was asked to consider and describe the processes of all participants in the current presumptive disability decision-making process for veterans. The Committee was not asked to offer an opinion about past presumptive decisions or to suggest specific future presumptions. The Committee heard from a range of groups that figure into this decision-making process, including past and present staffers from Congress, the VA, the IOM, veterans service organizations, and individual veterans. The Department of Defense (DoD) briefed the Committee about its current activities and plans to better track the exposures and health conditions of military personnel. The Committee further documented the current process by developing case studies around exposures and health conditions for which presumptions had been made. Improving the Presumptive Disability Decision-Making Process for Veterans explains recommendations made by the committee general methods by which scientists, as well as government and other organizations, evaluate scientific evidence in order to determine if a specific exposure causes a health condition.

A 21st Century System for Evaluating Veterans for Disability Benefits

A 21st Century System for Evaluating Veterans for Disability Benefits PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309106311
Category : Medical
Languages : en
Pages : 406

Book Description
21st Century System for Evaluating Veterans' Disability Benefits recommends improvements in the medical evaluation and rating of veterans for the benefits provided by the Department of Veterans Affairs (VA) to compensate for illnesses or injuries incurred in or aggravated by military service. Compensation is a monthly cash benefit based on a rating schedule that determines the degree of disability on a scale of 0 to 100. Although a disability rating may also entitle a veteran to ancillary services, such as vocational rehabilitation and employment services, the rating schedule is out of date medically and contains ambiguous criteria and obsolete conditions and language. The current rating schedule emphasizes impairment and limitations or loss of specific body structures and functions which may not predict disability well. 21st Century System for Evaluating Veterans' Disability Benefits recommends that this schedule could be revised to include modern concepts of disability including work disability, nonwork disability, and quality of life. In addition to the need for an updated rating schedule, this book highlights the need for the Department of Veterans' Affairs to devote additional resources to systematic analysis of how well it is providing services or how much the lives of veterans are being improved, as well as the need for a program of research oriented toward understanding and improving the effectiveness of its benefits programs.

Journal of the House of Representatives of the United States

Journal of the House of Representatives of the United States PDF Author: United States. Congress. House
Publisher:
ISBN:
Category : CD-ROMs
Languages : en
Pages : 1488

Book Description
Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House".