VA leader calls for urgent reforms in spinal cord injury care
June 14, 2024 | Veterans Affairs: House Committee, Standing Committees - House & Senate, Congressional Hearings Compilation
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During a recent House Committee on Veterans Affairs meeting, Dr. Crowley, the director of spinal cord injury (SCI) clinical research at the VA Palo Alto Healthcare System, emphasized the critical role of the VA in providing comprehensive care for veterans with spinal cord injuries. Representing the American Federation of Government Employees (AFGE), Dr. Crowley highlighted the extensive services offered at the VA's SCI Centers, which include primary care, rehabilitation, emergency services, and mental health support.
Dr. Crowley noted that the VA Palo Alto SCID Center is one of 25 such facilities nationwide, utilizing a hub-and-spoke model to deliver integrated care. He pointed out the importance of telehealth services, which have expanded significantly since their inception in 2000, enhancing access for veterans.
A key concern raised was the need for specialized training for primary care physicians to effectively manage the unique health challenges faced by SCI patients. Despite the availability of clinical fellowships, Dr. Crowley reported that fewer than 20 of the approximately 32 positions are filled annually, indicating a pressing need to attract more young clinicians to the field.
Dr. Crowley also discussed ongoing research initiatives aimed at improving the quality of life for veterans with SCI. Current projects include evaluating innovative mobility devices and exploring the use of exoskeletons for assisted ambulation. He underscored the VA's commitment to advancing clinical practices that benefit both veterans and the broader community.
However, he cautioned that the VA's SCI system faces significant challenges, including staffing shortages and high turnover rates among clinical staff. To address these issues, he called for increased retention incentives and specialty pay to ensure that the VA can maintain its high standard of care for veterans with complex needs.
In conclusion, Dr. Crowley affirmed that the VA's SCI model offers unparalleled services that are not replicated in the private sector, but emphasized that further efforts are necessary to strengthen the system and support the dedicated professionals within it.
Dr. Crowley noted that the VA Palo Alto SCID Center is one of 25 such facilities nationwide, utilizing a hub-and-spoke model to deliver integrated care. He pointed out the importance of telehealth services, which have expanded significantly since their inception in 2000, enhancing access for veterans.
A key concern raised was the need for specialized training for primary care physicians to effectively manage the unique health challenges faced by SCI patients. Despite the availability of clinical fellowships, Dr. Crowley reported that fewer than 20 of the approximately 32 positions are filled annually, indicating a pressing need to attract more young clinicians to the field.
Dr. Crowley also discussed ongoing research initiatives aimed at improving the quality of life for veterans with SCI. Current projects include evaluating innovative mobility devices and exploring the use of exoskeletons for assisted ambulation. He underscored the VA's commitment to advancing clinical practices that benefit both veterans and the broader community.
However, he cautioned that the VA's SCI system faces significant challenges, including staffing shortages and high turnover rates among clinical staff. To address these issues, he called for increased retention incentives and specialty pay to ensure that the VA can maintain its high standard of care for veterans with complex needs.
In conclusion, Dr. Crowley affirmed that the VA's SCI model offers unparalleled services that are not replicated in the private sector, but emphasized that further efforts are necessary to strengthen the system and support the dedicated professionals within it.
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