Today we completed a Chart Review for a Veteran who booked in for a Permanent Impairment Assessment after initial assessment with an RSL Advocate.
He had 10 claims in, but it was a mix of Orthopaedic Conditions that seemed like it had missed some obvious claims – he had the less common ones in there but was missing some commonly linked and earlier conditions, or so it seemed to us.
A Chart Review of his UMR and JEHDI file revealed a likely additional 12 claims – 9 high yield ones, and 3 less impactful ,but still important to claim. 11 were covered by DVA SOPs and 1 claim needed a WHO ICD-10 reference to cover it.
We’re now working though the details of these claims with this Veteran.
Today we were visited by a 12 month post ADF discharge Veteran for a Veterans Health Check and setup of his basic healthcare needs.
We focussed on his mental health in this consult, with a view to setting up his mental health care plan, support services including Psychiatry and Psychology.
He had most his DVA claims set up, which is great, and we provided some general advice with regards to the level of supporting documentation required to submit these claims.
Today we saw an elderly Gold Card Vietnam Veteran for takeover of his healthcare, and ongoing checkups and organisation of age-appropriate screening and vaccinations, after initially meeting him for the first time a week ago.
In that time we have sorted out routine age-appropriate screening/check up bloods, talked about his chronic health issues, done a complete top-to-toe examination, focussing on muskuloskeletal health and cardiovascular health, with an ECG.
We set up his ongoing health check ups, with 3/6/12 monthly check ups for a variety of conditions set up in a GP Management Plan.
Today we met a young female ADF veteran, recently discharged. We completed her Veterans Health Check, did her GP Management Plan, her Team Care Arrangement (useful Medicare tools to organise healthcare), did her referrals and added two extra DVA claims in on her DVA diagnosis forms, in addition to the few she had already had claimed while she was in Defence.
As is becoming fairly usual, her discharge was somewhat acrimonious, with asymmetrical workplace conflict between the Member and the Australian Defence Force. We talked about the normalisation of workplace industrial relations, the stigma that can often be felt when leaving a very secular and insular organisation, and strategies to process the events that occurred and differentiate the actions of the workplace and her (frankly reasonable) responses to that.
Today I completed a MAMMOTH 28 claim Permanent Impairment Assessment for a young Veteran who was medically discharged. This took 2 days of taking a history, examining, assessing investigations, measuring ranges of motion and grip strength, and integrating all of this into 2 separate comprehensive reports, which we submitted to DVA a few days later.
I like to write reports in my own format as well as doing the DVA paperwork, as this way we produce a watertight report taht covers with the intent of the assessment as well as the required DVA paperwork. It is helpful for the narrative, and also to show the degree of fidelity that is achieved with the nuances of the DVA Permanent Impairment Assessment.