WASHINGTON — A House committee voted Thursday to subpoena records relating to a waiting list at the Phoenix veterans hospital, and officials said Veterans Affairs Secretary Eric Shinseki had ordered a nationwide audit of access to care that the agency provides.

Meanwhile, Shinseki brushed aside calls for his resignation and got an unexpected political lifeline from House Speaker John Boehner following reports that 40 patients died because of delayed treatment at an agency hospital.

The American Legion and some in Congress have called for Shinseki’s ouster following allegations of patient deaths at the Phoenix VA hospital due to delays in care and of a secret list the hospital kept of patients waiting for appointments to hide the delays.

The House Veterans Affairs Committee voted unanimously to subpoena all emails and other records in which Shinseki and other VA officials may have discussed destruction of what the committee called “an alternate or interim waitlist” for veterans seeking care in Phoenix.

A top VA official told congressional staff last month the “secret list” referred to in news reports may have been an “interim list” created by the hospital.

And the committee asked the VA on May 1 to answer why it was created, when it was destroyed, who authorized destruction and under what authority.

Shinseki answered in a letter Wednesday that VA employees used “transitory or interim notes ... for reference purposes” as they were moving information to the new electronic waitlist system. Regulations of the National Archives and Records Administration require that such notes be destroyed when they are no longer needed for reference, the VA said.

Dissatisfied with that response, the committee subpoenaed all documents relating to the destruction and gave Shinseki until 9 a.m. May 19 to produce them. The VA said in a statement that it will review the subpoena and respond.

Earlier Thursday, Shinseki told CBS that he sent inspectors to Phoenix immediately after he learned of reports about the deaths. “I take every one of these incidents and allegations seriously, and we’re going to go and investigate,” he said.

The VA also announced Thursday that Shinseki had ordered the Veterans Health Administration last month to do a “a face-to-face” audit at all clinics at VA medical centers to make sure employees understand VA’s policy and the need for continued integrity in managing patient access to care.

And at a Capitol Hill news conference, Boehner, R-Ohio, said: “I’m not ready to join the chorus of people calling on him to step down.” He added that there is a “systemic management issue throughout the VA that needs to be addressed.”

Shinseki announced last week that three officials at the Phoenix facility were placed on leave while the VA inspector general investigates.

Boehner said the House is working on legislation that would give the head of the agency “more flexibility to fire people.”

The White House has voiced support for Shinseki amid the calls for his ouster from the American Legion as well as from Republican Sens. Richard Burr of North Carolina, John Cornyn of Texas and Jerry Moran of Kansas. Veterans groups are split on whether he should resign.

White House spokesman Josh Earnest said President Barack Obama has full confidence in Shinseki. He said Shinseki shares the president’s passion for living up to the commitment that the U.S. has made to its veterans.

Earnest told reporters traveling with Obama in California that the VA has made tremendous progress in reducing the case backlog. He said while the backlog is moving in the right direction, the White House won’t be satisfied until it is eliminated.

Numbering more than 600,000 when it hit its high point in March 2013, the backlog in VA cases had been cut in half to 308,000 by early May, the VA said. The department deems cases to be part of the backlog once they’ve gone 125 days without being processed. The VA said it completed more than 500,000 of its oldest claims last year.

At the same time, the VA has acknowledged that 23 patients have died as a result of delayed care in recent years. The VA’s Office of Medical Inspector said clerks at a Fort Collins, Colorado, clinic were instructed last year on how to falsify appointment records. Other problems have occurred in Pittsburgh, Atlanta and Augusta, Georgia.

(1) comment


We would like to share a horrific experience our veteran was subjected to. He was diagnosed with stage 4lung cancer 17 months ago at the VA hospital at castle point N.Y. He responded extremely well to targeted chemo.
This past winter he had leg pain and the VA dismissed his symptoms and sent him home. His leg pain turned out to be a deep vein thrombosis and he ended up in the ER with pulmonary emboli. After nine days he was sent to palliative care at Castle point where he rapidly deteriorated. The medical staff did not understand his condition and assumed he had days to weeks to live. The hospitalist, nurse practitioner met with us and said he had cancer everywhere while his oncologist was saying that the cancer was still regressing. So why was he deteriorating so rapidly? He was being completely neglected, water and food was left on a tray completely out of his reach and he had became incapable of feeding himself. As a family we were having to make decisions based on the information the medical staff was giving us which was he had days to live. We soon realized that the patients were being sedated especially on the days when they were short staffed. On March 11 we were notified by the nurse at Castle point that he was unresponsive and we needed to get there immediately. He was gasping for air and oxygen mask on his eyes were rolling to the back of his head. In actuality he was overdosed on narcotics and had to be given Narcan to reverse the effects. We moved him to rosary hill where he is eating gaining weight and thriving. With that being said, I would like to point out that there are SERIOUS issues with the agency's ability to provide timely care to both out-AND-inpatients.

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