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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System Workshop Summary (2009) / Chapter Skim
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Appendix B: Issues Raised by Stakeholders about the Military Care of Patients with Traumatic Brain Injury
Pages 135-140

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From page 135...
... The following list of issues raised by stakeholders in the Military Health System (MHS) during the planning phase of the workshop addresses both mTBI care and moderate/severe TBI care.
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From page 136...
... • Differences between TBI symptoms caused by blast exposures and other traumatic exposures should be identified.  MACE stands for Military Acute Concussion Evaluation.
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From page 137...
... does have a clinical practice guideline. • Adequate treatment is lacking for patients in rural, non-urban, and underserved areas, who live too far from designated TBI centers or other VA treatment facilities to receive treatment from them.
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From page 138...
... Rehabilitation and Chronic Care • Rehabilitation care is not standardized and is not always initi ated when clinically indicated, nor has an optimal rehabilitation program been determined. • Patients cared for in VA facilities who are still on active duty may complicate rehabilitation regimens.
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From page 139...
... • The lack of data impairs analysis of the operation, cost, and effec tiveness of TBI care; DOD and VA should systematically collect, code, retain, share, and analyze data in a way that respects the privacy of patients and the confidentiality of their information. • The challenge in understanding, diagnosing, and treating military personnel is greater for mTBI than for moderate or severe TBI.
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Key Terms

  • brain injury
  • military health
  • tbi symptoms
  • treatment facilities
  • coordinating care

  • planning committee
  • mace stands
  • inform workshop
  • military acute
  • workshop addresses

  • guidance document
  • mtbi care
  • veterans brain
  • tbi centers
  • receive acute

  • symptoms caused
  • psychiatric disorders
  • family caregiver
  • patients cared
  • complicate rehabilitation

  • symptoms exacerbate
  • veterans affairs
  • trauma associated
  • lengthy path
  • data impairs

  • addresses tbi
  • five major
  • transferring records
  • transferring electronic
  • five categories


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