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Department of Veterans Affairs
Veterans Health Administration
Washington, DC 20420VHA DIRECTIVE 1153
TRANSMITTAL SHEET
April 15, 2016ACCESS TO CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND
UNITED
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How to fill out vha directive 1177
How to fill out vha directive 1177
01
Start by downloading the VHA Directive 1177 form from the official website of the VA Health Administration.
02
Read the instructions and requirements mentioned on the form carefully before filling it out.
03
Begin by providing your personal details like your full name, contact information, and VA facility where you receive care.
04
Fill in the reason for completing the directive and clearly specify your preferences regarding health care decisions.
05
If you have any specific instructions or limitations, make sure to mention them in the designated section.
06
Review the form thoroughly to ensure all the information is accurate and complete.
07
Sign and date the form to validate your consent and understanding.
08
Keep a copy of the filled form for your records and submit the original to the VA facility where you receive care.
Who needs vha directive 1177?
01
VHA Directive 1177 is needed by veterans and individuals receiving care from the VA Health Administration.
02
It is particularly important for those who wish to document and communicate their preferences regarding health care decisions.
03
This directive ensures that individuals have control over their medical treatment and choices even if they become unable to communicate their wishes.
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What is vha directive 1177?
VHA Directive 1177 provides guidelines and requirements for reporting adverse events within the Veterans Health Administration.
Who is required to file vha directive 1177?
All healthcare providers within the Veterans Health Administration are required to file VHA Directive 1177.
How to fill out vha directive 1177?
VHA Directive 1177 can be filled out electronically through the designated reporting system within the Veterans Health Administration.
What is the purpose of vha directive 1177?
The purpose of VHA Directive 1177 is to ensure timely and accurate reporting of adverse events to improve patient safety and quality of care.
What information must be reported on vha directive 1177?
Information such as the date, time, location, individuals involved, and details of the adverse event must be reported on VHA Directive 1177.
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