VA National Bed Control System

<p>The VA National Bed Control System records the levels of operating, unavailable and authorized beds at each VAMC, and it tracks requests for changes in these levels. For changes in operating, unavailable and authorized bed levels, the Director of a Medical Center or his/her authorized delegate enters a bed change request into the Bed Control Database. A Bed Control Database trigger automatically notifies the respective Veterans Integrated Support Network (VISN) director. The VISN director's designated staff reviews the request and either approves, disapproves, or cancels it through the Bed Control Database. If a medical center request is approved by the VISN director, a Bed Control Database trigger notifies staff in the Assistant Deputy Under Secretary for Health for Operations and Management (10N) to review and take action, followed by the appropriate VHA Program Office and then the Under Secretary for Health. Once a request has been approved, cancelled, or disapproved by either the Deputy Under Secretary for Health for Operations and Management, VHA Program Office, or the Under Secretary for Health, the medical center director and the appropriate VISN director are automatically notified of the action. The approval process is tracked and visible to the authorized user of the system. When changes are approved, the database updates its bed level information accordingly. Pertinent justification and documents associated with each bed change request are stored in the database.</p>

美国退伍军人事务部国家床位控制系统记录了各退伍军人事务医疗中心（VAMC）的运营床位、不可用床位和授权床位的水平，并追踪对这些水平变更的请求。对于运营床位、不可用床位和授权床位水平的变更，医疗中心主任或其授权代表将床位变更请求输入至床位控制数据库。床位控制数据库的触发器会自动通知相应的退伍军人综合支持网络（VISN）主任。VISN主任指定的员工将审查该请求，并通过床位控制数据库批准、拒绝或取消该请求。若医疗中心的请求获得VISN主任的批准，床位控制数据库的触发器将通知助理副卫生部长（10N）的员工进行审查并采取行动，随后由相应的退伍军人卫生事务局（VHA）项目办公室和卫生部长进行审批。一旦请求获得助理副卫生部长、VHA项目办公室或卫生部长的批准、取消或拒绝，医疗中心主任和相应的VISN主任将自动收到行动通知。审批过程将被跟踪，并对系统授权用户可见。当变更获得批准时，数据库将相应更新床位水平信息。与每个床位变更请求相关的相关理由和文件均存储在数据库中。