Considering the human factors for fair treatment

The son of a 101-year-old frail Veteran called the Office of the Veterans Ombudsman (OVO) seeking assistance in appealing VAC’s denial of a prescribed therapeutic nutrient for the Veteran. This Veteran was suffering from a decreased appetite and weakness for two weeks, and after hospitalization, was prescribed Glucerna meal replacement to supplement the Veteran’s daily food consumption. The Veteran was also suffering from a broken wrist, diabetes and other serious health conditions. Unfortunately, the Veteran’s request for Glucerna coverage was denied as it did not meet VAC’s criteria for therapeutic nutrients. The OVO found that the Veteran was not treated fairly, as VAC’s criteria for therapeutic nutrients do not take into account important factors such as the client’s age, frailty and special health needs. The OVO contacted the National Manager, Treatment Programs, for a revision to these criteria, and launched the appeal on a “Red Zone” (priority) basis. With OVO intervention, VAC approved the client for Glucerna on an exceptional basis.