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Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.
The quality of care in the VA health care system substantially improved after the implementation of a systemwide reengineering and, during the period from 1997 through 2000, was significantly better than that in the Medicare fee-for-service program.
Promoting patient safety by preventing medical error.
Extreme makeover: Transformation of the veterans health care system.
Between 1995 and 1999, the VA health care system was reengineered, focusing especially on management accountability, care coordination, quality improvement, resource allocation, and information management, producing dramatically improved quality, service, and operational efficiency.
Relation of surgical volume to outcome in eight common operations: results from the VA National Surgical Quality Improvement Program.
In VHA hospitals, the procedure and surgical specialty volume in eight prevalent operations of intermediate complexity are not associated with risk-adjusted 30-day mortality rate from these operations, or with the risk- adjusted 30- day stroke rate from CEA.
Scorpaenidae envenomation. A five-year poison center experience.
Immersion in hot water produced either complete (80%) or moderate (14%) symptomatic relief in 94% of the victims, and this simple and effective treatment was generally unknown to emergency personnel treating these patients.
Paying for performance: Medicare should lead.
It is concluded that systematic changes will not come forth quickly enough unless strong financial incentives are offered to get the attention of managers and governing boards, and as the biggest purchaser in the system, the Medicare program should take the lead in this regard.
Performance Measurement of Nursing Care
This article reviews recent efforts and issues involved in identifying a set of nursing-sensitive performance measures and suggests that more needs to be done to sustain and strengthen current efforts.
Veterans and the Affordable Care Act.
- K. Kizer
- 22 February 2012
The ACA may affect health care for many veterans through its effects on access, fragmentation and quality of care, utiliza- tion of services, the health care work force, and federal expenditures.
Geographic variations in utilization rates in Veterans Affairs hospitals and clinics.
- C. Ashton, N. Petersen, +7 authors N. Wray
- MedicineThe New England journal of medicine
- 7 January 1999
There are significant geographic variations in the use of hospital and outpatient services in the VA health care system and these findings suggest that VA physicians are unable to increase their income by changing their patterns of practice.
Reinventing VA health care: systematizing quality improvement and quality innovation.
An overview of the veterans health care system is provided, and various steps that have been taken to better manage performance and to systematize quality improvement and quality innovation are described.