Variations In Efficiency And The Relationship To Quality Of Care In The Veterans Health System
Office of Productivity, Efficiency, and Staffing, Department of Veterans Affairs, Albany, New York, USA.Health Affairs (Impact Factor: 4.97). 04/2011; 30(4):655-63. DOI: 10.1377/hlthaff.2010.0435
There is widespread belief that the US health care system could realize significant improvements in efficiency, savings, and patient outcomes if care were provided in a more integrated and accountable way. We examined efficiency and its relationship to quality of care for medical centers run by the Veterans Health Administration of the Department of Veterans Affairs (VA), a national, vertically integrated health care system that is accountable for a large patient population. After devising a statistical model to indicate efficiency, we found that VA medical centers were highly efficient. We also found only modest variation in the level of efficiency and cost across VA medical centers, and a positive correlation overall between greater efficiency and higher inpatient quality. These findings for VA medical centers suggest that efforts to drive integration and accountability in other parts of the US health care system might have important payoffs in reducing variations in cost without sacrificing quality. Policy makers should focus on what aspects of certain VA medical centers allow them to provide better care at lower costs and consider policies that incentivize other providers, both within and outside the VA, to adopt these practices.
- Journal of Dual Diagnosis 07/2011; 7(3-3):175-185. DOI:10.1080/15504263.2011.593418 · 0.80 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: This article examines the overall organization of services and delivery of health care in the United States. Health maintenance organization, fee-for-service, preferred provider organizations, and the Veterans Health Administration are discussed, with a focus on structure, outcomes, and areas for improvement. An overview of wait times, malpractice, telemedicine, and the growing population of physician extenders in dermatology is also provided.Dermatologic clinics 01/2012; 30(1):39-51, vii-viii. DOI:10.1016/j.det.2011.09.005 · 1.69 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Although there are many examples of interprofessional education activities that focus on quality and safety, few include longitudinal experiences of teams working together over time. One exception is the Veterans Affairs Quality Scholars (VAQS) fellowship program. This article describes the integration of interprofessional education into the VAQS fellowship program, offers 2 examples of interprofessional projects conducted by the fellows, and discusses the VAQS program as a model for others to consider in developing interprofessional training programs in safety and quality improvement.Nursing Clinics of North America 09/2012; 47(3):347-54. DOI:10.1016/j.cnur.2012.05.006 · 0.84 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.