Download or read book An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation VERA System written by Jeffrey Wasserman and published by Minnesota Historical Society. This book was released on 2003 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Health Administration asked RAND to undertake a quantitative analysis of the Veterans Equitable Resource Allocation System (VERA), which allocates the congressionally appropriated medical care budget to the Veterans Integrated Service Networks (VISNs). The modeling approach used in this analysis provides a tool that VA policymakers can use for making resource allocation decisions.
Download or read book An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation VERA System written by and published by . This book was released on 2003 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Equitable Resource Allocation (VERA) system was instituted by the VHA in 1997 in a continuing effort to improve the allocation of congressionally appropriated health care funds to the 21 Veterans Integrated Service Networks (VISNs). VERA was designed to fulfill this mission in an equitable, understandable, and efficient manner as well as to address the complexities of providing health care to veterans with service-connected disabilities, low incomes, and special health care needs (e.g., spinal cord injuries and post-traumatic stress disorder) Although a number of studies have indicated that VERA is helping the VHA meet its goals and budget objectives, these studies have also suggested areas for improvement, such as revising patient classifications and developing methods to monitor and improve access to care for all veterans (Price Waterhouse LLP and the Lewin Group, Inc 1998; General Accounting Office, 1997, 1998; AMA Systems, Inc., The Center for Naval Analysis Corporation, March and July 2000). In contrast to earlier VHA allocation systems, which were based largely on historical costs, VERA bases its allocation of funds primarily on the number of veterans served. Thus, since VERA's inception, dramatic shifts in allocations have occurred from geographic areas with shrinking veteran populations to geographic areas with increasing numbers of veterans.
Download or read book An Analysis of the Veterans Equitable Resource Allocation VERA System written by Jeffrey Wasserman and published by RAND Corporation. This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since April 1997, the Veterans Equitable Resource Allocation (VERA) System has served as the basis for allocating the congressionally appropriated medical care budget of the Department of Veterans Affairs (DVA) to its regional networks. Concerned that the VERA system may not allocate resources in a manner consistent with its mission, Congress requested a study of the system and how allocations are affected by a number of factors, including infrastructure age, extreme weather conditions, and participation in medical education. This report describes the results of RAND's initial analysis. Because of the project's short time frame, only qualitative analysis was performed. Among the findings were that health care delivery costs may be affected by the age, physical condition, and historical significance of a VISN's capital infrastructure, factors for which VERA does not currently adjust. An additional finding was that VERA's current case-mix adjustment may not adequately account for differences in the average health status of veterans across networks. The influence on costs and access to care of factors such as weather extremes was less clear. In spite of its possible shortcomings, VERA appeared to be designed to meet its objectives more closely than did previous VA budget allocation systems. A plan was presented for further quantitative analysis of a number of critical issues that emerged from the current study.
Download or read book An Analysis of the Veterans Equitable Resource Allocation VERA System written by and published by . This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Equitable Resource Allocation (VERA) system was instituted by the Veterans Health Administration (VHA)-the organization in the Department of Veterans Affairs (DVA) that is responsible for providing health care to veterans-in 1997. The system was designed to improve the allocation of the congressionally appropriated medical care budget to the 22 regional service networks that comprise the VA health system. In recent legislation (H.R. 4635), the U.S. Congress asked the DVA to conduct a study on whether VERA adequately meets the special needs of some veterans. In response to this legislation, the VHA asked RAND's National Defense Research Institute to undertake this study. Specifically, this study examines the degree to which VERA accounts for differences in the age and geographic location of facilities, their patient case mixes, and other factors. The study also examines cost issues associated with affiliations between VA facilities and academic medical centers. The findings and recommendations from the study are documented in this report. Study findings should be of interest to VA personnel, Congress, and other policymakers-particularly those interested in health care for veterans. Health economists and policy planners may also have an interest in the findings. This research was sponsored by the DVA and was carried out jointly by RAND Health's Center for Military Health Policy Research and the Forces and Resources Policy Center of the National Defense Research Institute. The latter is a federally funded research and development center sponsored by the Office of the Secretary of Defense, the Joint Staff, the unified commands, and the defense agencies.
Download or read book Understanding Potential Changes to the Veterans Equitable Resource Allocation VERA System written by Jeffrey Wasserman and published by Minnesota Historical Society. This book was released on 2004 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Health Administration asked RAND to conduct a quantitative analysis of the Veterans Equitable Resource Allocation (VERA) system, which allocates the congressionally appropriated medical care budget to the Veterans Integrated Service Networks. The study determines how particular patient and facility characteristics influence allocations to the service networks and simplifies and refines the models created in earlier RAND research to reflect policy changes and more recent data.
Download or read book Understanding Potential Changes to the Veterans Equitable Resource Allocation VERA System written by and published by . This book was released on 2004 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Equitable Resource Allocation (VERA) system was instituted by the Veterans Health Administration (VERA) in 1997 in a continuing effort to improve the allocation of congressionally appropriated health care funds to the 21 Veterans Integrated Service Net- works (VISNs).1 VERA was designed to ensure that funds are allocated in an equitable, comprehensible, and efficient manner and to address the complexities of providing health care to veterans with service-connected disabilities, low incomes, and special health care needs. In contrast to earlier VHA allocation systems, which were based largely on historical costs, VERA bases its allocation of finds primarily on the number of veterans served (work- load). However, the veteran population has been shifting dramatically from some geographic areas to others. As a result, since the implementation of VERA, allocations to the VISNs have undergone similar shifts, from areas with shrinking veteran populations to areas with increasing numbers of veterans. These funding shifts prompted concerns in Congress that VERA was not distributing resources equitably across the VISNs, which could affect health care delivery to some veterans. In legislation enacted in late 2000 (Public Law No. 106-377), Congress directed the Department of Veterans Affairs (VA) to determine "whether VERA may lead to a distribution of finds that does not cover the special needs of some veterans. The VHA contracted with the RAND National Defense Research Institute to examine three specific areas of concern expressed by Congress: * The extent to which allocations cover costs associated with maintaining older-than- average medical facilities, caring for populations with complex case mixes, facilities undergoing major consolidation, and/or rural versus urban location. * Issues associated with maintaining affiliations between the VA medical centers and academic medical centers. The extent to which weather differences influence costs.
Download or read book Veterans Equitable Resource Allocation System written by and published by . This book was released on 2003 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Military Quality of Life and Veterans Affairs and Related Agencies Appropriations for 2006 written by United States. Congress. House. Committee on Appropriations. Subcommittee on Military Quality of Life and Veterans Affairs, and Related Agencies and published by . This book was released on 2005 with total page 2368 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Departments of Veterans Affairs and Housing and Urban Development and Independent Agencies Appropriations for 2005 Department of Veterans Affairs written by United States. Congress. House. Committee on Appropriations. Subcommittee on VA, HUD, and Independent Agencies and published by . This book was released on 2004 with total page 1400 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book VA health care resource allocations to medical centers in the Mid South Healthcare Network report to congressional requesters written by and published by DIANE Publishing. This book was released on with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Engineering a Learning Healthcare System written by National Academy of Engineering and published by National Academies Press. This book was released on 2011-07-14 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Download or read book VA Health Care written by and published by . This book was released on 2004 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Selected Rand Abstracts written by Rand Corporation and published by . This book was released on 2003 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes publications previously listed in the supplements to the Index of selected publications of the Rand Corporation (Oct. 1962-Feb. 1963).
Download or read book MR written by and published by . This book was released on 2003 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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Download or read book Annual Report written by Rand Corporation and published by . This book was released on 2003 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Departments of Veterans Affairs and Housing and Urban Development and Independent Agencies Appropriations for Fiscal Year 1999 written by United States. Congress. House. Committee on Appropriations. Subcommittee on VA, HUD, and Independent Agencies and published by . This book was released on 1998 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt:
