Download or read book THE EFFECTS ON VA HOSPITAL PERFORMANCE OF A PROSPECTIVE RESOURCE ALLOCATION SYSTEM BASED ON A CASE MIX WEIGHTED MEASURE OF WORKLOAD VETERANS ADMINISTRATION written by WILLIAM C. NEWBRANDER and published by . This book was released on 1983 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: behavior had changed as a result of PRIME and, if so, how. The objectives were: (1) to develop an economic model that identified possible effects of PRIME, and (2) to document and measure these effects.
Download or read book Proceedings of the Social Statistics Section written by American Statistical Association. Social Statistics Section and published by . This book was released on 1988 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dissertation Abstracts International written by and published by . This book was released on 1984-04 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book American Doctoral Dissertations written by and published by . This book was released on 1983 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Comprehensive Dissertation Index written by and published by . This book was released on 1989 with total page 984 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Recommendations to Revise VA System for Health Care Resource Allocation written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 2003 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 VA Needs a Single System to Measure Hospital Productivity written by United States. General Accounting Office and published by . This book was released on 1981 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 VA Health Care written by United States. General Accounting Office and published by . This book was released on 1989 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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 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 Special Survey Report on the Level of the Quality of Patient Care at Veterans Administration Hospitals and Clinics written by United States. Veterans Administration and published by . This book was released on 1974 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Annual Meeting of the American Public Health Association and Related Organizations written by American Public Health Association and published by . This book was released on 1989 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician Staffing for the VA written by Joseph Lipscomb and published by National Academies. This book was released on 1991 with total page 552 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Veterans Affairs--the VA--operates the nation's largest and most diverse health care system. How many physicians does it need to carry out its principal mission-related responsibilities of patient care, education, and research? This book presents and demonstrates by concrete example a methodology to answer this basic, but extraordinarily complex, question. The heart of the methodology is a decision-making process in which both statistical and expert judgment approaches can be used separately or in concert to calculate the number of physicians required, by specialty, for any facility in the VA system. Although the analyses here focus entirely on the VA, the methodology could be used to determine physician staffing for a wide range of public and private sector health care organizations.
Download or read book Comparative Cost of Inpatient Hospital Care written by Nancy A. Graham and published by . This book was released on 1986 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
