Read e-book online An Analysis of the Veterans Equitable Resource Allocation PDF

By Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci

ISBN-10: 0833030647

ISBN-13: 9780833030641

This ebook is in line with the hot laws (H.R. 4635), the U.S. Congress requested the DVA to behavior a learn on no matter if VERA adquately meets the distinctive wishes of a few veterans. Rand was once requested to adopt this learn. The findings and proposals are documented during this record.

Show description

Read Online or Download An Analysis of the Veterans Equitable Resource Allocation (VERA) System PDF

Best health care delivery books

Download e-book for iPad: Health Systems Confront Poverty (Public Health Case Studies) by R. Barbosa, Y. Charpak, S. Turner, E. Ziglio

Wellbeing and fitness care structures around the WHO eu zone have performed and are doing a lot to take on the advanced and daunting challenge of poverty and well-being. This publication describes 12 tasks already undertaken in 10 WHO Member States. It files who is initial findings on how health and wellbeing care platforms can assist to relieve poverty, and reaches 3 major conclusions: well-being care platforms can certainly take potent motion to enhance the health and wellbeing of the bad; occasionally future health care structures can really symbolize an extra barrier for the terrible and there's an pressing want for extra wisdom, education and capacity-building during this zone.

New PDF release: Health Promotion Practice: Building Empowered Communities

"The ebook offers an exceptional blend of huge theoretical heritage with a beneficiant supporting of vocational tips at the perform of future health merchandising. " - "Scotregen". "A very great addition to the sensible part of well-being merchandising! Laverack's short and simply-worded textual content weaves jointly simply the fitting stability of thought, facts, suggestions and case reports to meet the hot learner trying to achieve a snatch of healthiness promotion's empowering complete, whereas nonetheless providing new insights to the extra professional practitioner.

D.G. Rees's Essential Statistics for Medical Practice: A case-study PDF

An organization figuring out of the fundamental statistical tools utilized in present scientific literature is now crucial for clinical perform, as learn papers became more and more statistical in nature. This booklet has a special, case-study technique, beginning with six genuine examine papers displaying which statistical equipment have been used and the way the consequences have been received.

Get Mapping the path to 21st century healthcare: the ten PDF

With a spotlight on useful software, starting with an industrialization evaluate that serves as coaching for the transitions, this workbook presents a close consultant to the advance and use of the 10 transitions which are significantly vital in assessing your organization's development in relocating in the direction of the twenty first century healthcare version.

Additional info for An Analysis of the Veterans Equitable Resource Allocation (VERA) System

Example text

As a result, the distribution of funding across VISNs would be quite different under each method. Consequently, while most people that we spoke with would agree that the current case-mix adjustment should be refined, no general consensus emerged on exactly how it should be refined. If the case-mix adjustment does not adequately account for differences in the average health status of veterans across VISNs, the system may contribute to inequities in access to care across networks. A VISN with a particularly difficult case mix may not be funded adequately to provide the care their patients need.

Interviews with staff at many networks with strong medical school affiliations revealed resistance on the part of the medical schools to move from an inpatient specialty model of graduate medical education to an outpatient primary care model. Thus, closing inpatient facilities and consolidating services creates tension between the VHA and their medical school affiliates. As a result of the barriers to consolidation, many VISNs are in a difficult situation. The allocation methodology rewards cost efficiency and thus encourages VISNs to take actions to reduce costs.

In one VISN, staff reported that the workload was “crushing” and that all CBOC appointments are filled within a day or two of opening. Detrimental Impacts of VERA on Access While the incentive under the VERA methodology to increase workload has beneficial impacts on access to care, the method used to predict workload has had an opposing effect. Although different methodologies are used to forecast workload for Basic and Complex Care patients, neither fully reflects recent growth in the number of patients served.

Download PDF sample

An Analysis of the Veterans Equitable Resource Allocation (VERA) System by Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci

by Donald

Rated 4.81 of 5 – based on 44 votes