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Vera Veterans Equitable Resource Allocation Etc March 2003
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Book Synopsis VERA, Veterans Equitable Resource Allocation, Etc., March 2003 by : United States. Department of Veterans Affairs
Download or read book VERA, Veterans Equitable Resource Allocation, Etc., March 2003 written by United States. Department of Veterans Affairs and published by . This book was released on 2003* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis An Analysis of the Veterans Equitable Resource Allocation (VERA) System by : Jeffrey Wasserman
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.
Book Synopsis An Analysis of the Veterans Equitable Resource Allocation (VERA) System by :
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.
Book Synopsis An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System by :
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 0 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.
Book Synopsis An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System by : Jeffrey Wasserman
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.
Book Synopsis Understanding Potential Changes to the Veterans Equitable Resource Allocation (VERA) System by :
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.
Author :United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health Publisher : ISBN 13 : Total Pages :96 pages Book Rating :4.3/5 (121 download)
Book Synopsis Veterans Equitable Resource Allocation System (VERA) by : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Download or read book Veterans Equitable Resource Allocation System (VERA) written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health and published by . This book was released on 1997 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis VETERANS EQUITABLE RESOURCE ALLOCATION SYSTEM (VERA)... FIELD HEARING... COMM. ON VETERANS' AFFAIRS... HSE. OF REPS... ON VETERANS' AFFAIRS. by : United States. Congress. House. Committee on Veterans' Affairs
Download or read book VETERANS EQUITABLE RESOURCE ALLOCATION SYSTEM (VERA)... FIELD HEARING... COMM. ON VETERANS' AFFAIRS... HSE. OF REPS... ON VETERANS' AFFAIRS. written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 1997* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Understanding Potential Changes to the Veterans Equitable Resource Allocation (VERA) System by : Jeffrey Wasserman
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.
Author :United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health Publisher : ISBN 13 : Total Pages :92 pages Book Rating :4.:/5 (19 download)
Book Synopsis Veterans Equitable Resource Allocation System (VERA) by : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Download or read book Veterans Equitable Resource Allocation System (VERA) written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health and published by . This book was released on 1997 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book VA Health Care written by and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis 107-2 Senate Hearings: Departments of Veterans Affairs and Housing and Urban Etc., S. Hrg. 107-904, March 25, 2002, * by :
Download or read book 107-2 Senate Hearings: Departments of Veterans Affairs and Housing and Urban Etc., S. Hrg. 107-904, March 25, 2002, * written by and published by . This book was released on 2003 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309452961 Total Pages :583 pages Book Rating :4.3/5 (94 download)
Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Book Synopsis Veterans Equitable Resource Allocation System by :
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:
Book Synopsis Finding What Works in Health Care by : Institute of Medicine
Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Author :Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education Publisher : ISBN 13 :9780309303552 Total Pages :0 pages Book Rating :4.3/5 (35 download)
Book Synopsis Graduate Medical Education that Meets the Nation's Health Needs by : Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education
Download or read book Graduate Medical Education that Meets the Nation's Health Needs written by Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
Book Synopsis Social Health Insurance for Developing Nations by : R. Paul Shaw
Download or read book Social Health Insurance for Developing Nations written by R. Paul Shaw and published by World Bank Publications. This book was released on 2007-01-01 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.
