PMID: 8598688Mar 1, 1996Paper

The measurement of quality of care in the Veterans Health Administration

Medical Care
J Halpern

Abstract

The Veterans Health Administration (VHA) is committed to continual refinement of its system of quality measurement. The VHA organizational structure for quality measurement has three levels. At the national level, the Associate Chief Medical Director for Quality Management provides leadership, sets policy, furnishes measurement tools, develops and distributes measures of quality, and delivers educational programs. At the intermediate level, VHA has four regional offices with staff responsible for reviewing risk management data, investigating quality problems, and ensuring compliance with accreditation requirements. At the hospital level, staff reporting directly to the chief of staff or the hospital director are responsible for implementing VHA quality management policy. The Veterans Health Administration's philosophy of quality measurement recognizes the agency's moral imperative to provide America's veterans with care that meets accepted standards. Because the repair of faulty systems is more efficient than the identification of poor performers, VHA has integrated the techniques of total quality into a multifaceted improvement program that also includes the accreditation program and traditional quality assurance activities. V...Continue Reading

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Citations

Feb 24, 2001·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·M S Silver, O R Burack
May 6, 2008·BMJ : British Medical Journal·Scott E Sherman
Apr 5, 2005·Quality & Safety in Health Care·J M Schmidek, W B Weeks
Jul 23, 2002·Journal of General Internal Medicine·Mayur M DesaiJonathan B Perlin
Sep 17, 2011·Digestive Diseases and Sciences·Millie D LongDeborah A Fisher
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Oct 13, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T M ConnollyR Bergamaschi
Feb 15, 2001·Revista de saúde pública·B D VerdessiA C de Azevedo
Jan 14, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Mary I FeriaGary E Rosenthal
Aug 14, 1999·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·K W Kizer
Nov 10, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Ann M BorzeckiDan R Berlowitz
Oct 8, 1999·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·D H SolomonJ N Katz
Apr 9, 2009·Anesthesiology·Guy HallerJohn McNeil
Feb 12, 2002·The Journal of Nervous and Mental Disease·Mayur M DesaiJonathan B Perlin
Jan 22, 2002·Medical Care·Benjamin G DrussJonathan B Perlin
Jan 25, 2003·Medical Care·Brent James
Oct 18, 2005·Public Health Reports·Steven M AschNicole Lurie
Dec 21, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Judy A SheaDavid A Asch

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