Defining Access and the Role of Community Care in the Veterans Health Administration

SYNOPSIS Starting in 1995, the Veterans Health Administration (VHA) transformed a bureaucratic healthcare system into a performance-driven, patient-focused integrated healthcare network. The VHA's experience may offer lessons for private and public sector providers as the U.S. explores alternative healthcare delivery systems and payment methods. Similar patient-focused integrated systems are one of the hallmarks of the latest U.S. attempt to improve the quality and efficiency of healthcare delivery. The use of performance incentives to promote cooperation and innovation is also central to both the VHA and the U.S. reform. This study reviews the VHA's experience with an eye to identifying issues and potential research avenues for accounting researchers interested in the role of accounting information for control, coordination, and organizational change.

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Comparing Postoperative Readmission Rates Between Veterans Receiving Total Knee Arthroplasty in the Veterans Health Administration Versus Community Care

Medical Care ◽

10.1097/mlr.0000000000001678 ◽

2021 ◽

Vol 60 (2) ◽

pp. 178-186

Author(s):

Amy K. Rosen ◽

Erin E. Beilstein-Wedel ◽

Alex H.S. Harris ◽

Michael Shwartz ◽

Megan E. Vanneman ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Community Care ◽

Veterans Health Administration ◽

Veterans Health ◽

Health Administration ◽

Readmission Rates ◽

Total Knee

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The Evolving Role of the Chief Nurse Executive in the Veterans Health Administration: Policy and Leadership Lessons

Policy Politics & Nursing Practice ◽

10.1177/152715440000100108 ◽

2000 ◽

Vol 1 (1) ◽

pp. 36-46

Author(s):

Nancy M. Valentine

Keyword(s):

Veterans Health Administration ◽

Veterans Health ◽

Health Administration ◽

Leadership Lessons ◽

Nurse Executive

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The Veterans Health Administration: A Preliminary Analysis of the Influence of The Independent Budget and Bureaucratic Performance on Funding Trends

Policy Perspectives ◽

10.4079/pp.v15i1.4151 ◽

2008 ◽

Vol 15 (1) ◽

pp. 5

Author(s):

Elizabeth Kidder

Keyword(s):

Veterans Health Administration ◽

Service Organizations ◽

The Political ◽

Veterans Health ◽

Health Administration ◽

The Past ◽

Bureaucratic Performance ◽

The Cost ◽

The Impact

The Veterans Health Administration (VHA) is the largest integrated health system in the U.S. with 7.9 million U.S. veterans enrolled. Both the number of veterans seeking VHA health services and the cost of delivering such services continue to rise as a result of myriad factors. Kidder examines VHA funding outcomes over the past 10 years in light of the participation of veterans' service organizations (VSOs) in committee hearings; the reliance of lawmakers upon The Independent Budget (IB); and the impact of new performance-based management initiatives on budget outcomes. Her article highlights the political nature of the VHA budget and the influential role of VSOs in funding outcomes.

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