RESUMO
The Veterans Health Administration is the United States' largest integrated health system. Once disparaged as a bureaucracy providing mediocre care, the Department of Veterans Affairs (VA) reinvented itself during the past decade through a policy shift mandating structural and organizational change, rationalization of resource allocation, explicit measurement and accountability for quality and value, and development of an information infrastructure supporting the needs of patients, clinicians, and administrators. Today, the VA is recognized for leadership in clinical informatics and performance improvement, cares for more patients with proportionally fewer resources, and sets national benchmarks in patient satisfaction and for 18 indicators of quality in disease prevention and treatment.
Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Hospitais de Veteranos/organização & administração , Sistemas de Informação , Sistemas Computadorizados de Registros Médicos , Modelos Organizacionais , United States Department of Veterans Affairs , Comportamento Cooperativo , Prestação Integrada de Cuidados de Saúde/normas , Hospitais de Veteranos/normas , Inovação Organizacional , Assistência Centrada no Paciente , Garantia da Qualidade dos Cuidados de Saúde , Responsabilidade Social , Integração de Sistemas , Gestão da Qualidade Total , Estados UnidosRESUMO
The Veterans Health Administration is the United States' largest integrated health system. Once disparaged as a bureaucracy providing mediocre care, the Department of Veterans Affairs (VA) reinvented itself during the past decade through a policy shift mandating structural and organizational change, rationalization of resource allocation, explicit measurement and accountability for quality and value, and development of an information infrastructure supporting the needs of patients, clinicians, and administrators. Today, the VA is recognized for leadership in clinical informatics and performance improvement, cares for more patients with proportionally fewer resources, and sets national benchmarks in patient satisfaction and for 18 indicators of quality in disease prevention and treatment.