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LEADER 00000cam a2200637Ki 4500 
001    ocn934180458 
003    OCoLC 
005    20190712071229.5 
006    m     o  d         
007    cr m|||||||||| 
008    160108t20152015cauab   ob    000 0 eng d 
019    941725427 
020    9780833092151|q(electronic bk.) 
020    0833092154|q(electronic bk.) 
035    (OCoLC)934180458|z(OCoLC)941725427 
037    22573/ctt19vrtjr|bJSTOR 
040    DID|beng|erda|epn|cDID|dOCLCQ|dOCLCF|dYDXCP|dJSTOR|dANG
043    n-us--- 
049    RIDW 
050  4 UB369|b.H87 2015eb 
072  7 MED024000|2bisacsh 
072  7 MED112000|2bisacsh 
072  7 MED003000|2bisacsh 
072  7 MED035000|2bisacsh 
082 04 355.1/1560973|223 
088    RAND RR-1165/2-VA 
090    UB369|b.H87 2015eb 
100 1  Hussey, Peter. 
245 10 Resources and capabilities of the Department of Veterans 
       Affairs to provide timely and accessible care to veterans 
       /|cPeter Hussey [and approximately 80 others]. 
264  1 Santa Monica, CA :|bRAND Corporation,|c2015. 
264  4 |c©2015 
300    1 online resource (xxxii, 377 pages) :|billustrations, 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
347    text file|bPDF|2rda 
500    DOI: 10.7249/RR1165.2. 
500    "Sponsored by the U.S. Department of Veterans Affairs." 
504    Includes bibliographical references (pages 347-377). 
505 0  Summary. -- Introduction. -- Overview of methods. -- 
       Assessment of VA resources and capabilities. -- Assessment
       of access to VA care. -- Assessment of quality of VA care.
       -- Improving access for veterans. -- Conclusions and 
       recommendations. -- Appendixes. -- References. 
520    The Veterans Access, Choice, and Accountability Act of 
       2014 addressed the need for access to timely, high-quality
       health care for veterans. Section 201 of the legislation 
       called for an independent assessment of various aspects of
       veterans' health care. The RAND Corporation was tasked 
       with an assessment of the Department of Veterans Affairs 
       (VA's) current and projected health care capabilities and 
       resources. An examination of data from a variety of 
       sources, along with a survey of VA medical facility 
       leaders, revealed the breadth and depth of VA resources 
       and capabilities: fiscal resources, workforce and human 
       resources, physical infrastructure, interorganizational 
       relationships, and information resources. The assessment 
       identified barriers to the effective use of these 
       resources and capabilities. Analysis of data on access to 
       VA care and the quality of that care showed that almost 
       all veterans live within 40 miles of a VA health facility,
       but fewer have access to VA specialty care. Veterans 
       usually receive care within 14 days of their desired 
       appointment date, but wait times vary considerably across 
       VA facilities. VA has long played a national leadership 
       role in measuring the quality of health care. The 
       assessment showed that VA health care quality was as good 
       or better on most measures compared with other health 
       systems, but quality performance lagged at some VA 
       facilities. VA will require more resources and 
       capabilities to meet a projected increase in veterans' 
       demand for VA care over the next five years. Options for 
       increasing capacity include accelerated hiring, full nurse
       practice authority, and expanded use of telehealth. 
588 0  Online resource; title from PDF cover page (RAND, viewed 
       January 8, 2016). 
590    JSTOR|bBooks at JSTOR Open Access 
610 10 United States.|bDepartment of Veterans Affairs
610 17 United States.|bDepartment of Veterans Affairs.|2fast
650  0 Veterans|xMedical care|zUnited States. 
650  0 Health services accessibility|zUnited States. 
655  4 Electronic books. 
710 2  Rand Corporation,|epublisher. 
710 2  RAND Health. 
856 40 |u
       |zOnline eBook. Open Access via JSTOR. 
948    |d20190820|cJSTOR EBSCO|tJSTOROpenAccess 
       EBSCOebooksacademic UPDATES 5472J 1248 BOTH 7-12-19|lridw 
948    |d20180926|clti|tlti-aex 
948    |d20171005|cJSTOR|tJSTOROpenAccess new|lridw 
994    92|bRID