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019 941725427
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020 0833092154|q(electronic bk.)
035 (OCoLC)934180458|z(OCoLC)941725427
037 22573/ctt19vrtjr|bJSTOR
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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,
maps
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
|xEvaluation.
610 17 United States.|bDepartment of Veterans Affairs.|2fast
|0(OCoLC)fst01802763
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 |uhttps://www.jstor.org/stable/10.7249/j.ctt19w7322
|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
