By Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci
This e-book is in accordance with the hot laws (H.R. 4635), the U.S. Congress requested the DVA to behavior a research on even if VERA adquately meets the targeted wishes of a few veterans. Rand was once requested to adopt this learn. The findings and suggestions are documented during this record.
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Additional resources for An Analysis of the Veterans Equitable Resource Allocation (VERA) System
One of the tasks of the present study was to investigate issues associated with the DVA’s affiliations with medical schools and their teaching hospitals. In carrying out the task, we were asked to consider three issues: • the costs and other requirements for maintaining affiliations; • whether VERA takes affiliations into account in allocating funds; and, • the role of state-of-the-art equipment in maintaining affiliations, including the costs of training personnel to use the equipment. 1 The affiliations are considered mutually beneficial to the VHA and the medical schools.
In the civilian sector, teaching hospitals have a more resource-intensive practice style than nonteaching hospitals, after controlling for differences in case mix. At the same time, residents, medical students, and other trainees provide some patient care services. Research activities such as clinical trials are common to teaching hospitals and may increase patient care costs in subtle ways. For example, nursing costs may be increased by the additional time and skill required to administer and monitor the effects of experimental medications.
The second major motivation for consolidation is to shift the health care delivery infrastructure within a network to match the current delivery needs. In most cases, this type of consolidation is driven by a need to reduce the number of inpatient beds and increase outpatient services. Reducing Duplicative Services Should Reduce Costs. , the treatment of all orthopedic surgery patients at one hospital) are often cited as a potential source of economic efficiencies. However, the health economics literature is not in agreement on this point.
An Analysis of the Veterans Equitable Resource Allocation (VERA) System by Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci