The Veterans Choice Act and Technical Efficiency of Veterans Affairs (VA) Hospitals

Oh, Dongjin; Lee, Keon-Hyung; Park, Jongsun

doi:10.3390/healthcare10061101

Cited by 1 publication

(2 citation statements)

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“…The VHA is responsible for providing care to around 9 million eligible veterans. Serving as both provider and insurer in a capitated care system, it is critical that resources be utilized effectively and equitably 1 . Prior issues with timely access to care have resulted in major changes to the structure of the VHA, including the Veterans Choice Program which was then replaced by the Veterans Community Care program in 2018 through the Mission Act 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Serving as both provider and insurer in a capitated care system, it is critical that resources be utilized effectively and equitably. 1 Prior issues with timely access to care have resulted in major changes to the structure of the VHA, including the Veterans Choice Program which was then replaced by the Veterans Community Care program in 2018 through the Mission Act. 2 These programs have allowed veterans to receive care from community (non-VHA) providers if specific criteria were met.…”

Section: Health Administration?mentioning

confidence: 99%

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A model for delivery of extracorporeal life support in a stand‐alone veterans affairs medical center

Seadler,

Melamed,

Sow

et al. 2024

Artificial Organs

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IntroductionFor the Veterans Health Administration (VHA) to continue to perform complex cardiothoracic surgery, there must be an established pathway for providing urgent/emergent extracorporeal life support (ECLS). Partnership with a nearby tertiary care center with such expertise may be the most resource‐efficient way to provide ECLS services to patients in post‐cardiotomy cardiogenic shock or respiratory failure. The goal of this project was to assess the efficiency, safety, and outcomes of surgical patients who required transfer for perioperative ECLS from a single stand‐alone Veterans Affairs Medical Center (VAMC) to a separate ECLS center.MethodsCohort consisted of all cardiothoracic surgery patients who experienced cardiogenic shock or refractory respiratory failure at the local VAMC requiring urgent or emergent institution of ECLS between 2019 and 2022. The primary outcomes are the safety and timeliness of transport.ResultsMean time from the initial shock call to arrival at the ECLS center was 2.8 h. There were no complications during transfer. Six patients (86%) survived to decannulation.ConclusionThese results suggest that complex cardiothoracic surgery can be performed within the VHA system and when there is an indication for ECLS, those services can be safely and effectively provided at an affiliated, properly equipped center.

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Section: Discussionmentioning

confidence: 99%

Section: Health Administration?mentioning

confidence: 99%