Context the purpose of the changes made at the veterans health administration was to ensure quality health care which is defined as care that is needed and delivered in a manner that is competent caring cost effective and timely and that minimizes risk and achieves achievable benefits. Get this from a library redefining a public health system how the veterans health administration improved quality measurement galen l barbour. As the veterans health administration vha places high priority on becoming a performance based organization there is an increasing need to quantify and refine its outcome measurement system using panel data from vha ambulatory care patients 1996 1998 we conducted cross lagged correlations and ordinary least squares regression to examine the relationship between 2 vha health care values . Military health care system and the us department of veterans affairs an overview redefining a public health system how the veterans health administration improved quality measurement barbour galen l 1941 ub369 b37 1996. He veterans health administration vha one va is the largest integrated health system in the united states suffering deserved ly or not during the 1980s and early 1990s from a tar nished reputation of bureaucracy inefficiency and of improved quality and the promise of a mechanism for controlling healthcare cost inflation at the
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