VA Hospitals: Issues and Challenges for the Future

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DIANE Publishing, 2000 - Medical - 324 pages

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Page 284 - New England Middle Atlantic South Atlantic East North Central East South Central West North Central West South Central . ... Mountain Pacific...
Page 31 - ... three basic levels of outpatient care benefits: • comprehensive care, which includes all services needed to treat any medical condition; • service-connected care, which is limited to treating conditions related to a service-connected disability; and • hospital-related care, which provides only the outpatient services needed to (1) prepare for a hospital admission, (2) obviate the need for a hospital admission, or (3) complete treatment begun during a hospital stay. Separate mandatory and...
Page 79 - These restrictions under part A and part B were eliminated by the Omnibus Reconciliation Act of 1980 (ORA) (PL 96499), but little immediate effect on Medicare costs occurred.
Page 48 - A, the claimant can seek reconsideration by the Health Care Financing Administration (HCFA) in the Department of Health and Human Services.
Page 214 - Practice Guideline: An explicit statement of what is known and believed about the benefits, risks, and costs of particular courses of medical action. Intended to assist decisions by practitioners, patients, and others about appropriate health care for specific clinical conditions.
Page 180 - US wholesalers to a manufacturer, accounting for any cash discounts or similar price reductions. Prices paid by the federal government are excluded from this calculation.
Page 141 - DSS— is an executive information system that can provide VHA managers and clinicians with data on patterns of patient care and patient health outcomes, as well as the capability to analyze resource utilization and the cost of providing health care services. VHA...
Page 152 - VA has been phasing in at its facilities a new Decision Support System (DSS) that uses commercially available software to help provide managers data on patterns of care and patient outcomes as well as their resource and cost implications. While DSS has the potential to significantly improve VA'S ability to manage its health care operations, the ultimate usefulness of the system will depend not on the software but on the completeness and accuracy of the data going into the system.
Page 230 - For example, a 1991 VA-funded study of admissions to VA acute medical and surgical bed sections estimated that 43 percent...
Page 130 - Administration's (VHA) natural patient referral patterns, numbers of beneficiaries and facilities needed to support and provide primary, secondary, and tertiary care, and, to a lesser extent, political jurisdictional boundaries such as state borders.

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