United States Veterans Health Administration: Difference between revisions
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The [[United States]] '''Veterans Health Administration''' (VHA) is the branch of the United States | The [[United States of America|United States]] '''Veterans Health Administration''' (VHA) is the branch of the [[United States Department of Veterans Affairs]] that provides health care to honorably discharged veterans of the United States military. The VHA is the largest integrated health care system in the United States. | ||
The health care provided by the VHA compares well<ref name="pmid18395583">{{cite journal |author=Oliver A |title=Public-sector health-care reforms that work? A case study of the US Veterans Health Administration |journal=Lancet |volume=371 |issue=9619 |pages=1211-3 |year=2008 |pmid=18395583 |doi=10.1016/S0140-6736(08)60528-0}}</ref> or better<ref name="pmid15313743">{{cite journal |author=Kerr EA, Gerzoff RB, Krein SL, ''et al'' |title=Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study |journal=Annals of internal medicine |volume=141 |issue=4 |pages=272–81 |year=2004 |month=August |pmid=15313743 |doi= |url= |issn=}}</ref> than health care provided outside of the VHA. Its improvement and re-engineering in the 1990s has been detailed.<ref name="pmid19296778">{{cite journal |author=Kizer KW, Dudley RA |title=Extreme makeover: transformation of the veterans health care system |journal=Annu Rev Public Health |volume=30 |issue= |pages=313–39 |year=2009 |pmid=19296778 |doi=10.1146/annurev.publhealth.29.020907.090940 |url=http://arjournals.annualreviews.org/doi/abs/10.1146/annurev.publhealth.29.020907.090940?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dncbi.nlm.nih.gov |issn=}}</ref> | The health care provided by the VHA compares well<ref name="pmid18395583">{{cite journal |author=Oliver A |title=Public-sector health-care reforms that work? A case study of the US Veterans Health Administration |journal=Lancet |volume=371 |issue=9619 |pages=1211-3 |year=2008 |pmid=18395583 |doi=10.1016/S0140-6736(08)60528-0}}</ref> or better<ref name="pmid15313743">{{cite journal |author=Kerr EA, Gerzoff RB, Krein SL, ''et al'' |title=Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study |journal=Annals of internal medicine |volume=141 |issue=4 |pages=272–81 |year=2004 |month=August |pmid=15313743 |doi= |url= |issn=}}</ref> than health care provided outside of the VHA. Its improvement and re-engineering in the 1990s has been detailed.<ref name="pmid19296778">{{cite journal |author=Kizer KW, Dudley RA |title=Extreme makeover: transformation of the veterans health care system |journal=Annu Rev Public Health |volume=30 |issue= |pages=313–39 |year=2009 |pmid=19296778 |doi=10.1146/annurev.publhealth.29.020907.090940 |url=http://arjournals.annualreviews.org/doi/abs/10.1146/annurev.publhealth.29.020907.090940?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dncbi.nlm.nih.gov |issn=}}</ref> | ||
==Electronic health record== | |||
The VA's [[electronic health record]] or [[electronic medical record]] is call VISTA and CPRS. It is maintained by the VA's [http://www.oit.va.gov/ Office Of Information & Technology (OI&T)]. | |||
==Privacy== | |||
The VA complies with privacy policies of the [[United States of America|United States]]: | |||
* The [[Freedom of Information Act]] (FOIA), 5 U.S.C. 552 | |||
* The [[Privacy Act]] (PA), 5 U.S.C. 552a | |||
* The [[VA Claims Confidentiality Statute]], 38 U.S.C. 5701 | |||
* [http://www4.law.cornell.edu/uscode/38/7332.html Confidentiality of Drug Abuse, Alcoholism and Alcohol Abuse, Infection With the Human Immunodeficiency Virus (HIV), and Sickle Cell Anemia Medical Records, 38 U.S.C. 7332] | |||
* The [[Health Insurance Portability and Accountability Act]] (HIPAA) | |||
* [[Confidentiality of Healthcare Quality Assurance Review Records]], 38 U.S.C. 5705 | |||
The VA's policy is available online: | |||
* [http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1423 VHA Handbook 1605.1 Privacy and Release of Information] | |||
* [http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1089 Notice of Privacy Practices] | |||
* [http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=50&FType=2 VA Directive 6500 (Information Security Program)] | |||
==Quality of health care== | |||
"The quality of care in the VA health care system substantially improved after the implementation of a systemwide reengineering and, during the period from 1997 through 2000, was significantly better than that in the Medicare fee-for-service program". <ref name="pmid12773650">{{cite journal| author=Jha AK, Perlin JB, Kizer KW, Dudley RA| title=Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. | journal=N Engl J Med | year= 2003 | volume= 348 | issue= 22 | pages= 2218-27 | pmid=12773650 | doi=10.1056/NEJMsa021899 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12773650 }} </ref> | |||
==References== | ==References== | ||
Latest revision as of 14:34, 2 February 2023
The United States Veterans Health Administration (VHA) is the branch of the United States Department of Veterans Affairs that provides health care to honorably discharged veterans of the United States military. The VHA is the largest integrated health care system in the United States.
The health care provided by the VHA compares well[1] or better[2] than health care provided outside of the VHA. Its improvement and re-engineering in the 1990s has been detailed.[3]
Electronic health record
The VA's electronic health record or electronic medical record is call VISTA and CPRS. It is maintained by the VA's Office Of Information & Technology (OI&T).
Privacy
The VA complies with privacy policies of the United States:
- The Freedom of Information Act (FOIA), 5 U.S.C. 552
- The Privacy Act (PA), 5 U.S.C. 552a
- The VA Claims Confidentiality Statute, 38 U.S.C. 5701
- Confidentiality of Drug Abuse, Alcoholism and Alcohol Abuse, Infection With the Human Immunodeficiency Virus (HIV), and Sickle Cell Anemia Medical Records, 38 U.S.C. 7332
- The Health Insurance Portability and Accountability Act (HIPAA)
- Confidentiality of Healthcare Quality Assurance Review Records, 38 U.S.C. 5705
The VA's policy is available online:
- VHA Handbook 1605.1 Privacy and Release of Information
- Notice of Privacy Practices
- VA Directive 6500 (Information Security Program)
Quality of health care
"The quality of care in the VA health care system substantially improved after the implementation of a systemwide reengineering and, during the period from 1997 through 2000, was significantly better than that in the Medicare fee-for-service program". [4]
References
- ↑ Oliver A (2008). "Public-sector health-care reforms that work? A case study of the US Veterans Health Administration". Lancet 371 (9619): 1211-3. DOI:10.1016/S0140-6736(08)60528-0. PMID 18395583. Research Blogging.
- ↑ Kerr EA, Gerzoff RB, Krein SL, et al (August 2004). "Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study". Annals of internal medicine 141 (4): 272–81. PMID 15313743. [e]
- ↑ Kizer KW, Dudley RA (2009). "Extreme makeover: transformation of the veterans health care system". Annu Rev Public Health 30: 313–39. DOI:10.1146/annurev.publhealth.29.020907.090940. PMID 19296778. Research Blogging.
- ↑ Jha AK, Perlin JB, Kizer KW, Dudley RA (2003). "Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.". N Engl J Med 348 (22): 2218-27. DOI:10.1056/NEJMsa021899. PMID 12773650. Research Blogging.