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Search results for "Incentives"
- Department of Veterans Affairs (VA)
Journal Article > Study
The value from investments in health information technology at the U.S. Department of Veterans Affairs.
Byrne CM, Mercincavage LM, Pan EC, Vincent AG, Johnston DS, Middleton B. Health Aff (Millwood). 2010;29:629-638.
Health information technology (HIT) is widely viewed as a solution to improve the quality and safety of care, but past studies have pointed out the unintended consequences of adoption. This study provides a detailed cost and benefit analysis of investment in HIT based on experiences in the Department of Veterans Affairs. The authors estimate the potential value (benefits net of investment costs) of these investments at more than $3 billion and provide a framework for determining such value in the private sector. Their discussion, including the limitations of applying the VA system learnings more broadly, is timely given the current federal stimulus dollars being dedicated to investments in HIT.
Journal Article > Commentary
Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.
The Accreditation Council for Graduate Medical Education's 2003 regulations limiting housestaff duty hours have generated an expansive field of research into their impact on fatigue, workload, clinical outcomes, and patient safety. This commentary aims to put the current research into a practical context and provides eight priorities that should guide teaching institutions in their efforts to balance both physician and patient safety. The authors highlight alternative staffing models (e.g., no more 24-hour shifts), improved sign-out procedures, greater monitoring and evaluation of duty hour changes, the importance of adequate supervision and workload intensity, and better designed financial incentives to promote successful policy change. The Agency for Healthcare Research and Quality (AHRQ) has sponsored an Institute of Medicine (IOM) committee to review the important research and related issues around work hour restrictions.
US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication GAO-05-83.
The Government Accountability Office studied patient safety programs at four Department of Veterans Affairs (VA) health facilities and recommends that the VA emphasize leadership action and open communication to support safety improvement.