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Improving Quality of Care

How the VA Outpaces Other Systems in Delivering Patient Care

www.rand.org

How does the VA measure up against other U.S. health care providers? To address this question, RAND researchers compared the medical records of VA patients with a national sample and evaluated how effectively health care is delivered to each group. Their findings:

- VA patients received about two-thirds of the care recommended by national standards, compared with about half in the national sample.

- Among chronic care patients, VA patients received about 70 percent of recommended care, compared with about 60 percent in the national sample.

- For preventive care, the difference was greater: VA patients received about 65 percent of recommended care, while patients in the national sample received 20 percent less.

- VA patients received consistently better care across the board, including screening, diagnosis, treatment, and follow-up.

- Quality of care for acute conditions -- a performance area the VA did not measure -- was similar for the two populations.

- The greatest differences between the VA and the national sample were for indicators where the VA was actively measuring performance and for indicators related to those on which performance was measured.

VA Delivers Higher Quality of Care

Using indicators from RAND's Quality Assessment Tools system, RAND researchers analyzed the medical records of 596 VA patients and 992 non-VA patients from across the country. The patients were randomly selected males aged 35 and older.

Based on 294 health indicators in 15 categories of care, they found that overall, VA patients were more likely than patients in the national sample to receive recommended care.

In particular, the VA patients received significantly better care for depression, diabetes, hyperlipidemia, and hypertension.

The VA also performed consistently better across the spectrum of care, including screening, diagnosis, treatment, and follow-up. The only exception to the pattern of better care in VA facilities was care for acute conditions, for which the two samples were similar.


The above video is less than 30 minutes, and it touches on everything I've been saying for years now when it comes to VA healthcare and US healthcare at large ...

You want to help veterans? Then call your elected officials and tell them don't privatize the VA.

I was speaking largely about the bundling of liar loans and selling them as securities to investors, large and small, which never had any legal connection to local county title records. Computers were used to create separate title records (MERS) from a function traditional performed by counties, in order to dodge county fees. The county records are tied to laws, but not MERS records. A few people ended up getting their homes for free whose attorney's moved quickly. But the Courts soon circumvented the law because they couldn't stand the idea that millions of people would get their home for free and Banks would suffer for their skirting the law. Banks then launched a fake foreclosure campaign where documents were forged in paperwork manufacturing shops. Bank executives then formed side businesses which bought up all the foreclosed properties for five cents on the dollar.

There is fraud in every step on this road. All this is continually reported as if its all being done to "save the economy". A BIG FAT LIE.

HeRat then reminds us about the other larger more opaque aspect to the financial crisis, derivatives. Going back in history you might remember that Brooksley Born, 7th Chair of Commodity Futures Trading Commission in Chicago, had fought the creation of this market, predicting it would lead to a financial catastrophe. Then Alan Greenspan, Robert Rubin, Larry Summers and Arthur Levitt ran to Congress and insisted Born didn't know what she was talking about. Born's actions were consistent with Keynesian and neoclassical economics while Greenspan, Rubin, Levitt, and Summers consistently espoused neoliberal, and neoconservative policies. Born lost the turf war and resigned her position. This put people, who either did not know what they were doing or had criminal intentions, in charge of the US economy. Only Levitt ever admitted to making a grave mistake. Rubin pocketed hundreds of millions indirectly for making this change, when he left Treasury and assumed the role of CEO of Citicorp, which became the largest single bailout chunk during the 2008 crisis.

Greenspan is a lifelong Republican and was more powerful than the President. The other three are all Democrats. The smart HONEST Democrat is Brooksley Born.

The video link doesn't work for me, so I looked it up on youtube: www.youtube.com

I've seen it before, and I still love it. Snoofy, you really have to understand what they are trying to do with Critical Theory.

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