Case Studies: Government

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The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

9/16/2011 - In April 2010, the U.S. Veterans Health Administration (VA) embarked on an ambitious three-year plan to build patient-centered medical homes in more than 900 primary care clinics across the nation. Its model organizes care around an interdisciplinary team of providers who work together to increase access and clinical effectiveness by identifying and removing barriers to high-quality care.

Case Study

Sustaining a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

4/8/2010 - This case study looks at the National Center for Patient Safety formed by the U.S. Department of Veterans Affairs in 1999 to foster an organizational culture of patient safety within its 153 hospitals and 783 community-based clinics.

Case Study

Case Study: Creating a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

9/26/2008 - The Veterans Health Administration, a component of the Department of Veterans Affairs, operates the nation's largest integrated health care system, providing care to more than 5.1 million veterans and 7.6 million enrollees at more than 1,300 sites of care nationwide.

Case Study

Case Study: NASA/VA Patient Safety Reporting System

1/20/2005 - The Veterans Administration (VA) instituted an external, voluntary, confidential, and non-punitive Patient Safety Reporting System (PSRS) modeled on NASA's Aviation Safety Reporting System.

Case Study