By Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci
This ebook is in keeping with the new laws (H.R. 4635), the U.S. Congress requested the DVA to behavior a examine on even if VERA adquately meets the particular wishes of a few veterans. Rand was once requested to adopt this learn. The findings and suggestions are documented during this document.
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Additional resources for An Analysis of the Veterans Equitable Resource Allocation (VERA) System
For the medical schools, the VAMCs provide the faculty, patients, and facilities to support educational programs. About 70 percent of VHA physicians hold faculty appointments at medical schools (Office of the Inspector General, 1997). The VHA funds 8,700 full-time equivalent (FTE) residents or about 9 percent of the residency positions in the United States (JAMA, 2000). In addition, about 18,000 medical students and 63,000 trainees in other health professions receive some or all of their training each year in VAMCs (personal communication with DVA staff, 2001).
A number of costs are directly attributable to research activities: • clinical investigator and other investigator salaries; • associated administrative and research facility costs; and • patient-care services that are furnished solely as part of the research protocol and are not reimbursed through research project funds. FY 1999 funded research totaled $752 million, exclusive of animal research and administrative costs. This figure includes research funded through VA appropriations as well as external sources of funding.
The goal of these activities is to increase awareness about the health care services and benefits that are available for veterans in their community. However, in some VISNs in the southern and western regions, the veteran population is growing rapidly, and recruitment has been unnecessary. In one VISN, staff reported that the workload was “crushing” and that all CBOC appointments are filled within a day or two of opening. Detrimental Impacts of VERA on Access While the incentive under the VERA methodology to increase workload has beneficial impacts on access to care, the method used to predict workload has had an opposing effect.
An Analysis of the Veterans Equitable Resource Allocation (VERA) System by Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci