Extreme makeover

Transformation of the veterans health care system

Kenneth W Kizer, R. Adams Dudley

Research output: Contribution to journalArticle

120 Citations (Scopus)

Abstract

The veterans health care system administered by the U.S. Department of Veterans Affairs (VA) was established after World War I to provide health care for veterans who suffered from conditions related to their military service. It has grown to be the nation's largest integrated health care system. As the system grew, a number of factors contributed to its becoming increasingly dysfunctional. By the mid-1990s, VA health care was widely criticized for providing fragmented and disjointed care of unpredictable and irregular quality, which was expensive, difficult to access, and insensitive to individual needs. Between 1995 and 1999, the VA health care system was reengineered, focusing especially on management accountability, care coordination, quality improvement, resource allocation, and information management. Numerous systemic changes were implemented, producing dramatically improved quality, service, and operational efficiency. VA health care is now considered among the best in America, and the VA transformation is viewed as a model for health care reform.

Original languageEnglish (US)
Pages (from-to)313-339
Number of pages27
JournalAnnual Review of Public Health
Volume30
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Veterans Health
Delivery of Health Care
Veterans
Integrated Delivery of Health Care
World War I
Information Management
United States Department of Veterans Affairs
Health Care Reform
Resource Allocation
Social Responsibility
Quality Improvement

Keywords

  • Health care reform
  • Organizational transformation
  • Quality improvement
  • Veterans affairs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Extreme makeover : Transformation of the veterans health care system. / Kizer, Kenneth W; Dudley, R. Adams.

In: Annual Review of Public Health, Vol. 30, 2009, p. 313-339.

Research output: Contribution to journalArticle

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