Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans.

摘要: The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care veterans. Section 201 legislation called an independent assessment various aspects veterans' care. RAND Corporation was tasked with Department Affairs (VA) current projected capabilities resources. An examination data from a variety sources, along survey VA medical facility leaders, revealed breadth depth resources capabilities: fiscal resources, workforce human physical infrastructure, interorganizational relationships, information identified barriers effective use these capabilities. Analysis on quality that showed almost all veterans live within 40 miles facility, but fewer have specialty usually receive 14 days their desired appointment date, wait times vary considerably across facilities. has long played national leadership role in measuring as good or better most measures compared other systems, performance lagged at some will require more meet increase demand over next five years. Options increasing capacity include accelerated hiring, full nurse practice authority, expanded telehealth.