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Development of a Veterans Administration occurrence screening program.

R Goldman1

  • 1Office of Quality Assurance, Department of Veterans Affairs, Washington, DC 20420.

QRB. Quality Review Bulletin
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

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The Department of Veterans Affairs implemented a uniform occurrence screening program across its healthcare system in 1988. This program utilized objective criteria and automated procedures for consistent data collection and case identification.

Area of Science:

  • Healthcare Quality Improvement
  • Health Services Research
  • Medical Informatics

Background:

  • The Department of Veterans Affairs (VA) operates a large, complex healthcare system.
  • Effective quality assurance and patient safety monitoring are critical in healthcare.
  • Standardized data collection is essential for system-wide analysis and improvement.

Purpose of the Study:

  • To describe the establishment and structure of the VA's occurrence screening program.
  • To outline the program's design, balancing uniformity with local autonomy.
  • To detail the methodology for identifying cases for review.

Main Methods:

  • The program was established in October 1988.
  • It comprises four stages: initial screening, clinical review, peer review, and service chief review.

Related Experiment Videos

  • Objective screening criteria were selected for automated case identification.

    • Main Results:

    • The program aimed for uniform data collection across 172 VA facilities.
    • It allowed for local autonomy within a standardized framework.
    • Automated procedures facilitated the identification of cases requiring review.

    Conclusions:

    • The VA's occurrence screening program provided a structured approach to quality monitoring.
    • The design facilitated comparable data collection while respecting local operational needs.
    • Objective criteria and automation enhanced the efficiency of case identification for review.