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A brief summary of workers' compensation performance improvement projects 2008 to 2012 in the Veterans Health
1From the War-Related Illness and Injury Study Center, Office of Public Health, Veterans Health Administration, Washington, DC.
Background:
The Veterans Health Administration undertook a series of performance improvement projects (PIP) using local initiatives identified through a national committee of regional workers' compensation representatives.
Methods:
A steering committee identified five types of risks and interventions that were considered worthwhile. They defined performance metrics as outcome measures and distinguished short-term from long-term disability management success.
Results:
Eight specific PIPs were implemented. No statistically significant differences in the planned outcome metrics were identified, although cost-benefit evaluations did identify a benefit.
Conclusions:
Conducting quantitative PIPs in a large system requires top management commitment, sequestration of funds, and mature systems.

