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1-Articles, References
A-Bibliography.docx
Asch, S, Comparison of quality of care, VA Health System and national sample, Annals of Internal Medicine, 2004.pdf
CBO, Long Term Implications of the 2013 Future Years Defense Program July, 2012.pdf
CBO, Quality Initiatives Undertaken by the Veterans Health Administration, 2009.pdf
Congressional Research Service, Veterans Medical Care, FY2013 Appropriations.pdf
Department of Veteran Affairs, OIG, Combined Assessment Report, Nurse Competency, 2012.pdf
Department of Veteran Affairs, OIG, Healthcare Inspection, Telemetry Unit, VA NY Harbor, Oct. 27, 2011.pdf
Dept. of Veterans Affairs, Racial and Ethnic Disparities, June 2007.pdf
Feijter, Jeantine, Comprehensive Overview of Medical Error in Hospitals, PLoS One, Feb. 2012.pdf
GAO, Veterans Health Administration Processes for Responding to Reported Adverse Events, 8-24-2012.pdf
Hafner, JM, et al, Perceived impact of public reporting, Int. J. for Quality in Health Care, August 2011.pdf
Hendricks et al, More or Less, Methods to compare VA and non-VA health care costs, Medical Care, 1999.pdf
IOM, Treatment for PTSD in Military and Veterans Populations, 7-2012.pdf
Iglehart, VA Medical Care System Faces an Uncertain Future, NEJM, 1985.pdf
Jha, AK, Care in U.S. Hospitals, the Hospital Quality Alliance Program, NEJM, 2005.pdf
Jha, AK, Effect of the Transformation of the VA Health Care System on Quality of Care, NEJM, 2003.pdf
Jha, AK, Patients Perception of Hospital Care in the US, NEJM, Oct. 2008.pdf
Kaiser Health News, Medicare IDs Few Hospitals As Outliers in Readmission, July 2012.pdf
Kizer, K., Transformation Case Studies, IOM Presentation, 2008.pdf
Kizer, K., Vision to Change, A Plan to Restructure the VA Health System, 1995.pdf
Kuehn, Bridget, Treatment of Substance Abuse in Military Hampered by Old-fashioned Approach, JAMA, 11-14-12.pdf
Laverty, Anthony, High Profile Investigations Into Hospital Safety Problems, Health Affairs, March 2012.pdf
Leapfrog Group, Hospital Safety Score, Final Scoring Methodology, June 2012.pdf
Levtzion-Korach, Osnat, Integrating Incident Data, Joint Commission Journal on Quality and Pt. Safety, Sept. 2010.pdf
Longman, Phillip, Best Care Anywhere, Why VA Health Care Is Better Than Yours, 2nd Edition, Sausalito, CA, 2010.pdf
Longman, Phillip, Best Care Anywhere, Why VA Health Care Is Better Than Yours, Sausalito, CA 2007.pdf
Longman, Phillip, Best Care Anywhere, Why VA Health Care Would Work Better For Everyone, 3rd Edition, San Francisco, 2012.pdf
Luft, Harold, Advancing Public Reporting Through Aggregator, Health Affairs, March 2012.pdf
Marmor, T., VA Health System, A National Alternative, Health Affairs, Nov.-Dec. 2007.pdf
Mayo, R., Veterans Health Administration, The Best Value in Health Care, 2006.pdf
National Quality Forum, Consensus Final Report on Patient Safety, 7-2012.pdf
OIG Report, Few Adverse Events in Hospitals Reported to State System, July 19, 2012.pdf
Oliver, A, Veterans Health Administration, An American Success Story, Milbank Quarterly, 2007.pdf
Oliver, Adam, Public Sector Health Care Reforms that Work, Case Study of US Veterans Health Administration, Lancet, 2008.pdf
Ornstein, C., Patient Died at NY VA After Alarm Ignored, ProPublic, May 15, 2012.pdf
Patient Experiences and Health Outcomes, NEJM 12-26-2012.pdf
Price, CS and Savitz, LA, Improving the Measurement of Surgical Site Infection Risk, AHRQ Publication No. 12-0046-EF, March 2012.pdf
RAND, Cost and Quality of VA Mental Health Services.pdf
RAND, Improving Quality of Care.pdf
RWJ, Uninsured Veterans and Family Members, 5-2012.pdf
Radley, David, Geographic Variation in Access to Care, Relationship to Quality, NEJM, 6-13-2012.pdf
Rand, The War Within, Report on Military Suicides, 2011.pdf
Rose, A., et al, Organizational Characteristics of Anticoagulation Clinics in the VHA, Aug. 2012.pdf
Rosen, Validating the PSI in the VA, AHRQ, Sept. 2008.pdf
Ryan, Andrew, Medicare's Public Reporting Initiative on Hospital Quality, Health Affairs, March 2012.pdf
Sinaiko, Anna, How Report Cards on Physicians Can Have Impact, Health Affairs, March 2012.pdf
Tavare, Aniket, Performance data, ready for the public, BMJ, July 2012.pdf
Teleki, S., et al, Evaluation of the Patient Safety Improvement Corps, RAND Corporation, 2006.pdf
Trivedi et al, Systematic Review, Comparison of Quality of Medical Care in VA and non-VA Settings, Medical Care, January 2011.pdf
VA Healthcare System Patient Satisfaction Scores, FY 2010 and FY2011.xlsx
VA, The Best Care, the History Behind the Success.pdf
Vastag, Brian, Ken Kizer, Health Care Quality Evangelist, JAMA, Feb. 21, 2001.pdf
Wright et al, Increasing Use of Medicare Service by Veterans with Acute Myocardial Infarction, Medical Care, 1999.pdf
Young, Roxanne, The Unasked Question, JAMA, 11-14-12.pdf
2-Hospital Compare Reports, by State
Alabama.pdf
Arizona.pdf
Arkansas.pdf
California.pdf
Colorado.pdf
Connecticut.pdf
Delaware.pdf
Florida.pdf
Georgia.pdf
Idaho.pdf
Illinois.pdf
Indiana.pdf
Iowa.pdf
Kansas.pdf
Kentucky.pdf
Louisiana.pdf
Maine.pdf
Maryland.pdf
Massachusetts.pdf
Michigan.pdf
Minnesota.pdf
Mississippi.pdf
Missouri.pdf
Montana.pdf
Nebraska.pdf
Nevada.pdf
New Jersey.pdf
New Mexico.pdf
New York.pdf
North Carolina.pdf
North Dakota.pdf
Ohio.pdf
Oklahoma.pdf
Oregon.pdf
Pennsylvania.pdf
Puert Rico.pdf
Rhode Island.pdf
South Carolina.pdf
South Dakota.pdf
Tennessee.pdf
Texas.pdf
Utah.pdf
Vermont.pdf
Virginia.pdf
Washington, DC.pdf
Washington.pdf
West Virginia.pdf
Wisconsin.pdf
Wyoming.pdf
3-Mail-Out Questionnaire Results
American Legion Site Visit Locations.docx
Baltimore, MD, Mail Out.docx
Biloxi, MS, Mail Out.doc
Charleston, SC, Mail Out.doc
Chicago, IL, Mail Out.doc
Cincinnati, OH, Mail Out.docx
Columbia, SC, Mail Out.docx
Columbus, OH, Mail Out.doc
Des Moines, IA Women Veterans Questionnaire.docx
Des Moines, IA, Mail Out.doc
Durham, VA, Mail Out.doc
Long Beach, CA, Mail Out.doc
Lyons, NJ, Mail Out.doc
Manhattan, NY, Mail Out.doc
Memphis, TN, Mail Out.doc
Milwaukee, WI, Mail Out.docx
Nashville, TN, Mail Out.doc
New Orleans, LA, Mail Out.doc
Omaha, NE, Mail Out.doc
Sacramento, CA, Mail Out.docx
Salisbury, NC, Mail Out.doc
San Diego, CA, Mail Out.doc
Seattle, WA, Mail Out.doc
St. Louis, MO, Mail Out.docx
Vancouver, WA, Mail Out.doc
Washington, DC , Mail Out.docx
4-Site Reports
Baltimore, MD (Baltimore, Maryland VA Medical Center).docx
Biloxi, MS (VA Gulf Coast Veterans Health Care System).doc
Charleston, SC (Charleston South Carolina VA Medical Center).docx
Chicago, IL (VAMC).doc
Cincinnati, OH (Cincinnati VA Medical Center).docx
Columbia, SC (Columbia South Carolina VA Medical Center).docx
Columbus, OH (Chalmers P. Wylie VA Ambulatory Care Center).docx
DC (Washington, DC VA Medical Center).docx
Des Moines, IA (Central Iowa Health Care System).doc
Durham, NC (Durham VA Medical Center).docx
Long Beach, CA (VA Long Beach Health Care System).doc
Lyons, NJ (New Jersey Healthcare System).docx
Manhattan, NY (New York Harbor Healthcare System).docx
Memphis, TN (Tennessee Valley Healthcare System).docx
Milwaukee, WI (Clement J. Zablocki VAMC).doc
Nashville, TN (Tennessee Valley Healthcare System).docx
New Orleans, LA (Southeast Louisiana Health Care System).docx
Omaha, NB (NWIHCS).doc
Sacramento, CA (VA Northern California Health Care System).docx
Salisbury, NC (W.G. Hefner VA Medical Center).doc
San Diego, CA (VA San Diego Healthcare System).doc
San Francisco, CA (San Francisco VA Medical Center).docx
Seattle, WA (VA Puget Sound Healthcare System).doc
St. Louis, MO (Veterans Affairs St. Louis Healthcare System, John Cochran Division).docx
Vancouver, WA (Vancouver, Vancouver Campus of the Portland VAMC).doc
6-Pictures
Alaska.jpg
Alexandria.jpg
Amarillo.jpg
American Legion Logo.jpg
Big Spring VA.jpg
Biloxi.jpg
Chicago.jpg
Dallas.jpg
Detroit.jpg
Fayetteville.jpg
HR_Albany.jpg
Honolulu.jpg
Indianapolis.jpg
Kansas City.jpg
Loma Linda.jpg
North Texas.jpg
Phoenix.jpg
Sacramento.jpg
Salt Lake City.jpg
San Diego.jpg
San Francisco.jpg
Shreveport.jpg
White City VA.jpg
flying-ICU-500x316.jpg
7-Updated Hospital Compare, Nine VA and Index Hospitals
Hospital Compare, Baltimore, MD.pdf
Hospital Compare, Charleston, SC.pdf
Hospital Compare, Des Moines, IA.pdf
Hospital Compare, Memphis, TN.pdf
Hospital Compare, Milwaukee, WI.pdf
Hospital Compare, New Jersey.pdf
Hospital Compare, Omaha, NE.pdf
Hospital Compare, San Francisco, CA.pdf
Hospital Compare, Washington, DC.pdf
8-Report
1-Final Report, A System Worth Saving, An Examination of Quality Measurement in the VHA and Civilian Hospital, 2013.pdf