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Physician Staffing for the VA Volume I (1991) / Chapter Skim
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1 - OVERVIEW OF THE STUDY
Pages 13-18

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From page 13...
... , which has responsibility for all VA physician-related activities. The VHA, headed by the chief medical director, operates the largest federal medical care delivery system in the United States, with about 1.1 million inpatient admissions and 22 million outpatient visits in Fiscal Year (FY)
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From page 14...
... ; "Externals (to the VA) physician performance norms, as obtained directly or else inferred from other health care organizations in the public and private sectors; and · Expert panels, which would evaluate the statistical models, the data used in them, and external staffing norms and, in light of these assessments, recommend modifications to either the models or the staffing recommendations derived from them.
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From page 15...
... The IOM committee conducting this study was organized in the spring of 1988; after all appointments had been made, it consisted of 19 members, including experts in the physician specialties relevant to the VA, nursing, allied health manpower, statistics, economics, operations research, and health services research. The committee had a broad representation by age, gender, and geographic location.
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From page 16...
... The complex nature of the topic, coupled with the charge that the committee produce a well-researched product suitable for policy application in the VA, led to there being an unusually large number of committee and panel meetings. From June 1988 through December 1990, the study committee met eight times and its panels met as follows: data and methodology, 11; affiliations, 5; nonphysician practitioners, 3; and the eight specialty and clinical program panels, twice each for a total of 16.
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From page 17...
... From November 1989 through December 1990-an intensely active period during which all components of the methodology were being brought to fruition and tested a total of 32 committee and panel meetings were conducted. THE COMMITTEE PERSPECTIVE After considerable analysis and much deliberation through many meetings, the committee recommends a new methodology for determining VA physician requirements.
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From page 18...
... for a Study to Develop Methods Useful to the Veterans Administration in Estimating Its Physician Needs. Washington, D
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Key Terms

  • physician staffing
  • liaison committee
  • nonphysician practitioners
  • clinical program
  • program panels

  • proposed methodology
  • yielding defensible
  • school affiliation
  • performance norms
  • care delivery

  • services research
  • allied health
  • physician specialties
  • patient workload
  • six specialty

  • chief medical
  • medical director
  • including experts
  • affiliation relationships
  • continuing education

  • workload resulting
  • consulting physicians
  • numerical estimates
  • spinal cord
  • include residents

  • national emergency
  • individual vamcs
  • study extends
  • included spinal
  • determine physician


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