A Comparative Evaluation of Structure, Process, and Outcomes Pre- and Post-Implementation of Primary Care Teams
Abstract
The Department of Veterans Affairs (DVA) is faced with the major challenge of converting the nation's largest integrated health system from one focused on "ill care" to one focused on "well care". When changes are made in structure and process elements of healthcare delivery, a system of measurement must be developed to demonstrate that outcomes have not been negatively impacted by these changes. Although the concept of each patient being assigned to one Primary Care Provider (PCP) has been in place at the Cheyenne Veterans Affairs Medical Center (VAMC) for some time, inclusion of ancillary staff to complete a comprehensive primary care team has only recently been implemented (November 30, 1998) . The purpose of this project was twofold: to assess whether sufficient reliable and valid data exist upon which to base a comparison of outcomes pre- and post-primary care team implementation; and if so, to make such a comparison. A para-analysis following the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Clinical Value Compass approach was chosen to assess whether the implementation of primary care teams added value to the healthcare provided by the Cheyenne VAMC.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 2000
- Accession Number
- ADA408328
Entities
People
- Valerie Halverson
Organizations
- Academy of Health Sciences