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AJPH First Look, published online ahead of print Oct 30, 2007
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December 2007, Vol 97, No. 12 | American Journal of Public Health 2126-2128
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2007.124461

EDITORIAL

Designing a Model Health Care System

Kevin G Volpp, MD, PhD

The author is with the Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, Pa, and the Department of Medicine, Department of Health Care Systems, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.

Correspondence: Requests for reprints should be sent to Kevin G. Volpp, CHERP, Philadelphia Veterans Affairs Medical Center, University and Woodland Aves, Philadelphia, PA 19104 (e-mail: volpp70@wharton.upenn.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.


   INTRODUCTION
 
In recent years, the Veterans Health Administration of the Department of Veterans Affairs (VA) has received many accolades from the lay press and academic journals for provision of care superior in quality to that provided in the private sector.

The dramatic transformation of the VA’s health care can be attributed to changes VA leadership made in the 1990s. These changes included instituting a nationwide robust electronic health record and an accompanying quality measurement approach on which regional managers are evaluated and creating feedback loops between health services researchers and operational managers.1 Since instituting these changes, several academic studies have shown . . . [Full Text]


   INCENTIVES FOR QUALITY CARE
 

   WAYS TO IMPROVE
 
Address Undercapacity Where It Exists
Improve Inpatient Care
Create Stronger Incentives for Desired Behaviors
Invest in Improving Health
Improve Outreach and Continue Investment in Research

   CONCLUSION
 





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