Va Affiliation Agreement

6. Does the agreement have a compensation clause? This clause deals with either compensation or “maintenance as it is” or something else. UncW Provost and Vice-Chancellor for Academic Affairs, Denise Battles, and Fayetteville VAMC Executive Director, Elizabeth B. Goolsby, formalized membership on Monday, March 25, 2013 at McNeill Hall. In this regard, too, the Committee notes that, to the extent that many PATIENTS are so closely linked to the medical environment of higher education, special attention may continue to be paid to the resolution of specific problems related to the typical model of care in the educational ageing environment. Structural and procedural quality criteria, such as the percentage of physicians certified by a board of directors or the accreditation results of the Joint Commission for accreditation of health organizations (JCAHO), may provide some additional conclusions about the impact on quality. (As stated in Chapter 2, the VA is developing improved indicators that could be used in the future to better track the quality of supplies available in CFCs. If developed, they could be used to analyze the qualitative effects of membership.) The current VA mission includes research, education and support to the Ministry of Defence in times of war. The data already cited in this chapter indicate that the involvement of VA physicians in research and teaching is clearly linked to affiliations, and it seems unlikely that these aspects of the mission will be maintained in the absence of related companies. In 1990, the Commission on the Future Structure of Veterans Health Care, an independent advisory group set up by the VA to recommend future strategies for its health care system, provided an update on clinical activities in CFCs. The inventory showed that connected CFCs tend to have a much wider range of services for their patients. In particular, this inventory indicated that the concentration of high-tech services (usually related to tertiary services) was very high in affiliated hospitals (Table 9.4). Although such services could be provided by other means, widespread affiliation agreements will require a very substantial change to the current rules.

And any proposed amendments should bear the burden of proof that the alternative approach would also do the job. After World War II, doctors were alarmed by the number of returning soldiers filling VA hospital beds, especially as the public service bureaucracy and the poor reputation of VA medicine had led to a severe shortage of doctors in the system. The creation of a separate staffing system for doctors and nurses employed by the VA helped to circumvent some of the bureaucratic delays in physician recruitment.

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