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Improvements Needed in the VA Health Care System (eBook, PDF)

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Nearly 40,000 providers hold privileges in VHA's 170 VA Medical Centers (VAMCs). VAMCs must identify and review any concerns that arise about the clinical care their providers deliver. Chapter 1 examines, among other things, selected VAMCs' reviews of providers' clinical care after concerns are raised and VHA's oversight of these reviews, and VAMCs' reporting of providers to the NPDB and SLBs and VHA's oversight of reporting. Chapter 2 summarizes the implementation and oversight of VHA processes for reviewing and reporting providers after quality and safety concerns have been raised at selecte...

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