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International Journal for Quality in Health Care 9:183-188 (1997)
© 1997 International Society for Quality in Health Care

research-article

Quality Improvement in the US Veterans Health Administration

GARY J. YOUNG*,{dagger},, MARTIN P. CHARNS* and GALEN L. BARBOUR{dagger}

*Management Decision and Research Center, Veterans Affairs Health Service Research and Development Service Boston, Massachusetts, USA
{dagger}School of Public Health, Boston University Boston, Massachusetts, USA
{ddagger}The Veterans Affairs Medical Center Washington DC, USA

The Veterans Health Administration, the largest government-operated health-care system in the United States, has been actively engaged in quality improvement activities since 1990. These activities have been implemented on both a system-wide and facility-specific basis. Some quality improvement efforts have been targeted to specific clinical services; others relate to the overall process of providing patient care. This paper provides an overview of three quality improvement activities in the Veterans Health Administration and considers the research and managerial issues they raise. © Elsevier Science Ltd.

Correspondence to: Dr Gary J. Young, Boston VA Medical Center, Management Decision and Research Center, 150 South Huntingdon Avenue, Boston, MA 02130, USA.

Received for publication October 17, 1996. Accepted for publication January 23, 1997.


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