New System Challenge
Prepared by Sarah Depradine
01/31/2024
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Propose a new integrated delivery system to the Phoenix Veterans Affairs Health Care System (PVAHCS) executive leadership by
doing the following:
A. Healthcare Delivery Model Comparison
Compare your proposed integrated PVAHCS model with the nonintegrated Phoenix Veterans Health Administration (VHA) model,
as described in the OIG report. Include each of the following eight points for each system in your comparison:
, Nonintegrated Phoenix VHA Model Proposed Integrated PVAHCS Model
What guidelines are in place for In the nonintegrated Phoenix VHA model, Leadership guidelines in the proposed
leadership? leadership guidelines may be established by the integrated PVAHCS model emphasize
VHA's organizational policies and procedures shared decision-making, collaborative
(VAOIG, 2014). leadership, and accountability for patient
outcomes (Shih et al., 2008).
What guidelines are in place for Transparency guidelines within the Phoenix VHA Transparency guidelines prioritize open
transparency? model might include protocols for reporting communication, patient engagement,
patient care outcomes, scheduling practices, and data sharing among healthcare
and operational metrics (VAOIG, 2014). providers and patients (Shih et al., 2008).
What is the leadership hierarchy The leadership hierarchy structure in the The leadership hierarchy structure in the
structure? Phoenix VHA model typically involves executive proposed integrated PVAHCS model may
leadership, department heads, and frontline include executive leadership,
staff, as per the VHA's organizational structure interdisciplinary care teams, and patient
(VAOIG, 2014). advocates (Shih et al., 2008).
What resources exist for Resources for addressing long patient waiting Resources for addressing patient waiting
addressing long patient waiting lists in the nonintegrated Phoenix VHA model lists may include expanded clinic hours,
lists? may include staffing, scheduling systems, and telemedicine services, and increased
access to specialty care services (VAOIG, 2014). provider capacity through team-based
care models (Shih et al., 2008).
How is care coordinated across Care coordination across departments within the Care coordination is facilitated through
departments (e.g., emergency, Phoenix VHA model is managed through integrated electronic health records,
mental health, etc.)? established protocols, electronic health records, interdisciplinary team meetings, and care
and interdepartmental communication channels management protocols (Shih et al.,
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