The Veterans Health Administration undertook a series of performance improvement projects (PIP) using local initiatives identified through a national committee of regional workers' compensation representatives.
A steering committee identified five types of risks and interventions that were considered worthwhile. They defined performance metrics as outcome measures and distinguished short-term from long-term disability management success.
Eight specific PIPs were implemented. No statistically significant differences in the planned outcome metrics were identified, although cost-benefit evaluations did identify a benefit.
Conducting quantitative PIPs in a large system requires top management commitment, sequestration of funds, and mature systems.
From the War-Related Illness and Injury Study Center, Office of Public Health, Veterans Health Administration, Washington, DC.
Address correspondence to: Michael J. Hodgson, MD, MPH, War-Related Illness and Injury Study Center, Washington DC VAMC, 50 Irving Street NW, Washington DC 20422 (firstname.lastname@example.org).
At the time this work was done, Dr Hodgson was Chief Consultant, Occupational Health, Office of Public Health, Veterans Health Administration.
The author declares no conflicts of interest. His current employment is with a parallel agency in the Department of Labor.
This work was funded through routine operations funding in the Veterans Health Administration.
The views expressed in this article are those of the author and do not necessarily reflect the official policy, position or views of the Uniformed Services University, the Department of the Army, the Department of the Navy, the Department of Defense, the Veterans Health Administration or the US Government.