Physician Staffing for the VA
Physician Staffing for the VA -- Preface -- Acknowledgments -- Contents -- Executive Summary -- OVERVIEW OF THE STUDY -- Purpose and Scope -- Organization and Conduct of the Study -- Some Undergirding Assumptions -- DEFINING, BUILDING, AND RECONCILING ALTERNATIVE APPROACHES TO PHYSICIAN STAFFING -- Three General Approaches to Determining Physician Requirements -- The Empirically Based Physician Staffing Models -- Expert Judgment Models -- Reconciling the Approaches -- Using the Reconciliation Strategy to Calculate Physician FTEE -- External Norms -- OVERALL ADEQUACY OF PHYSICIAN STAFFING IN THE VA: COMMITTEE PERSPECTIVE -- VA CENTRAL OFFICE AND THE VAMC: PROMOTING A DIALOGUE -- AFFILIATIONS WITH MEDICAL SCHOOLS -- NONPHYSICIAN PRACTITIONERS -- FURTHER DEVELOPMENT OF THE METHODOLOGY -- CONCLUDING REMARKS -- 1 Overview of the Study -- PURPOSE AND SCOPE -- ORGANIZATION AND CONDUCT OF THE STUDY -- THE COMMITTEE PERSPECTIVE -- REFERENCES -- 2 Background -- CURRENT ALLOCATION OF PHYSICIANS IN THE VA -- Total Physicians, By Specialty -- How Physician FTEE Levels Currently Are Determined -- SOME UNDERGIRDING ASSUMPTIONS -- The Methodology Focuses on Physician FTEE for VAMCs -- This Is Not a Needs-Based Approach -- Assuring the Quality of Care -- The Methodology Must Be Relevant to the Present, Flexible for the Future -- REFERENCES -- 3 Overview of the Analysis -- A CENTRAL PROBLEM: DETERMINING PHYSICIAN FTEE REQUIRED FOR PATIENT CARE AND RESIDENT EDUCATION -- DETERMINING PHYSICIAN REQUIREMENTS FOR OTHER MISSION-RELATED ACTIVITIES -- RECONCILING THE APPROACHES -- MANAGEMENT USES OF PHYSICIAN STAFFING MODELS -- PROJECTING FUTURE VA PATIENT WORKLOAD -- THE VAMC-MEDICAL SCHOOL AFFILIATION RELATIONSHIP -- NONPHYSICIAN PRACTITIONERS AND VA PHYSICIAN REQUIREMENTS -- COMMITTEE CONCLUSIONS AND RECOMMENDATIONS -- REFERENCE.