Vision for Change
The reorganization plan presented in this document should be viewed as the first step in transforming the Veterans Health Administration (VHA) to a more efficient and patient-centered health care system. The organizational model described in this document has been conceived with the intent of providing a structure that will facilitate the changes that need to occur, while at the same time retaining the many good things the system already does. The proposed structure optimizes VHA’s ability to function as both an integrated and a virtual health care organization; it provides structural incentives for efficiency, quality and improved access; it builds in a formal means of ensuring a high degree of stakeholder involvement; and it provides for a level of accountability not typical of government agencies. Once operational, it should be apparent to our patients, Congress and the public that this is not only a better model than the present structure, but that it is also better than the various alternatives that call for doing away with VHA.