Testing Novel Payment and Delivery Approaches Through the Veterans Health Administration's New Center for Innovation
Authors: Steven D. Pizer, Austin B. Frakt, Kyle Sheetz, Carolyn Clancy
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions15 January 2019Testing Novel Payment and Delivery Approaches Through the Veterans Health Administration's New Center for InnovationSteven D. Pizer, PhD, Austin B. Frakt, PhD, Kyle Sheetz, MD, MS, and Carolyn Clancy, MDSteven D. Pizer, PhDBoston University School of Public Health, Boston, Massachusetts (S.D.P.), Austin B. Frakt, PhDVA Boston Healthcare System, Boston University School of Public Health, and Harvard T.H. Chan School of Public Health, Boston, Massachusetts (A.B.F.), Kyle Sheetz, MD, MSUniversity of Michigan, Ann Arbor, Michigan (K.S.), and Carolyn Clancy, MDVeterans Health Administration, Washington, DC (C.C.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-2225 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In May 2018, Congress passed the VA [Veterans Affairs] Maintaining Systems and Strengthening Integrated Outside Networks (MISSION) Act to consolidate programs that provide veterans access to non-VA care and to formally establish a coordinated, high-performing network of VA and private-sector providers (1). The MISSION Act also established a VA Center for Innovation for Care and Payment ("Center") to be staffed by VA employees and contractors with expertise in demonstrations and evaluations. Through the Center, the VA will have the ability to test novel payment and service delivery models. Although the VA is already recognized as a national leader in quality ...References1. Ogrysko N. Trump signs VA MISSION Act into law, though funding questions remain. Federal News Network. 6 June 2018. Accessed at https://federalnewsradio.com/veterans-affairs/2018/06/trump-signs-va-mission-act-into-law-though-funding-questions-remain on 23 September 2018. Google Scholar2. Perla RJ, Pham H, Gilfillan R, Berwick DM, Baron RJ, Lee P, et al. Government as innovation catalyst: lessons from the early Center for Medicare and Medicaid Innovation models. Health Aff (Millwood). 2018;37:213-21. [PMID: 29401006] doi:10.1377/hlthaff.2017.1109 CrossrefMedlineGoogle Scholar3. Minegishi T, Frakt AB, Garrido MM, Gellad WF, Hausmann LRM, Lewis ET, et al. Randomized program evaluation of the VHA Stratification Tool for Opioid Risk Mitigation (STORM): a research and clinical operations partnership to examine effectiveness. Subst Abus. 2018 [Forthcoming]. Google Scholar4. Haffajee RL, Bohnert ASB, Lagisetty PA. Policy pathways to address provider workforce barriers to buprenorphine treatment. Am J Prev Med. 2018;54:S230-42. [PMID: 29779547] doi:10.1016/j.amepre.2017.12.022 CrossrefMedlineGoogle Scholar5. Kessler RC, Hwang I, Hoffmire CA, McCarthy JF, Petukhova MV, Rosellini AJ, et al. Developing a practical suicide risk prediction model for targeting high-risk patients in the Veterans Health Administration. Int J Methods Psychiatr Res. 2017;26. [PMID: 28675617] doi:10.1002/mpr.1575 CrossrefMedlineGoogle Scholar6. Prentice JC, Frakt AB, Pizer SD. Metrics that matter. J Gen Intern Med. 2016;31 Suppl 1:70-3. [PMID: 26951272] doi:10.1007/s11606-015-3559-0 CrossrefMedlineGoogle Scholar7. Frakt AB, Pizer SD. The promise and perils of big data in healthcare. Am J Manag Care. 2016;22:98-9. [PMID: 26885669] MedlineGoogle Scholar8. Frakt AB, Prentice JC, Pizer SD, Elwy AR, Garrido MM, Kilbourne AM, et al. Overcoming challenges to evidence-based policy development in a large, integrated delivery system. Health Serv Res. 2018. [PMID: 29862494] doi:10.1111/1475-6773.12986 CrossrefMedlineGoogle Scholar9. Ogrysko N. VA signs long-awaited contract with Cerner for new electronic health record. Federal News Network. 17 May 2018. Accessed at https://federalnewsradio.com/veterans-affairs/2018/05/va-signs-long-awaited-contract-with-cerner-for-new-electronic-health-record on 23 July 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Boston University School of Public Health, Boston, Massachusetts (S.D.P.)VA Boston Healthcare System, Boston University School of Public Health, and Harvard T.H. Chan School of Public Health, Boston, Massachusetts (A.B.F.)University of Michigan, Ann Arbor, Michigan (K.S.)Veterans Health Administration, Washington, DC (C.C.)Disclaimer: The content of this article reflects the opinions of the authors and not the official position of the U.S. Department of Veterans Affairs, Boston University, or Harvard University.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2225.Corresponding Author: Austin B. Frakt, PhD, Partnered Evidence-based Policy Resource Center, VA Boston Health Care System, 150 South Huntington Avenue, Mail Stop 152H, Boston, MA 02130; e-mail, [email protected]edu.Current Author Addresses: Drs. Pizer and Frakt: Partnered Evidence-based Policy Resource Center, VA Boston Health Care System, 150 South Huntington Avenue, Mail Stop 152H, Boston, MA 02130.Dr. Sheetz: Department of Surgery, University of Michigan Medical School, 2101 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109.Dr. Clancy: Deputy Undersecretary for Discovery, Education, and Affiliated Networks, Veterans Health Administration, 810 Vermont Avenue NW, Washington, DC 20420.Author Contributions: Conception and design: S.D. Pizer, A.B. Frakt, C. Clancy.Analysis and interpretation of the data: A.B. Frakt.Drafting of the article: S.D. Pizer, K. Sheetz, C. Clancy.Critical revision of the article for important intellectual content: S.D. Pizer, A.B. Frakt.Final approval of the article: S.D. Pizer, A.B. Frakt, K. Sheetz, C. Clancy.Administrative, technical, or logistic support: A.B. Frakt.This article was published at Annals.org on 25 December 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byInnovation Centers in Health Care Delivery Systems: Structures for Success 15 January 2019Volume 170, Issue 2Page: 112-113KeywordsElectronic medical recordsHealth careHealth care policyInformation storage and retrievalMotivationPsychiatry and mental healthQuality improvementSuicideSurgeryVeteran care ePublished: 25 December 2018 Issue Published: 15 January 2019 PDF downloadLoading ...