Starting in 1995, the Veterans Health Administration (VHA) transformed a bureaucratic healthcare system into a performance driven patient focused integrated health-care network. The VHA’s experience may offer lessons for private and public sector providers as the U.S. explores alternative...

As part of a federal government initiative to increase efficiency and quality, in 1996 the United States' VHA (Veterans Health Administration) radically restructured its organizational design and management processes. This study uses 1992-1998 clinical, workload and financial data to examine the...