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CAS3
10-25-03, 04:12 PM
Journal Supports VA Reorganization

WASHINGTON (Oct. 24, 2003) - A recent study in the New England Journal of
Medicine reports that the Department of Veterans Affairs (VA) shift from
inpatient to outpatient care during the past decade has been efficient and
safe.

"These findings endorse VA's ongoing reorganization to improve health care
for veterans," said Secretary of Veterans Affairs Anthony J. Principi. "The
restructuring has maintained the quality of care, while allowing us to care
for more veterans."

Survival rates among chronically ill veterans remained constant despite a
sharp reduction in hospital-based care, reports the journal's Oct. 23
edition. Over the past eight years, VA has reorganized its health care
system, closed hospital beds, expanded outpatient care and improved primary
care.

VA has proposed further restructuring under the national Capital Asset
Realignment for Enhanced Services (CARES) plan. The CARES proposals include
realigning existing hospitals and constructing 48 new outpatient clinics,
two new hospitals, two new Blind Rehabilitation Centers and four new Spinal
Cord Injury Centers.

"The journal study shows that VA's move from hospital-based care to
outpatient clinic-based care is in the best interests of veterans," said
Principi. "CARES will continue this evolution, resulting in high quality
medical care for veterans well into this century."

The journal article was based on a study by researchers at VA's Houston
Center for Quality Care and Utilization Studies and Baylor College of
Medicine who studied the records of 342,000 chronically ill veterans to
track their health care and survival between 1994 and 1998. Hospital stays
fell by 50 percent and outpatient care increased moderately. The study
found that survival rates remained constant.