Case Study of the Capital Asset Realignment for Enhanced Services as Applied to the Wyoming VA Healthcare Market

摘要

The Department of Veterans Affairs has embarked on a sweeping initiative to align capital assets with patient demand in order to improve access, quality, and cost effectiveness of care to veterans now and in the future. This study documents the first four steps of the nine-step Capital Asset Realignment for Enhanced Service (CARES) process as it applies to the Sheridan market area. This process involved establishing a communication plan and leading teams that analyzed and validated data and developed a strategic plan for the Sheridan market. The outcome of the study suggests that improving access to levels prescribed by CARES standards is possible but very expensive in a highly rural market. However, improving access through conscientious strategic planning is possible and practical. The CARES process is an accelerated program that relies heavily upon data and projections. Data validity, expedience, and political pressure may affect the outcomes. Nonetheless, CARES is a sound and dynamic process for improving the cost, quality, and access of the care delivered to our nation s veterans.