Force VHA providers toward DoD-like throughput of ~19 patients per day
Mandate requires VHA facilities to raise daily patient volume to approximately 19 patients per provider per day (citing DoD) versus as few as six at some VA sites, plus related wait-time workflow changes, extended hours pilots, and telehealth leverage.
Mandate
Mandate Ch. 20 (Veterans Affairs) — VHA Personnel workflow: identify workflow to bring wait times into MISSION Act compliance; require VHA facilities to increase patients seen each day to equal DoD medical facilities (~19 per provider per day); consider extended weekday/Saturday hours; expand telehealth; assess Community Care referral anomalies.
Undo plan
1) Rescind rigid per-provider quotas that ignore complexity, teaching, and PTSD/geriatric visit length.
2) Replace with risk-adjusted access standards and staffing floors.
3) Protect providers from productivity discipline that drives unsafe visit compression.
4) Codify quality/safety overrides when throughput targets conflict with clinical standards.
5) Verify: patient-safety event rates and burnout metrics before/after any productivity regime.