Require VHA public reporting on quality, safety, experience, timeliness, and cost like Medicare ACOs
Mandate requires VHA to report publicly on quality, safety, patient experience, timeliness, and cost-effectiveness using standards similar to Medicare Accountable Care Organization programs.
Mandate
Mandate Ch. 20 (Veterans Affairs) — VHA Needed Reforms: require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program.
Undo plan
1) Keep comparative transparency but reject metrics weaponized solely to justify facility closures or forced outsourcing.
2) Align reporting with veteran-outcome measures appropriate to complex/chronic VHA populations—not wholesale import of private ACO templates.
3) Fund data infrastructure so reporting does not divert clinical staff.
4) Codify that public dashboards include staffing ratios and specialty access, not only visit volume.
5) Verify: independent method review by NAS/GAO of VHA vs ACO metric fitness.