- API
Veterans Integrated Services Networks (VISN), Markets, Submarkets, Sectors and Counties by Geographic Location
www.datahub.va.gov | Last Updated 2024-02-15T19:42:03.000ZThe Department of Veterans Affairs (VA) provides healthcare services to its veterans across the USA including territories and possessions. Healthcare services are delivered through 18 geographically divided administrative areas called Veterans Integrated Services Networks (VISN). Each VISN is divided into healthcare areas called Markets and Submarkets. Each Submarket is divided into Sectors and each Sector comprises one or more counties. In 1995 a process was created to coordinate and review the realignment of the Heath Care Networks. The Capital Asset Realignment for Enhanced Services (CARES) process established VISN 'subsets' called Markets, Submarkets and Sectors which, being smaller than VISNs, allowed for more precise analyses for greater access measurement to health care. The County layer is the base geographic unit of the VISN-Market-Submarket-Sector-County hierarchy. The key attribute in this data set is the FIPS which is defined as a string of 5 characters with unique alphanumeric combinations for each site. The first 2 are the State FIPS code and the next 3 designate the County FIPS code. Example: '01031' is the FIPS for Coffee County, Alabama. A Sector is a cluster of geographically adjacent counties within a VA Submarket. The process of aggregating counties into sectors uses a combination of automated algorithms and manual inspection of maps. The key attribute in this data set is the SECTOR which is defined as a string of eight characters broken down into four parts in the order of VISN (2-char), Market (1-char), Submarket (1-char), and Sector(1-char) connected by a hyphen. For example, Sector 12-a-3-A indicates VISN 12, Market a, Submarket 3 and Sector A. Sub-markets reflect a clustering of the enrollee population within a market and are an aggregation of Sectors. The key attribute in this data set is the SUBMARKET which is defined as a string of six characters broken down in three parts in the order of VISN (2-char), Market (1-char), and Submarket (1-char) connected by a hyphen. For example, Submarket 12-a-3 indicates VISN 12, Market a, and Submarket 3. CARES defines Markets as "an aggregated geographic area having a sufficient population and geographic size to both benefit from the coordination and planning of health care services and to support a full healthcare delivery system (i.e. primary care, mental health care, inpatient care, tertiary care, and long term care)". Each Market is built from Submarkets. The key attribute in this data set is the MARKET which is defined as a string of four characters broken down in two parts in the order of HCN (2-char) and Market (1-char) connected by a hyphen. For example, Market 12-a indicates VISN 12 and Market a. The key attribute in the VISN data set is defined as a string of two characters from 01-23, excluding 3, 11, 13, 14 and 18; a VISN also has an officially recognized VA title. For example, VISN 06 is the Mid-Atlantic Health Care Network. VISNs can span across neighboring countries to include areas that are not contiguous. For example, VISN 08 includes Florida and Puerto Rico in addition to most of Florida and southern Georgia, and VISN 20 includes Alaska and parts of the northwest conterminous United States. Each VISN is built from Markets, Submarkets, Sectors and Counties derived from Census (2010) County data. Because VISNs are composed of VHA markets, VISN boundaries align with the outer edges of their constituent markets’ boundaries. Markets cross state borders wherever it is necessary to keep outpatient clinics (e.g. Community-Based Outpatient Clinics(CBOCs)) and their catchment areas in the same market as their parent medical centers. Thus, VISN boundaries also cross state borders. In 2016 senior leadership considered the challenge of conforming VISN boundaries to MyVA Districts, which coincide with state boundaries. It was agreed that VHA would not separate outpatient clinics from their parent medical centers due to added complexity. Many outpat
- API
VA National Bed Control System
www.datahub.va.gov | Last Updated 2020-12-01T23:19:32.000Z<p>The VA National Bed Control System records the levels of operating, unavailable and authorized beds at each VAMC, and it tracks requests for changes in these levels. For changes in operating, unavailable and authorized bed levels, the Director of a Medical Center or his/her authorized delegate enters a bed change request into the Bed Control Database. A Bed Control Database trigger automatically notifies the respective Veterans Integrated Support Network (VISN) director. The VISN director's designated staff reviews the request and either approves, disapproves, or cancels it through the Bed Control Database. If a medical center request is approved by the VISN director, a Bed Control Database trigger notifies staff in the Assistant Deputy Under Secretary for Health for Operations and Management (10N) to review and take action, followed by the appropriate VHA Program Office and then the Under Secretary for Health. Once a request has been approved, cancelled, or disapproved by either the Deputy Under Secretary for Health for Operations and Management, VHA Program Office, or the Under Secretary for Health, the medical center director and the appropriate VISN director are automatically notified of the action. The approval process is tracked and visible to the authorized user of the system. When changes are approved, the database updates its bed level information accordingly. Pertinent justification and documents associated with each bed change request are stored in the database.</p>
- API
Plan Library Information and Retrieval System (PLIARS)
www.datahub.va.gov | Last Updated 2020-12-01T23:22:13.000Z<p>The Plan Library Information and Retrieval System (PLIARS) is an electronic catalogue of microfilmed Contract and As-Built drawings of VA building plans and cemeteries. It is a single flat file list of the more than 500,000 aperture cards stored at the Veterans Affairs Central Office (VACO). Each record contains an entry for Veterans Affairs Medical Center (VAMC) station number, date, building number, a code representing the discipline, project number, floor, and wing. Disciplines include architectural, electrical, mechanical, structural, etc. Hard copy of the plans are stored at each VAMC. The plans are microfilmed at the National Archives and aperture cards are produced for both Contract and As-Built stages of the contract. An original copy of each aperture card is kept at the National Archives, with copies to VACO and the VAMC. The Program Planning and Management Office enters a record into PLIARS for each new card the VACO receives. They are also responsible for maintaining the database. Primary users of the PLIARS database are contractors hired to do work. In-house technical staff and the Engineering offices at the VAMC's. Users of PLIARS can request aperture cards for the buildings, disciplines, projects and medical centers as needed. Staff pull the aperture cards from the files and make either half or full size blow-ups of the drawings.</p>
- API
Veterans Health Administration 2008 Hospital Report Card - Patient Satisfaction
www.datahub.va.gov | Last Updated 2020-05-15T21:21:13.000Z<p>Report to the Appropriations Committee of the United States House of Representatives in Response to Conference Committee Report to PL 110-186. In an effort to provide a snapshot of the quality of care provided at VA health care facilities, this report includes information about waiting times, staffing level, infection rates, surgical volumes, quality measures, patient satisfaction, service availability and complexity, accreditation status, and patient safety. The data in this report have been drawn from multiple sources across VHA. This dataset represents patient satisfaction based on survey data broken out by ethnicity.</p>
- API
FY 2013 First Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T21:17:38.000Z<p>FY 2013 First Quarter High-Dollar Overpayments Report</p>
- API
FY 2014 Fourth Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T21:47:58.000Z<p>FY 2014 Fourth Quarter High-Dollar Overpayments Report</p>
- API
FY 2012 Fourth Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T22:02:04.000Z<p>FY 2012 Fourth Quarter High-Dollar Overpayments Report</p>
- API
FY 2011 Fourth Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T21:17:15.000Z<p>FY 2011 Fourth Quarter High-Dollar Overpayments Report</p>
- API
FY 2014 Second Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T20:56:58.000Z<p>FY 2014 Second Quarter High-Dollar Overpayments Report</p>
- API
FY 2011 First Quarter High-Dollar Overpayments Report
www.datahub.va.gov | Last Updated 2020-05-15T21:15:51.000Z<p>FY 2011 First Quarter High-Dollar Overpayments Report</p>