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Diane Publishing Books
VA Surgical Implants: Purchase Requirements Were Not Always Followed at Selected Medical Centers and Oversight Needs Improvement
Randall B. Williamson (au)
The Veterans Health Admin.äóÖs (VHAäó»s) spending on surgical implants -- such as stents and bone and skin grafts -- has increased to about $563 million in FY 2012. Clinicians at Veterans Admin. (VA) medical centers (VAMCs) determine veteransäó» needs and request implant purchases either from a contract or from the open market (i.e., not from an existing contract). VHA requirements include providing justifications for open-market purchases. This report examines (1) factors that influence cliniciansäó» decisions to use particular implants when multiple, similar items are available; (2) selected VAMCsäó» compliance with pertinent VHA requirements for documenting open-market purchases; and (3) VAäó»s and VHAäó»s oversight of VAMC compliance with implant purchasing requirements. Tables and figure. This is a print on demand report.
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