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2012 HSR&D/QUERI National Conference Abstract

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2012 National Meeting

2040 — Developing Tools to Assist VA Policymakers in Decisions on “Making” or “Buying” Care

Keyhani S, San Francisco VAMC/Stroke QUERI; Woodward-Hagg H, Roudebush VAMC/VA-CASE; Lightner N, VA-CASE;

Workshop Objectives:
This workshop will present our experiences in developing “Make vs. Buy” models for four very different conditions: stroke, dialysis, gastrointestinal procedures, and sleep studies. Specific focus is on: 1) Outlining VA resources and expertise available from the VA Center for Applied Systems Engineering (VA-CASE) in developing such models; 2) Lessons learned in the development of Make vs. Buy models for four different conditions/services; 3) The use of Make vs. Buy models by facilities to inform local policymakers and/or current VA policy initiatives.

This 90-minute workshop will consist of: (a) a 30-minute presentation by VA-CASE describing their Make vs. Buy models which are at various stages of development and use. Presenters will focus on the methods employed to develop the models, a description of data sources that populate the models, and examples of how decision makers can use the Make vs. Buy models. This is followed by (b) a 30-minute presentation by a Stroke QUERI presenter describing the development of the Stroke Make vs. Buy model, including the data that populates the default values, and how each VAMC may use it to determine which category of stroke care to provide. This is followed by (c) an interactive audience discussion about the usefulness of current and future Make vs. Buy models, characteristics of successful models, and “lessons learned."

Target Audience:
This workshop is aimed at researchers, clinicians, and operations staff with interest in developing and/or using Make vs. Buy models for evaluating the cost of care.

Assumed Audience Familiarity with Topic:
No prior knowledge of economic evaluation of care alternatives (in house or fee basis) is required. The goal of this workshop is to inform the audience of the availability of models that may assist them in determining the cost of care, whether provided in-house or through external facilities.

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