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1

Center, VA Health Administration. Strategic plan: Fy 2005. Denver, CO]: VA Dept. of Veterans Affairs, Health Administration Center, 2004.

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2

Office, General Accounting. VA health care: Veterans' demand for outpatient care : report to congressional requesters. Washington, D.C: The Office, 1989.

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3

United States. Government Accountability Office. VA medical centers: Internal control over selected operating functions needs improvement : report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representives. Washington, D.C: U.S. Government Accountability Office, 2004.

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4

Office, General Accounting. VA health care: Assessment of surgical services at two medical centers in the Southwest : report to congressional requesters. [Washington, D.C.]: The Office, 1989.

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5

Office, General Accounting. VA health care: Access for Chattanooga-area veterans needs improvement : report to congressional requesters. Washington, D.C. (P.O. Box 37050, Washington 20013): U.S. General Accounting Office, 2004.

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6

Office, General Accounting. VA health care: Retargeting needed to better meet veterans' changing needs : report to Congressional requesters. Washington, D.C: The Office, 1995.

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7

Office, General Accounting. VA health care: Medical centers are not correcting identified quality assurance problems : report to the chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1992.

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8

Office, General Accounting. VA health care: Status of efforts to improve efficiency and access : report to the chairman, Subcommitte on VA, HUD, and Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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9

Office, General Accounting. VA health care: More veterans are being served, but better oversight is needed : report to Congressional requesters. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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10

Office, General Accounting. VA health care: Opportunities for service delivery efficiencies within existing resources : report to the Chairman, Subcommittee on VA, HUD, and Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C: The Office, 1996.

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11

Office, General Accounting. VA health care: Resource allocation methodology has had little impact on medical centers' budgets : report to the Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1989.

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12

Office, General Accounting. VA health care: Issues affecting eligibility reform efforts : report to the Chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1996.

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13

Office, General Accounting. VA health care: Better procedures needed to maximize collections from health insurers : report to the Ranking Minority Member, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1990.

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14

Office, General Accounting. VA health care: Allocation of resources to medical facilities in the Sun Belt : report to congressional requesters. Washington, D.C: The Office, 1986.

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15

Office, General Accounting. VA health care: Medical centers need to improve collection of veterans' copayments : report to the Ranking Minority Member, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1990.

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16

United States. Congress. House. Committee on Veterans' Affairs. A matter of life and death: Examining preventable deaths, patient safety issues, and bonuses for VA execs who oversaw them : field hearing before the Committee on Veterans' Affairs, U.S. House of Representatives, One Hundred Thirteenth Congress, first session, Monday, September 9, 2013 : field hearing held in Pittsburgh, PA. Washington: U.S. Government Printing Office, 2014.

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17

Office, General Accounting. VA health care: Too many operating rooms being planned and built : report to the Administrator of Veterans Affairs. Washington, D.C: The Office, 1986.

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18

Office, General Accounting. VA health care: Effects of facility realignment on construction needs are unknown : report to the Chairman, Subcommittee on Hospitals and Health Care, Committee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1995.

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19

United States. General Accounting Office. Health, Education, and Human Services Division. Community health center grants. Washington, D.C: The Office, 1995.

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20

Office, General Accounting. VA health care: VA's management of drugs on its national formulary : report to the Ranking Minority Member, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1999.

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21

Office, General Accounting. VA health care: Expanded eligibility has increased outpatient pharmacy use and expenditures : report to the chairman, Committee on Veterans' Affairs, House of Representatives. Washington, D.C. (P.O. Box 37050, Washington 20013): U.S. General Accounting Office, 2002.

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22

National Institute for Occupational Safety and Health. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana. [Atlanta, Ga.?]: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 1996.

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23

Health, National Institute for Occupational Safety and. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana. [Atlanta, Ga.?]: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 1996.

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24

Office, General Accounting. VA health care: Insufficient support for Brevard County location for new Florida hospital : report to the Honorable Bill McCollum, House of Representatives. Washington, D.C: The Office, 1986.

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25

Office, General Accounting. VA health care: Language barriers between providers and patients have been reduced : report to the chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1989.

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26

United States. Dept. of Veterans Affairs, ed. VA spina bifida healthcare benefits: Healthcare benefits for Vietnam veterans' children with spina bifida. [Washington, D.C.?]: Dept. of Veterans Affairs, 1998.

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27

VA health care: VA plans will delay establishment of Hawaii medical center : report to the Honorable Frank H. Murkowski, U.S. Senate. Washington, D.C: The Office, 1992.

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28

VA health care: VA plans will delay establishment of Hawaii medical center : report to the Honorable Frank H. Murkowski, U.S. Senate. Washington, D.C: The Office, 1992.

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29

VA health care: Closure and replacement of the medical center in Martinez, California : report to Congressional requesters. Washington, D.C: The Office, 1992.

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30

VA health care: Labor management and quality-of-care issues at the Salem VA Medical Center : report to the Honorable Charles S. Robb, U.S. Senate. Washington, D.C: The Office, 1993.

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31

VA health care: Alternative health insurance reduces demand for VA care : report to the Honorable Frank H. Murkowski, U.S. Senate. Washington, D.C: The Office, 1992.

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32

VA health care: Alcoholism screening procedures should be improved. Washington, D.C: The Office, 1991.

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33

VA health care: Selection of a planned medical center in east central Florida : report to the Honorable Jim Bacchus, House of Representatives. Washington, D.C: The Office, 1993.

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34

VA health care: Tuberculosis controls receiving greater emphasis at VA medical centers : report to the Honorable Joseph P. Kennedy II, House of Representatives. Washington, D.C: The Office, 1993.

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35

United States. General Accounting Office., ed. Veterans health administration: Performance and conduct issues involving senior managers at VA medical centers : report to the Chairman, Committee on Veterans' Affairs, House of Representatives; and the Honorable Tim Hutchinson, U.S. Senate. Washington, D.C: The Office, 1998.

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36

VA health care: Delays in awarding major construction contracts : report to congressional committees. Washington, D.C: The Office, 1990.

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37

VA health care: Delays in awarding major construction contracts : report to congressional committees. Washington, D.C: The Office, 1992.

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38

United States. Government Accountability Office., ed. VA medical centers: Further operational improvements could enhance third-party collections : report to the chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives. Washington, DC: GAO, 2004.

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39

Wheeler, Stephanie B. Organization- and System-Level Factors Influencing Implementation Overview of Case Studies. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0020.

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Abstract:
Organization- and health system-level determinants of cancer outcomes are critical to understand. Studies focusing only on individual- or provider-level factors contributing to differential outcomes may mask the important, and often far-reaching, influence of organizational and system-wide structures, policies, norms, and behaviors that drive outcomes. This chapter explores case studies including implementation of patient reported outcomes symptom monitoring within a large academic medical center; cancer patient navigation programs to reduce social, economic, cultural, and system barriers to timely cancer care; how psychosocial support has been integrated into community-based and Veterans Administration (VA) oncology programs; and implementing Lynch syndrome testing within a VA integrated health care system.
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40

VA health care: Delays in awarding major construction contracts : report to congressional committees. [Washington, D.C.]: The Office, 1991.

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41

VA health care: Delays in awarding major construction contracts : report to congressional committees. Washington, D.C: The Office, 1993.

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42

VA health care: Medical care cost recovery activities improperly funded : report to Congressional requesters. Washington, D.C: The Office, 1993.

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43

VA health care: Inadequate enforcement of federal ethics requirements at VA medical centers : report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1993.

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44

VA health care: Inadequate enforcement of federal ethics requirements at VA medical centers : report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1993.

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45

Veterans Health Administration: Performance and conduct issues involving senior managers at VA medical centers : report to the chairman, Committee on Veterans' Affairs, House of Representatives; and the Honorable Tim Hutchinson, U.S. Senate. Washington, D.C: The Office, 1998.

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46

Veterans Health Administration: Performance and conduct issues involving senior managers at VA medical centers : report to the chairman, Committee on Veterans' Affairs, House of Representatives; and the Honorable Tim Hutchinson, U.S. Senate. Washington, D.C: The Office, 1998.

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47

VA health care: Inadequate enforcement of federal ethics requirements at VA medical centers : supplement to report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1993.

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48

VA health care: Inadequate enforcement of federal ethics requirements at VA medical centers : supplement to report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1993.

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49

VA health care: VA is adopting managed care practices to better manage physician resources : report to the Chairman, Committtee on Veterans' Affairs, House of Representatives. Washington, D.C: The Office, 1997.

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50

VA health care: VA medical centers need to improve monitoring of high-risk patients : report to the chairman, Committee on Veterans Affairs, and the Honorable Charles S. Robb, U.S. Senate. Washington, D.C. (441 G St., NW, Rm. LM, Washington, 20548): U.S. General Accounting Office, 1993.

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