About - Quality, Safety & Value
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Quality, Safety & Value


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The Office of Quality, Safety and Value (QSV) works to ensure that every aspect of the Veteran’s experience with VHA healthcare is high-quality, outstanding, and seamless. QSV brings together the functional areas that support the totality of the Veteran’s experience with the VHA healthcare system. In carrying out this work, we collaborate with numerous internal (VA) offices, federal agencies, Veterans Service Organizations, and key stakeholder groups. QSV is led by the VHA Assistant Deputy Under Secretary for Health, QSV, and is organized along five primary work streams:

Compliance and Business Integrity, which provides internal oversight of VHA’s revenue operations.  Key Areas: Business Compliance, Compliance Improvement, Compliance Systems.

Quality Standards and Programs, which supports clinicians, managers, and VHA employees in improving care to Veterans. Key Areas: Utilization and Efficiency Management, Clinical Practice Guidelines, Standards and Regulatory Governance.

High Reliability Systems and Consultation, which focuses on system-wide implementation of the principles of improvement science in order to “develop a culture of learning, innovation, and continual improvement.”  Key Areas: Veteran Engineering Resource Centers, Systems Redesign and Improvement.

Healthcare Value, which works toward developing an integrated and systematic framework for creating, understanding, and measuring value in the context of a high reliability organization. Key Areas: Value Measurement and Results, Product Effectiveness.

Safety and Risk Awareness, which is responsible for nationwide reduction and prevention of inadvertent harm to patients as a result of the care they receive, including the creation of an enterprise-wide approach that anticipates risk and proactively prevents and mitigates organizational risks of all types. Key Areas: Enterprise Risk Management (ERM), National Center for Patient Safety. Risk Management, Credentialing & Privileging and Medical, Legal Affairs.


Enhance the quality, safety, reliability, and value of VHA’s clinical and business systems by enabling innovative, enterprise-wide approaches to compliance, risk awareness and continuous improvement.


Lead VHA to become the Veteran’s most trusted choice for high-quality, safe and reliable care.

 Published Article from QSV

To learn more about QSV, read the "Opening Doors to Better Health Care" article by Acting Assistant Deputy Under Secretary for Health for Quality, Safety and Value, Robin Hemphill, MD, in “The Year in Veterans Affairs & Military Medicine 2014-2015”

The QSV article starts on page 54 and ends on page 59.