The VA has started what it calls an “aggressive new approach to produce rapid improvements at VA’s low-performing medical facilities nationwide,” starting with 15 facilities that received the lowest score on its rating system.

The department has designated its office of reporting, analytics, performance, improvement and deployment to oversee improvement at each of the centers. Clinical performance indicators will be used to “identify vulnerabilities in each low-performing facility and set specific targets for improvement” and experts from that office will “track the progress of improvement against these targets, and, where warranted, will dispatch a team of expert improvement coaches quickly to the medical centers to assist them in meeting the goals.”

Further, headquarters will review each of the facilities quarterly, “and if the facilities fail to make rapid substantial progress in their improvement plan, VA leadership will take prompt action, including changing the leadership of the medical center,” an announcement said.

The facilities are in Hampton, Va.; Harlingen, Big Spring and El Paso, Texas; Roseburg, Ore.; Washington, D.C.; Denver; Dublin, Ga.; Jackson, Miss.; Loma Linda, Calif.; Memphis, Murfreesboro and Nashville, Tenn.; Phoenix; and Walla Walla, Wash.