The nurse saw that the veteran who is known for helping so many others was in immediated danger of being on the streets in bad weather, no money, no food, no clean clothes, and in danger of physical harm from many threats due to false information dissemenated online. The nurse surprisingly make arraignments for the veteran to stay in a motel for a week. The veteran is The Walking Veteran, Thomas Hudson, Founder of VeteransMarch.org.
The Veterans Health Administration uses a comprehensive performance improvement tool called Strategic Analytics for Improvement and Learning (SAIL) that includes key metrics used by the private sector as well as additional metrics that are important for addressing access to care, quality of mental health care, employee perception about the organization, nursing turnover, efficiency and capacity. The metrics are organized into 9 Quality domains and one Efficiency and Capacity domain. The Quality domains are combined to represent overall Quality. Each VA medical center is assessed for overall Quality from two perspectives: (1) Relative Performance compared to other VA medical centers using a Star rating system from 1 to 5 and (2) Improvement compared to its own performance from the past year. Both relative performance and size of improvement are used to guide improve efforts.