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The Rise and Fall of VA Healthcare: 1994-2014
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The Rise and Fall of VA Healthcare: 1994-2014



Webinar Overview:

The Department of Veterans Affairs (VA) operates the largest healthcare system in the United States. In the early 1990s, the VA Healthcare System was plagued with multiple problems, causing a number of policymakers to call for its abolition. President Clinton appointed a new leader from outside the VA to head the system in late 1994.  Over the next five years, VA healthcare was transformed, leading to greatly improved quality of care, service satisfaction and operational efficiency. Many hailed the “new VA” as a model for 21st century health care.  In 2014, the VA Healthcare System suffered a humiliating scandal involving delayed access to care for thousands of veterans, secret waiting lists and falsification of wait time data, and possibly the deaths of dozens of veterans due to delayed care. The Secretary of Veterans Affairs and multiple senior VA officials were fired or forced to resign, and new reform legislation was enacted by Congress. This presentation will review the strategies used to transform VA healthcare in the late 1990s and some of the consequent improvements, key factors contributing to VA losing its way and the resulting scandal, and lessons from the situation that are broadly applicable to healthcare.      


May 27, 2015

Time:                    1:00 p.m. - 3:00 p.m. ET


Registration Fee:



Ken Kizer, MD, MPH, Director, Institute for Population Health Improvement, UC Davis Health System







Speaker bio:

Kenneth W. Kizer, M.D., M.P.H. is a Distinguished Professor at the University of California, Davis, School of Medicine and the Betty Irene Moore School of Nursing; Director of the Institute for Population Health Improvement, UC Davis Health System; Director of the California Cancer Reporting and Epidemiologic Surveillance Program; and Chief Quality Consultant for the California Department of Health Care Services. Dr. Kizer’s professional experience includes senior executive positions in the public and private sectors, academe, and philanthropy. His previous positions have included: Chairman, CEO and President, Medsphere Systems Corporation; founding President and CEO, National Quality Forum; Under Secretary for Health, U.S. Department of Veterans Affairs; Director, California Department of Health Services; and Director, California Emergency Medical Services Authority. He has served on the U.S. Preventive Services Task Force and as Chairman, The California Wellness Foundation, as well as on the governing boards of a number of health IT and managed care companies, several foundations, and various professional associations and non-profit organizations. Dr. Kizer is an honors graduate of Stanford University and UCLA and the recipient of two honorary doctorates. He is board certified in six medical specialties and/or subspecialties and has authored over 400 original articles, book chapters and other reports. He is a fellow or distinguished fellow of 10 professional societies and has the very rare distinction of being a member of both the Institute of Medicine of the National Academy of Sciences and the National Academy of Public Administration.

Learning Objectives:

  1. Describe the 5 components of the integrated change strategy utilized to transform VA healthcare in the late 1990s.
  2. List 3 types of evidence demonstrating improved performance resulting from the changes implemented in the late 1990s.
  3. Identify 3 factors contributing to the toxic culture that culminated in the 2014 VA scandal.
  4. Discuss 3 lessons from the VA scandal which are broadly applicable to healthcare.  


CME/MOC Information

Accreditation Statement

ACPM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


CME Information

ACPM designates this live-internet material for a maximum of 2.0 Category 1 credits toward the American Medical Association (AMA) Physician's Recognition Award (PRA)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Term of Approval

May 27, 2015 through May 27, 2016. Original release date:  May 27, 2015


Members please note, in order to receive complimentary CME/MOC credit you will need to log-in to the ACPM membership database prior to making payment. If you can’t remember your log-in information, please click here.

Once you have completed all of the steps, your CME certificate will be e-mailed to you. Please allow up to 5 business days for processing. Your MOC credits will be reported directly to the American Board of Preventive Medicine. Please allow 4-6 weeks for these to appear on the ABPM website.

ABPM MOC Survey:

Please take a few minutes to complete this survey regarding the MOC Part 2 Lifelong Learning and Self-Assessment (LLSA) credited module(s) that you completed. Your response is very important. Please note this survey needs to be submitted separately for each module provider.  Direct link to the survey is:  https://www.surveymonkey.com/s/R5Y889W 





Nathaly Navarro

Project Coordinator
American College of Preventive Medicine
455 Massachusetts Ave., NW, Suite 200
Washington, DC 20001

Ph:  (202) 466-2044 ext. 108
Fax: (202 466-2662

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