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10 Conclusion: Into the 21st Century
Pages 287-292

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From page 287...
... 10 Conclusion: Into the 21st Century In the course of responding to the specific tasks assigned by the Veterans' Disability Benefits Commission, the committee encountered some themes that underlie the somewhat disparate topics. First, the Veterans Benefits Administration (VBA)
From page 288...
... 288 EVALUATING VETERANS FOR DISABILITY BENEFITS NEED FOR ANALYSIS AND PLANNING It is instructive that much of the information about the operations of the disability compensation program came from external sources or, if internal, from ad hoc panels and task forces. The effort to update the Rating Schedule in the 1990s was triggered by a 1988 report of the General Accounting Office (GAO)
From page 289...
... 28 CONCLUSION: INTO THE 21ST CENTURY Following a recommendation of the 1996 Veterans' Claims Adjudication Commission, VA established an Office of the Actuary in 1999, but it does not yet produce the kinds of actuarial forecasts of the number of veterans with service-connected disabilities receiving Department of Defense (DoD) disability benefits done by the DoD Office of the Actuary.
From page 290...
... 20 EVALUATING VETERANS FOR DISABILITY BENEFITS of nurses and physician assistants under physician supervision, which is allowed, could also be tested. Clinical Outcomes Research Clinical outcomes research would help identify and validate the use of severity scores and disease-staging protocols used in clinical settings for rating purposes.
From page 291...
... 21 CONCLUSION: INTO THE 21ST CENTURY QOL. Some research and analysis must be done to understand how best to determine the nonwork disability and QOL ratings and whether they can be combined -- whether, for example, work disability and nonwork disability measures could be included in one Rating Schedule or would have to be rated separately, or whether it is feasible to operationalize QOL measures as a basis for compensation.

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