Title 38Veterans' BenefitsRelease 119-73

§7311A Quality management officers

Title 38 › Part PART V— - BOARDS, ADMINISTRATIONS, AND SERVICES › Chapter CHAPTER 73— - VETERANS HEALTH ADMINISTRATION—ORGANIZATION AND FUNCTIONS › Subchapter SUBCHAPTER II— - GENERAL AUTHORITY AND ADMINISTRATION › § 7311A

Last updated Apr 6, 2026|Official source

Summary

Requires the Under Secretary for Health to pick one senior Veterans Health Administration official to be the National Quality Management Officer. That person must report straight to the Under Secretary. They will run the health care quality program, set and enforce its rules, make a combined quality score using existing VA data sources (for example, the Inpatient Evaluation Center, the National Surgical Quality Improvement Program, and the External Peer Review Program), watch and analyze routine quality measures (including reviews and reports already done by VA and the Inspector General), support research to improve quality measures, and do other quality tasks the Under Secretary assigns. The officer must also set up a confidential way for staff to report quality concerns and create peer review processes for VA physicians. Requires each Regional Director to name a Network quality management officer who reports to the Regional Director and to the National Quality Management Officer. Each medical facility director must name a facility quality management officer who reports to the facility director and the Network officer. Network officers run the network quality office and make sure facilities follow the quality rules. Facility officers design, share, and carry out the facility’s quality programs to meet the National Officer’s requirements. Money is authorized as needed to run these roles, and $25,000,000 is specifically authorized for the two fiscal years that begin after this law is enacted to carry out work on the combined metric, ongoing monitoring of measures, and related research.

Full Legal Text

Title 38, §7311A

Veterans' Benefits — Source: USLM XML via OLRC

(a)(1)The Under Secretary for Health shall designate an official of the Veterans Health Administration to act as the principal quality management officer for the quality-assurance program required by section 7311 of this title. The official so designated may be known as the “National Quality Management Officer of the Veterans Health Administration” (in this section referred to as the “National Quality Management Officer”).
(2)The National Quality Management Officer shall report directly to the Under Secretary for Health in the discharge of responsibilities and duties of the Officer under this section.
(3)The National Quality Management Officer shall be the official within the Veterans Health Administration who is principally responsible for the quality-assurance program referred to in paragraph (1). In carrying out that responsibility, the Officer shall be responsible for the following:
(A)Establishing and enforcing the requirements of the program referred to in paragraph (1).
(B)Developing an aggregate quality metric from existing data sources, such as the Inpatient Evaluation Center of the Department, the National Surgical Quality Improvement Program, and the External Peer Review Program of the Veterans Health Administration, that could be used to assess reliably the quality of care provided at individual Department medical centers and associated community based outpatient clinics.
(C)Ensuring that existing measures of quality, including measures from the Inpatient Evaluation Center, the National Surgical Quality Improvement Program, System-Wide Ongoing Assessment and Review reports of the Department, and Combined Assessment Program reviews of the Office of Inspector General of the Department, are monitored routinely and analyzed in a manner that ensures the timely detection of quality of care issues.
(D)Encouraging research and development in the area of quality metrics for the purposes of improving how the Department measures quality in individual facilities.
(E)Carrying out such other responsibilities and duties relating to quality management in the Veterans Health Administration as the Under Secretary for Health shall specify.
(4)The requirements under paragraph (3) shall include requirements regarding the following:
(A)A confidential system for the submittal of reports by Veterans Health Administration personnel regarding quality management at Department facilities.
(B)Mechanisms for the peer review of the actions of individuals appointed in the Veterans Health Administration in the position of physician.
(b)(1)The Regional Director of each Veterans Integrated Services Network shall appoint an official of the Network to act as the quality management officer of the Network.
(2)The quality management officer for a Veterans Integrated Services Network shall report to the Regional Director of the Veterans Integrated Services Network, and to the National Quality Management Officer, regarding the discharge of the responsibilities and duties of the officer under this section.
(3)The quality management officer for a Veterans Integrated Services Network shall—
(A)direct the quality management office in the Network; and
(B)coordinate, monitor, and oversee the quality management programs and activities of the Administration medical facilities in the Network in order to ensure the thorough and uniform discharge of quality management requirements under such programs and activities throughout such facilities.
(c)(1)The director of each Veterans Health Administration medical facility shall appoint a quality management officer for that facility.
(2)The quality management officer for a facility shall report directly to the director of the facility, and to the quality management officer of the Veterans Integrated Services Network in which the facility is located, regarding the discharge of the responsibilities and duties of the quality management officer under this section.
(3)The quality management officer for a facility shall be responsible for designing, disseminating, and implementing quality management programs and activities for the facility that meet the requirements established by the National Quality Management Officer under subsection (a).
(d)(1)Except as provided in paragraph (2), there are authorized to be appropriated such sums as may be necessary to carry out this section.
(2)There is authorized to be appropriated to carry out the provisions of subparagraphs (B), (C), and (D) of subsection (a)(3), $25,000,000 for the two-year period of fiscal years beginning after the date of the enactment of this section.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

The date of the enactment of this section, referred to in subsec. (d)(2), is the date of enactment of Pub. L. 111–163, which was approved May 5, 2010.

Reference

Citations & Metadata

Citation

38 U.S.C. § 7311A

Title 38Veterans' Benefits

Last Updated

Apr 6, 2026

Release point: 119-73