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Federal Register / Vol. 86, No. 20 / Tuesday, February 2, 2021 / Notices Providing the Highest Quality Whole Health Care Quality Commitment Statement: VA is committed to providing Veterans with a high-quality, whole health care system that delivers an excellent experience of care and optimal health outcomes. VA
will deliver the same high quality, evidence-based standards of care regardless of where, or by which modality, their care is received.
Quality Criterion: The recommendation considers the quality and delivery of health care services available to Veterans, including the experience, safety and appropriateness of care.
Quality Sub-Criteria:
The recommendation:
Ensures the highest possible quality of care across demographics and geography;
Promotes recruitment of top clinical and non-clinical talent;
Maintains or enhances Veteran experience;
Considers health equity i.e., demographics;
Reflects consideration of factors underpinning observed quality patterns e.g., rurality and other social determinants of health; and Incorporates trends in the evolution of U.S. health care.
When applying the quality criterion, VA will consider how a recommendation will impact the quality of care for Veterans. Quality in health care is measured through metrics and ratings assessed by federal and commercial health care entities. VA will consider the care needs and preferences of Veterans in order to provide optimal experience, safety, and outcomes.

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Effective Use of Resources for Veteran Care Cost Effectiveness Commitment Statement: VA is committed to optimizing our health care system through the effective use and sharing of resources, including staffing, space, infrastructure and funding, with the goal of providing Veterans with the best health care and outcomes. We will actively and mindfully manage our resources, allowing us to provide services and support that effectively match Veterans needs and preferences while putting their health and empowerment at the center of system design.
Cost Effectiveness Criterion: The recommendation provides a costeffective means by which to provide Veterans with modern health care.
Cost Effectiveness Sub-Criteria:
The recommendation:

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Reflects stewardship of taxpayer dollars by optimizing investments and resources for Veterans;
Recognizes potential savings or efficiencies that may free resources for more impactful investment for Veterans;
Considers the value of Veteran and employee experience, innovation, and other intangible elements of value;
Considers health equity i.e., demographics;
Reflects consideration of factors underpinning observed cost patterns e.g., rurality and other social determinants of health; and Incorporates trends in the evolution of U.S. health care.
When applying the cost effectiveness criterion, VA will consider whether a recommendation optimizes funding for Veteran care.
Ensuring a Safe Environment of Care Sustainability Commitment Statement: VA is committed to providing Veterans a safe and welcoming environment of care.
Our goal is for Veterans to feel safe physically, mentally, socially and emotionally when in our care. We commit to providing standard and complementary types of care for our unique Veteran population in an equitable and inclusive environment.
We will do this by ensuring points of care are modern and inviting, with an expert workforce and care options designed to meet them where they are in their health journey.
Sustainability Criterion: The recommendation creates a sustainable health care delivery system for Veterans.
Sustainability Sub-Criteria:
The recommendation:
Aligns investment in care and services with Veteran need across demographics and geography;
Reflects stewardship of taxpayer dollars by creating a sustainable infrastructure system for Veterans;
Enables recruitment and retention of top clinical and non-clinical talent;
Considers health equity i.e., demographics;
Reflects consideration of factors underpinning observed access patterns e.g., rurality and other social determinants of health; and Incorporates trends in the evolution of U.S. health care.
When applying the sustainability criterion, VA will consider how a recommendation impacts our ability to offer Veterans a welcoming and safe care environment that meets modern health care standards and ensures sustainability for future generations of Veterans.

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Signing Authority Dat P. Tran, Acting Secretary of Veterans Affairs, approved this document on January 26, 2021, and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs.
Jeffrey M. Martin, Assistant Director, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs.
FR Doc. 202102138 Filed 2121; 8:45 am BILLING CODE 832001P

DEPARTMENT OF VETERANS
AFFAIRS
Privacy Act of 1974; System of Records Office of Small &
Disadvantaged Business Utilization OSDBU, Department of Veterans Affairs VA.
ACTION: Notice of a modified system of records.
AGENCY:

SUMMARY: VA personnel will access the system to find resources available to veteran entrepreneurs and to register those resources that they provide. They may also utilize the database to counsel and assist veteran entrepreneurs in starting a small business or expanding an existing small business. The Office of Small & Disadvantaged Business Utilization OSDBU will use the records and reports derived from the database to manage their responsibilities under the Veterans Entrepreneurship and Small Business Development Act of 1999. Federal, State, and local government personnel will access the system to find resources available to veteran entrepreneurs and to register those resources that they provide. They may also utilize the database to counsel and assist veteran entrepreneurs in starting a small business or expanding an existing small business. The general public, including private sector companies and corporate entities, will access the system, via internet, to review the information, register those resources that they provide, and to locate potential resources for Veteran entrepreneurs.
DATES: Comments on this modified system of records must be received no later than 30 days after date of publication in the Federal Register. If no public comment is received during the period allowed for comment or unless otherwise published in the Federal Register by VA, the modified
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