SPEAKER INDEX    CONTENTS   INSERTS   
BILIRAKIS        5  
DONALDSON        6      9     10     11  
EVANS            3      4  
GARTHWAITE      12     24     26     27     29     30     31     32     33  
                34     35     39     40  
GUTIERREZ        2     10     11  
MATHER          17     23     36     38     39  
MCMANUS         31     37  
MILLER          21     22     28  
STEARNS          1      3      5      6      9     10     11     17     21  
                22     23     24     26     27     29     30     31     32  
                33     34     35     36     37     38     39     40  
WILSON          30     32     33  

CONTENTS    SPEAKERS   INSERTS   
OPENING STATEMENT OF CHAIRMAN STEARNS
                                                                 PAGE     1

OPENING STATEMENT OF HON. LUIS V. GUTIERREZ
                                                                 PAGE     2

OPENING STATEMENT OF HON. LANE EVANS, RANKING DEMOCRATIC MEMBER, FULL COMMITTEE ON VETERANS' 
AFFARIS
                                                                 PAGE     3

OPENING STATEMENT OF HON. MICHAEL BILIRAKIS
                                                                 PAGE     5

STATEMENT OF MOLLA DONALDSON, M.S., PROJECT DIRECTOR, NATIONAL ROUNDTABLE ON HEALTH CARE QUALITY, 
INSTITUTE OF MEDICINE
                                                                 PAGE     6

STATEMENT OF THOMAS GARTHWAITE, M.D., DEPUTY UNDER SECRETARY OF HEALTH, DEPARTMENT OF VETERANS 
AFFAIRS; ACCOMPANIED BY NANCY WILSON, M.D., DIRECTOR, OFFICE OF PERFORMANCE AND QUALITY, 
DEPARTMENT OF VETERANS AFFAIRS; JAMES MCMANUS, M.D., MEDICAL INSPECTOR, DEPARTMENT OF VETERANS 
AFFAIRS; AND JOHN MATHER, M.D., ASSISTANT INSPECTOR GENERAL FOR HEALTH CARE INSPECTIONS, 
DEPARTMENT OF VETERANS AFFAIRS; AND MAURA FARRELL MILLER, PH.D., ARNP, CS, PRESIDENT, NURSES 
ORGANIZATION OF VETERANS AFFAIRS
                                                                 PAGE    12

STATEMENT OF THOMAS GARTHWAITE, M.D.
                                                                 PAGE    12

STATEMENT OF DR. JOHN MATHER
                                                                 PAGE    17

STATEMENT OF MS. MILLER
                                                                 PAGE    21


INSERTS    SPEAKERS   CONTENTS