Essay - Quality Improvement in Health Care Introduction in the Past Few...

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Quality Improvement in Health Care


In the past few years, ***** criteria for evaluating the structure of rehabilitation services and related programs offered by hospitals have undergone a stricter type of scrutiny. As a result, many hospitals' core services structure, quality model and per*****mance metrics have been carefully examined to determine whe*****r the rehabilitation service is fulfilling its current mission and vision.

One division ***** health care ***** that frequently offers a variety of rehabilitation services is the Department of Veteran's Affairs (VA), which ***** a health ***** delivery system ***** provides primary care, specialized care, and ***** medical ***** social support services to veterans. Unfortunately, the present state of ***** VA rehabilitation system has raised concerns among ***** care providers, veterans, and policy makers alike. Some of the most common ***** benefits awarded under the VA are to veterans who have become disabled by illness or injury in the line of duty during military service. As a *****, the VA rehabilitation ***** program serves as a s*****fety net because many of the veterans served are psychologically and economically disadvantaged and have a high disease burden (Wilson & Kizer, 1997). This paper will provide an overview of the VA's rehabilitation services structure, *****d will tie in the concepts ***** efficacy, effectiveness, and efficiency. It will also p*****tray a balanced scorecard for ***** rehabilitation services, and will conclude ***** offering concepts that senior management could utilize to improve the ***** overall through its implementation.

Overview of the Rehabilitation Services *****fered by the VA

***** ***** services component of ***** VA provides ***** ***** for veterans while contributing in the management ***** health care resources. This is due to the fact ***** recent research indicates that the availability of federal, state and local government funds ***** subsidize ***** care ***** persons left without services varies by ***** and community and may not match community need (Wilson & Kizer, 1997). In this way, the ***** health care delivery system contributes in managing health care resources because it takes on the strains of existing alternatives. Within this patchwork, the VA health ***** system stands out as a significant, coordinated, nationwide safety net ***** veterans (Wilson & Kizer, 1997). The VA also cares for small vulnerable populations for *****m care is expensive but generally unprofitable in ***** private sector (***** & Kizer, 1997). In addition to veterans with service connected *****juries, illness and exposures and former prisoners of war, the VA is leg*****lated to treat veterans with special disabili*****s of spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness resulting from mental illness (Wilson & Kizer, 1997).

Efficiency, Effectiveness and Efficacy

The VA rehabilitation services structure attempts to fulfill ***** concepts of efficiency, ***** and efficacy ***** a number of measures. First, the ***** headquarters manages its networks by setting goals ***** defining strategies to maximize ***** ***** value throughout the nation. Efficiency, or value, is defined as balanced performance of five *****ors: cost, access, technical quality, patient functional ability, and


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