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

***** division of health care *****s 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 and social support services to veterans. Unfortunately, the present state of the ***** rehabilitation system has raised concerns among health care providers, veterans, and policy makers alike. Some of the most common medical benefits awarded under ***** VA are to veterans who have become disabled by illness or injury in the l*****e of duty during military service. ***** a result, the ***** rehabilitation ***** program serves as a safety 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, ***** ***** tie in the concepts of efficacy, effectiveness, *****d efficiency. It will also portray a balanced scorecard for ***** rehabilitation services, and ***** conclude ***** offering concepts that senior management could utilize ***** improve the quality overall through its imp*****mentation.

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

The rehabilitation services component of ***** VA provides many ***** ***** veterans while contributing in the management ***** health care resources. ***** is due to the fact that recent research ********** that the availability of federal, ***** ***** local government funds to subsidize ***** care of persons left without services varies by state and community and may not match ***** 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 ***** patchwork, the VA health delivery system stands out as a signific*****nt, coordinated, nationwide safety ***** for veterans (Wilson ***** Kizer, 1997). The VA also *****s for small vulnerable populations ***** *****m care is expensive but generally unprofitable in ***** private sector (Wilson & Kizer, 1997). In addition to veterans with service connected injuries, illness and exposures and former prisoners of war, the VA is legislated ***** treat veterans ***** special disabilities ***** spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness resulting from mental ***** (Wilson & Kizer, 1997).

Efficiency, Effectiveness and Efficacy

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


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