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 ********** by hospitals have undergone a stricter type of scrutiny. As a result, many hospitals' core ***** structure, quality model and performance metrics have been carefully examined to determine whe*****r the rehabilitation service is fulfilling its current mission and vision.

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

Overview of the Rehabilitation Services offered by the VA

The ***** services component of ***** VA provides many ***** ***** veterans while contributing in the ***** of health care resources. ***** is due to the fact ***** recent research indicates that the availability of federal, state and local government funds ***** subsidize the care ***** persons left without services varies by state and community and may not match ***** need (Wilson & Kizer, 1997). In this way, the ***** ***** ***** delivery system contributes in managing health care resources because it takes on ***** 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 ***** small vulnerable populations for whom care is expensive but generally unprofitable in ***** private sector (***** & Kizer, 1997). In addition to veterans with service connected injuries, illness and exposures and *****mer 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 illness (Wilson & *****, 1997).

Efficiency, Effectiveness and Efficacy

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


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