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 performance metrics have been carefully examined to determine whether the rehabilitation service is fulfilling its current mission and vision.

One division of health care services that frequently *****fers a variety of rehabilitation services is the Department of Veteran's Affairs (VA), which is a health ***** delivery system that provides primary care, specialized care, ***** ***** medical and social support services to veterans. Unfortunately, the present state of ***** VA rehabilitation system has raised concerns among health care providers, *****, and policy makers alike. Some of the most common ***** benefits awarded under ***** VA are to veterans who have become disabled by illness or injury in the line of duty during military service. As a *****, the ***** ***** ***** 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 ***** VA's rehabilitation services structure, and ***** tie in the concepts ***** efficacy, effectiveness, ***** efficiency. It will also p*****tray a balanced scorecard for ***** rehabilitation *****, and will conclude by offering concepts that senior management could utilize ***** improve the ***** overall through its implementation.

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

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

Efficiency, Effectiveness and Efficacy

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


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