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 *****' core ***** structure, quality model and per*****mance metrics have been carefully examined to determine whe*****r 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 is a health care delivery system ***** provides primary care, specialized care, and related medical ***** social support services to veterans. Unfortunately, the present state of ***** ***** ***** system has ra*****ed 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 line of duty during military service. As 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 dise*****se burden (Wilson & Kizer, 1997). This paper will provide an overview of the VA's rehabilitation services structure, ***** will tie in the concepts of efficacy, effectiveness, and efficiency. It will also portray a balanced scorecard for ***** rehabilitation *****, and ***** conclude ***** *****fering concepts that senior management could utilize ***** improve the ***** overall through its implementation.

Overview of the Rehabilitation Services offered by the VA

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

Efficiency, Effectiveness and Efficacy

***** VA rehabilitation services structure attempts to fulfill ***** concepts of efficiency, effectiveness 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 *****, is defined as ***** performance of five *****ors: cost, access, technical quality, patient functional ability, and


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