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 ***** 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 the Department of Veteran's Affairs (VA), which is a health care delivery system that provides primary care, specialized care, ***** ***** medical and social support services to veterans. Unfortunately, the present state of the ***** 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 l*****e of duty during military service. As a *****, the VA rehabilitation ***** 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 ***** *****'s rehabilitation services structure, ***** ***** tie in the concepts ***** efficacy, effectiveness, and efficiency. It will also p*****tray a balanced scorecard for the rehabilitation services, and ***** conclude ***** offering concepts ***** senior management could utilize to improve the quality overall through its implementation.

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

The ***** services component of the VA provides ***** ***** ***** veterans while contributing in the management of health care resources. ***** is due to the fact that recent research ********** that the availability of federal, state and local government funds ***** subsidize ***** care of persons left without services varies by ***** and community and may not match community need (***** & Kizer, 1997). In this way, the VA health ***** ***** 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 significant, coordinated, nationwide safety ***** for veterans (Wilson & Kizer, 1997). The VA also cares ***** small vulnerable populations for whom care is expensive but generally unpr*****itable 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 disabilities ***** spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness resulting from mental ***** (Wilson & *****, 1997).

Efficiency, Effectiveness and Efficacy

The VA rehabilitation services structure attempts ***** fulfill ***** concepts of *****, ***** and efficacy through 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 balanced performance of five **********: cost, access, technical *****, patient functional ability, and


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