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 the structure of rehabilitation services and related programs *****fered by hospitals have undergone a stricter type of scrutiny. As a result, many hospitals' 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 ***** that frequently *****fers a variety of rehabilitation *****s 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 ***** VA rehabilitation system has raised concerns among health 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. ***** a result, the ***** 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 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 will conclude by ********** concepts that senior management could utilize ***** improve the quality overall through its implementation.

Overview of the Rehabilitation Services offered by the VA

***** rehabilitation services component of ***** VA provides ***** ***** ***** veterans while contributing in the ***** of health care resources. ***** is due to the fact that recent research *****dicates that the availability of federal, ***** ***** local government funds to subsidize the care of persons left without services varies by state and community and may not match ***** need (Wilson & *****, 1997). In th***** way, *****e ***** health ***** delivery system contributes in managing health 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 ***** for veterans (Wilson ***** Kizer, *****). The VA also cares for small vulnerable populations for *****m care is expensive but generally unpr*****itable in the private sector (***** & *****, 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 ***** special disabilities of spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness resulting from mental illness (Wilson & Kizer, 1997).

Efficiency, Effectiveness and Efficacy

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


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