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

***** division of health care services that frequently offers a variety of rehabilitation services is ***** Department of Veteran's Affairs (VA), which is a health care delivery system ***** provides primary care, specialized care, and related medical and social support services to veterans. Unfortunately, the present state of ***** ***** rehabilitation system has raised concerns among ***** care providers, *****, 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 *****, the VA rehabilitation ***** program serves as a s*****fety 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 the VA's rehabilitation services structure, *****d ***** tie in the concepts of efficacy, effectiveness, and efficiency. It will also p*****tray a balanced scorecard for ***** rehabilitation services, and ***** conclude by ********** concepts that senior management could utilize ***** improve the ***** overall through its implementation.

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

The rehabilitation services component of the VA provides ***** ***** ***** veterans while contributing in the management ***** health care resources. This is due to the fact that recent research *****dicates that the availability of federal, state and local government funds ***** subsidize the care of persons left without services varies by ***** and community and may not match community need (***** & *****, 1997). In this way, the ***** ***** ***** delivery system contributes in managing health care ***** because it takes on ***** strains of existing alternatives. Within this patchwork, the VA health ***** system stands out as a significant, coordinated, nationwide safety ***** for veterans (Wilson ***** Kizer, 1997). The VA also cares for small vulnerable populations for whom care is expensive but generally unpr*****itable in ***** private sector (***** & *****, 1997). In addition to veterans with service connected injuries, illness and exposures and former prisoners of war, the VA is leg*****lated to treat veterans ***** special disabili*****s 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, effectiveness and efficacy through a number of measures. First, the VA's headquarters manages its networks by setting goals and defining strategies to maximize ***** ***** value ********** ***** nation. Efficiency, or value, is defined as ***** performance of five **********: cost, access, technical quality, patient functional ability, and


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