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 whether the rehabilitation service is fulfilling its current mission and vision.

One division ***** health care *****s that frequently offers a variety of rehabilitation services is ***** Department of Veteran's Affairs (VA), which ***** a health care delivery system that provides primary care, specialized care, ***** ***** medical and social support services to veterans. Unfortunately, the present state of ***** ***** ***** system has raised concerns among health 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. As a result, the ***** rehabilitation services program serves as a s*****fety 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 services, and ***** conclude ***** ********** concepts that senior management could utilize ***** improve the quality overall through its imp*****mentation.

Overview of the Rehabilitation Services offered by the VA

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

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


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