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 ***** 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 services that frequently offers a variety of rehabilitation services is the Department of Veteran's Affairs (VA), which ***** a health ***** delivery system that provides primary care, specialized care, and ***** medical and social support services to veterans. Unfortunately, the present state of the VA ***** system has raised concerns among ***** care providers, veterans, and policy makers alike. Some of the most common medical benefits awarded under ***** VA are to veterans who have become disabled by illness or injury in the line of duty during military service. ***** a *****, the VA rehabilitation services 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 ***** ********** rehabilitation ***** structure, ***** will tie in the concepts of efficacy, effectiveness, and efficiency. It will also portray a balanced scorecard for ***** rehabilitation services, and ***** conclude by ********** concepts ***** senior management could utilize to improve the quality overall through its implementation.

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

***** ***** services component ***** the VA provides many ***** for veterans while contributing in the management of health care resources. This is due to the fact that recent research *****dicates 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 (Wilson & *****, 1997). In this way, the ***** ***** care delivery system contributes in managing health care resources because it takes on the strains of existing alternatives. Within this patchwork, ***** VA health ***** system stands out as a signific*****nt, coordinated, nationwide safety ***** ***** veterans (Wilson & Kizer, *****). The VA also cares for 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 former prisoners of war, the VA is legislated ***** treat veterans with 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

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


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