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.

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 related medical ***** social support services to veterans. Unfortunately, the present state of the VA rehabilitation system has raised concerns among ***** care providers, veterans, and policy makers alike. Some of ***** most common ***** benefits awarded under the VA are to veterans who have become disabled by illness or injury in the line of duty during military service. As a *****, the ***** rehabilitation services program serves as a safety net because many of the veterans served are psychologically ***** 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 p*****tray a balanced scorecard for the rehabilitation services, and ***** conclude ***** offering concepts that senior management could utilize ***** improve the ***** overall through its implementation.

Overview of the Rehabilitation Services offered by the VA

The ***** services component of ***** VA provides ***** ***** ***** veterans while contributing in the ***** of health care resources. ***** is due to the fact that recent research indicates that the availability of federal, ***** ***** local government funds ***** subsidize the care of persons left without services varies by state and community and may not match ***** need (***** & *****, 1997). In this way, the VA ***** ***** ***** system contributes in managing health 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 net for veterans (Wilson & Kizer, *****). The VA also cares for small vulnerable populations for whom care is expensive but generally unpr*****itable in ***** private sector (Wilson & Kizer, 1997). In addition to veterans with service connected injuries, illness and exposures and ********** prisoners of war, the VA is legislated ***** treat veterans ***** special disabili*****s of spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness resulting from mental illness (Wilson & *****, 1997).

Efficiency, Effectiveness and Efficacy

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


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