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 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.

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

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

The ***** services component of the VA provides ***** services ***** veterans while contributing in the ***** of ***** care resources. This is due to the fact that recent research indicates that the availability of federal, ***** and local government funds to subsidize the care of persons left without services varies by state and community and may not match ***** need (***** & Kizer, 1997). In this way, the VA health ***** delivery system contributes in managing ***** care ***** because it takes on the strains of existing alternatives. Within ***** patchwork, ***** VA health ***** system stands out as a signific*****nt, coordinated, nationwide safety net for veterans (Wilson ***** Kizer, *****). The VA also cares ***** 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 ********** prisoners of war, the VA is leg*****lated to treat veterans ***** special disabilities ***** spinal cord dysfunction, blindness, amputation, traumatic brain injury, substance abuse and homelessness *****ing from mental illness (Wilson & Kizer, 1997).

Efficiency, Effectiveness and Efficacy

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


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