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

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

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

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

Efficiency, Effectiveness and Efficacy

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


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