Evaluation of the Department of Veterans Affairs Mental Health Services (2018) / Chapter Skim
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7 Dimensions of Quality in Mental Health Care
7 Dimensions of Quality in Mental Health Care
Pages 167-174
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From page 167... ...
The chapter begins by defining health care quality and the attributes of integrated health care delivery systems, which is followed by a summary of the VA's recent system reform initiative. The remainder of the chapter describes the organizational framework for Chapters 8 through 15 of the report, each corresponding to one of the eight dimensions of health care quality.
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From page 168... ...
in the VA, are the best care delivery models for providing patients with access to effective, patient-centered, timely, efficient, equitable, and safe care. Integrated systems can improve care coordination and achieve continuous quality improvement and accountability.
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From page 169... ...
As described by the Defense Health Board, an advisory body for the Department of Defense, the attributes of a world-class medical facility include "applying evidencebased healthcare principles and practices, along with the latest advances in the biomedical, informatics and engineering sciences; using the most appropriate state of-the-art technologies in an easily accessible and safe healing environment; providing services with adequate numbers of well trained, competent and compassionate caregivers who are attuned to the patient's, and his or her family's culture, life experience and needs; providing care in the most condition appropriate setting with the aim of restoring patients to optimal health and functionality; and being led by skilled and pragmatic visionaries" (Kizer, 2010)
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From page 170... ...
and expanding mental health offerings, mainly through the Veterans Choice Program, which gives eligible veterans options for obtaining care from private-sector providers. MyVA's other goals include creating mobile apps for mental health and improving the Veterans Crisis Line.
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From page 171... ...
Given the complex nature of health care systems and practice, assigning assessment questions to a particular quality aspect as shown in Table 7-2 is somewhat subjective and does not capture the overlap that exists across various aspects of quality. For instance, having processes in place to integrate and coordinate care makes care delivery more efficient, but it can also result in effective care.
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From page 172... ...
Taken together, the eight chapters that follow illustrate the complexity of assessing and improving health care quality, particularly in a large, multifaceted, and dynamic health system like the VHA. In the 1990s, the VHA's reform efforts were focused on systematizing quality assessment and improvement in order to ensure that veterans received the highest-quality health care possible everywhere in the VA health care system.
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From page 173... ...
2017. VA secretary announces intention to expand mental health care to former service members with other-than-honorable discharges and in crisis.
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