HA 425 Operational Analysis and Quality Improvement

150 words as response to this post if in text cite use reference 
 Michael Donkersloot 
Hello Class, 
Healthcare reform has not had a noticeable effect on the quality of care that I received.  This point of view comes from more than 20 years of service to our nation while receiving care in the military.  Post-retirement medical care has come from a variety of both civilian and VA Medical Centers.  Throughout nearly thirty years there has not been a time where a notable difference in the treatment of any of my defined medical ailments.  Although the quality of care did not change the availably of care was addressed in 2019 where the VA made civilian care providers more accessible (VAntage Point, 2019).  This healthcare reform allowed veterans to seek care outside of the confines of the VA medical system thanks to the MISSION Act (Dept of Veteran Affairs, 2021). 
According to the Journal of General Internal Medicine, the VA has a higher quality of care than non-VA providers (O’Hanlon et al., 2017).  To better define what quality is in relation to healthcare can be an individual assessment.  Health.gov (2020) defined quality health care as care that is safe, effective, patient-centered, timely, efficient, and equitable, based on this definition, I have always enjoyed the benefit of quality care in and out of the military. 
Based on the aforementioned definition of quality of care, one can assume most, if not all want a timelier approach to being seen, the MISSION Act helped with that for many veterans, however having a civilian provider this healthcare reform did not provide a noticeable effect for me.  Having experienced the gambit of providers from Navy Corpsman to civilian neuro-surgeons there has been no noticeable effect on my care throughout the decades.   This luxury is most likely due to the fact that my care was micro-managed based on my line of work.   Post-military career care, has not changed either based on the fact that there are several avenues of care and providers available within several systems to benefit from.  Understanding this is an atypical situation at face value, it does not take into consideration the unknown factors that are not available for discussion.