APA format,  3 references

In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

1. Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 readings for sources regarding health care agencies.
2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.
3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

Read chapter 6 and 7 of the class textbook.  Once done answer the following questions;

1.  Describe the health beliefs of the African American and Amish people and how they are differ

2.  Mention the difference between the African American and the Amish communities regarding health care.

3.  If there any similarity between the African American and the Amish population.

As always your assignment in an APA format.  Assignment must be presented in an Arial 12 font with at least 3 evidence based references. A minimum of 500 words are required.

due date: Saturday, sept 16, 2017 at 2:00pm

CASE STUDY DISCUSSION QUESTIONS

1.       What diversity issues are present in the case?

2.        2. How would you define diversity? What makes an organization diverse?

3.        3. How should Ralph open up the diversity conversation to the Corporate Leadership Team (CLT) as a whole?

4.        4. What conflict management tools should Ralph use to address the perceived cultural bias issues with the Corporate Leadership Team (CLT)?

5.        5. What effect did promoting Roosevelt to Senior Vice President (SVP) have on the organization? Why?

6.        6. Why did Ralph promote Roosevelt to Senior Vice President (SVP)? What did that signal to the organization and CLT?

7.        7. Which team is more important to have as high performers, the Corporate Leadership Team (CLT) or the Corporate Diversity Department (COD)? Why?

8.        8. What impact will increasing diversity have on team performance? Why?

9.        9. What leadership traits will be important for Mikayla to develop for the Chief Diversity Officer (COO) position?

10.   10. Is the current workforce diverse? In all professions?

11.    11. How much does the composition of the Board of Directors contribute to Ralph’s decision-making?

 

 

Performance management is, ideally, an ongoing quality-assurance-based process. The process provides an organization, its employees, regulatory agencies, accreditors, and other stakeholders with a structured means to support and accomplish mutually identified strategic goals and objectives.

Assume the role of a newly-hired risk management officer for a hypothetical new allied health organization in your chosen career field. You and your team will need to develop the organization’s policies.

The first item you will create will be a performance management plan. The HIM Briefings (2019) article, which includes Lean, Six Sigma, or PDSA, is located in the Topic Materials. Using the resources in HIM Briefings or another qualified framework, craft a proposal (1,250-1,500 words) for a performance management plan for the new organization that includes the following:

• Organizational Goals: Provide a statement of the organization’s goals regarding workplace safety, risk management, or quality improvement; select one area, and develop five goals for that specific area.
• Outline of Organizational Objectives: Outline and provide a brief evaluation of specific objectives that support the organizational goals you previously identified, to include the use of an interdisciplinary approach to patient care.
• Rationale: Evaluate the use of the interdisciplinary approach to patient care in the performance management plan. What provisions were planned in order to include this approach effectively?
• Quality and Process Outcomes: Describe the importance of quality and process outcomes within one’s scope of practice.
• Summary of Relevant Performance Measures: Summarize the steps and measures the new organization will adopt to measure performance. Consider (a) how well measures will align with the stated goals, (b) how these measures demonstrate the importance of quality and the relationship to positive health outcomes, (c) how the measures are able to be controlled by the organization (i.e., how the organization can affect change in this area), and (d) how the measures meet criteria related to reliability and validity, and are standardized.
• Performance Baseline: Determine a performance baseline for the measures selected. This will enable the organization to conduct comparisons of desired goals versus actual results over time.
• Performance Evaluation: Select one of three commonly accepted methods to measure provider quality. Summarize the features and why it applies best to the organization. Refer to the assigned reading, “The Measurement of Health Care Performance: A Primer from the Council of Medical Specialty Societies.” 
• Definition of Success: Define what success means to the organization. Now that you have chosen measures to assess organizational performance, identify what success means to the organization; otherwise, you are chasing a moving target. Be explicit in the level of performance you see as acceptable. This will change as an organization grows, but you need to start somewhere in order to get anywhere.

   

Assessment and Diagnosis of the Psychiatric Patient

A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.

—Pamela Bjorklund, clinical psychologist

Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation.

This week, as you explore assessment and diagnosis of patients in mental health settings, you examine assessment tools, including their psychometric properties and appropriate uses. You also familiarize yourself with the DSM-5 classification system.

Reference: Bjorklund, P. (2013). Assessment and diagnosis. In K. Wheeler (Ed.), Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.) (pp. 95–168). Springer Publishing Company.

Learning Objectives

Students will:

•  Evaluate elements of the psychiatric interview, history, and examination

•  Analyze psychometric properties of psychiatric rating scales

• Justify appropriate use of psychiatric rating scales in advanced practice nursing

Learning Resources

https://dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.5555/appi.books.9780890425596.Section1

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

• Chapter 34, Writing Up the Results of the Interview

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

   

• Chapter 5, Examination and Diagnosis of the Psychiatric Patient

• Chapter 6, Classification in Psychiatry

• Chapter 31, Child Psychiatry (Sections 31.1 and 31.2 only)

American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents. https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 1–8). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 9–15). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 16–21). Wolters Kluwer.

   

Required Media (click to expand/reduce)

https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=20

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=39

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=53

https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/diagnostic-criteria

https://www.youtube.com/watch?v=U5KwDgWX8L8

https://www.youtube.com/watch?v=IRiCntvec5U

Getting Started With the DSM-5

This is not unlike what has occurred in the process of classifying mental disorders. A system that provides enough specificity to appropriately classify a large variety of mental disorders while also attempting to include all of the possible symptoms, many of which can change over time, is a daunting task when used by a variety of specialists, doctors, and other professionals with varied experience, cultures, expertise, and beliefs. The DSM has undergone many transformations since it was first published in 1952. Many of these changes occurred because the uses for the DSM changed. However, the greatest changes began with the use of extensive empirical research to guide the creation of the classification system and its continued revisions.

In order to assess and diagnose patients, you must learn to use the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, usually abbreviated as the DSM-5, to render a diagnosis. In this second week of the course, you will examine how DSM-5 is organized and how clinicians use it to render diagnoses. 

Review the Learning Resources this week, with special emphasis on viewing the Diagnostic Criteria video. This video explains the purpose and organization of the DSM-5 classification system, the purpose of the ICD-10 coding system, their relationship to one another, and the importance to the PMHNP role. 

Discussion: The Psychiatric Evaluation and Evidence-Based Rating Scales

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

To Prepare:

• Review this week’s Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.

• Consider the elements of the psychiatric interview, history, and examination.

• Consider the assessment tool assigned to you by the Course Instructor.

By Day 3 of Week 2

Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

Diagnostic Tool

Beck Depression Inventory, 2nd Revision   

At least 3 citations