Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

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This week, reflect on your perception of healthcare delivery models and the nurse’s role in public health programs as it has evolved over the course of your RN-BSN program at WCU. Identify specific healthcare delivery models you support, and compare and contrast public health programs you are familiar with. How does your academic work support evidence of meeting the following?

Essential III: Scholarship for Evidence-Based Practice

Outcome #2: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

Outcome #5: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.

Outcome #6: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

Outcome #7: Collaborate in the collection, documentation, and dissemination of evidence.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications.

Your reflection should be 2 pages, and APA formatted. Reference and cite any sources you use.

Rubrics:

The writer clearly and effectively responds to the assignment. The writer thoughtfully and eloquently evaluates his/her effectiveness at meeting the program essential(s), and ponders the future as it relates to this accomplishment. The writer makes clear and meaningful connections between academics and real-world applications. The student is aptly able to describe growth and development in becoming a professional nurse. There is one clear, well- focused topic. Main ideas are clear and are well supported by detailed and accurate information. The student showcases relevant assignment(s) and course work that support the essentials and outcomes indicated. The student directly references relevant assignments/ course work in his/her reflection. The introduction is engaging, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong and definitive. Reflection has a logical progression of thought and information. The assignment consistently follows current APA format and is free from errors in formatting, citations, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

Identify and discuss two (2) factors that have contributed to the persistence of erroneous assumptions about mental illness treatment.

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Discussion Board Assignment #8

Chapter10–Mental Health Services

Answer the following questions on Mental Health Services:

  1. The recipients of mental health services in the U.S. represent only a small percentage of those in need of services. State two (2) factors that impede access to mental illness treatment.
  2. Name two (2) ways WWI and WWII affected the awareness of mental health disorders among the federal government and the American public? Name one (1) result of that awareness?
  3. From colonial times through the 1960s, the primary mode of mental illness treatment was institutional. In the 1960s, mental health treatment shifted to a community-based orientation. Name two (2) factors responsible for this shift? What were the effects on patients and on the community?
  4. As mental illness treatment shifted from the institutional to the community setting, public dollars were allocated on the basis of units of service delivered, not on results of care. Discuss the implications of this policy on the deinstitutionalized severely mentally ill.
  5. The author states, “In contrast to widely held assumptions, mental disorders can now be diagnosed and treated as effectively as physical disorders.” Identify and discuss two (2) factors that have contributed to the persistence of erroneous assumptions about mental illness treatment.  Identify one (1) factor that “allow mental disorders to be diagnosed and treated as effectively as physical disorders.”

Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives. 

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Health care quality is a nationally recognized topic that is addressed through public policies, licensure, and accreditation standards for health care professionals and organizations. Throughout history, numerous organizations have been involved in developing health care quality and safety initiatives.
The Joint Commission and Centers for Medicare and Medicaid Services (CMS) developed quality and safety indicators for various health care systems. These indicators seek to establish accountability for health care organizations through a reporting system, which is available to the public. For this Discussion, explore various accrediting organizations and specific measures that pertain to quality. In your research on accrediting organizations, consider how these quality measures affect quality outcomes, support ethical principles, and influence the delivery of clinical services.
To prepare:

  • Select one specific quality indicator      from the Week 2 Discussion and compare it with those outlined in this      week’s Learning Resources (In week 2 discussion, I spoke about nosocomial      infections and pain management as quality indicators).
  • Review the accrediting body standards      that pertain to your organization focusing on those standards that require      your organization to define its quality management program.
  • Consider regulatory requirements at      the state or national level that affect quality outcomes in your      organization.
  • Ask yourself: How do the Centers for      Medicare and Medicaid Services (CMS) restricted reimbursements affect      quality management or improvement efforts at my organization? How do these      standards and regulations influence or support ethical principles and      influence patient care and nursing practice?

By tomorrow Wednesday 12/13/17, write a minimum of 550 words in APA format with at least 3 references from the list below that addresses the level one & two headings as numbered and lettered below:

post a cohesive scholarly response that addresses the following:

1) Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives.

2) From a systems perspective, discuss how this measure affects:

a. Quality outcomes

b. Supports ethical principles

c. Influences patient care and nursing practice.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 5: “Data Collection”

Chapter 6: “Statistical Tools for QI”

Park, J., Konetzka, R. T., & Werner, R. M. (2011). Performing well on nursing home report cards: Does it pay off? Health Services Research, 46(2), 531–554. doi:10.1111/j.1475-6773.2010.01197.x

The study in this article evaluates whether or not nursing homes benefit from improvements in quality measures. Four financial outcomes are measured before and after the improvements are enacted. The study shows that the nursing homes that improved quality measures benefitted financially.

Suchy, K. (2010). A lack of standardization: The basis for the ethical issues surrounding quality and performance reports. Journal of Healthcare Management, 55(4), 241–251.

Because performance reports are easily found online, this article supports creating ethical guidelines for the performance reports of the health care industry. It compares nearly ten different organizations that provide performance reporting, and then it proposes an ethical framework and principles for public quality reporting.

Wachter, R. M., & Pronovost, P. J. (2009). Balancing “no blame” with accountability in patient safety. New England Journal of Medicine, 361(14), 1401–1406.

This article addresses the issue of individual accountability in health care organizations. It suggests moving from a culture within health care that does not place blame on individuals to a culture where individuals become more accountable.

Centers for Medicare & Medicaid Services. (n.d.). Quality initiatives: Overview. Retrieved from http://www.cms.gov/QualityInitiativesGenInfo/

Created by the U.S. Department of Health & Human Services, this website overviews quality initiatives that affect the health care industry. It also provides information and downloadable PDFs on the Post-Acute Care Reform Plan and Development of Quality Indicators for Impatient Rehabilitation Facilities (IRF).

Required Media

Video: Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: External quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

The presenters in this video discuss various external organizations involved in quality, and examine the enforcement of standards by governmental agencies versus voluntary organizations. This program also addresses the publication of quality information and why organizations should do their own reporting in addition to mandated reporting. Licensing, credentialing, and certification are discussed as they relate to the social compact that health care providers have for quality and safety.

What happens to a person at death?

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Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:

  1. What is prime reality?
  2. What is the nature of the world around you?
  3. What is a human being?
  4. What happens to a person at death?
  5. Why is it possible to know anything at all?
  6. How do people know what is right or wrong?
  7. What is the meaning of human history?

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.