450_SLP_ M3_ Managed Care
Description
The overall goal of the Session Long
Project is to examine health care delivery in the United States. Most of us in
the health care industry are well acquainted with the term
“accreditation.” We often hear about an upcoming inspection from Joint
Commission or CAP. What we don’t often think of is the fact that managed care
organizations also get accreditation. This is how they demonstrate their
commitment to ensuring patients receive quality care. For this assignment, you
are to research one of two agencies that accredit managed care organizations:
National Committee for Quality Assurance (NCQA) or Accreditation Association
for Ambulatory Healthcare, Inc. Once you have researched these organizations,
please respond to the following questions.
- Discuss the purpose of accreditation. Has the process
of accreditation really improved the quality of care being provided to
patients? - Identify and discuss the process of accreditation for
the chosen agency. - Discuss some of the standards they look for when they
go on-site. Are the standards rigorous or vague? - Do these agencies make the results of their surveys
public? How could knowing this information be benefical to patients?
LENGTH: Your paper should be 3 (900 words) pages typed and double-spaced with one-inch
margins and 12-point font, and meet the exact number of pages specified in the
assignment instructions.
COVER PAGE: Copy the exact assignment onto your cover page (the actual
questions or task).
REFERENCES: Cite your references in the text of all papers and on the
reference list at the end. For examples, review the way the references are
listed in the modules and on the background reading list.
PRECISION: Each question of the assignment is specifically addressed in the
paper.
CLARITY: The paper reads clearly (i.e., it is not confusing) and is
well-structured. Subheadings are used to guide the reader.
BREADTH: The paper presents appropriate breadth covering the questions of
the assignment (multiple perspectives and references, multiple issues/factors
considered, as appropriate).
DEPTH: The paper presents points that lead to a deeper understanding of the
matters and/or issues being discussed and integrates several points into
coherent conclusions.
EVIDENCE: Statements and points are well-supported with facts or statistics,
and references.
CRITICAL THINKING: Set aside personal biases and instead approach the
subject matter using available scholarly evidence. Consider the strengths and
weaknesses of competing arguments/perspectives on this topic. Having read these
scholarly sources, make a judgment as to the merit of the arguments presented
therein.
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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