The Business of Behavioral Health
Description
Read the following articles from the EBSCO host database:
- Covall, M. (2005, January). Medicare prospective payment comes to psychiatric hospitals. Behavioral Health Management, 25(1), 5457.
- Oss, M. E. (2005). What’s next for managed behavioral health. (Cover story). Behavioral Health Management, 25(6), 11-14
You should also search the Internet to further learn about additional factors that influence the business model of behavioral health.
Your paper introduction (one page) should include the following points:
- An overview of the research paper
- The purpose or objective of the research paper
The body of the paper (four to six pages) should address each of the following topics using information learned in the course, in combination with outside references:
- In today’s healthcare scenario, are behavioral health services viewed as a profession? How? Is behavioral health service different from the rest of the healthcare industry? If yes, how? If no, why?
- Describe the main reasons why behavioral healthcare may be reimbursed differently than any other healthcare services, in general. What factors need to be addressed based on the population served? Utilize your course and text readings to support your answers.
- What are some of the challenges faced by behavioral healthcare providers who operate in a managed care environment? What are some of the areas of conflict between behavioral healthcare providers and managed care? Which amongst these conflict areas do you think is the most crucial, and requires immediate attention, and why?
- Will the managed care environment be able to support the services required to provide effective residential treatment? In your opinion, what will a residential treatment facility need to continue providing effective treatment while still being able to get reimbursed, especially through Medicaid or Medicare services? (You can use the the CMS.gov Web site to get more information on these topics.)
Your conclusion (one page) should include the following points:
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- What conclusions can you draw from your research that would demonstrate the role played by managed care in the behavioral health industry?
- If you were a manager of a behavioral healthcare organization, what changes would you bring to your ways of doing business to meet the consumers’ needs while still being able to be reimbursed for the services provided to the consumer?
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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