Throughout this course, you have examined and applied a wide variety of tools that may be used to enhance performance objectives for health care quality, efficiency, and cost in health services organizations. From day-to-day operations to strategic decision making and initiative planning, these tools serve various purposes in affording health care administration leaders with a variety of perspectives and mitigation strategies to enhance performance in health care delivery. Health services organizations must aim to not only deliver cost-effective and high-quality health care services but they also must operate efficiently to maximize the bottom line for business operations.
For this Assignment, you will conduct research about a hospital using the Hospital Compare data source for any large U.S. city. Find a hospital that you are interested in or familiar with for this Assignment. Then, select two similar hospitals for comparative analysis. Then, analyze the organization’s position within the local and regional health care system. Analyze the cost, quality, and access metrics of the organization. Reflect on the metrics that might be monitored by the different types of control charts on the Hospital Compare data source. Think about how you would proceed with conducting a complete quality assessment of the hospitals you selected.
• Provide a description of the hospital you selected, its geographic area, the population it serves, and the reason you selected it.
• Provide a detailed comparison of this hospital with two other similar hospitals in the community as well as state / national rates. Be sure to address all of the following components:
o Similarities / differences in hospitals
o Surveys of Patients Experiences
o Timely and Effective Care
o Readmissions and Deaths
o Use of Medical Imaging
o Payment and Value of Care
• Categorize each of the subcomponents as whether they are structure, process, or outcome oriented, and identify how / if they link to cost, quality, and access. Be specific in your categorization.
• Explain whether there are there significant differences in the proportion of patients who gave the three hospitals a rating of 9 or 10. NOTE: You can find the number of respondents by clicking on the “View More Details” link on the Hospital Compare site. Conduct appropriate hypothesis testing for your comparison. How did your selected hospital perform in comparison to the others from a statistical point of view?
• Identify three separate measures that should be monitored using variable control charts, attributes or failures control charts, and nonconformity control charts.
• Provide your overall assessment of this hospital’s performance on cost, quality, and access measures. Be sure to reference your statistical results and analyses that assisted you in the development of your overall assessment.
Schizophrenia is a disorder that comes with an array of symptoms. The diagnosis of this psychotic disorder is arrived at by taking into account all of the signs and symptoms exhibited by the patient. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition also, referred to as the DSM-5 give a distinctive diagnosis for Schizophrenia that is currently utilized by doctors today to diagnose patients. The DSM-5 explains the key factors to diagnose a patient with Schizophrenia by stating, “The individual must experience two or more of the symptoms listed in the manual for one month for longer duration of time” (page number). DSM-5 continues to discuss the major symptoms for diagnosis as “delusions, hallucinations, disorganized speech, catatonic behavior or dismantled emotional response” (page number). Conditions With Similar Symptoms Distinguishing between Schizophrenia and other mental disorders with similar signs and symptoms is crucial to get the patient the correct treatment.Delusion Disorder and Schizophrenia share similar symptoms however there is a major distinction between the two that have to be accessed during a clinical diagnosis.According to Carol Tamminga, professor and chairman at the UT Southwestern Medical Dallas, Delusional Disorder signs are “one or more firmly held false beliefs that persist for at least 1 month” (1). For instance, a person believes that there is a police officer that has been following them around. Yet, they have no proof or no logical reason for thinking this. Cleveland Clinic, an non-profit academic medical center, emphasizes that patients with Delusional Disorder also, tend to believe they’re being “poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences. In reality, however, the situations are either not true at all or highly exaggerated. Both Schizophrenia and Delusional Disorder have to be clinically diagnosed based off the patient’s symptoms. If an individual only has persistent delusions it becomes apparent to the doctor that they aren’t schizophrenic. Schizophrenic requires multiple symptoms not just delusions. A person with delusional disorder are typically fully functioning individual except for their delusional episodes. According to Belmont Behavioral Hospital, emphasizes that “This condition could have an impact on the person’s daily living, although, fortunately, it does not necessarily prevent that individual from functioning within society on an ongoing basis”. In contrast to Schizophrenia, this psychotic disorder causes patience to be more dependent on friends and family due to lack of the ability to make decisions on their own. Another, similar disorder whose symptoms have to be clinically distinguished from Schizophrenia is substance or medication induced psychotic disorder. Substance induced psychotic disorder is when a patient has been abusing a controlled substance that is mind altering. Examples of drugs that cause, hallucinations and or delusions would be LSD, Psilocybin Mushrooms, recreational marijuana, and opioids. The Substance Abuse and Mental Health Services Administration report the staggering statistic that in 2014, “approximately 1.2 million Americans are currently hallucinogenic drug users”. This goes to show the epidemic that psychiatrist have to take into account prior to clinically diagnosis an individual with Schizophrenia. The diagnosis for substance or medication induced psychotic disorder is to conduct a urine test to determine if the person is experiencing a “bad trip,” due to a controlled substance. The American Addiction Center, provides a description of a bad trip as “when brain levels of the drugs become “too” high, the effects become bizarre, and you start experiencing out-of-the-earth things”. An individuals with history of drug use that have been diagnosed with substance psychotic disorder often have recurrent bad trips even after the sobriety. It’s undeniable that mind altering drugs can lead to damaging the brain and permanently causing symptoms similar to Schizophrenia. However, Schizophrenia is typically a lifelong disorder while acute Substance Induced Psychotic Disorder symptoms with proper treatment and sobriety can go away. Schizophrenia can be linked by genetics while Substance Induced Psychotic Disorder, is due to abusing a controlled substance. Neither, are curable however, with treatment symptoms can subside or disappear.>GET ANSWER