Grid ViewList View
1
Topic
2
Points
Range:
18 (36.00%)
– 20
Points
Range:
16 (32.00%)
– 17
(40.00%)
(34.00%)
Topic was
appropriate
and
relevant to
a specific
chemical
dependenc
y and target
audience.
Topic was
appropriate
and
relevant to
specific
chemical
dependenc
y, but no
target
audience
mentioned.
3
Points:
5
(10.00%)
Points
Range:
1 (2.00%) 15 (30.00%)
Topic was
appropriate
and
relevant but
no mention
of a specific
chemical
dependenc
y or target
audience.
4
Points
Range:
0 (0.00%) 0 (0.00%)
0 points
PeerReviewed
Reference
s
Points:
10
Biblical
Integration
Points:
5
(20.00%)
Points
Range:
9 (18.00%) 10 (20.00%)
Five
references
were
relevant to
the topic
and were
from a
peerreviewed
source.
(10.00%)
Points
Range:
4 (8.00%) 5 (10.00%)
References
were
written in
current
APA
format.
Points
Range:
7 (14.00%) 8 (16.00%)
Four
references
were
relevant to
the topic
and were
from a
peerreviewed
source.
Points
Range:
1 (2.00%) 6 (12.00%)
Three
references
were
relevant to
the topic
and were
from a
peerreviewed
source.
Points
Range:
0 (0.00%) 0 (0.00%)
0 points
Points
Range:
2 (4.00%) 3 (6.00%)
Provided a
Bible verse
somewhere
in the
assignment
that shows
some
understandi
ng of the
Christian
perspective
.
Points
Range:
1 (2.00%) 1 (2.00%)
Provided a
Bible verse
somewhere
in the
assignment
Points
Range:
0 (0.00%) 0 (0.00%)
0 points
Current
APA
Format,
Grammar,
and
Spelling
Points
Range:
14 (28.00%)
– 15
Points
Range:
12 (24.00%)
– 13
(30.00%)
(26.00%)
Current
APA
format,
grammar,
and spelling
had no
errors.
Current
APA
format,
grammar,
and spelling
had, at
most, 1
minor error.
Points:
4 (8.00%)
Points
Range:
1 (2.00%) 11 (22.00%)
Submission
included
either 2
minor or 1
major APA
format,
grammar,
or spelling
error(s).
Points
Range:
0 (0.00%) 0 (0.00%)
0 points
1
Chemical Dependency
2
Topic selected- Risk Factors and Effects of Chemical Dependency
Understanding the risks factors that influence chemical dependency or substance
dependency can help in establishing preventive measures to save the lives of many teenagers and
young adults who are the primary victims. The issue is of great concern since chemical
dependency has resulted in adverse effects on the social, physical and health wellbeing of
teenagers and young adults. For instance, many youths have developed mental health issues
while others have dropped out of school thus destroying their future. Therefore, identifying the
risk factors to help the youths would be essential in molding their conduct. They would also
become better Christians since the scriptures in 1st Corinthians 6:10 state that thieves, drunkards,
revilers, and extortioners will not enter the kingdom of God. The following are peer-reviewed
sources related to the selected topic.
Feinstein, E. C., Richter, L., & Foster, S. E. (2012). Addressing the critical health problem of
adolescent substance use through health care, research, and public policy. Journal of
4
Adolescent Health, 50(5), 431-436. Retrieved from
https://www.jahonline.org/article/S1054-139X(12)00055-9/fulltext
Kilpatrick, D. G., Acierno, R., Saunders, B., Resnick, H. S., Best, C. L., & Schnurr, P. P. (2000).
Risk factors for adolescent substance abuse and dependence: Data from a national
3
sample. Journal of consulting and clinical psychology, 68(1), 19. Retrieved from
5
https://www.researchgate.net/publication/232518262_Risk_Factors_for_Adolescent_Sub
stance_Abuse_and_Dependence_Data_from_a_National_Sample
ACCOUNTABLE CARE ORGANIZATION (ACO)
2
Lisdahl, K. M., Shollenbarger, S., Sagar, K. A., & Gruber, S. A. (2018). The Neurocognitive
6
Impact of Alcohol and Marijuana Use on the Developing Adolescent and Young Adult
Brain. Brief Interventions for Adolescent Alcohol and Substance Abuse, 50. Retrieved
from https://www.guilford.com/excerpts/monti2.pdf?t
Thatcher, D. L., & Clark, D. B. (2008). Adolescents at risk for substance use disorders: Role of
psychological dysregulation, endophenotypes, and environmental influences. Alcohol
Research & Health, 31(2), 168. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860456/
7
Sahu, K. K., & Sahu, S. Substance Abuse Causes and Consequences. Retrieved from
https://www.researchgate.net/publication/246544796_Substance_Abuse_Causes_and_Co
nsequences
Comment Summary
Page 1
1. missing a cover page
2. you need to select a specific dependency and mention the target
3. all the main words of the source need to be capitalized
4. Follow APA section 7.01, p. 198 and use a doi number or journal home page URL if a doi is not available. Note
that most journals have doi numbers. Use crossref.org to find the doi or run a Google search with the article
name and the letters doi to find doi numbers and then verify that the doi when entered into Google takes you to
the correct article.
5. Follow APA section 7.01, p. 198 and use a doi number or journal home page URL if a doi is not available. Note
that most journals have doi numbers. Use crossref.org to find the doi or run a Google search with the article
name and the letters doi to find doi numbers and then verify that the doi when entered into Google takes you to
the correct article.
Page 2
6. Only the first word, word after a colon or dash, and proper nouns should be capitalized in the titles of books or
articles.
7. Only the first word, word after a colon or dash, and proper nouns should be capitalized in the titles of books or
articles.
HEALTHCARE QUALITY AND SAFETY
1
Healthcare Quality and Safety
Miracle Cannon
Nurs 503
Introduction
HEALTHCARE QUALITY AND SAFETY
2
As a service, the healthcare industry and its stakeholders are subject to evaluations based
on the quality of services they offer. On top of that, the delicacy of the persons served by the
industry emphasizes the need for its major participants to exercise caution in the various
processes and procedures that define the healthcare system. In regards to the safety of the
patients served by the system, facilities are obligated both morally and legally to minimize the
possibility of harm that may come to a patient. Consequently, some agencies have been
established within the country that is government-based or otherwise whose primary objective is
to review the safety policies of healthcare facilities and to assess the quality of services such
facilities offer. In conducting their responsibilities to the patients and the stakeholders in the
healthcare industry, the entities tasked with evaluation of quality and safety rely on the tenets
that define the aspects of healthcare quality as is included in the paper.
Aspects of healthcare quality and safety
In defining the quality of healthcare and security, there are some factors and elements of
consideration to appreciate the meaning of healthcare safety. The domains of healthcare quality
are six and include; safety, effectiveness, patient-centrality, timeliness, efficiency, and
1
equitability of services. The determination of healthcare quality regarding safety, a facility’s
ability to prevent their patients from coming to harm is an integral part of quality and safety of
the facility. In addition to security, misuse and underuse is also an issue of contention in
healthcare quality through the provision of service based on scientific knowledge to those who
are most likely to benefit from the service while refraining from serving those who are most
unlikely to be assisted from that service. The other definite tenet of healthcare quality lies in
patient-centrality. It is a concept that optimizes on individual response to patient issues based on
HEALTHCARE QUALITY AND SAFETY
3
how and when they come. Despite the overall resource burden it places on the personnel, it is the
most Signiant measure of quality that a facility can amass (Waring, et al., 2016).
Timeliness as a measure of quality and safety emphasizes the promptness of response to a
patient and minimization of the delays associated with specific processes of healthcare. In
reducing the waits and delays usually associated with a healthcare facility, the management of
emergencies is significantly improved resulting in a holistic improvement in service provision.
Alongside timeliness, efficiency in regards to resource management and wastage is also an
integral aspect of healthcare quality.
Facilities that prudently manage their resources with minimal wastage are more likely to
be better stocked and well-equipped as compared to healthcare centers with a lax resource
management policy. As a consequence of the overall quality, efficiency in resource utilization is
a significant player hence ought to be accorded due credence. The level of implementation and
consideration that a facility has in regards to the aspects discussed above directly impact on its
quality and safety by any evaluation technique hence the characters could be viewed as essential
evaluation matrices.
Entities involved in improving healthcare quality and safety
In the United States, some healthcare organizations operate, each with its objectives and
interests. The establishment of such organizations can be attributed to legal requirements by Acts
of legislation or just inspiration by individuals, groups of individuals and even by companies in
some cases. However, one common denominator for such organizations is the interest in
improving the quality, safety, and accessibility of healthcare with law-based organizations
characterized by regulatory monitoring and compliance as their key functionality points. In the
HEALTHCARE QUALITY AND SAFETY
4
importance of knowledge, some such organizations are listed in this essay, each with its
perspective of improving healthcare quality and safety (O’Hara, et al., 2018).
Center for Medicaid Services
CMS is probably one of the most widely known government agencies whose mandate
lies within healthcare improvement in the country. The entity is involved in overseeing almost all
government regulations that touch on healthcare, and that is alongside establishing frameworks
on subsidizing medical coverage for citizens through some programs. The organization is
involved in increasing the access of medical care to the elderly, disabled and low-income citizens
consequently impacting on public health — additionally, its role in monitoring and enforcing
government regulations and policies on health point to a significant role in its quality
enhancement. Given that the measures are designed to protect patients and improve healthcare
quality, CMS improves healthcare quality and safety.
Joint Commission on Accreditation of Health Care Organizations
Like CMS, JCAHCO is a government organization established through an executive
decree. The entity is tasked with ensuring that health facilities continually provide quality care to
their patients by implementing a system for examining healthcare and providing scores based on
their performance indices. The ranking system used by the organization ranges from 0-100 with
higher scores referencing a better rank. For hospitals, the system is essential in that its result
determines the disbursement that a facility receives from Medicaid hence it is treated with
respect. The consequence of the activities of the organization, therefore, includes achieving
higher compliance with healthcare rules and guidelines which in turn helps in improving
healthcare safety and quality (Sherwood, & Barnsteiner, 2017).
HEALTHCARE QUALITY AND SAFETY
5
National Quality Forum
Unlike these other organizations which are a product of legal proceedings, the National
Quality Forum is a multi-professional entity that’s a product of a recommendation of the
President’s Advisory Commission on Consumer Protection and Quality in the Health Care
Industry. Since its inception in 1998, the commission is accredited with certifying 34 healthcare
practices and procedures effective in reducing the instances of adverse events.
Impact of healthcare quality and safety regulations at work
For most health practitioners, they are the primary enforcers and implementers of the
regulatory proposals established to improve the health conditions of a facility. In regards to the
impact that various regulatory procedures enacted to enhance the quality of healthcare and safety
in the workplace, the most affected people are the staff that works in the hospitals. For one,
complete implementation results in a change of organizational culture and procedures previously
held dear by most organizations. The demanding nature of most requirements on the time and
effort of the practitioners means that they have to sacrifice their time and effort in achieving the
necessary results. Consequently, other work factors affected by the regulatory change and
implementation include a transition in income for the employees who get paid more for the
additional responsibilities required for quality care. Additionally, diversification of personnel to
increase the knowledge component of the facility for more efficient care is also another impact
of the healthcare and safety regulation upheavals (Sivashanker, et al., 2018).
Reflection on improved healthcare Quality and safety
It is quite evident that some of the regulatory measures proposed in improving healthcare
quality and safety is in tandem with the religious ideology of charity and giving back to the
HEALTHCARE QUALITY AND SAFETY
6
community which supports my Christian foundation and beliefs. Consequently, it suffices to say
that the propagation of health is a direct preference of biblical teachings and as such is aligned
with the Christian way of life. However, the level of commitment regarding supporting the
regulations is yet to be complete since there are some controversial issues proposed by the new
guidelines for one, the instance of propagating efficiency by allocating more resources and skill
towards cases where life can be salvaged at the expense of one whose life is deemed as unsavable. The situation is a direct contrast with biblical assertions that taking life is a preserve of
the Almighty hence it should be saved and fought for all the same.
Conclusion
It is safe to say that the radical changes in regulatory measures and implementation
thereof are effective in improving the quality and safety of the healthcare system. However, the
changes are bound to cause some discomfort and inconveniences for any of the stakeholders
involved in either work environment or religious and social circles. The successful
implementation of such policies through and around projected obstacles is essential in a
successful change in fortunes for security and quality of a healthcare system.
References
O’Hara, J. K., Grasic, K., Gutacker, N., Street, A., Foy, R., Thompson, C., … & Lawton, R.
(2018). Identifying positive deviants in healthcare quality and safety: a mixed methods
study. Journal of the Royal Society of Medicine, 0141076818772230.
Sherwood, G., & Barnsteiner, J. (Eds.). (2017). Quality and safety in nursing: A competency
approach to improving outcomes. John Wiley & Sons.
HEALTHCARE QUALITY AND SAFETY
Sivashanker, K., Fanikos, J., & Kachalia, A. (2018). Addressing the Lack of Competition in
Generic Drugs to Improve Healthcare Quality and Safety. Journal of general internal
medicine, 33(11), 2005-2007.
Waring, J., Allen, D., Braithwaite, J., & Sandall, J. (2016). Healthcare quality and safety: a
review of policy, practice and research. Sociology of Health & Illness, 38(2), 198-215.
7
Comment Summary
Page 2
1. citation?
Content
Name: Healthcare Quality and Safety Paper Grading Rubric
Grid View
Advanced
Proficient
Developin
g
Not
Present
Quality
and Safety
Points
Range:
32
(18.28571%)
– 35
(20.00%)
Provides a
comprehen
sive
discussion
of the
tenets of
healthcare
quality and
safety. The
following
applies to
this and
each of the
following
contentrelated
categories
of this
rubric:
Major
points are
supported
with
evidence
from
scholarly
sources. At
least 3
scholarly
sources are
required in
addition to
the course
textbook
and the
Bible.
Points:
Points
Range:
29
(16.57142%)
– 31
(17.71428%)
Provides a
somewhat
detailed
discussion
of the
tenets of
healthcare
quality and
safety. The
following
applies to
this and
each of the
following
contentrelated
categories
of this
rubric:
Major
points are
somewhat
supported
with
evidence
from
scholarly
sources
and/or
there is a
minimal
discrepancy
in the
required
Points
Range:
1
(0.57142%) 28 (16.00%)
Provides a
limited
discussion
of the
tenets of
healthcare
quality and
safety. The
following
applies to
this and
each of the
following
contentrelated
categories
of this
rubric:
Major
points lack
support
from
scholarly
sources
and/or
there is a
significant
discrepancy
in the
required
number
and/or type
of
references
utilized
within the
paper.
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
References
must have
been
published
within the
past 5
years.
number
and/or type
of
references
utilized
within the
paper.
References
must have
been
published
within the
past 5
years.
Feedback:
A detailed
description
of all 6
domains is
preferred.
References
must have
been
published
within the
past 5
years.
Improveme
nt
Points
Range:
32
(18.28571%)
– 35
(20.00%)
Provides a
comprehen
sive
discussion
of entities
that are
dedicated
to
improving
healthcare
quality and
safety.
Points:
Points
Range:
29
(16.57142%)
– 31
(17.71428%)
Provides a
somewhat
detailed
discussion
of entities
that are
dedicated
to
improving
healthcare
quality and
safety.
Feedback:
Good
description
of agencies
Points
Range:
1
(0.57142%) 28 (16.00%)
Provides a
limited
discussion
of entities
that are
dedicated
to
improving
healthcare
quality and
safety.
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
Impact
Points
Range:
32
Points
Range:
29
(18.28571%)
(16.57142%)
– 35
– 31
(20.00%)
(17.71428%)
Provides a
comprehen
sive
discussion
of how the
regulatory
influence of
healthcare
quality and
safety has
impacted
your
specific
work
environmen
t as it
relates to
workflow
processes
and patient
outcomes.
Provides a
somewhat
detailed
discussion
of how the
regulatory
influence of
healthcare
quality and
safety has
impacted
your
specific
work
environmen
t as it
relates to
workflow
processes
and patient
outcomes.
Points:
28
(16.00%)
Points
Range:
1
(0.57142%) 28 (16.00%)
Provides a
limited
discussion
of how the
regulatory
influence of
healthcare
quality and
safety has
impacted
your
specific
work
environmen
t as it
relates to
workflow
processes
and patient
outcomes.
Feedback:
Limited
discussion
of workflow
processes
and patient
outcomes
affected by
regulatory
bodies and
legislation
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
Christian
Worldview
Points
Range:
14 (8.00%) 15
Points:
(8.57142%)
(7.42857%) –
Provides a
comprehen
sive
discussion
of the
influence
that your
Christian
worldview
has on your
commitmen
t to
supporting
improved
healthcare
quality and
safety.
Points
Range:
13
13
(7.42857%)
Provides a
somewhat
detailed
discussion
of the
influence
that your
Christian
worldview
has on your
commitmen
t to
supporting
improved
healthcare
quality and
safety.
Points
Range:
1
(0.57142%) –
12
(6.85714%)
Provides a
limited
discussion
of the
influence
that your
Christian
worldview
has on your
commitmen
t to
supporting
improved
healthcare
quality and
safety.
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
Writing
Quality
Points
Range:
37
Points
Range:
34
(21.14285%)
(19.42857%)
– 40
– 36
(22.85714%)
(20.57142%)
Quality of
work
includes:
clarity and
thoroughne
ss of
writing,
grammar,
varied
sentence
structure,
evidence of
critical
thinking,
and proper
use of
current
APA
format.
Quality of
work has
several
errors in:
clarity and
thoroughne
ss of
writing,
grammar,
sentence
structure,
critical
thinking,
and use of
current
APA
format.
Points:
Points
Range:
1
(0.57142%) –
33
(18.85714%)
Quality of
work has
substantial
errors in:
clarity and
thoroughne
ss of
writing,
grammar,
sentence
structure,
critical
thinking,
and use of
current
APA
format.
Feedback:
Multiple
grammatica
l and APA
errors. Not
one
reference is
correct.
Citations
needed
throughout
paper were
missing. No
websites??
?
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
Length
Requireme
nt
Points:
Points
Range:
14 (8.00%) 15
(8.57142%)
Required
length (5-7
pages) is
met. The
title page
and
reference
page do not
count
towards this
length
requirement
.
List View
Points
Range:
13
Points
Range:
1
(7.42857%) –
(0.57142%) –
13
12
(7.42857%)
(6.85714%)
Length of
paper is
more than 4
pages but
does not
meet the
minimum
length
requirement
of 5
complete
pages. The
title page
and
reference
page do not
count
towards this
length
requirement
.
Paper
length is 4
pages or
less. The
title page
and
reference
page do not
count
towards this
length
requirement
.
Points
Range:
0 (0.00%) 0 (0.00%)
Not Present
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