The mandate for improving the way in which health care is delivered was stimulated by the public outcry over the estimated 98,000 deaths because of medical errors each year according to the Institute of Medicine in 1999. Since then, health care organizations have sought means by which the public can be reassured that they were meeting quality and safety standards. Accreditation agencies (e.g., The Joint Commission) and quality awards provide a means for the public to evaluate where the agency is meeting minimum standards.
You have been assigned by your manager to determine which accrediting agencies or quality improvement programs your hospital will utilize in its upcoming revenue cycle. Your hospital is a magnet hospital in a large urban area that provides multilayered services. You have previously used The Joint Commission for your accreditation but feel that you might be better served by using another accrediting body. You have three months in which to gather data and present the information to your manager.*
Complete the following for this assignment:
- Choose 3 quality improvement or accreditation-related programs to consider in replacing The Joint Commission for your organization, and briefly describe them. Your agency accepts Medicare and Medicaid payments; therefore, you will need to explore, as background, the conditions of participation for Centers for Medicare and Medicaid Services (CMS). This is important information because you will need to compare your list of accrediting agencies and quality improvement programs with the conditions of participation to see if they meet the criteria. 2. Analyze the costs and benefits of each quality improvement or accreditation-related program by stakeholder group (e.g., patient, provider, and third-party payer). 3. Rank your quality improvement or accreditation-related program suggestions with rationale.
The fundamental hero of Ralph Ellison undetectable man isn’t the special case who stays concealed as the novel unfurls. Another component additionally shrouded in intangibility pursues our obscure character all through the novel, changing both beat and rhythm as the novel creates. Or maybe like the imperceptible man, the progressing melodic beat that goes all through the undetectable man’ may not be unmistakable yet it is obviously felt and heard. It is the unmistakable fuse of the inflowing melodic beat that takes into account an interloping of thoughts dependent on the noticeable, the imperceptible and the inventive with the novel. The primary subject inside the ‘imperceptible man’ is that of the more clear topic of imperceptibility. Ellison investigates using music, for example, as jazz the minutes or encounters where imperceptibility takes control. Such breaks in perceivability imply a possibility for the hero to escape and think outside the box of the what can be called ‘established perceivability’ taking into consideration the investigation of ones possess personality and independence. A uniqueness and character that isn’t in any capacity limited to what is commonly acknowledged as unmistakable. Such breaks that take into account such investigations to occur inside the novel can be seen from the earliest starting point where in the preface the hero reviews a specific occurrence: When I saw a prize-contender boxing a country person. The warrior was quick and incredibly logical. His body was one brutal stream of fast cadenced activity. He hit the country person a hundred times while the country person held up his arms in paralyzed shock. In any case, all of a sudden the country person … struck one blow … . The keen cash hit the canvas. The long shot got approval. The country person had basically ventured within the rival’s feeling of time. Through such an entry the peruser can see that there is an option in contrast to the logical methodology. The country person utilizes reality so as to overwhelm the brutality of science enabling innovativeness to make progress. The confinement forced by science is defeated through the capacity to break down and decipher a circumstance in an unexpected way. In the case it was the country person’s capacity to venture into the time period of the prize-warrior and along these lines accommodate an alternate methodology towards triumph. One that could join imagination and innovation. Or maybe like a similar way the ‘undetectable man’ utilizes the music of Louis Armstrong with the mix of the reefer to find a somewhat offbeat method for tuning in to Armstrong’s music, in this manner in that way offering better approaches for understanding. Through crafted by Victor Zuckerkandl, faultfinder Nathaniel Mackey makes a fairly intriguing contention. Mackey states that ‘since music exists the substantial and noticeable can not be the entire of the given world. The immaterial and undetectable is itself a piece of the world, something which we experience, something to which we react’ this announcement can be seen running all through the ‘imperceptible man’. It is obvious where the hero portrays the fantasy like pictures evoked by the Louis Armstrong’s music. These pictures keep running all through the novel as observed at the plain start by the consolidation of the prize-contender and the country person. These cuts and breaks in the account are basic to establishing this inclination and topic of intangibility while in the meantime enabling Ellison to make act of spontaneity using dialect. Such method is integral to the plain system of the novel. The tale itself streams like a bit of music, with one occurrence happening directly after the other. Every occurrence offers a break, a specific point in which the hero is given a specific minute in which his personality and singularity are either tested or stated. Indeed, even so Ellison does not depend on only the imperceptible man to pass on the W.Bell calls the depiction of ‘the chronicled mission of dark American for personality in a general public whose conventions at the same time rouse and hinder their drive toward opportunity and self-realization’.Characters like Trueblood immerge. In spite of the fact that he has submitted the wrongdoing of inbreeding, trueblood does not enable his blame to tie him. He turns towards the blues for direction and atonement. One can even say that trueblood turns internal, looking to himself and to what characterizes him as a person. W.Bell says that ‘the strength and control that Trueblood finds in the blues are basic qualities that the saint must learn by recognizing his society legacy’. The character of the junkman that the saint meets later in New York is likewise a fortification of the possibility of the blues as being a piece of the social legacy of the dark network. Jazz and the blues and the power that they could appropriate lies in their capacity to parallel the then dark life. Sending in ‘Living with music’ Ellison is cited as saying ‘life could be cruel, noisy and wrong on the off chance that it wished, yet they lived it completely and when they communicated their frame of mind toward the world it was with a liquid style that decreased the disarray of living to shape’ This thought is strengthened through the gathering of the imperceptible man with the junkman who not at all like Trueblood isn’t decisively rejected by the hero, ‘he made them smile notwithstanding myself. I preferred his words through I didn’t know the appropriate response. Id known the stuff from youth, yet had overlooked it; had learned it back of school… .’.Where as the polluted past of Trueblood makes the imperceptible man throw him away the curious execution of the junkman takes into account him to get a handle on at his own legacy. A thought strengthened through the straightforward demonstration of purchasing a prepared yam from the road merchant soon thereafter.’ I yam what I am’. It is these grips at legacy and the acknowledgment of his own people groups make progress toward opportunity that the imperceptible man must acknowledge is the basic cosmetics of his journey for individual distinction and opportunity. For they are, a piece of the make-up of his identity. What should likewise be noted is that all through the novel and these episodes, the imperceptible man appears to have a specific kind of plan that each time he endeavors to accomplish. However as the novel advances the arrangement changes. It is changed from the unimportant wish of needing to graduate and move toward becoming as exceptionally regarded by the white network as Bledsoe. To needing to buckle down and have the capacity to come back to his school, to needing champion himself inside the fellowship. To at long last while in his opening, needing just to attest his very own mankind. In Ralph Ellison ‘The gathered articles of Ralph Ellison. Ellison contends that it was the American dream that drove all Americans, running from various European nationalities to come to states and build up a superior lifestyle. All things considered, this was not the situation for the then African slaves. Once liberated these previous slaves were currently constrained into finding a lifestyle that would empower them to have the capacity to live inside this European blend despite the fact that they were particularly non-European. This, Ellison contends, came about into a significantly increasingly mind boggling and careful blend, in the end bringing about to the genuine beginnings of the American culture. “Having no past in the specialty of Europe, they could utilize its components and their acquired feeling of style to extemporize shapes through which they could express their very own novel feeling of American experience.” To Ellison this obviously was parallel to Jazz as it was the one type of craftsmanship that could both clarify and recognize the American experience. Much the same as jazz utilizes extemporization, to sort out various instruments playing their very own unconstrained forms of the harmonies that make a melody, so did the a wide range of societies and social conventions meet up to piece the American custom. This piecing of the American culture and custom is seen all through the novel as the heroes encounters an assortment of people, seething from various foundations that have all met up to shape what is named as ‘American’. Ellison remarks in his ‘Shadow and Act’ that: ‘The Blues is a drive to keep the agonizing subtleties and scenes of a fierce affair alive in ones acting awareness, to finger its barbed edge and to rise above it, not by reassurance of rationality but rather by pressing from it a close lamentable, close comic lyricism. As a shape the blues is a self-portraying narrative of individual fiasco communicated expressively… ‘ At the end of the day Ellison is expressing that the blues offer another medium through which the theory of life is brought out. A logic accordingly that rotates through and around the complexities of impromptu creation. The unrefined or white-washed dividers of science are totally dismissed by Ellison for an unmistakably progressively regular or imaginative feeling of being. Where ones way is life is characterized by the disasters and encounters the individual in question experiences, with the goal that we can develop triumphant at last, while briefly depending on the solaces of the present. This as per Ellison is the genuine embodiment of ones opportunity of character. Albert Murray further develops this in ‘The saint and the blues’ expressing that the blues present us with a close antiquated catastrophe kind of presence where the legend can endure through life and through whatever grotesqueness that life presents to him through what Murray calls ‘a gadget for making the best of a terrible circumstance’. Such a reasoning can be somewhat observed through the granddad’s words that the hero hears resounding all through the novel. His, the granddads, was a reasoning of yes-sing them. Such a logic might be superficially viewed as a show of accommodation by the dark man to the white keeps an eye on predominance. However to the granddad it was a method for survival. A method for like Murray says making the best out of a terrible circumstance. In reality as we know it where the dark network was viewed as humble and second rate compared to the white network it is difficult to perceive how an all out hostile would have helped in decide uniformity. Truth be told an all out hostile by the dark man towards the white mama>