Justice, Equity, Diversity, and Inclusion in Behavioral Health Quality

 Justice, Equity, Diversity, and Inclusion in Behavioral Health Quality Management and Compliance

For this assignment, you will be the president or CEO of the behavioral health organization you described in your Week 3 Addressing Access and Equity Challenges for Medicare and Medicaid Participants journal. As the senior administrator, you were asked to prepare a comprehensive report. The purpose of the report was to determine your organization’s preparedness for a JCAHO or NCQA accreditation site visit. Assume you and your administrative team have already prepared the comprehensive report. For this assignment, you will create an excerpt from the executive summary and an annotated bibliography that will be written to accompany the report. Executive summaries are prepared to summarize the key points of a comprehensive report. Since, in practice, executive summaries are written after the comprehensive report is completed, to prepare for your executive summary, you should create an outline and notes for yourself with the information you would include if writing a comprehensive report.

Minimally, assume that your board has eight members, each with one of the following academic degrees: bachelor’s in finance, bachelor’s in marketing and communication, master’s in business administration, master’s in organizational leadership, master’s in strategic fundraising and philanthropy, master’s in social work, doctorate in psychology, and a doctorate (MD or DO) with a specialization in psychiatry. Therefore, be careful that the terminology you use is clear and does not assume the reader has a background in mental health jargon.

In addition, research at least 10 peer-reviewed journal articles or chapters in a scholarly book published in the last 10 years to include in your annotated bibliography. Resources assigned in any week in this course may be utilized along with new resources that you locate. Blogs and sources listed as “credible” in the Scholarly, Peer-Reviewed, and Other Credible sOURCES table but are not peer-reviewed journal articles or scholarly books may not be used. Review the University of Arizona Global Campus Writing Center’s resources APA: Formatting Your Reference. for guidance on correct APA formatting.

Executive summary excerpt 

• Create a headline that gives the name of your organization and its mission statement.
• Compose an opening paragraph written in a professional tone that also captures the reader's attention. In the opening paragraph,
  • Clearly and briefly explain what your organization does.
  • Integrate a short story, surprising fact, or insightful quote from a consumer relevant to the purpose of the report and incorporate a justice, equity, diversity, or inclusion component relevant to type types of diversity in the clientele your organization serves.
  • Describe the purpose of the report in the concluding sentence, explicitly including language relevant to determining your organization’s preparedness for a JCAHO or NCQA accreditation site visit.
• The content in the body of your executive summary will vary based on the nature of your organization; however, the information must be presented in bullet points and address the following:
  • JCAHO accreditation
    • Explain at least five accreditation standards relevant to your organization’s services. Be sure to cite the specific standard to be addressed and discuss compliance indicators relevant to your organization.
    • Discuss at least one outcome for each accreditation standard, including how it is defined and measured in your organization.
    • Integrate evaluative criteria relevant to justice, equity, diversity, and inclusion for the clientele your organization serves and at least one group underserved by your organization.
  • NCQA accreditation
    • Explain at least five accreditation standards relevant to your organization’s services. Be sure to cite the specific standard to be addressed and discuss compliance indicators relevant to your organization.
    • Discuss at least one outcome for each accreditation standard, including how it is defined and measured in your organization.
    • Integrate evaluative criteria relevant to justice, equity, diversity, and inclusion for the clientele your organization serves and at least one group underserved by your organization.
  • Conclusions and recommendations: The conclusions and recommendations section must consist of one to two paragraphs and include the following:
    • Compose a statement that explicitly provides your determination regarding your organization’s preparedness for a JCAHO or NCQA accreditation site visit. Is your organization ready for one, both, or neither accreditation site visit(s)?
    • Explain the rationale for your conclusion. Your board is highly motivated for you to acquire and maintain both types of accreditation.
      • If you determine your organization is not ready for one or both types of accreditation visits, include recommendations of specific actions needed to become ready.
      • If you determine your organization is ready for one or both types of accreditation visits, include recommendations of actions that can be taken to exceed minimum accreditation standards in at least two specific areas.
    • Determine your organization’s strengths, weaknesses, and opportunities for addressing the justice, equity, diversity, or inclusion needs of the clientele your organization serves and at least one group your organization underserves.
    • Conclude by clearly stating one top priority next step for your organization related to preparation for an accreditation site visit.

Annotated bibliography: Search the University of Arizona Global Campus Library databases and the internet to find scholarly sources that inform the contents of your executive summary excerpt. Construct an APA-style annotated bibliography with a minimum of:

• Ten peer-reviewed journal articles published within the last ten years. The sources must be specifically relevant to the services your organization provides, accreditation compliance, and justice, equity, diversity, or inclusion concerns your behavioral health organization needs to address for the clientele you serve.
• Six credible professional website resources, three of which are pertinent to a JCAHO accreditation review and three of which are pertinent to an NCQA accreditation review. Relevant required or recommended sources for this course may be used.