Naval Hospital Guam Facility Case Study Example | Topics and Well Written Essays - 750 words

Naval Hospital Guam Facility - Case Study Example Naval Hospital Guam 2006). My search has so far brought up the general quality management program for the Department of Defense but no specifics on this particular facility. I have been unable to identify a comprehensive Quality Assurance Program document online for the Naval Hospital Guam. The tasks of the Data Quality Analysis and Evaluation Division, the closest thing to Quality Assurance, is as follows: "Administers, coordinates and analyzes a variety of statistical data, to include: Medical Expense and Workload (MEPRS); Clinical workload data (both inpatient and outpatient); and Utilization Reporting for use by the command and higher authority. Provides guidance to work centers in developing statistical data collection techniques; and conducts training to familiarize personnel with statistical data reporting and requirements, and the impact on financial and manpower resource allocation"(U.S. Naval Hospital Guam, 2008). In connection with TRICARE, there was reference to the 1998 document from the Assistant Secretary of Defense. The Department of Defense (DoD) Utilization Management (UM) Policy for the Direct Care System provides a framework for systematic business and clinical processes. Regional UM and Quality Management processes are developed at the Lead Agent level. The Lead Agent establishes joint plans with the Managed Care Support (MCS) Contractors. The National Committee for Quality Assurance (NCQA) standards or the Joint Committee on Accreditation of Health Care Organizations (JCAHCO) standards provide the basis for the flexible development of processes which are multidisciplinary, cost efficient and designed to optimize patient care (Assistant Secretary of Defense, 1998). The goals and objectives include attention to the cost efficiency, timeliness and quality of care as well as the optimal partnership with MCS Contractors. Process performance, process improvement and system improvement a nalysis are an integral part of the plan and appropriate measurement and statistical methods are included in the plan. Key elements of the plan are education, utilization review, demand referral management, case and disease management, discharge planning and health promotion. These provide a basis for the evaluation of care and the development of best practices including practice guidelines, critical pathways and critical outcome studies. TRICARE has developed a Provider Handbook by Region to supply information on key operational aspects of the program and program options. Mandated Requirements: According to the Assistant Secretary of Defense (1998), integration of UM in the Direct Care System (DCS) with the contractor's network, other regional Military Treatment Facilities (MTF),

Describe and analyze how African Americans responded to both the ideas Essay

Describe and analyze how African Americans responded to both the ideas and the actions that leading to the American Revolution - Essay Example The principle of freedom attracted the blacks to the cause of the American Revolution (Kaplan and Kaplan 3). Since both Britain and America offered â€Å"freedom,† the blacks chose the parties that made the best and fastest proposals, not knowing that they would renege on their promises. The African Americans responded to the ideas and actions that led to the American Revolution by publishing literature works, joining the protests against the additional taxes on Americans, demanding freedom and equality, negotiating terms of freedom, bringing their cases to courts, and soon, supporting either the British as loyalists, or the Americans as patriots, during the American Revolution. Literature helped African Americans express their sentiments regarding slavery, although as slave/writers, they hid their messages under religious terms. Jupiter Hammon is considered as the first Black writer to publish in America (Reuben par. 1). His works appeared religious only, but they also dealt with the themes of race, slavery, and the isolation of slaves from the whites (Reuben par. 1). During this time, slaveholders had the responsibility of approving and editing the works of their slaves, and so Hammon’s careful use of words with double meaning underscores his ability to exploit literature as a means of expressing his indignation against social injustice because of racial discrimination (Reuben par. 1). In Hammon’s poem, â€Å"An Evening Thought: Salvation by Christ, With Penitential Cries,† he stresses that only Jesus Christ can save humanity. His religious exhortations most probably pleased his master so well without recognizing that Hammon also demands the salvation of his enslaved race. After establishing that Jesus is salvation, he says: â€Å"Dear Jesus, we would fly to Thee,/And leave off every Sin† (3.1-3.2). In other words, he is saying that blacks can receive salvation or freedom through religion too. Hammon compares the captive spi rits of Christians and slaves in discreet terms: â€Å"Salvation now comes from the Lord,/He being thy captive slave† (8.3-8.4). He believes that the Lord will grant salvation even unto slaves. When Hammon speaks of hunger for faith, he connotes the hunger for freedom too: â€Å"Ho! every one that hunger hath,/Or pineth after me,/Salvation be thy leading Staff,/To set the Sinner free† (16.1-16.4). He asserts that whites and blacks are all sinners and will equally be freed by God’s mercy. Before Hammon ends his poem, he underscores the equality of all, because Christ does not choose who to save among all His children: â€Å"Salvation high and low;/ And thus the Soul on Christ rely,/ To heaven surely go† (18.2-18.4). High and low means all races, and they will all go to the same paradise, if they cannot get this paradise in America. Another slave, Phillis Wheatley, takes literature as a means of expressing her thoughts on racism and freedom. In her poem, â €Å"An Elegiac Poem, on the Death of that Celebrated Divine, and Eminent Servant of Jesus Christ, the Late Reverend, and Pious George Whitefield,† she slowly shifts the pronouns used to transfer American citizenship to all, including slaves. At first, she says â€Å"When his AMERICANS were burden'd sore† (line 15). Later on, she states: â€Å"Great COUNTESS! we Americans revere/Thy name, and thus condole thy grief sincere† (45-46). By choosing the first plural person â€Å"we,†