MHA 5020 Assessment 1: Project Topic Selection Mental Health Institutions
Sample Answer for MHA 5020 Assessment 1: Project Topic Selection Mental Health Institutions
In the past decades, two themes that have dominated mental health care are personal recovery and community living for individuals experiencing mental illness. As such, the number of individuals sent back to live in the community has substantially arisen due to deinstitutionalization, especially in developed nations (Lassemo et al., 2021). While the process has been associated with a subjective achievement of meaningful lives, problems have arisen, leading to poor health outcomes among patients with mental health issues. For example, there have been observed rates of hospital readmissions that have further impacts on the patients. Therefore, the purpose of this assignment is to select a topic for the capstone project and describe it. In addition, key performance indicators and outcomes for the proposed project and supporting sources will be explored.
Statement of the Problem
Hospital readmissions lead to adverse consequences such as higher healthcare costs, disruption of the individuals and their families, risk of healthcare-associated infections, increased length of stay, and higher mortality rates (Upadhyay et al., 2019)
Key Factors that Directly Influence the Problem [aka Performance Indicators]
The factors that directly relate to the problem are total readmissions, total unplanned readmission, and average readmissions per unit per month (Upadhyay et al., 2019)
| Factor that Directly Relates to the Problem | Precise Unit of Measurement (Days, Dollars, %, etc.) | Authoritative Source(s) for Factor and Unit of Measurement |
| Total unplanned readmissions | The number of patients readmitted to the facility unplanned | Phillips et al.(2020) |
| Total readmissions | The total number of patients readmitted at the psychiatry units | Phillips et al.(2020) |
| Average readmissions per unit per month | Number of readmissions calculated as monthly averages | Phillips et al.(2020) |
Value Proposition to the Organization
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Value Proposition/Contribution to My Professional Interests/Goals
The project will help develop my data analysis skills for quality improvement in various care settings.
Background: Review of the Literature
| Authoritative Source (APA Format) | How the Source Directly Relates to the Problem (One-Sentence Summary) |
| Lassemo, E., Myklebust, L. H., Salazzari, D., & Kalseth, J. (2021). Psychiatric readmission rates in a multi-level mental health care system–a descriptive population cohort study. BMC Health Services Research, 21(1), 1-15. https://doi.org/10.1186/s12913-021-06391-7 | This source shows that the problem of hospital readmission exists globally and at different rates. |
| Phillips, M. S., Steelesmith, D. L., Campo, J. V., Pradhan, T., & Fontanella, C. A. (2020). Factors associated with multiple psychiatric readmissions for youth with mood disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 59(5), 619-631. https://doi.org/10.1016/j.jaac.2019.05.024. | Explores factors connected with psychiatric readmissions and units of measurements. |
| Kim, B., Weatherly, C., Wolk, C. B., & Proctor, E. K. (2019). Measurement of unnecessary psychiatric readmissions: a scoping review protocol. BMJ Open, 9(7), e030696. http://dx.doi.org/10.1136/bmjopen-2019-030696 | This source analyzes the ethical consideration around psychiatric readmissions, such as unnecessary readmissions. |
| Benjenk, I., & Chen, J. (2018). Effective mental health interventions to reduce hospital readmission rates: a systematic review. Journal of Hospital Management and Health Policy, 2. https://doi.org/10.1016/j.jaac.2019.05.024 | This source highlights the existence of the problem and some strategies to reduce it. |
| Morel, D., Kalvin, C. Y., Liu-Ferrara, A., Caceres-Suriel, A. J., Kurtz, S. G., & Tabak, Y. P. (2020). Predicting hospital readmission in patients with mental or substance use disorders: a machine learning approach. International Journal of Medical Informatics, 139, 104136. https://doi.org/10.1016/j.ijmedinf.2020.104136 | The source also indicates that the problem is common and discusses ways of predicting hospital readmissions. |
| Edgcomb, J. B., Sorter, M., Lorberg, B., & Zima, B. T. (2020). Psychiatric readmission of children and adolescents: a systematic review and meta-analysis. Psychiatric Services, 71(3), 269-279. https://doi.org/10.1176/appi.ps.201900234 | A systematic review that explored the readmission rates of children and adolescents with mental health challenges. |
Conclusion
Hospital readmission among patients with mental illness is a common problem that needs solutions. Analyzing data existing in the institutions can be key in addressing this problem. In addition, it is important to identify key performance indicators associated with the problem to help address the problem.
References
Benjenk, I., & Chen, J. (2018). Effective mental health interventions to reduce hospital readmission rates: a systematic review. Journal of Hospital Management and Health Policy, 2. https://doi.org/10.1016/j.jaac.2019.05.024
Edgcomb, J. B., Sorter, M., Lorberg, B., & Zima, B. T. (2020). Psychiatric readmission of children and adolescents: a systematic review and meta-analysis. Psychiatric Services, 71(3), 269-279. https://doi.org/10.1176/appi.ps.201900234
Kim, B., Weatherly, C., Wolk, C. B., & Proctor, E. K. (2019). Measurement of unnecessary psychiatric readmissions: a scoping review protocol. BMJ Open, 9(7), e030696. http://dx.doi.org/10.1136/bmjopen-2019-030696
Lassemo, E., Myklebust, L. H., Salazzari, D., & Kalseth, J. (2021). Psychiatric readmission rates in a multi-level mental health care system–a descriptive population cohort study. BMC Health Services Research, 21(1), 1-15. https://doi.org/10.1186/s12913-021-06391-7.
Morel, D., Kalvin, C. Y., Liu-Ferrara, A., Caceres-Suriel, A. J., Kurtz, S. G., & Tabak, Y. P. (2020). Predicting hospital readmission in patients with mental or substance use disorders: a machine learning approach. International Journal of Medical Informatics, 139, 104136. https://doi.org/10.1016/j.ijmedinf.2020.104136
Phillips, M. S., Steelesmith, D. L., Campo, J. V., Pradhan, T., & Fontanella, C. A. (2020). Factors associated with multiple psychiatric readmissions for youth with mood disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 59(5), 619-631. https://doi.org/10.1016/j.jaac.2019.05.024.
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on hospital financial performance: a study of Washington hospitals. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 56, 0046958019860386. https://dx.doi.org/10.1177%2F0046958019860386.