Class Exercises for Competency Assessment
Use this case illustration to do Exercise 1.1.
While making a routine night patrol through a partially developed construction area on the outskirts of town, a sheriff’s deputy notices fresh tire tracks in the new-fallen snow that lead suspiciously toward a clump of trees and some bulldozed construction debris. There had been complaints of vandalism on the construction site, so the deputy investigates. As he drives closer, the spotlight reveals a large, older-style SUV. However, the vehicle occupants are not the expected adolescent trouble-makers but a homeless family seeking a protected spot to rest for the night. A frightened-looking man and woman shield their eyes from the spotlight glare while three sleepy-eyed children peer out from under blankets in the back. The woman clutches an infant in her arms.The officer learns that the couple is from out of state. The man relates how they gave up their apartment back home and bought this large vehicle to transport them and their meager belongings texas where he’d been promised a job.But 300 miles from home, he got a call informing him that the company just shut down. Now there was no job and to make matters worse, the fuel pump on the truck was acting up and he didn’t know how much farther the SUV could go without an expensive repair. They’ve been running the engine a little off and on for heat, butthey only have a little food and no idea of where or how to get help in the morning. The officer radios dispatch, describes the situation and consults on what to do next.
From Book: Applied Social Research: A Tool for the Human Services. 9th Edition. Monette and Sullivan

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This week was about the Health Care Delivery system in the United States and our public health preparedness.
For your participation in this discussion forum, answer the question below:
How is the quality of healthcare services measured?
What were some of the significant changes that have taken place in healthcare delivery over the years?
References:
McKenzie, J. F. Pinger, R. R., & Seabert, D. M. (2018). An introduction to community and public health (9th ed.). Jones & Bartlett Learning
Erwin, P. C., & Brownson, R. C. (2017). Scutchfield and Keck’s principles of public health practice (4th ed.). Cengage Learning.

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How Leaders Create a Culture of Accountability in Health Care https://postgraduateeducation.hms.harvard.edu/trends-medicine/how-leaders-create-culture-accountability-health-care
Accountability: What Does It Mean? How Do You Get It? https://www.physicianleaders.org/articles/accountability-what-does-mean-how-you-get
Why Accountability Sharing in Health Care Organizational Cultures Means Patients Are Probably Safer https://journalofethics.ama-assn.org/article/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably-safer/2020-09
High-Reliability Health Care: Getting There from Here
Improving the Quality of Healthcare What’s Taking So Long
What are the key points made relative to a culture of accountability in healthcare? Why is accountability in healthcare important? How do we achieve it? If achieving high reliability in healthcare is our goal, why haven’t we achieved that across hospitals and health systems? What is standing in our way? How might we overcome the barriers and impediments? How does collective mindfulness factor into our achievement of high reliability in healthcare?

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Please answer only no. 3

Background information:

Georgina is a new client. Who you will be meeting today for the first time. She is aged in her mid-forties and has two young children aged 8 and 10. She currently lives with her husband in an unhappy relationship. She has sought counselling to assist with her unhappiness in her relationship.

Georgina is seeking counselling as she is in a very unhappy relationship and has no one to confide in. She is hoping counselling will help resolve some of her emotional issues.

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