Description
In an 8 to 10 page paper, describe three rate based measurements of quality.
Select three rate based measurements of quality that you will use as the primary basis for this paper.
1) Health Outcomes Survey (HOS) or Hospital CAHPS (HCAHPS) please choose one here.
2) Seclusions and Restraints Rate
3) Urinary tract infection admission rate
These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care. Please choose a psychiatric hospital or a behavior healthcare organization with both inpatient and outpatient/clinic settings. You do not need actual data from a given organization to complete this assignment.
Deconstruct each measure to include descriptions of the following:
- The definition of the measure
- The numerical description of how the measurement is constructed (the
numerator/denominator measure counts, the formula used to construct the rate,
etc.)
- Explain how the data for this measure are collected
- Describe how the measurement is compared externally to other like settings;
differentiate between the actual rate and a percentile ranking.
- Explain whether the measure is risk adjusted or not. If so, explain
briefly how this is accomplished.
- Describe how goals might be set for each measure in an aggressive
organization, which is seeking to excel in the marketplace.
--Describe the importance of each measure to a chosen clinical organization and setting.
--Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare.
Explanation & Answer
Hello there here you go, the final document.
Running Head: MEASUING QUALITY IN HEALTH CARE
Health and Medical Paper
Name:
Course:
Instructor:
Institution:
Date:
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Running Head: MEASUING QUALITY IN HEALTH CARE
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In any service related field or industry quality is a very important measure of the level of
efficiency and effectiveness in the operations of the organization. Measuring quality in these
fields is very important because unlike in other industries that deal with products that are easy to
measure their quality due to things such as returns in the service industry measurement of quality
is a bit complicated. One of the industries that are primarily a service industry is the medical
field. Fortunately, there have been measures that have been put in place to measure the quality of
health care. In this paper, we are going to look at three rate based measurements Hospital CAHPS
(HCAHPS), Seclusions and Restraints Rate and Urinary tract infection admission rate.
The HCAHPS which stands for Hospital Consumer Assessment of Healthcare Providers and
Systems and pronounced as “H-caps” measures patients experiences in the hospital by taking
into consideration 32 items during the survey and data collection. What makes HCAHPS stand
out as a measure of quality is that though hospitals collect data on their performance from the
patient the measure is the first national standardized and publicly reported survey on patient
experience of medical care. The advantage of this is that allows for there to be a cross
comparison among hospitals locally, regionally and nationally.
The data for this measure is collected through administration of a survey. The prescribed time for
the administration of the survey is 2 to 42 days after the patient has been discharged from the
hospital. There are ways or the modes which have been approved for the administration of this
survey. These modes are interactive voice response, the mail, the telephone and a mixture of both
the mail and the telephone, in this case, the telephone being used to follow up on the mail. Like
stated this measure looks at the patient’s experience in the hospital. The following are the
experiences that it captures;
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The transition to post-hospital care
Running Head: MEASUING QUALITY IN HEALTH CARE
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Serenity and quietness of the hospital
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Level of cleanliness of the hospital
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Communication effectiveness with the doctor and the nurses
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The level of responsiveness of the hospital staff
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How pain management was conducted
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Effectiveness in communication about medicines.
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Calculation for HCAHPS is conducted systematically through the following steps;
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The hospital submits the HCAHPS surveys to the HCAHPS data warehouse for the
Hospital Inpatient Quality Reporting program.
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The Centre for Medicare and Medicaid services (CMS) sought out the data by for
instance removing surveys that are incomplete or surveys that are from ineligible
patients.
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CMS calculates the top box which is the most positive score given to the hospital for the
nine measures that are used to measure the patient's experience of care domain.
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CMS then considers the patient mix adjustment for the nine measures that have been
mentioned above used in HCAHPS to obtain the patient mix adjusted score.
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CMS then adjusts the scores to take into conside...
