week 3 quality healthcare: measuring NP performance

User Generated

nnyinerm1397

Health Medical

NR506NP

Chamberlain College of Nursing

Description

Preparing the Assignment

The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

Effectiveness of Care

Access/Availability of Care

  • Experience of Care
  • Utilization and Risk Adjusted Utilization
  • Health Plan Descriptive Information
  • Measures Collected Using Electronic Clinical Data Systems
  • You may access the 6 domains of care by clicking this link:
  • (NCQA, n.d. https://www.ncqa.org/hedis/Links to an external site.)

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care.

Write a formal paper in APA format with a title page, introduction, the three required elements below, conclusion, and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal, and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and healthcare cost savings?

How can these interventions result in improved NP patient ratings?


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Explanation & Answer

Attached.

1

Quality Healthcare: Measuring Nurse Performance

Student’s Name
Institutional Affiliations
Due Date

2
Quality Healthcare: Fall Risk Management
Falls among older adults 65 and above during hospitalization represent a major public
health problem around the globe. According to Schoberer et al. (2022), hospital-based falls in the
elderly population cause temporary or permanent injuries, internal bleeding, and lacerations,
necessitating further dependence on the healthcare system and increased medical costs.
Enhancing patient safety and care quality is a priority for providers, government, and health
insurance providers, and falls are an example of adverse events to these stakeholders. As a result,
the National Committee for Quality Assurance (NCQA) developed a performance improvement
tool known as the Healthcare Effectiveness Data and Information Set (HEDIS) to measure six
care domains that providers use to measure the quality of care providers deliver to patient
populations. Fall risk management under the Measures Collected through the Medicare Health
Outcomes Survey is one of the performance measures that NCQA requires providers to measure
because it is the leading cause of mortality by injury in seniors (National Committee for Quality
Assurance, 2023). This scholarly paper examines different interventions that a nurse practice can
implement in inpatient settings to reduce risks of falls among the elderly population, approaches
to measure outcomes, and the impact of the strategies on patient outcomes, costs, and patient
ratings.
Patient Interventions
Hospital-based falls among Medicare beneficiaries aged 65 and above are at increased
risks for falls due to numerous factors such as cognitive impairment, long illness, elongated
hospital stay, food decline, and decline in neuromu...


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