COURSE
NR506 Healthcare Policy and Leadership
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?
| Category | Points | % | Description |
|---|---|---|---|
| List and discuss three different patient interventions and how you would specifically measure the outcomes. | 60 | 30% | From the National Committee for Quality Assurance (NCQA) website discuss three patient interventions for the one performance measure.
Develop a measurement tool to track patient outcomes.
|
| How would these primary care interventions result in improved patient outcomes and cost savings for the practice? | 60 | 30% | Discuss how the interventions can result in improved patient outcomes and cost savings for the practice. |
| How can these interventions result in improved patient ratings? | 60 | 30% | Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard). |
| 180 | 90% | Total CONTENT Points = 180 pts | |
| Clarity of Writing | 10 | 5% | Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning. |
| APA Format | 10 | 5% | APA format, grammar, spelling, and/or punctuation are accurate. |
| 20 | 10% | Total FORMAT Points = 20 pts | |
| 200 | 100% | ASSIGNMENT TOTAL= 200 points | |
SOLUTION
Quality Healthcare: Measuring NP Performance
Providing excellent treatment in a way that is both financially feasible and easily accessible is central to the role of the advanced practice registered nurse. Both patients and healthcare professionals gain when treatment is of higher quality and is delivered more efficiently. Care quality may be improved by following the National Committee for Quality Assurance guidelines. ” Transparency, measurements, and accountability” are used to achieve these benchmarks.
More than 90% of American health insurers utilize the Healthcare Effectiveness Data and Information Set (HEDIS) to evaluate provider quality across essential service areas. Care effectiveness, availability of care, patient experience, risk-adjusted utilization, health plan description, and electronic clinical data system-reported indicators are the six pillars upon which HEDIS rests (Hechter et al., 2019).…….please click the icon below to access entire solution at $15