
(Solved) NR506NP Week 3: Quality Healthcare: Measuring NP Performance
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Description
Total Points Possible: 200
Requirements:
The National Committee for Quality Assurance (NCQA) was formed to ensure 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 quality of care.
Write a formal paper in APA format with 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 cost savings for the practice?
How can these interventions result in improved NP patient ratings?
ANSWER
Quality Healthcare Measuring NP Performance
Performance measurement is a key administrative aspect and a fundamental element quality programs in healthcare organizations. It is through performance measurements that performance is quantified concerning developed standards, goals, and expectations to guide quality improvement initiatives (NCQA, n.d). The performance measure selected is comprehensive diabetes care from the Healthcare Effectiveness Data and Information Set (HEDIS) effectiveness of care domain (NCQA, n.d). Diabetes is a chronic health condition characterized by the inability of the body to synthesize or utilize insulin. Diabetes, if left unmanaged, can result in serious health complications include kidney disease, heart disease, nervous system diseases, visual problems, and hypertension, among others (DeFronzo et al., 2015). As such, proper management of diabetes is important to control and manage blood glucose levels, lower risks for complications, and enhance quality of life. This paper will discuss three interventions for comprehensive diabetes care, including how to measure their outcomes, how the interventions will enhance patient outcomes and save costs, and how they can improve patient ratings.
Interventions for Comprehensive Diabetes Care
The patient interventions for comprehensive first intervention is lifestyle modifications, medication adherence, and blood sugar monitoring.
Lifestyle modification entails the development of physical exercise routine, nutrition and diet routines that help in improving glycemic control and weight management. In implementing this intervention, I would develop specific meal plans for the patients which would include foods with low fat and calorie levels and rich in fiber such as fruits, whole grains, and vegetables. I would also develop a personalized physical activity plan for the patients. This would involve getting moderate physical activity for at least 30 to 60 minutes or vigorous aerobic activity at least 15-30 minutes or spreading physical round the clock (Colberg et al., 2016). One measurement tool to track patient outcomes would be measuring their weight using BMI. This is mainly because, healthy nutrition and exercise lead to weight loss, which helps in blood sugar regulation.
The second intervention is medication adherence…………...Kindly click the purchase icon to purchase full solution at $10
Week 3: Quality Healthcare: Measuring NP Performance