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Quality Healthcare: Measuring NP Performance

Measuring NP Performance

Quality Healthcare: Measuring NP Performance

Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, student will l ist and discuss three different patient interventions and how they would specifically measure the outcomes and h o w these primary care interventions result in improved patient outcomes and cost savings for the practice . In addition, students will discuss how these interventions result in improved patient ratings .

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

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  1. Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)
  2. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
  3. Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)
  4. Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)
  5. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)

Due DateSunday of week 3 by 11:59 PM MST.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

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?

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
Category Points % Description
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

Rubric

NR506NP WK3 Quality Healthcare Paper_SEPT19

Criteria Ratings Pts
This criterion is linked to a Learning OutcomePatient InterventionsFrom the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for one performance measure.
60.0 ptsExcellent

Provides detailed information regarding three patient interventions and how they could specifically be measured. Uses valid, relevant, and reliable outside sources.

54.0 ptsV. Good

Provides some information regarding three patient interventions and how they could specifically be measured. Uses some valid, relevant, reliable outside sources.

48.0 ptsSatisfactory

Provides non- specific information on three patient interventions and how they could specifically be measured. Little valid, relevant, or reliable outside sources.

30.0 ptsNeeds Improvement

Lacks detailed information regarding three patient interventions and how they could specifically be measured. The submission uses information that is not valid, relevant, or reliable.

0.0 ptsUnsatisfactory

Does not provide information regarding three patient interventions and how they could specifically be measured. Information is not valid, relevant, or reliable.

60.0 pts
This criterion is linked to a Learning OutcomePrimary Care InterventionsDiscuss how these primary care interventions result in improved patient outcomes and cost savings for the practice.
60.0 ptsExcellent

Provides detailed information regarding how the primary care interventions can result in improved patient outcomes and cost savings for the practice. Uses valid, relevant, and reliable outside sources.

54.0 ptsV. Good

Provides some information regarding how the primary care interventions can result in improved patient outcomes and cost savings for the practice. Uses some valid, relevant, reliable outside sources.

48.0 ptsSatisfactory

Provides non- specific information regarding how the primary care interventions can result in improved patient outcomes and cost savings for the practice. Little valid, relevant, or reliable outside sources.

30.0 ptsNeeds Improvement

Lacks detailed information regarding how the primary care interventions can result in improved patient outcomes and cost savings for the practice. The submission uses information that is not valid, relevant, or reliable.

0.0 ptsUnsatisfactory

Does not provide information regarding how the primary care interventions can result in improved patient outcomes and cost savings for the practice. Information is not valid, relevant, or reliable.

60.0 pts
This criterion is linked to a Learning OutcomePatient RatingsDescribe how these interventions result in improved patient ratings.
60.0 ptsExcellent

Provides detailed information regarding how these interventions may result in improved patient ratings. Uses valid, relevant, and reliable outside sources.

54.0 ptsV. Good

Provides some information regarding how the primary care interventions can result in improved patient ratings.

48.0 ptsSatisfactory

Provides non-specific specific information regarding how the primary care interventions can result in improved patient ratings. Little valid, relevant, or reliable outside sources/

30.0 ptsNeeds Improvement

Lacks detailed information regarding how the primary care interventions can result in improved patient ratings. The submission uses information that is not valid, relevant, or reliable.

0.0 ptsUnsatisfactory

Does not provide information regarding how the primary care interventions can result in improved patient ratings. Information is not valid, relevant, or reliable.

60.0 pts
This criterion is linked to a Learning OutcomeClarity of writing
10.0 ptsExcellent

Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning

9.0 ptsV. Good

Good use of standard English showing original thought. No more than two spelling or grammar errors. Well organized with proper flow of meaning.

8.0 ptsSatisfactory

Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.

5.0 ptsNeeds Improvement

Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.

0.0 ptsUnsatisfactory

More than six spelling and/or grammar errors. Poorly organized thoughts and concepts.

10.0 pts
This criterion is linked to a Learning OutcomeClarity of writing APA format, grammar, spelling, and punctuationAPA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
10.0 ptsExcellent

0-1 errors in APA format, grammar, spelling, and/or punctuation.

9.0 ptsV. Good

2-4 errors in APA format, grammar, spelling, and syntax noted.

8.0 ptsSatisfactory

5-7 errors in APA format, grammar, spelling, and syntax noted.

5.0 ptsNeeds Improvement

8-9 errors in APA format, grammar, spelling, and syntax noted.

0.0 ptsUnsatisfactory

Post contains 10 or greater errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.

10.0 pts
This criterion is linked to a Learning OutcomeLate penalty deductionsStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
0.0 ptsManual Deductions 0.0 ptsM

Answer preview

Quality is an essential factor in health care. Institute of Medicine (IOM) defines quality care as the extent to which patients and the public health care improves the expected health results and aligns with the set standards. The National Committee for Quality Assurance (NCQA) has a mandate to improve health care quality and characterize quality care with timeliness, efficiency, equitability, safety, and patient-centered care.  Some of the measures of performance by Healthcare Effectiveness Data Information Set (HEDIS) are care effectiveness, access, experience, “utilization and risk-adjusted utilization, health plan descriptive information, and measures collected using electronic clinical data systems.” (NCQA, 2019). This paper will discuss three patient interventions, how to measure them, and how the interventions will improve patient outcomes and cost savings. Also, the study will discuss how the interventions result in improved patient ratings.

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