APA format. Use scholar authors only. 3 paragraphs. Include all references. Read all instructions. You have to use the scenario
THIS NEEDS TO BE INCLUDE IN THE DISCUSSIONTake on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.
One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.
You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.THIS NEEDS TO BE INCLUDE IN THE DISCUSSIONTake on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.
References
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press. Chapter 3, “Measuring Performance” (pp. 35-78)Chapter 4, “Evaluating Performance” (pp. 79-118)Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby. Chapter 23, “Managing Quality and Risk” (pp. 406-427)Chapter 24, “Translating Research Into Practice” (pp. 427-449)Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51.
Expert Solution Preview
In order to determine the number of diabetics in the practice and how many meet all components of HEDIS comprehensive diabetes care, as the staff nurse, I would undertake the following steps:
1. Collect Data: In order to accurately determine the number of diabetics in the practice, I would need to gather data from various sources. This would include reviewing patient charts, electronic health records, and any available registries or databases related to diabetes care. I would also collaborate with other healthcare professionals in the practice, including physicians, nurses, medical assistants, and office staff, to ensure all relevant data is collected.
2. Identify Diabetic Patients: Using the collected data, I would identify patients who have been diagnosed with diabetes. This would involve reviewing medical records, laboratory results, and physician notes. Additionally, I would ensure that any patients who have recently been diagnosed with diabetes are added to the list. This process would help establish the total number of diabetics in the practice.
3. Assess HEDIS Components: Once the diabetic patients have been identified, I would then evaluate each patient’s medical records to determine whether they meet all components of HEDIS comprehensive diabetes care. These components typically include measures such as adequate blood pressure control, glycemic control, medication management, and regular screenings for complications. By carefully reviewing each patient’s records, I would be able to ascertain how many patients meet these comprehensive care measures.
In conclusion, as the staff nurse in this scenario, I would undertake a systematic process to identify the number of diabetics in the practice and evaluate how many meet all components of HEDIS comprehensive diabetes care. By collecting and analyzing data from various sources, as well as collaborating with other healthcare professionals, I would ensure accurate and comprehensive information for determining the current state of diabetes care in the practice.
References:
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51.
