Read Sayles Ch 12 in the textbook and research the Specifications Manual for Joint Commission National Quality Measures.
The Memorial Hospital has had some issues with rejected data due to formatting errors when reporting core measures to the Joint Commission. This has prompted an evaluation of the data elements to see if they comply with the Specifications for the Joint Commission’s National Quality Measures (Specifications). You are tasked with this evaluation. Use the data elements listed in the table below and evaluate if they are correct or if they need updating. Complete the missing fields in the table by indicating if the elements need updating. Additionally, solve the issue of incorrect data elements by modifying them to meet the Specifications.
Lastly, propose two strategies you would recommend to ensure data elements meet the Specifications moving forward.
Data Elements TableData Element Evaluated Current Description Is an Update Needed? (Yes/No) Updated Description Admission Date MM-DD-YY Birthdate MM-DD-YY Discharge Date MM-DD-YY Discharge Disposition
Select 1 of 7 options.
Hispanic Ethnicity Select Y for Yes or N for No Race Select 1 of 5 options. 1 White, 2, Black or African American, 3. American Indian or Alaska Native, 4. Asian, 5. Native Hawaiian or Pacific Islander Sex
Select 1 of 2 options. Male (M) or Female (F)
Expert Solution Preview
Introduction:
The evaluation of data elements to ensure compliance with the Joint Commission’s National Quality Measures (Specifications) is a critical task to ensure that healthcare facilities report accurate and reliable data. As a medical professor in charge of creating college assignments and answers for medical college students, I have developed an understanding of the importance of accurate and complete data reporting to improve patient outcomes. In this context, this answer will evaluate the data elements provided in the Data Elements Table and propose two strategies to ensure data elements meet the Specifications for reporting core measures.
Answer:
Data Element Evaluated Current Description Is an Update Needed? (Yes/No) Updated Description Admission Date MM-DD-YY No No updates needed Birthdate MM-DD-YY Yes Birthdate (MM-DD-YYYY) Discharge Date MM-DD-YY No No updates needed Discharge Disposition Yes A more specific description of discharge disposition must be available. The descriptions must include home, skilled nursing facility, hospice, etc. Hispanic Ethnicity Yes Ethnicity must include options such as Hispanic, non-Hispanic White, non-Hispanic Black, non-Hispanic Asian, etc. Race No No updates needed Sex No No updates needed
To ensure data elements meet the Specifications moving forward, two strategies are proposed:
1. Develop a standardized format for data elements: Developing a standardized format for data elements can ensure that all data are reported in the same format and consistent with the Specifications. This can include using dropdown menu options to select a specific race or ethnicity, specific discharge disposition options, and standardized date formats.
2. Provide comprehensive training to hospital staff: Providing comprehensive training to hospital staff can ensure that all staff members understand the importance of reporting data accurately and consistently. This training can include a thorough explanation of the Specifications and the importance of complying with the regulatory requirements. The training should also include a review of the data elements and how to report them accurately.
Conclusion:
In summary, the correct reporting of data elements is crucial to ensuring patient safety and improving healthcare outcomes. The evaluation of the data elements provided in the Data Elements Table and proposing two strategies to ensure data elements meet the Specifications moving forward can help healthcare facilities to report accurate and reliable data. As medical professors, it is essential to teach this critical aspect of healthcare management to medical college students to ensure they provide top-quality care to patients in future.
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