HCS 493 University of Phoenix Using Data to Address Quality Measures Worksheet

Assignment Content


  1. Read the following scenario:
    The patient is a 40-year-old female who presents to the emergency department for low back pain. The pain has been present for 2 weeks and no injury has been noted. The patient has no history of previous low back pain. The emergency department immediately orders an MRI of the lumbar spine for low back pain. The patient waits in her room in the emergency department for 2 hours without anyone checking on her. She is finally told that the in-house MRI is down for maintenance, so she schedules an appointment for another day. The patient is at the emergency department for more than 280 minutes from arrival to discharge.
    Two days later, the patient goes to her appointment for her MRI at the radiology department. She has to register and provide all the same information that she has already given at the emergency department regarding her history and other pertinent information. The patient’s appointment was scheduled for 1 p.m., and at 1:45 p.m. she still has not been called back for her test. No one has updated her regarding the delay. Finally, the patient is taken back for her test at 2 p.m. and is not given any explanation for the delay except that the department is short-staffed. The patient is not happy about her experience at the radiology department.
    When the patient receives her Explanation of Benefits from her insurance company, she realizes the MRI was not pre-certified correctly. Now she owes a large portion of the bill because the physician did not try other means, such as physical therapy, prior to receiving a costly MRI.
    Access the Hospital Compare website and complete the following steps:

    1. Locate the Find a Hospital box.
    2. Enter the ZIP Code and hospital name provided by your faculty member. 30815 and AU Medical Center
    3. Select search.
    4. Review the category tabs (e.g., General Information) at the top of the hospital’s profile to complete this assignment.

    Complete the chart on the Using Data to Address Quality Measures worksheet using the data from Hospital Compare.

    • You are provided with three categories relevant to the scenario. If you would like to identify additional measure(s) and data from Hospital Compare that relate to the scenario, please use the blank line item in the table or add another row(s).

    Note: An example of how to pull data has been provided for you to review. Write a 350- to 700-word paper that analyzes the measures that have an effect on the facility in the scenario. Your paper should:

    • Explain the measures and corresponding data listed in the table.
    • Provide the data table listing the measures and corresponding data points within the presentation.
    • Analyze two sources, in addition to Hospital Compare, that you would use to find public information on facilities regarding the measures presented in the scenario.
    • Select one measure from the data table and analyze how the quality of this measure could affect the facility in the scenario.

    Cite 3 peer-reviewed, scholarly, or similar references to support your presentation on the references slide.
    Format your assignment according to APA guidelines.
    Submit your assignment.
    Resources

Expert Solution Preview

Introduction: The scenario presented involves a patient who visits the emergency department for low back pain. The patient undergoes an MRI, which is delayed due to short-staffing and inadequate pre-certification. The assignment requires using data from the Hospital Compare website to analyze the measures that affect the facility in the scenario.

Answer: The measures listed in the data table provided in the assignment include Emergency Department (ED) 1st-time visit, ED average time before being seen by a healthcare professional, and Hospital Acquired Infection. The first measure indicates the percentage of patients receiving care who are first-time ED visitors, while the second measure shows the average time taken before patients are attended to by a healthcare professional in the ED. The third measure relates to the prevalence of hospital-acquired infections among Medicare beneficiaries at the facility.

Apart from Hospital Compare, two other sources useful in finding public information about facilities are the National Healthcare Quality and Disparities Report and the Healthcare Cost and Utilization Project. The first source provides information on nationwide healthcare quality and disparities, including details on the quality of patient care, while the latter is a comprehensive database detailing hospital care utilization data.

Of the measures presented in the data table, ED 1st-time visit is the most relevant to the scenario. A high percentage of first-time ED visitors indicates poor management of preventative care and poor health education in the community. This measure is critical because if people are well informed about preventive care and have better access to primary care services, there is a lower likelihood of inappropriate visits to the ED. The availability of alternative care options may lead to ED overcrowding and longer wait times. The facility in the scenario may suffer from low-quality care delivery and decreased patient satisfaction due to the high percentage of first-time ED visitors.

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