In an 8 to 10 page paper, describe three rate based
measurements of quality.
Select three rate based measurements of quality that you
will use as the primary basis for this paper.
1) Health Outcomes Survey (HOS) or Hospital CAHPS
(HCAHPS) please choose one here.
2) Seclusions and Restraints Rate
3) Urinary tract infection admission rate
These measurements must relate to some aspect of clinical
or service quality that directly relates to patient care or the patient’s
experience of care. Please choose a psychiatric hospital or a
behavior healthcare organization with both inpatient and outpatient/clinic
settings. You do not need actual data from a given organization to complete
this assignment.
Deconstruct each
measure to include descriptions of the following:
– The definition of the measure
– The numerical description of how the measurement is constructed (the
numerator/denominator measure counts, the formula used to construct the rate,
etc.)
– Explain how the data for this measure are collected
– Describe how the measurement is compared externally to other like settings;
differentiate between the actual rate and a percentile ranking.
– Explain whether the measure is risk adjusted or not. If so, explain
briefly how this is accomplished.
– Describe how goals might be set for each measure in an aggressive
organization, which is seeking to excel in the marketplace.
–Describe the importance of each measure to a chosen
clinical organization and setting.
–Relate each measure to patient safety, to the cost of
poor quality, and to the overall cost of healthcare.
Expert Solution Preview
Introduction:
This paper will describe three rate based measurements of quality and their importance to a psychiatric hospital or a behavior healthcare organization with both inpatient and outpatient/clinic settings. The measures chosen for this paper are Health Outcomes Survey (HOS) or Hospital CAHPS (HCAHPS), Seclusions and Restraints Rate, and Urinary tract infection admission rate. Each measure will be deconstructed to include descriptions of their definition, numerical description of how the measurement is constructed, how the data for this measure is collected, and how the measurement is compared externally to other like settings. This paper will also explain whether the measure is risk adjusted or not, how goals might be set for each measure in an aggressive organization, and the importance of each measure to a chosen clinical organization and setting. Finally, each measure will be related to patient safety, the cost of poor quality, and the overall cost of healthcare.
1) Health Outcomes Survey (HOS) or Hospital CAHPS (HCAHPS)
– The definition of the measure: HOS is a survey of patient health status and quality of life, whereas HCAHPS is a standardized survey developed by the government to measure the quality of care in hospitals.
– The numerical description of how the measurement is constructed: For HOS, the survey is composed of two parts: a core set of questions and a supplemental set of questions. The core set measures overall health status, physical function, and emotional well-being. The supplemental set focuses on specific diseases or conditions. For HCAHPS, the survey consists of 32 questions, covering topics such as communication with nurses and doctors, hospital environment, and discharge information.
– How the data for this measure are collected: HOS data are collected through a mail survey or a telephone survey. HCAHPS data are collected through a random sample of adult patients who have recently stayed in the hospital.
– Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking: HOS data are used to establish benchmarks for major health plans, medical groups, and state and federal agencies. HCAHPS data are publicly reported on the Hospital Compare website, where patients can compare hospitals on different quality measures.
– Explain whether the measure is risk adjusted or not: For both HOS and HCAHPS, the scores are risk-adjusted to account for differences in patient populations.
– Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace: An aggressive organization seeking to excel in the marketplace could set goals to achieve higher scores than their competitors on both HOS and HCAHPS surveys.
– Importance of each measure to a chosen clinical organization and setting: These measures are important to a clinical organization and setting because they provide a way to monitor patient health status and the quality of care provided. By using these measures, an organization can improve patient outcomes and satisfaction, which can lead to higher reimbursement rates.
– Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare: Improving patient outcomes and satisfaction can lead to improved patient safety and a reduction in the cost of poor quality. Additionally, by improving the quality of care provided, an organization can reduce the overall cost of healthcare by minimizing the need for readmissions and additional treatments.
2) Seclusions and Restraints Rate
– The definition of the measure: Seclusions and Restraints Rate is a measure of the frequency of physical restraints or seclusions used to control a patient’s behavior.
– The numerical description of how the measurement is constructed: The measure is calculated by dividing the number of patients who were restrained or secluded by the total number of patients.
– How the data for this measure are collected: Data for this measure are usually collected manually by healthcare staff and then reported to a central database.
– Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking: This measure is often compared to rates from other healthcare facilities, and the actual rate is reported alongside a percentile ranking, which indicates how the facility compares to others.
– Explain whether the measure is risk adjusted or not: This measure is not typically risk-adjusted, as it is primarily an indicator of the quality of care provided.
– Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace: An aggressive organization seeking to excel in the marketplace could set goals to achieve lower rates of seclusions and restraints than their competitors.
– Importance of each measure to a chosen clinical organization and setting: This measure is important to a clinical organization and setting because it provides a way to monitor and improve patient safety. By reducing the use of seclusions and restraints, an organization can improve the quality of care provided and minimize the risk of patient harm.
– Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare: Reducing the use of seclusions and restraints can improve patient safety by minimizing the risk of physical harm. It can also reduce the cost of poor quality by reducing the need for additional treatments or interventions. Finally, it can reduce the overall cost of healthcare by minimizing the need for readmissions and additional treatments.
3) Urinary tract infection admission rate
– The definition of the measure: Urinary tract infection admission rate is a measure of the number of patients admitted to the hospital with a urinary tract infection.
– The numerical description of how the measurement is constructed: The measure is calculated by dividing the number of patients admitted with a urinary tract infection by the total number of patients.
– How the data for this measure are collected: Data for this measure are usually collected manually by healthcare staff and then reported to a central database.
– Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking: This measure is often compared to rates from other healthcare facilities, and the actual rate is reported alongside a percentile ranking, which indicates how the facility compares to others.
– Explain whether the measure is risk adjusted or not: This measure is usually risk-adjusted to account for differences in patient populations.
– Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace: An aggressive organization seeking to excel in the marketplace could set goals to achieve lower rates of urinary tract infection admission than their competitors.
– Importance of each measure to a chosen clinical organization and setting: This measure is important to a clinical organization and setting because it provides a way to monitor and improve patient safety. By reducing the number of urinary tract infections, an organization can improve the quality of care provided and minimize the risk of patient harm.
– Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare: Reducing the number of urinary tract infections can improve patient safety by minimizing the risk of infection-related harm. It can also reduce the cost of poor quality by reducing the need for additional treatments or interventions. Finally, it can reduce the overall cost of healthcare by minimizing the need for readmissions and additional treatments.
