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. 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 health care cost savings?
How can these interventions result in improved NP patient ratings?
Description
- List and discuss three different patient interventions and how you would specifically measure the outcomes.
- 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?
- Discuss how the interventions can result in improved patient outcomes and cost savings for the practice.
Rubric
NR506NP WK3 Quality Healthcare Paper_SEPT19
NR506NP WK3 Quality Healthcare Paper_SEPT19
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomePatient Interventions
From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for one performance measure.
60 pts
Excellent
Provides detailed information regarding three patient interventions and how they could specifically be measured. Uses valid, relevant, and reliable outside sources.
54 pts
V. Good
Provides some information regarding three patient interventions and how they could specifically be measured. Uses some valid, relevant, reliable outside sources.
48 pts
Satisfactory
Provides non- specific information on three patient interventions and how they could specifically be measured. Little valid, relevant, or reliable outside sources.
30 pts
Needs 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 pts
Unsatisfactory
Does not provide information regarding three patient interventions and how they could specifically be measured. Information is not valid, relevant, or reliable.
60 pts
This criterion is linked to a Learning OutcomePrimary Care Interventions
Discuss how these primary care interventions result in improved patient outcomes and cost savings for the practice.
60 pts
Excellent
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 pts
V. 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 pts
Satisfactory
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 pts
Needs 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 pts
Unsatisfactory
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 pts
This criterion is linked to a Learning OutcomePatient Ratings
Describe how these interventions result in improved patient ratings.
60 pts
Excellent
Provides detailed information regarding how these interventions may result in improved patient ratings. Uses valid, relevant, and reliable outside sources.
54 pts
V. Good
Provides some information regarding how the primary care interventions can result in improved patient ratings.
48 pts
Satisfactory
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 pts
Needs 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 pts
Unsatisfactory
Does not provide information regarding how the primary care interventions can result in improved patient ratings. Information is not valid, relevant, or reliable.
60 pts
This criterion is linked to a Learning OutcomeClarity of writing
10 pts
Excellent
Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning
9 pts
V. 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 pts
Satisfactory
Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.
5 pts
Needs Improvement
Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.
0 pts
Unsatisfactory
More than six spelling and/or grammar errors. Poorly organized thoughts and concepts.
10 pts
This criterion is linked to a Learning OutcomeClarity of writing APA format, grammar, spelling, and punctuation
APA 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 pts
Excellent
0-1 errors in APA format, grammar, spelling, and/or punctuation.
9 pts
V. Good
2-4 errors in APA format, grammar, spelling, and syntax noted.
8 pts
Satisfactory
5-7 errors in APA format, grammar, spelling, and syntax noted.
5 pts
Needs Improvement
8-9 errors in APA format, grammar, spelling, and syntax noted.
0 pts
Unsatisfactory
Post contains 10 or greater errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.
10 pts
This criterion is linked to a Learning OutcomeLate penalty deductions
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.
0 pts
Manual Deductions
0 pts
Manual Deductions
Expert Solution Preview
Introduction:
The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards. In healthcare, productivity is an important measurement for the practice to determine reimbursement and salary. This paper focuses on the development of patient interventions for one performance measure from one of the six domains of care, measuring outcomes of the interventions, how these interventions result in improved patient outcomes and healthcare cost saving, and how the interventions result in improved patient ratings.
Patient Interventions:
From the National Committee for Quality Assurance (NCQA) website, the measure selected is a Prenatal and Postpartum care. Three interventions related to this measure are:
1. Lactation Support Groups: Setting up a lactation support group where mothers can go to exchange information and share their experience with breastfeeding. The outcome can be measured through the increase in the number of mothers who successfully breastfeed their infants.
2. Nutritional Counseling: Providing nutritional counseling during prenatal and postpartum care to promote a healthy pregnancy and recovery from delivery. The outcome can be measured through monitoring the mother’s weight gain throughout pregnancy and assessing the mother’s BMI.
3. Screening for Postpartum Depression: Screening for postpartum depression during prenatal and postpartum care to promote mental wellbeing of the mother and improve maternal-child bonding. The outcome can be measured through monitoring the mother’s depression scores through a standardized tool.
Primary Care Interventions:
These interventions can result in improved patient outcomes and cost savings for the practice by reducing hospital readmissions, improving infant immunization rates, and reducing healthcare costs by decreasing the incidence of postpartum complications. It can also lead to increased patient satisfaction as patients feel more involved and supported.
Patient Ratings:
These interventions can result in improved patient ratings as patients feel that they are receiving comprehensive and individualized care. Lactation support groups and nutritional counseling can improve maternal confidence and lead to increased bonding with the newborn. Screening for postpartum depression can prevent the likelihood of developing severe depression and promote early intervention if required.
Measurement Tool:
To track patient outcomes, a standardized tool such as the Edinburgh Postnatal Depression Scale (EPDS) can be used to assess for depression, nutritional status can be monitored through measuring mother’s weight gain, and lactation success can be monitored through tracking the number of mothers who successfully breastfeed.
Conclusion:
Primary care interventions such as lactation support groups, nutritional counseling, and screening for postpartum depression can result in improved patient outcomes, cost savings for the practice and increased patient satisfaction. The implementation of these interventions depends on the practice setting and the availability of resources. Measuring outcomes through a standardized tool can help the practice track the success of the interventions.
