NR 506 Week 3 Assignment: Quality Healthcare: Measuring NP Performance

– BMI Assessment from HEIDIS Effectiveness of Care
– Childhood Immunization
– Controlling Hypertension
– APN Productivity on Weight Assessment and Counselling for Children-Adolescents

Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance.  Through the use of quality patient outcomes, student will list and discuss three different patient interventions and how they would specifically measure the outcomes and how these primary care interventions result in improved patient outcomes and cost savings for the practice.  In addition, students will discuss how these interventions result in improved patient ratings.

Requirements: 

The National Committee for Quality Assurance (NCQA) (https://www.ncqa.org/ (Links to an external site.)) 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

(NCQA, n.d. https://www.ncqa.org/hedis/ (Links 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 … through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

You are now employed as an FNP in primary care.  Choose one performance measure from one of the six domains of care. List and discuss three different patient interventions and how you would specifically measure the outcomes for that particular performance measure.  How would these primary care interventions result in improved patient outcomes and cost savings for the practice?  How can these interventions result in improved patient ratings?

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