COURSE
NR506NP Healthcare Policy and Leadership
Preparing the Assignment
The National Committee for Quality Assurance (NCQA) was formed to ensure the 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. 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 can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care.
Write a formal paper in APA format with a 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 healthcare cost savings?
How can these interventions result in improved NP patient ratings?
ANSWER
Quality Healthcare: Measuring NP Performance
Childhood vaccinations are vital to our community, saves lives and keep the community safe from outbreaks of vaccine-preventable diseases. In 2019 there was a report of 704 cases of measles which was reported as eradicated in 2000 (Patel et al., 2019). The increase in children falling behind in vaccinations or not getting them at all is becoming a healthcare urgency and in some communities a crisis with outbreaks of vaccine-preventable diseases on the rise (Patel et al., 2019). Primary care providers must re-educate and disband information that is misleading, and cause fear of immunization (Patel et al., 2019). Primary care providers should take into account each person’s beliefs while educating with honesty, transparency and without judgment. The NCQA includes Childhood Immunization status under the Healthcare Effectiveness Data and Information Set (HEDIS) under the effectiveness of care domain (NCQA, 2023).
The CDC shows that when vaccinated immunizations are effective in decreasing outbreaks of mumps, limiting the length of illness and size of outbreaks (CDC, 2023). The incidence of pertussis is concerning for infants less than 2 months…….please click the icon below to purchase full answer at $10