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. 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 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?
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.)
How can these interventions result in improved patient
ratings? (Discuss how these interventions can result in improved patient
ratings (an NP’s patient scorecard).)
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