Week 3: Quality Healthcare: Measuring NP Performance

Week 3: Quality Healthcare: Measuring NP Performance

Week 3: Quality Healthcare: Measuring NP Performance

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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.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

1. Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)

2. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)

3. Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)

4. Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)

5. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)

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 can be accomplished 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 Family Nurse Practitioner 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?

 In text citations at least 3: Must be APA format, no older than 5 years and reputable sources that are not textbooks.

Category Points % Description
List and discuss three different patient interventions and how you would specifically measure the outcomes. 60 30% From the National Committee for Quality Assurance (NCQA) (https://www.ncqa.org/ (Links to an external site.)) website, choose three patient interventions.

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? 60 30% 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? 60 30% Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard).
180 90% Total CONTENT Points= 180 pts
Category Points % Description
Clarity of Writing

 

10 5% Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning.
APA Format 10 5% APA format, grammar, spelling, and/or punctuation are accurate.
20 10% Total FORMAT Points= 20 pts
200 100% ASSIGNMENT TOTAL= 200 points

 

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

List and discuss three different patient interventions and how you would specifically measure the outcomes.

60.0 pts

Excellent

Provides detailed information regarding three patient interventions and how they could specifically be measured. Uses valid, relevant, and reliable outside sources.

54.0 pts

V. Good

Provides some information regarding three patient interventions and how they could specifically be measured. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.

48.0 pts

Satisfactory

Provides non- specific information on three patient interventions and how they could specifically be measured. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

30.0 pts

Needs Improvement

Lacks detailed information regarding three patient interventions and how they could specifically be measured. The posting uses information that is not valid, relevant, or reliable.

0.0 pts

Unsatisfactory

Does not provide information regarding three patient interventions and how they could specifically be measured. Information is not valid, relevant, or reliable.

 

60.0 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.

60.0 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.

54.0 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 to contribute to the threaded discussion.

48.0 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 are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

30.0 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 posting uses information that is not valid, relevant, or reliable.

0.0 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.

 

60.0 pts
This criterion is linked to a Learning OutcomePatient Ratings

Describe how these interventions result in improved patient ratings.

60.0 pts

Excellent

Provides detailed information regarding how these interventions may result in improved patient ratings. Uses valid, relevant, and reliable outside sources.

54.0 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 to contribute to the threaded discussion.

48.0 pts

Satisfactory

Provides non-specific 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 are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

30.0 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 posting uses information that is not valid, relevant, or reliable.

0.0 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.

 

60.0 pts
This criterion is linked to a Learning OutcomeClarity of writing
10.0 pts

Excellent

Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning

9.0 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.

8.0 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.

5.0 pts

Needs Improvement

Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.

0.0 pts

Unsatisfactory

More than six spelling and/or grammar errors. Poorly organized thoughts and concepts.

 

10.0 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.

10.0 pts

Excellent

0-1 errors in APA format, grammar, spelling, and/or punctuation.

9.0 pts

V. Good

2-4 errors in APA format, grammar, spelling, and syntax noted.

8.0 pts

Satisfactory

5-7 errors in APA format, grammar, spelling, and syntax noted.

5.0 pts

Needs Improvement

8-9 errors in APA format, grammar, spelling, and syntax noted.

0.0 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.

 

10.0 pts