Course 

NR-506NP: Healthcare Policy & Leadership

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 can 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?

ANSWER  

Transitions of Care: Interventions for Success

Transition of care is a healthcare effectiveness data and information set (HEDIS) that is intended to aid patients in successfully transferring from an inpatient setting back to the outpatient environment. In a successful transition of care event, patient readmission rates can be reduced by nursing assessments, primary care manager follow-up appointments, and patient education. By meeting these goals, patients have an increased opportunity to improve their quality of life by working in close partnership with their health care team to manage their health effectively without repeated unnecessary hospital admissions. In this paper I will discuss three transition of care interventions that affect patient outcomes, cost savings and patient satisfaction ratings.

Transitions of Care

Comprehensive Nurse Assessment

Transition of care begins when the healthcare team is notified of patient admission into the inpatient setting. Once discharged the first intervention the patient experiences should be a comprehensive nursing assessment by the registered nurse or RN case manager………please click the icon below to purchase the answer at $15