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?
Solution
Nurse practitioners play a significant role in improving the quality of healthcare. Improving the performance indicators is one such way and can be achieved through improving the HEDIS using evidence-based interventions. For this paper, high blood pressure management was selected for the effectiveness of care for cardiovascular conditions. The intervention was selected based on the high prevalence of Hypertension in the US currently (Agarwal et al., 2019). The prevalence of hypertension among adults in the US is approximately 45% of the adult population who are under medication. The condition is characterized by systolic BP ≥ 130 mmHg or diastolic BP ≥ 80 mmHg (Casey Jr et al., 2019). The evidence-based interventions discussed in this paper for hypertension management include patient outcomes, patient ratings, and cost efficiency……………………………$15