NURS 8300 Week 5: Measuring Quality Assignment

NURS 8300 Week 5 Assignment 1: Measuring Quality

Continue to work on this Assignment, assigned in Week 3 and due by Day 7 of this week.

By Day 7

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NURS 8300 Week 5 Assignment 1: Measuring Quality Grading Criteria

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Week 5 Assignment

NURS 8300 Week 5 Assignment 2: Major Assessment 6

This Assignment requires completion of 13 IHI Open School modules and the completion of the Certificate of Completion Basic level. There are 13 modules which you must complete over the course of these 11 weeks. While they are learner paced, it is to your advantage to complete the modules in the week assigned as the content of the course is related to the modules.

To earn the 30 points associated with this application, you must complete all 13 modules and earn the certificate of completion. Partial credit is not permitted.

Week 5 IHI Open School Modules

• QI 104: The Life Cycle of a Quality Improvement Project
• QI 105: The Human Side of Quality Improvement

There is nothing to submit this week.

Please save the certificate you receive upon completion. You will be required to upload this to gradebook in evidence of your completion. NURS 8300 Week 5: Measuring Quality Assignment

NURS 8300 Week 5 Assignment 1: Measuring Quality Week in Review

This week you evaluated how quality metrics drive change to create improvement in the management of chronic disease. Next week you will critique quality improvement models and tools utilized within the models and apply this knowledge in an authentic setting by planning a quality improvement project.

NURS 8300 Week 5: System Management of Populations

As noted in previous weeks, quality improvement measures are implemented at the macro and micro levels. Using quality indicators and measures, health care providers can compare, evaluate, and identify areas that need improvement to ensure quality care. How do these measures compare when managing chronic illnesses? The Resources from Week 1 revealed that many Americans do not receive quality health care for chronic illnesses, resulting in patients having more than one chronic illness (Institute of Medicine, 2001). How can nurses engaged in advanced practice evaluate the issues around treating chronic illness? How do quality metrics for managing chronic disease improve its management?

Keep your responses to these questions in mind as you proceed through this week, which calls attention to how quality metrics drive change to improve population health through the management of chronic disease.

This week, you examine quality metrics pertaining to the management of chronic illness in various health care settings. NURS 8300 Week 5: Measuring Quality Assignment

Learning Objectives

By the end of this week, you will be able to:

• Evaluate how quality metrics drive change to create improvement in the management of chronic disease

Photo Credit: [Dimitri Otis]/[Digital Vision]/Getty Images

Reference: Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy of Sciences. Retrieved from http://site.ebrary.com/lib/waldenu/docDetail.action?docID=10032412

NURS 8300 Week 5 Assignment 1: Measuring Quality Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Adminisration Press.

• Chapter 10: “Dashboard & Scorecards: Tools for Creating Alignment”

National Committee for Quality Assurance. (2014). The state of health care quality: Reform, the quality agenda and resource use. Washington, D. C.: National Committee for Quality Assurance. Retrieved from https://www.ncqa.org/Portals/0/State%20of%20Health%20Care/2010/SOHC%202010%20-%20Full2.pdf

The findings in this annual report come from the National Committee for Quality Assurance (NCQA), and they describe the status of quality issues within the United States. The findings cover several categories including safety and potential waste, wellness and prevention, and chronic disease management.

Butcher, L. (2011). High standards. NCQA-approved practice a test for value-based care. Modern Healthcare, 41(11), 40. Note: You will access this article from the Walden Library databases. In this article, an oncology practice is recognized by the National Committee for Quality Assurance. Although the practice has seen a decrease in patients due to cost increases, the quality of care has increased significantly. The practice is serving as a model for other oncology practices.

McKinney, M. (2010). Quality, not quantity. Costliest care not the best, says NCQA report. Modern Healthcare, 40(42), 8–9. Note: You will access this article from the Walden Library databases. This article analyzes the findings of the National Committee for Quality Assurance’s State of Health Care Quality report and concludes that there is no correlation between spending and quality within health care organizations. NURS 8300 Week 5: Measuring Quality Assignment

National Committee for Quality Assurance (NCQA). (2014). Healthcare effectiveness data and information set (HEDIS). Retrieved from http://www.ncqa.org/tabid/59/default.aspx

In this article at the NCQA website, the quality measurements for the Healthcare Effectiveness Data and Information Set (HEDIS) are given. This article provides up-to-date resources.

Brennan, N., & Shepard, M. (2010). Comparing quality of care in the Medicare program. American Journal of Managed Care. 16(11), 841–848.

The authors of this article compare the difference in quality of care within health care organizations that use fee-for-service programs with Medicare and within organizations that use the Medicare Advantage program.

Reprinted by permission via the Copyright Clearance Center.

Agency for Healthcare Research and Quality. (n.d.). Retrieved from http://www.ahrq.gov/

The provided link takes you to the homepage of the Agency for Healthcare Research and Quality (AHRQ), where you can find information about improving safety and quality in the health care industry.

Population Health Alliance. (n.d.). Retrieved from http://populationhealthalliance.org/

National Committee for Quality Assurance. (2014). Retrieved from http://www.ncqa.org/

This is the homepage for the NCQA. It contains extensive resources related to quality measurements for the health care industry.

Utilization Review Accreditation Commission. (2014). Retrieved from http://www.urac.org/

Visiting this website takes you to the homepage of URAC, which is the new name for what was formerly called the Utilization Review Accreditation Commission. URAC provides accreditation, offers education, and facilitates quality measurement programs.

NURS 8300 Week 5 Assignment 1: Measuring Quality Optional Resources

Wolfenden, J., Dunn, A., Holmes, A., Davies, C., & Buchan, J. (2010). Track and trigger system for use in community hospitals. Nursing Standard, 24(45), 35–39. NURS 8300 Week 5: Measuring Quality Assignment

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Comparing types of Quality Metric for Managing Chronic Diseases that applies to Hospital and Home Settings

Diabetes mellitus is a public health crisis and is associated with many chronic diseases that impose substantial health care and social expenditures. It is becoming concerning because of it’s rising despite all efforts to manage the disorder. It is one of the top 10 leading causes of death in the United States and affects almost 26 million Americans. Diabetes is a serious, common, costly, yet manageable disease that causes many preventable but devastating complications Diabetes is a significant public health problem, and its management is complex. Patients with diabetes are usually required preventive management such as annual foot and eye exam, kidney function test, physical exercise, dietary modification, smoking cessation and weight loss (Buttar, Trybulski, Polgar-Bailey, & Sandberg-Cook, 2013). My organization utilizes the Joslin Clinical Analytic Tool (JCAT) to measure the management of diabetes. JCAT provides a roadmap to improvement and helps providers to measure the effectiveness of care, identify gaps in earlier treatment, and implement changes when appropriate to reduce complications and improve patient outcomes (Joslin Diabetic Center, 2018). Providers use JCAT to set the benchmark for diabetes care and treatment.  Other facilities use the Healthcare Effectiveness Data and Information Set (HEDIS) to measure quality care related to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes, but it does not adjust for patient mix, nor reflects recent clinical trials that support individualized goals (AJMC, 2016).

Quality Metrics in Improvement of the Management of Chronic Disease

The National Committee on Quality Assurance (NCQA) and The Centers for Medicare & Medicaid Services (CMS) assess quality metrics used by an organization with the purpose to improve the quality of healthcare. Presently, most healthcare facilities are using HEDIS to measure quality of diabetes care. However, JCAT is developed to address the deficiency of HEDIS. It focuses on data from five areas which include glycemic control, blood pressure, lipid, renal function, and smoking to generate scores. Those specific areas for intervention are likely to be the most effective in improving health outcomes and reducing the cost of care. It accurately spots the addressable gaps and recognizes those who need targeted quality interventions (Joslin Diabetic Center, 2018).

Trigger Systems to Help Manage Patient Safety.

Hospitals use various strategies to detect adverse events or safety issues for patients. Some of these systems are very effective as compared to the others. The retroactive random trigger consists of reviewing patient’s records and reviewing prescription and clinical data from patient chart or EHRs, which include but not limited to vital signs, blood glucose levels, and A1C. Such triggers can be reactive to managing diabetes, but proactive in preventing complications. NURS 8300 Week 5: Measuring Quality Assignment

References

AJMC, (2016). Measuring the Quality of Diabetes Care. Retrieved from http://www.ajmc.com/journals/evidence-based-diabetes-management/2016/march-2016/measuring-the-quality-of-diabetes-care

Buttar, T.M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2013). Primary Care: A Collaborative Practice, (4th Ed.). St Louis, MO: Elsevier Mosby.

Joslin Diabetic Center, (2018). Joslin Diabetes Center launches pilot of JCAT™ quality analysis tool at Truman Medical Centers. Retrieved from http://www.joslin.org/news/Joslin-launches-JCAT%E2%84%A2-quality-analysis-tool-at-truman-medical-centers.html

National Committee for Quality Assurance (NCQA). (2014). Healthcare effectiveness data and information set (HEDIS). Retrieved from http://www.ncqa.org/tabid/59/default.aspx