The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care
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?
Sample Solution
- Home blood pressure monitoring: This intervention involves providing patients with a blood pressure cuff and teaching them how to monitor their blood pressure at home. This can help patients to identify and track their blood pressure levels, and it can also help them to make lifestyle changes to improve their blood pressure control.
- Telehealth: This intervention involves providing patients with access to healthcare providers through video conferencing or other telecommunications technologies. This can be a convenient way for patients to receive care, and it can also help to reduce healthcare costs
Full Answer Section
- Community-based interventions: This intervention involves working with community organizations to provide patients with education and support services related to hypertension control. This can help patients to make lifestyle changes and to access the resources they need to manage their condition.
- Home blood pressure monitoring: Patients can be taught how to measure their blood pressure at home using a blood pressure cuff. They can then record their blood pressure readings in a diary or logbook. Healthcare providers can review these readings at each visit to track the patient's progress.
- Telehealth: Patients can be connected with healthcare providers through video conferencing or other telecommunications technologies. This can be done through a variety of platforms, such as smartphones, tablets, and computers. Healthcare providers can use telehealth to provide patients with education and support services, as well as to monitor their blood pressure levels.
- Community-based interventions: Healthcare providers can work with community organizations to provide patients with education and support services related to hypertension control. This can be done through a variety of channels, such as community health centers, schools, and workplaces. Healthcare providers can also work with community organizations to develop and implement programs that promote healthy lifestyles.