NURS 8300:Week 5: System Management of Populations Essay Assignment Paper

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 NURS 8300:Week 5: System Management of Populations Essay Assignment Paper

NURS 8300: Organizational and Systems Leadership for Quality Improvement | Week 5

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: System Management of Populations Essay Assignment Paper

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

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.

 

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.

 

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.

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.

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.

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: System Management of Populations Essay Assignment Paper

Discussion: Quality Metrics for Chronic Disease Management

According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.

To prepare:

• Review the National Committee for Quality Assurance report, presented in the Learning Resources, and examine current trends and measures associated with at least two chronic diseases. This information will form the basis for this Discussion.
• Review examples of measures that address the management of chronic diseases for an inpatient setting that might not be relevant in an outpatient setting. Be sure to explore the companion metrics that influence a patient’s ability to manage chronic disease.
• Consider how these metrics facilitate change and improve the management of chronic disease.
• Examine the efficiency of current automated trigger systems for managing patient safety. Ask yourself: How do these automated trigger systems help improve quality of health care, patient education, and management of chronic illnesses?

By Day 3

Post a cohesive scholarly response that addresses the following:

• Compare one quality metric for managing chronic disease that applies to your practice setting to ametric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).
• Evaluate how these quality metrics facilitate change and improve the management of chronic disease.
• Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?

Read a selection of your colleagues’ responses.

By Day 7

Respond to two of your colleagues in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

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