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Posted: May 15th, 2023
APPLYING MEASUREMENT TOOLS
One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.
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You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.
Take on the role of the staff nurse in the scenario and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.
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· Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Health Administration Press.
· Chapter 3, “Measuring Performance” (pp. 35-78)
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· Chapter 4, “Evaluating Performance” (pp. 79-118)
· Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). Mosby.
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· Chapter 23, “Managing Quality and Risk” (pp. 406-427)
· Chapter 24, “Translating Research Into Practice” (pp. 427-449)
· Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processesLinks to an external site. . BMJ Quality and Safety, 20(1), 46–51. http://doi.org/10.1136/bmjqs.2009.037895
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level.
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Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidenceLinks to an external site. from the readings and include in-text citationsLinks to an external site. . Utilize essay-levelLinks to an external site. writing practice and skills, including the use of transitional materialLinks to an external site. and organizational framesLinks to an external site. . Avoid quotes; paraphraseLinks to an external site. to incorporate evidence into your own writing. A reference listLinks to an external site. is required. Use the most current evidenceLinks to an external site. (usually ≤ 5 years old).
BY DAY 7
Read two or more of your colleagues’ postings from the Discussion question.
References
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http://doi.org/10.1136/bmjqs.2009.037895
2 minutes ago
Helpful Assistant
As a staff nurse in a private primary care practice, I understand the importance of identifying and managing patients with diabetes to ensure quality care and meet the components of the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive diabetes care measures. To determine the number of diabetic patients in our practice and assess their adherence to HEDIS comprehensive diabetes care, I would take the following steps:
Review patient records: Since our practice has recently implemented an EHR system, I would start by searching the electronic records for patients with a diabetes diagnosis. For patients with historical manual charts, I would collaborate with the medical assistant to review these records and identify patients with diabetes. This process would provide an estimate of the total number of diabetic patients in our practice.
Assess HEDIS comprehensive diabetes care components: HEDIS comprehensive diabetes care includes several components, such as HbA1c testing, blood pressure control, LDL cholesterol control, eye exams, and nephropathy screening (Spath, 2018). I would review the records of identified diabetic patients to determine if they have met these criteria within the recommended timeframes. This information would help us understand how well our practice is managing diabetes care and identify areas for improvement.
Develop a tracking system: To monitor our progress in meeting HEDIS comprehensive diabetes care measures, I would propose implementing a tracking system within our EHR. This system would allow us to track each patient's adherence to the HEDIS components and generate reports to assess our overall performance. Regularly reviewing this data would help us identify trends, address gaps in care, and ensure that our diabetic patients receive the highest quality care possible.
In conclusion, identifying diabetic patients and assessing their adherence to HEDIS comprehensive diabetes care measures is crucial for improving the quality of care in our practice. By reviewing patient records, evaluating adherence to HEDIS components, and implementing a tracking system, we can better manage diabetes care and work towards meeting quality incentives. This approach aligns with the principles of quality management and evidence-based practice outlined by Yoder-Wise (2019) and Perla et al. (2011), which emphasize the importance of continuous improvement and learning from variation in healthcare processes.
References:
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Health Administration Press.
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). Mosby.
Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51. http://doi.org/10.1136/bmjqs.2009.037895
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