• July 6th, 2015

Application 1: Measuring Quality

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NURS 8300 Organizational Systems Leadership for Quality Improvement 
Application 1: Measuring Quality Guidelines and Grading Rubric (assigned in week 3, due at the end of week 6). In a 7 page paper, describe 3 rate based measurements of quality. Your paper must be fully annotated, written in scholarly voice, and compliant with APA 6th edition style. Must have an introduction and conclusion.
Select three rate based measurements of quality that you will use as the primary basis for this paper. 

These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care. For the purposes of this assignment, an analysis of staffing levels is not permitted. You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose only one of the three measures to be some form of patient satisfaction measure. 

http://www.qualityindicators.ahrq.gov/
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html
http://www.medicare.gov/hospitalcompare/search.html?AspxAutoDetectCookieSupport=1 
http://www.cdc.gov/HAI/surveillance/index.html 
http://www.ihi.org/resources/Pages/IHIWhitePapers/AGuidetoMeasuringTripleAim.aspx 
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS.html 
http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS/index.html?redirect=/cahps/ 
http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html?redirect=/hos/ 

Deconstruct each measure to include descriptions of the following: 
The definition of the measure 
The numerical description of how the measurement is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.) 
Explain how the data for this measure are collected 
Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking. 
Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished. 
Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. 

Describe the importance of each measure to a chosen clinical organization and setting. 
Using these websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic or private office; a total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might hone in a particular healthplan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings. Academic organizations are not permitted for this assignment. For all other settings, consult the instructor for guidance. You do not need actual data from a given organization to complete this assignment. 

Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare. 

Grading Grid (each component is worth 3 points for each measure) Measure #1 Measure #2 Measure #3
1. Measure is defined 1 1 1
2. Numerical description 1 1 1
3. How are data collected? 1 1 1
4. External Comparisons 1 1 1
5. Risk adjusted? how? (If the measure is not risk adjusted, the expectation is that you will provide a paragraph of explanation as to what this concept means and why this concept does not apply to the measure selected). 1 1 1
6. Goal setting & Importance to the setting 1 1 1
7. Related to pt safety, cost of poor quality and cost of care 1 1 1
APA, writing style is worth 1 additional point. 
Final Grade (22 possible points) /22

 

 

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