Access and Availability of Care
Access and Availability of Care Assignment
Requirements:
The National Committee for Quality Assurance (NCQA) (https://www.ncqa.org/ (Links to an external site.)) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards.
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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.
- Experience of Care.
- Utilization and Risk-Adjusted Utilization.
- Health Plan Descriptive Information.
- Measures Collected Using Electronic Clinical Data Systems
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 quality of care.
You are now employed as an FNP in primary care. Choose one performance measure from one of the six domains of care. I CHOSE ACCESS?AVAILABILITY OF CARE List and discuss three different patient interventions and how you would specifically measure the outcomes for that particular performance measure. How would these primary care interventions result in improved patient outcomes and cost savings for the practice? How can these interventions result in improved patient ratings?
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