Quality of Health Care Case Study

Quality of Health Care Case Study essay assignment

Quality of Health Care Case Study essay assignment

The National Committee for Quality Assurance (NCQA) was formed to ensure 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.

Get solution to your nursing paper : Quality of Health Care Case Study

• 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 quality of care.

Write a formal paper in APA format with 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 health care cost savings?

How can these interventions result in improved NP patient ratings? You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses:

Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:

Medical assistant

Nurse Practitioner

Medical Director

Practice

WHAT STRATEGIES WOULD YOU IMPLEMENT TO PREVENT FURTHER EPISODES OF POTENTIALLY DANGEROUS PATIENT OUTCOMES?

What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

A scholarly resource must be used for EACH discussion question each week.