Posted: January 18th, 2023
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:
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?
References are needed for each question also
SOLUTION:
Title: Improving Patient Outcomes and Health Care Cost Savings through Primary Care Interventions
Introduction:
As an Advanced Practice Nurse (APN) working in primary care, it is important to understand and utilize performance measures to ensure the highest quality of patient care and measure outcomes. One such tool is the Healthcare Effectiveness Data and Information Set (HEDIS) developed by the National Committee for Quality Assurance (NCQA). This paper will focus on one performance measure from the HEDIS domains of care, specifically the Adult BMI Assessment, and the implementation of three different patient interventions to improve patient outcomes and health care cost savings.
Patient Intervention 1:
The first intervention for improving Adult BMI Assessment is the implementation of a weight management program. This can be achieved by providing patients with education on healthy nutrition and physical activity, as well as access to resources such as a registered dietitian and personal trainer. The program can be implemented in a group setting to provide support and accountability for patients. The program’s effectiveness can be measured by tracking changes in patients’ BMI and weight over time.
Patient Intervention 2:
The second intervention is the use of telemedicine for weight management. Patients can receive virtual consultations with a registered dietitian and personal trainer, as well as access to online resources for nutrition and physical activity. This intervention allows for increased access to weight management services for patients who may have difficulty attending in-person appointments. The effectiveness of this intervention can be measured by tracking changes in patients’ BMI and weight………
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