NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings | Week 3

quality of health care provided by NPs is under constant scrutiny. Many physicians are hesitant of NPs ability to provide quality and cost-effective care. It is critical for NPs to see themselves as full partners in health care. NPs are challenged to improve the quality and measurement of health care delivery and patient health outcomes. NPs must be recognized for the care that they provide. Thus NPs must constantly ask the question, how do we ensure measurement of the care that we provide?

Ongoing monitoring and continuous improvement is vital for all practicing NPs to ensure patients receive safe, competent, and quality health care (Hamric, Hanson, Tracy & Grady, 2014). It is imperative for advanced practice nurses to have strategies to measure, report, and reward excellence in health delivery. Advanced practice nurses are well situated to provide quality, cost effective, and patient-centered care (IOM, 2015). This week, as you examine quality measures, consider how standards of care are developed and implemented.

Learning Objectives

By the end of this week, students will:

• Analyze importance of quality measures
• Evaluate the use of incentive payment for care
• Analyze external motivators for incentive payment for care
• Apply comprehensive knowledge of nurse practitioner practice

Learning Resources

This page contains the Learning Resources for this module. Be sure to scroll down the page to see all of this module’s assigned Learning Resources.

Required Readings

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

• Chapter 15, “Measuring Nurse Practitioner Performance” (pp. 463-468)

This chapter will cover standards of care, and measures of nurse practitioner performance

Hain, D., & Fleck, L. M. (2014). Barriers to NP practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Evidence-Based Practice. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (237-262). St. Louis, MO: Elsevier Saunders.

This chapter will cover a historical perspective of evidence and current best evidence, steps of the evidence based process, tips for achieving meaningful changes in practice based on current best evidence.

Rhodes, C. A., Bechtle, M., & McNett, M. (2015). An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes. Nursing Economics, 33(3), 125-131.

Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., . . . Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal for Nurse Practitioners, 9(8), 492-500. doi:10.1016/j.nurpra.2013.07.004

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

Wilkinson, K. (2015). Legal Nuts and Bolts for PNPs in Today s Healthcare Environment [PowerPoint slides]. Retrieved from http://docplayer.net/5760521-Legal-nuts-and-bolts-for-pnps-in-today-s-healthcare-environment-karen-wilkinson-mn-arnp-lnc-wilkinson-legal-nurse-consulting.html

Required Media

Institute of Medicine. (2015, December 7). Assessing Progress on the Implementation of the Recommendations of The Future of Nursing[Video file]. Retrieved from https://www.youtube.com/watch?v=sMOjACA2ats

Note: The approximate length of this media piece is 1 hour.

Optional Resources

This is an optional resource that students should be familiar with as advanced practice nurses.

Discussion: Quality and Cost Measurements

As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:

• Why are quality measures important?
• What is the difference between quality measures and performance indicators?
• What performance measures are used for NP productivity?
• Why are incentive plans used in clinical organizations?

To prepare:

• Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)
• Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)

By Day 3

Post an explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who shared a different perspective than you did. Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Discussion: Quality and Cost Measurements

ADDITIONAL INFORMATION;

What is the difference between quality measures and performance indicators?

Introduction

The term “quality measure” is often used interchangeably with “performance indicator,” but they are not the same thing. In this post, we’ll explain how these two terms are used in health care and how you can tell which one is being used when reading about or discussing quality measures or performance indicators.

Quality measures describe the quality of care provided in certain settings.

Quality measures describe the quality of care provided in certain settings. They can be used to track progress in improving quality, and are often based on clinical guidelines. Public reporting is another way that quality measures can help inform patients about their overall experience with a particular hospital or clinic.

Performance indicators measure how well some aspect of healthcare is supplied or delivered.

Performance indicators measure how well something is done.

In healthcare, they can be used to monitor and improve the quality of care delivered to patients. They are also used in other industries, where they’re called “quality measures” or “assessment tools.”

Performance indicators are used in many different industries. For example, they’re commonly used to measure the performance of healthcare providers. Done right, they can help identify areas where improvement is needed and drive continuous improvement efforts.

Quality measures are used to track progress in improving quality.

Quality measures are used to track progress in improving quality. They can be used to identify areas for improvement, monitor the effectiveness of an intervention and evaluate whether it is effective or not.

Quality measures have a number of benefits: they help you determine if your program or intervention is working; they provide information about how well your program is doing at improving its impact on student learning outcomes; they allow you to compare different programs against each other so that you can see which one works better than another; etcetera!

Performance indicators are used for public reporting, which can help inform patients about the quality of care in particular settings and can motivate providers to improve the quality of their care.

Performance indicators are used for public reporting, which can help inform patients about the quality of care in particular settings and can motivate providers to improve the quality of their care. Public reporting can also be used to evaluate the effectiveness of quality improvement initiatives, such as patient safety programs that aim to reduce preventable adverse events by improving processes like prescribing medications or using EHRs (electronic health records).

Performance indicators also serve as an important tool for evaluating performance improvement initiatives, such as those focused on reducing hospital-acquired conditions (HACs), reducing costs associated with HACs and other healthcare waste reduction activities.

Quality measures often include more than one performance indicator, but not all performance indicators are quality measures.

You may have heard the term “quality measure” used in connection with quality improvement, but what is it?

Quality measures are a way to track progress in improving the quality of care. The idea is that if you have too many poor results and low performance indicators, then you won’t be able to make any changes in your organization or system. A good example of this is when hospitals try to reduce rates of infections from surgery by reducing hospital acquired infections (HAIs). These are caused by bacteria from surgeries or other medical procedures that spread through patients’ bodies after surgery or other procedures like dialysis treatments. By monitoring these numbers over time, hospitals can determine whether their efforts resulted in lower HAIs among patients undergoing certain types of surgeries or treatments and then use those findings as evidence that changing things up had an effect on improving patient outcomes overall!

Another type of quality measure might involve comparing two different groups’ health outcomes after having been treated with different types of medications; maybe one group was given antibiotics while another got some other kind instead? This type works well because both groups should get better since they’re being treated differently; however there’s still room left open for error here since not everybody gets treated equally well regardless if they’ve been given something else instead.”

Quality measures and performance indicators are two important ways of measuring the quality of health care, but they are not the same thing.

Quality measures describe the quality of care provided in certain settings. They are used to track progress in improving the quality of health care, and they can be used by providers and regulators to help them improve their own performance.

Performance indicators measure how well some aspect of healthcare is supplied or delivered. They’re often used as a way to monitor how well an entire system such as a hospital or an entire state’s health care infrastructure is performing overall, rather than just one particular aspect such as patient satisfaction or emergency room wait times.

Conclusion

In short, quality measures describe the quality of care provided in certain settings. Performance indicators measure how well some aspect of healthcare is supplied or delivered. They are often used together as part of a process that helps to improve the overall quality of care that patients receive.