Writer ChoicePhysician Profiling and Health Care Quality Outcomes
39362Week 6: Health Care Providers’ Accountability Toward Health Care Quality Outcomes Over the last 10 years, several advances and initiatives were made to improve the quality and value of health care in the United States; however the biggest agent for change was the passage of the Patient Protection and Affordable Care Act (PPACA). The goal of this act is to increase the value of health care by improving quality and controlling costs. Accountability can be realized through physician profiling, which is aimed at improving physician performance. However, profiling is not always implemented or used properly in health care organizations because what to measure to most accurately profile has not been identified uniformly. Improving patient experiences results in better clinical outcomes, fewer errors, and increased market share. Building a patient-centered culture improves employee satisfaction because training and support are now priorities. Improving patient experiences of care may be key in transforming our current health care systems into one in which all would want to participate.
This week, you will analyze quality-improvement assessments as well as physician quality practice data. In addition, your recommended strategies to improve physician rankings will be shared.
Learning Objectives Students will: Analyze quality improvement assessments Analyze physician quality clinical practice data Recommend strategies to improve physician rankings Photo Credit: [Angela Schmidt]/[iStock / Getty Images Plus]/Getty Images
Learning Resources
References
Readings
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 7, “Physician and Provider Profiling” (pp. 175–190)
Chapter 9, “Measuring and Improving Patient Experiences of Care” (pp. 209–239)
Byrnes, J. (2014). Using the board quality committee to drive the value proposition. Healthcare Financial Management, 68(8), 92–93.
Note: Retrieved from the Walden Library databases.
Payne, J., & Leiter, J. (2013). Structuring agency: Examining healthcare management in the USA and Australia using organizational theory. Journal of Health Organization and Management, 27(1), 106–112.
Note: Retrieved from the Walden Library databases.
Peterson, E. D., Ho, P. M., Barton, M., Beam, C., Burgess, L.H., Casey, D. E., Jr.,… Stanko, S. (2014). ACC/AHA/AACVPR/AAFP/ANA Concepts for clinician – Patient shared accountability in performance measures: A report of the American College of Cardiology/American Heart Association Task Force on performance measures. Journal of the American College of Cardiology, 64(20), 2133–2145.
ACC/AHA/AACVPR/AAFP/ANA Concepts for clinician — Patient shared accountability in performance measures: A report of the American College of
Cardiology/American Heart Association Task Force on performance measures by Peterson, E. D., Ho, P. M., Barton, M., Beam, C., Burgess, L.H., Casey, D. E., Jr.,… Stanko, S. Journal of the American College of Cardiology, 64(20), 2133–2145. Copyright 2014 by Elsevier Health Science Journals. Reprinted by permission of Elsevier Health Science Journals via the Copyright Clearance Center. Professional pointers. (2015). Healthcare Executive, 30(1), 48–49. Note: Retrieved from the Walden Library databases. Hospital Consumer Assessment of Healthcare Providers and Systems. (n.d.).
CAHPS hospital survey. Retrieved from http://www.hcahpsonline.org/home.aspx
Health Indicators Warehouse. (2016). Data sources. Retrieved from http://www.healthindicators.gov/Resources/DataSources
Press Ganey. (n.d.). HCAHPS regulatory survey. Retrieved from http://www.pressganey.com/solutions/service-a-to-z/hcahps-regulatory-survey
Required Media
Davenhall, B. (2009). Your health depends on where you live [Video file]. Retrieved from https://www.ted.com/talks/bill_davenhall_your_health_depends_on_where_you_live
Note: The approximate length of this media piece is 9 minutes.
Gawande, A. (2012). How do we heal medicine? [Video file]. Retrieved from https://www.ted.com/talks/atul_gawande_how_do_we_heal_medicine
Note: The approximate length of this media piece is 19 minutes.
Discussion: Physician Profiling and Health Care Quality Outcomes Physician profiling is a collection of provider-specific and practice-level data used to analyze physician practice patterns, utilization of services, and outcomes of care. Physician report cards (which may be a component of a physician profile) compare physicians on outcomes related to measures such as quality, patient satisfaction, and cost-utilization patterns. In this Discussion, you will identify three strategies for improving physician quality practice ranking on physician profiling and quality report cards. Be sure to justify your recommendations.
To prepare:
Review the Learning Resources as they relate to quality-improvement assessment and health care quality outcomes
Note: For this Discussion you are required to complete your initial post before you will be able to view and respond to your colleague’s postings. Begin by clicking on the “Post to Discussion” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post a cohesive response to the following:
Post an analysis of physician quality practice data. Then, recommend three strategies for improving physician quality practice rankings on physician profiling and quality report cards. Justify your recommendations with references to your Learning Resources or other academic resources.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings.
Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
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