Posted: January 25th, 2023

Discussion Question: Applying Measurement Tools (HEDIS)

APA format. Use scholar authors only.  3 paragraphs. Include all references. Read all instructions. You have to use the scenario

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THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

References

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 3, “Measuring Performance” (pp. 35-78)
Chapter 4, “Evaluating Performance” (pp. 79-118)
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 23, “Managing Quality and Risk” (pp. 406-427)
Chapter 24, “Translating Research Into Practice” (pp. 427-449)
 

  

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51. 

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