Healthcare Effectiveness Data and Information Set

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 careChoose 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?

Requirements: 1200 or less

Answer preview

One of the patient interventions proposed revolves around the use of community sensitization programs to inform people of existing substance use treatment services available to them and how they can access them. The most effective way to evaluate the effectiveness of this intervention is to look at the number of drug users and addicts who sought these services due to the sensitization programs (Bushra et al., 2013). Doing this will determine whether the sensitization and education being offered to communities are having a positive impact. The effectiveness of SBI as an early intervention will be determined by looking at the number of patients identified as having an increased risk for substance misuse (Abuse et al., 2016). Specifically, whether the information shared with them helped reduce the chances of their substance misuse progressing to substance use disorders. Another indicator of the effectiveness

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Healthcare Effectiveness Data and Information Set
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