Applying Measurement Tools Essay

Applying Measurement Tools Essay

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. 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. Support your response with references from the professional nursing literature. Applying Measurement Tools Essay. Your posts need to be written at the capstone level (see checklist). Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone) This has to be wrote in APA 7th edition and all sources have to be less than 5 years. Applying Measurement Tools Essay


Applying Measurement Tools

The US healthcare system is concerned with the quality and safety of care services provided to the patients in various units. Consequently, the Healthcare Effectiveness Data Information Set (HEDIS) was established by the National Committee for Quality Assurance (NCQA) primarily toassess the health care performance for various health issues inthe country. Specifically, comprehensive diabetes care HEDIS entails 8 components, including Hemoglobin A1c (HbA1c) testing, HbA1c poor control (>9.0%), HbA1c control (<8.0%), HbA1c control(<7.0%), the performance of retinal eye exam, the performance of LDL-C screening, LDL-C control (<100 mg/dL),and medical attention for nephropathy was established to evaluate the effectiveness of care provided to diabetic patients in the United States.In the presented scenario, the nurse needs to review charts of approximately 1,000 patients to provide the physicians with details about quality incentives, especially regarding individuals diagnosed with diabetes and how many patients meet all the eight components of HEDIS comprehensive diabetes care. Therefore, this discussion will focus on how a nurse staff would findout the number of diabetic patients in the practice and how many of them meet all the eight components of HEDIS comprehensive diabetes care. Applying Measurement Tools Essay

Anurse would identify the patient with diabetes by reviewing the charts of 1000 patients in the practice.However, manual examination of patient chartswould be ineffective since it would take a relatively long period. Besides, more staff would be required to perform the task manually. Additionally, the staff would require special training about datacollection to enable them to gather data accurately and consistently(Spath, 2018).Fortunately, the primary care practice implemented the use of Electronic health records (EHR) last year. Therefore, the nurse will access and collect the required details for diabetic patients from the system. The practitioner will then create a spreadsheet to organize, analyze, and store the collected data in a tabular form. Additionally, the collected data will include the eight components of HEDIS comprehensive diabetes care.Nonetheless, training on data collection is required to ensure the accuracy and reliability of the generated reports. According to Spath (2018), the accuracy, reliability, and validity of data retrieved from EHR are enhanced by training healthcare professionals. Therefore, the spreadsheet would portray the number of diabetic patients and those who have to meet all the eight components of HEDIS comprehensive diabetes care in the practice. Applying Measurement Tools Essay

In addition to the spreadsheet, the nurse would utilize a run chart as an analytical tool. It can be described as a graphical representation of data, which is plotted in a particular pattern. In most cases, the time scale such as days, weeks, months, quarters, semi-annual, or annual is plotted on the horizontal axis. However, this axis can include sequential visits, patients,or procedures According to McQuillan et al. (2016), the run chart allows individuals to learn and understand the performance of their processes and procedures with limited mathematical complexity. Particularly, it is the simplest method of determining if non-random patterns are demonstrated by a process. In this case, the run chart will indicate the number of patients with diabetes and those who have to meet all the eight components of HEDIS comprehensive diabetes care.

Lastly, the data portrayed by the run chart and the spreadsheet will be reviewed and evaluated by thephysicians to determine quality incentives and the area of the eight comprehensive diabetic care components of HEDIS that require some improvement. An intervention plan will, in turn, be developed to boostthe quality and safety of care provided to diabetes patients in the practice. According to Yoder-Wise(2019), addressing the weak areas improves the quality-of-care services provided to the patients in a healthcare facility. Applying Measurement Tools Essay

Overall, data analysis enhances the improvement of weak areas. In this case, data analysis using a spreadsheet and a run chart indicate the areas of the eight comprehensive diabetic care components of HEDIS that need some improvements. 


McQuillan, R. F., Silver, S. A., Harel, Z., Weizman, A., Thomas, A., Bell, C., … & Nesrallah, G. (2016). How to measure and interpret quality improvement data. Clinical Journal of the American Society of Nephrology11(5), 908-914.

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby. Applying Measurement Tools Essay