Discussion: Measures of Quality Essay.
To prepare: • Select one specific quality indicator from the Week 2 Discussion and compare it with those outlined in this week’s Learning Resources. • Review the accrediting body standards that pertain to your organization focusing on those standards that require your organization to define its quality management program.Discussion: Measures of Quality Essay. • Consider regulatory requirements at the state or national level that affect quality outcomes in your organization. • Ask yourself: How do the Centers for Medicare and Medicaid Services (CMS) restricted reimbursements affect quality management or improvement efforts at my organization? How do these standards and regulations influence or support ethical principles and influence patient care and nursing practice? By Day 3 Post a cohesive scholarly response that addresses the following: Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives. From a systems perspective, discuss how this measure affects quality outcomes, supports ethical principles, and influences patient care and nursing practice. Read a selection of your colleagues’ responses.Discussion: Measures of Quality Essay.
Discussion: Measures of Quality
Health care quality is a nationally recognized topic that is addressed through public policies, licensure, and accreditation standards for health care professionals and organizations. Throughout history, numerous organizations have been involved in developing health care quality and safety initiatives.Discussion: Measures of Quality Essay.
The Joint Commission and Centers for Medicare and Medicaid Services (CMS) developed quality and safety indicators for various health care systems. These indicators seek to establish accountability for health care organizations through a reporting system, which is available to the public. For this Discussion, explore various accrediting organizations and specific measures that pertain to quality. In your research on accrediting organizations, consider how these quality measures affect quality outcomes, support ethical principles, and influence the delivery of clinical services.Discussion: Measures of Quality Essay.
By Day 3
Post a cohesive scholarly response that addresses the following:
Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives. From a systems perspective, discuss how this measure affects quality outcomes, supports ethical principles, and influences patient care and nursing practice.Discussion: Measures of Quality Essay.
Read a selection of your colleagues’ responses.
Measures of Quality: Falls
Nursing quality of care has typically been of principal focus in efforts to improve nursing care with regards to effects on nursing personnel, other medical personnel and patients. Nursing quality indicators are the elements of patient care that are directly influenced by nursing practice. The quality indicators are reflective of three nursing care aspects: structural, process and outcomes aspects.Discussion: Measures of Quality Essay. Structural aspects refer to the resources allocations towards nursing activities to include nurse qualifications (certification and education), levels of skills and numbers. Process aspects refer to the nursing approaches applied to include nursing interventions and patient assessment. Outcome aspects refer to the patient outcomes determined by nursing care to include incidences of falls and pressure ulcers (Lorini et al., 2018). The present paper discusses patient falls as an outcome indicator of nursing care quality.Discussion: Measures of Quality Essay.
The chosen measurement is patient falls. This is a secondary quality indicator that reports on adverse events related to patient-related safety. Falls indicator is a measurement used to gain insight into the performance of a health care organization concerning the quality of care provided (Stalpers et al., 2016). Staggs et al. (2015) explains that patient falls is a nurse sensitive quality indicator since they are reasonably preventable through interventions by nurse personnel. Still, it is important to note that some falls cannot be prevented through reasonable measures by nurse personnel, and are not reflective of the quality of care being provided by the nurse personnel (Staggs et al., 2015).Discussion: Measures of Quality Essay.
CMS Driven Incentives and Disincentives
Centers for Medicare and Medicaid Services (CMS) has presented as a no-pay policy to target patient falls in medical facilities. In 2008, CMS presented a policy that stopped reimbursing medical facilities for costs incurred related to falls among patients. To be more precise, the CMS does not reimburse medical facilities for traumatic injuries on patients from falls. The intention was to incentivize medical facilities to make greater use of fall prevention strategies. As a result of the policy, nursing care is making greater use of bed alarms, sitters, room changes and physical restraints as strategies for preventing falls (Fehlberg et al., 2017).
Nurse personnel have complex and potentially conflicting objectives when providing medical care to patients. They need to treat the medical condition that prompted the patient to visit the medical facility ad be admitted, keep the patient safe, and help the patient to recover or maintain mental and physical function. As such, there is a need to balance fall prevention against other priorities. This would focus on managing the patient’s underlying risk factors for falls (such as frequent toileting needs, confusion, side effects of medication, and problems with transfers and walking), and ensuring that the care environment is optimized for safety (Black, 2020).Discussion: Measures of Quality Essay.
Implementing falls prevention strategies has care quality, ethical and nursing practice implications. It has implications for care quality by ensuring that patients are kept safe in the medical facility so that their medical conditions do not worsen, rather they improve. In addition, it has ethical implications by ensuring that nurses conform to the principles of beneficence and non-maleficence that focus on nurses not causing patients any intentional harm. Besides that, it has implications for nursing practice and patient care by changing workflows(Black, 2020).Discussion: Measures of Quality Essay.
One must accept that nursing care quality is an issue of concern since it has implications for care outcomes. In addition, one must acknowledge that falls is a measure of nursing quality of care since they are reasonably prevention through deliverable interventions by nurse personnel. CMS concedes that falls are preventable and has intervened through a no-pay policy that stops reimbursements to medical facilities for costs incurred for traumatic injuries on patients from falls. The CMS policy is intended to incentivize medical facilities to make greater use of fall prevention strategies. Through engaging in fall prevention strategies, nurse personnel are able to reduce fall incidences, and ensure that patients are not intentionally harmed.Discussion: Measures of Quality Essay.