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The National Committee for Quality Assurance (NCQA) ensures the quality of client care using defined standards. Healthcare Effectiveness Data and Information Set (HEDIS)Links to an external site. is a performance measurement tool millions of health insurance plans use. HEDIS includes six domains of care:
Effectiveness of Care
Access/Availability of Care
Experience of Care
Utilization and Risk Adjusted Utilization
Health Plan Descriptive Information
Measures Collected Using Electronic Clinical Data Systems
Expand each HEDIS domain to review the associated performance measures. Select one NCQA HEDIS performance measure related to your future practice area.
General Instructions
Download the Week 5 Nurse Practitioner Quality Measures Worksheet TemplateLinks to an external site.. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
Complete the Risk Management Case Study Template using the provided scenario.
Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
Provide an in-text citation from three scholarly sources to support your writing.
Abide by Chamberlain University’s academic integrity policy.
Include the following sections (detailed criteria listed below and in the grading rubric).
Identification of the Selected Performance Measure
Identify the selected performance measure.
Analyze the selected performance measure for clinical significance and evidence base.
Describe practical implications for practice.
Provide an in-text citation from one scholarly source to support your writing.
Implementation Planning
Develop a quality improvement plan for implementing the selected performance measure in your current or future practice, including:
Strategies for client education
Clinical workflow integration
Documentation
Provide an in-text citation from one scholarly source to support your writing.
Measurement
Identify a tool or data collection technique to measure the outcomes of implementing the selected performance measure. (e.g., survey, statistical analysis, etc.)
Describe how the tool can be successfully implemented.
Provide an in-text citation from one scholarly source to support your writing.
Application to Practice
Discuss how the interventions can improve client outcomes.
Discuss how the interventions can improve cost savings for the practice.
Discuss how the interventions can improve client ratings (on an NP’s client scorecard).
Provide an in-text citation from one scholarly source to support your writing.
Reflection
Reflect on the importance of using NCQA HEDIS performance measures in clinical practice.
Identify two key takeaways to apply to your current or future practice.
Rubric
NR584NP_W5_Nurse Practitioner Quality Measures Rubric
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