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NR 584NP Week 5 Assignment; Nurse Practitioner Quality Measures Worksheet - Controlling Blood Pressure

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Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. General Instructions 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 domain and review the performance measures under each HEDIS domain. Choose one NCQA HEDIS performance measure related to your future practice area. Use the Nurse Practitioner Quality Measures WorksheetLinks to an external site. to complete the assignment. Include the following sections (detailed criteria listed below and in the grading rubric). 1. 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 support from at least one scholarly source. 2. Implementation Planning 1. 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 2. Provide support from at least one scholarly source. 3. 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 support from at least one scholarly source. 4. 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 (an NP’s patient scorecard).  Provide support from at least one scholarly source. 5. 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.

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NR584NP Nurse Practitioner Quality
Measures Worksheet
Name: Johanna Castro


Carefully read the assignment guidelines and rubric and complete each section of the worksheet
below using complete sentences.


General Instructions
The National Committee for Quality Assurance (NCQA) ensures the quality of client care using defined
standards. Healthcare Effectiveness Data and Information Set (HEDIS) 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 domain and review the performance measures under each HEDIS domain. Choose
one NCQA HEDIS performance measure related to your future practice area. Use the Nurse
Practitioner Quality Measures Worksheet to complete the assignment.

1. Follow APA grammar, spelling, word usage, and punctuation rules consistent with
formal, scholarly writing.
2. Provide reference support from at least three scholarly resources according to program
expectations. Include in-text citations in APA format when applicable.
3. Abide by Chamberlain University's academic integrity policy.


1. Identification of the Selected Measure (minimum of one scholarly source using citations)

The selected performance measure is Controlling High Blood Pressure (CBP). Controlling blood
pressure is cricual for improving patient outcomes, reducing healthcare costs, and enhancing
overall health care. Focusing on patient education, integrating intervention into the clinical
workflow and using tools effectively healthcare providers can help patient manage blood
pressure and prevent cardiovascular events. Obtaining better outcomes contributes to
economical saving and improved patient happiness. By utilizing the NCQA HEDIS performance
measure it ensures evidence-based care and fosters continuous quality improvement.

, a. Identify the selected performance measure.

The selected performance measure for this analysis in the percentage of patient with
controlled blood pressure. Controlled pressure is defined as systollc blood pressure less than
140 mmHg and diastolic blood pressure less than 90 mmHg. According to the American Heatrt
Association (AHA) and the National Heart, Lung and Blood Institute (NHLBI) (AHA, 2022).

b. Analyze the selected performance measure for clinical significance and evidence base.

Analyzing the performance measure for clinical significance it is realizing that it is one of the
most important risk factors contributing to cardiovascular events, including coronary heart
disease, stroke and heart failure, and kidney disease. Controlling blood pressure decreased the
risk of these events taking place. For instance, coordinating efforts that target multiple barriers
medication taking is likely to be the most effective approach. Therefore a common regimen is
a once daily soding and single dose combination pill increase the adherence to the
antihypertensice medication. In other instances having electronic reminders to reill
medication, simple steps that could easily integrate into the patients social life increased
outcomes and decreased cardiovascular disease. (Hypertension, 2023).

c. Describe practical implications for practice.

From a practical standpoint, implementing measures to control blood pressure increase health
outcome for patients. It reduced the risk of cardiovascular events and improved overall
health. Ultimate CBP improved the healthcare coast and decreased complications as well
improved the life of patients (Abdalla, 2023).


2. Implementation Planning (minimum of one scholarly source using citations)

a. Develop a quality improvement plan for implementing the selected performance measure
in your current or future practice, including:
i. Strategies for client education:
Developing an improvement plan for implementing the selected performance
measure entails a combination of strategies. Educating clients on the importance of
controlling their blood pressure, discuss lifestyle modifications such as dietary
changes, encouraging physical activity, and adhering to medical treatment plan. I
think an important strategy will be to provide educational material in their own
language, counseling sessions, and involving family members can advance patient
understanding and adherence to the treatment plans (NHLBI, 2021).

ii. Clinical workflow integration
Clincal workflow integration is critical during implementation. It may include routine
blood pressure measurements during every visit recording it into the Electronic
Health Record (EHR) system to maintain a record. The office may establish a

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