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NR 506 Week 3 Assignment; Quality Healthcare; Measuring NP Performance - Childhood Immunization.docx

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Purpose The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, student will list and discuss three different patient interventions and how they would specifically measure the outcomes and how these primary care interventions result in improved patient outcomes and cost savings for the practice. In addition, students will discuss how these interventions result in improved patient ratings. Requirements: The National Committee for Quality Assurance (NCQA) ( 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: • 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 (NCQA, n.d. 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. You are now employed as an FNP in primary care. Choose one performance measure from one of the six domains of care. List and discuss three different patient interventions and how you would specifically measure the outcomes for that particular performance measure. How would these primary care interventions result in improved patient outcomes and cost savings for the practice? How can these interventions result in improved patient ratings?

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1
RUNNING HEAD: QUALITY HEALTHCARE: CHILDHOOD IMMUNIZATION




Student Name

Chamberlain University

NR506NP Healthcare Policy and Leadership

Dr. Fife

July 24, 2020

, 2
QUALITY HEALTHCARE: CHILDHOOD IMMUNIZATION STATUS
Quality Healthcare: Childhood Immunization Status

Vaccines have been around for the past 200 years and have been one of the most

important medical discoveries. Even though vaccines have been beneficial to the health of the

public there still remains skepticism around them. In the United States studies have shown an

increase in immunization compliance over the years. However, there remains a 10-15% percent

gap of the pediatric population that remain unvaccinated or under vaccinated. The Healthcare

Effectiveness Data and Information Set developed performance measures under six domains. Of

the six domains, Effectiveness of Care main target is prevention and screening. Under this

domain immunization status is a main target of health promotion.

Patient Interventions

Parent Immunization Education

As a nurse practitioner, patient education and communication play a vital role in the

health promotion of patients and clients. Proper education regarding healthcare needs and

recommendations have proven to have a positive effect on patient care. “Studies have found that

the most crucial reason motivating parental choices about immunizations is communication with

the health care provider.” (Ventola, 2016) Patient education by the primary provider has shown

to increase immunization compliance.

The majority of caregivers are often not familiar with the reasons for vaccines.

Additionally, what diseases they prevent and it’s important to provide parent education regarding

the importance of immunizations. Addressing concerns parents have about vaccines is also

important when it comes educating parents on importance of immunizations. One way is to allow

parents during the office visit time to talk about the apprehensions they have about vaccinations,

and properly relay valid information regarding current guidelines for vaccines.

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