Healthcare Quality Measurement
Compare one measurement that you identified in the Week 2 Discussion with one measurement outlined by the CMS restricted reimbursements and explain how these two measures demonstrate evidence of compliance with their respective quality measurement standards.
In the Week 2 Discussion, we considered the importance of personnel-focused quality measures in rating healthcare performance. The Centers for Medicare and Medicaid Services (CMS) maintain a wide range of these measurement types. Accordingly, "of the quality measures currently in use by CMS, 153 address physician and other professional behavior as part of the 2009 PQRI measure set." (CMS, p. 6) This degree of attention suggests that there are many correlations between achieving positive treatment outcomes and providing meaningful frameworks, standards and oversight to healthcare providers. These system end-users will have a defining impact on treatment quality and, increasingly in the current regulatory climate, the impact of reimbursement penalties.
For instance, measuring nursing performance has a direct correlation to actual performance quality if executed properly. Rather than being perceived as a penalty-driven system, the effectively oriented performance measurement should raise morale and improve occupational commitment. The study by Albanese et al. (2010) indicates that nurses must be actively involved in the process of their own evaluation in order for this approach...
also emphasize the importance of education and communication to consumers in order to ensure that quality standards are met. The Malcolm Baldrige National Quality Award was established during 1987, when businesses were slowly but increasingly becoming aware of the importance of quality service and goods to customers. The award program was then established in order to not only promote quality awareness, but also to recognize businesses providing the highest quality
Success in several high-profile areas, such as stroke prevention, acute coronary intervention, or nosocomial infection have the benefits of focusing the organization on a task which can bring tangible results, measured in clinically-relevant ways. Specific Program for our Institution This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality
Quality Measurement Proposal The focus of quality measurements is, generally, care processes or structures having an established relationship with positive healthcare outcomes, and being under the healthcare system's control. The technical definition of quality measures provided by the Agency for Healthcare Research and Quality (AHRQ) is: a mechanism for assigning quantity to care quality through comparison to some criterion. One can apply quality measures to the evaluation of managed care organizations,
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004). Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher
However, despite the development of these exemplary healthcare capacities, the UAE's system continued to suffer during this timeframe from a perception among the population that it lacked quality (Kronfel, 1999). It cannot be discounted that the public may perceive the UAE's healthcare system as lacking in quality because the system does in fact have many developmental issues left to resolve. For example, a study by Margolis (2002) found that as
A Model Healthcare Delivery System Introduction The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population.
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