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Measurement Systems And Methods Primary Care Setting Discussion Chapter

For this discussion, I elected to focus on a primary care setting. The said nursing practice setting uses scorecards or dashboards to measure patient experience and improve goals. Primary care, according to the Institute of Medicine (1996), could be conceptualized as the provision of accessible and integrated personal healthcare services by accountable clinicians. Personal healthcare needs could be inclusive of a wide range of concerns from patients, i.e. psychosocial and physiological concerns. It would be prudent to note that patient concerns could fall into various categories - some of which may not be in the scope of primary care. According to the Institute of Medicine (1996), primary care manages patients concerns that fall into the following categories; coordination of referrals, prevention and early detection, chronic care, and acute care. In a primary care setting, quality happens to be an essential component in ensuring consistent and desired healthcare outcomes that align with the current knowledge of the nursing profession. To ensure that there is quality in primary care, quality is measured by assessing performance systems and clinicians performance (Institute of Medicine, 1996).

Scorecards and dashboards are important tools in healthcare for measuring accountability and improvement. There are various measures on dashboards or scorecards where patients experience of care is tracked and measured...

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…these attributes are currently not being met in primary care settings. This is more so the case given that the said attributes require adequate knowledge of some aspects of primary care and embrace of diverse contemporary scenarios i.e. with regard to diversity.

There are various impacts of meeting or not meeting the said metrics in primary care. When the said metrics are met, the Institute of Medicine (1996) suggests that the primary care setting mandate of providing integrated care on personal health is achieved. On the other hand, when the said metrics are not met, then the said goal of primary care would be neglected. This would likely result in undesirable…

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References

Institute of Medicine (US) Committee on the Future of Primary Care (1996). Defining Primary Care. In Donaldson MS, Yordy KD, Lohr KN, et al. (Eds.). Primary Care: America's Health in a New Era. Washington (DC): National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK232631/

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

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