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NURS 8300 Week 5: System Management of Populations
As noted in previous weeks, quality improvement measures are implemented at the macro and micro levels. Using quality indicators and measures, health care providers can compare, evaluate, and identify areas that need improvement to ensure quality care. How do these measures compare when managing chronic illnesses? The Resources from Week 1 revealed that many Americans do not receive quality health care for chronic illnesses, resulting in patients having more than one chronic illness (Institute of Medicine, 2001). How can nurses engaged in advanced practice evaluate the issues around treating chronic illness? How do quality metrics for managing chronic disease improve its management?
Keep your responses to these questions in mind as you proceed through this week, which calls attention to how quality metrics drive change to improve population health through the management of chronic disease.
This week, you examine quality metrics pertaining to the management of chronic illness in various health care settings.
Learning Objectives
By the end of this week, you will be able to:
- Evaluate how quality metrics drive change to create improvement in the management of chronic disease
Discussion: Quality Metrics for Chronic Disease Management
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According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.
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To prepare:
- Review the National Committee for Quality Assurance report, presented in the Learning Resources, and examine current trends and measures associated with at least two chronic diseases. This information will form the basis for this Discussion.
- Review examples of measures that address the management of chronic diseases for an inpatient setting that might not be relevant in an outpatient setting. Be sure to explore the companion metrics that influence a patient’s ability to manage chronic disease.
- Consider how these metrics facilitate change and improve the management of chronic disease.
- Examine the efficiency of current automated trigger systems for managing patient safety. Ask yourself: How do these automated trigger systems help improve quality of health care, patient education, and management of chronic illnesses?
By Day 3
Post a cohesive scholarly response that addresses the following:
- Compare one quality metric for managing chronic disease that applies to your practice setting to ametric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).
- Evaluate how these quality metrics facilitate change and improve the management of chronic disease.
- Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?
Read a selection of your colleagues’ responses.
By Day 7
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Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
