Week 5

The National Committee for Quality Assurance (NCQA) ensures the quality of client care using defined standards.

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

Include the following sections (detailed criteria listed below and in the grading rubric).

1. Identification of the Selected Measure
2. Identify the selected performance measure and provide the full description of the measure.
3. Analyze the selected measure for clinical significance and evidence base considering both short term and long-term clinical significance.
4. Describe practical implications for clinical nurse practitioner practice.
5. Provide support from at least one scholarly source as defined by the NP program expectations.
6. Implementation Planning
7. Develop a detailed quality improvement plan for implementing the selected measure in your current or future practice, including:
8. Specific strategies for client education
9. Clinical workflow integration roles and responsibilities
10. Documentation roles and responsibilities
11. Provide support from at least one scholarly source as defined by the NP program expectations.
12. Measurement
13. Identify a tool or data collection technique to measure the outcomes of implementing the selected measure. Provide a detailed description of pre- and post-implementation measurement describing roles and responsibilities.
14. Describe how the tool can be successfully implemented in NP clinical practice.
15. Provide support from at least one scholarly source as defined by the NP program expectations.
16. Application to Practice
17. Discuss in detail how the interventions can improve client outcomes.
18. Discuss in detail how the interventions can improve cost savings for the practice in both the short-term and the long-term.
19. Discuss in detail how the interventions can improve client ratings (an NPs patient scorecard).
20. Provide support from at least one scholarly source as outlined in the NP programs expectations.
21. Reflection
22. Reflect on the importance of using NCQA HEDIS measures in NP clinical practice.
23. Identify two key takeaways to apply to your current or future practice.

The selected NCQA HEDIS performance measure is Hospitalization Within 30 Days of Skilled Nursing Facility (SNF) Discharge.

use 3 scholarly articles within the last 5 years