NUR 630 Topic 5 DQ 1

Sample Answer for NUR 630 Topic 5 DQ 1 Included After Question

Measurement is required to determine the success of your CQI project. What is the difference between outcome and process measures? Which are more important? Why? Support your reasoning with an example.

Knowledge Check

Why is measurement an important concept to understand with your CQI project? What are reasons for standardized measurements?

A Sample Answer For the Assignment: NUR 630 Topic 5 DQ 1

Title: NUR 630 Topic 5 DQ 1

Measurement is a critical concept to understand in a Continuous Quality Improvement (CQI) project because it allows organizations to track progress and determine the effectiveness of their improvement efforts. Standardized measurements are particularly important because they allow for consistency and comparability across different settings and contexts. 

According to the American Society for Quality (ASQ), standardized measurements are essential for effective quality improvement because they “provide a common language for describing and understanding performance” (ASQ, 2021). By using standardized measures, organizations can accurately assess their performance and identify areas for improvement. 

For example, in a healthcare setting, standardized measures such as the Healthcare Effectiveness Data and Information Set (HEDIS) are used to track and compare the quality of care provided by different healthcare organizations (NCQA, 2021). By using standardized measures, healthcare organizations can identify areas where they are underperforming and develop targeted improvement initiatives to address those areas.

Reference:

American Society for Quality. (2021). Standardized measures. Retrieved from https://asq.org/quality-resources/standardized-measures

National Committee for Quality Assurance. (2021). HEDIS. Retrieved from https://www.ncqa.org/hedis/

A Sample Answer 2 For the Assignment: NUR 630 Topic 5 DQ 1

Title: NUR 630 Topic 5 DQ 1

When discussing a CQI project, both outcomes as well as process measures are vital. Process measures refer to the steps that are taken or missed during a patient encounter while providing care. Process measures are meant to encourage the providers to do items such as screening for risk factors, assess for underlying conditions which can help with the treatment process. Skipping these steps can be detrimental to the patient and their overall outcome.

When discussing the outcome, how it turns out solely relies on the process and approach selected. It is true that the outcome is the ultimate goal and monitoring the outcome is vital as it can tell you what may or may not be working with the process selected (SRG, 2021).  Even though both are important, measuring and monitoring the outcome can help on levels that would affect the patient, providers, and organization as well as the overall financial impact. If the outcome is not measured and monitored for effectiveness and sustainability, the actions could be a moot point costing the patient setbacks and the organization money. An example of this is tracking the rates of tracheostomy infections with re admission rates. By doing so, it can help determine where a breakdown in the process which can cost the facility money and more importantly put the patient at a risk for additional complications (O’Donnell & Gupta, 2023).

References:

O’Donell , B., & Gupta, V. (2023). Continuous Quality Improvement  https://www.ncbi.nlm.nih.gov/books/NBK559239/

SRG. (2021). Process vs outcome measures. https://solidresearchgroup.com/process-vs-outcome-measures/

A Sample Answer 3 For the Assignment: NUR 630 Topic 5 DQ 1

Title: NUR 630 Topic 5 DQ 1

Measurement is required to determine the success of a CQI project as without measuring the success or failures within the project, there is no way to improve the processes.  Measures are used to assess and compare the quality of healthcare organizations.  These are classified as either a structured process or outcome measure.  This classification is also known as the Donabedian model, which was named after the physician who formulated it (Agency for Healthcare Research and Quality (AHRQ), n.d.).    

Process measures indicate what a provider does to maintain or improve health.  This applies to both healthy people and patients with a specific diagnosis.  Process measures can inform patients on the medical care they should expect to receive for a particular illness or condition, and ways they can contribute to achieving better health.  Process measures answer the question “Are we doing the right things to achieve our goals?” (Preston, 2020).   Process measures are the general recommendations for clinical practices such as the amount of people who are receiving preventive care such as annual mammograms and well-women checks. The majority of health care quality measures used for public reporting are process measures (Agency for Healthcare Research and Quality (AHRQ), n.d.).  

Outcome measures gauge the impact of the health care service or intervention on the health status of patients.  It can also be defined as the change in the health of an individual, groups of people or population that would be contributed to an intervention.  Outcome measures answer the question “What are the end results of our quality improvement work?” (Preston, 2020).  Outcome measures (mortality, readmission, patient experience, etc.) are the quality and cost targets healthcare organizations are trying to improve.  The results of outcome measures are frequently reported to the government, commercial payers, or organizations that report on quality. Outcome measures are primarily defined and prioritized by national organizations, including Centers for Medicare Services, the Joint Commission, and the National Association for Healthcare Quality (NAHQ). Health systems target outcome measures based on state and federal government mandates, accreditation requirements, and financial incentives (Tinker, 2022).  

Personally, process measures are more important to healthcare.  With the process measure, the provider has the opportunity to educate their patients on what is needed to attain better health.  This is a proactive approach instead of a reactive approach, which benefits both the provider and the patient.  If a patient with Diabetes Type 2, the health care provider has the opportunity to begin regular blood sugar checks, order labs, monitor regular vision checks, and start a medication regime that will start the process of properly managing this patient’s blood sugar.  This will avoid future hospitalizations, loss of vision, other organ damage, or possibly death.  This improves the quality of life for the patient both physically and financially.  

References

Agency for Healthcare Research and Quality (AHRQ). (n.d.).  Types of healthcare quality measures.  https://www.ahrq.gov/talkingquality/measures/types.html

Preston, K. (2020).  Types of improvement measures in healthcare.  Life QI.  https://lifeqisystem.com/types-of-improvement-measures

Tinker, A. (2022).  The top seven healthcare outcome measures and three measurement essentials.  Health Catalyst.  https://www.healthcatalyst.com/insights/top-7-healthcare-outcome-measures