NURS 8302 Measurement Systems and Methods
NURS 8302 Measurement Systems and Methods
NURS 8302 Measurement Systems and Methods
Health care organizations strives for excellent quality services. The ability of health organizations to achieve their desire outcomes depends largely on quality indicators that are in place. I notice that falls is one of the main concern with quality indicators in rehab. Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.
Quality metrics are important in behavioral health. Quality metrics can be used to determine the effectiveness of the quality metrics that guide the care to a patient with depression in a rehab setting may very from those who lives in a nursing home. The hospital monitors timelessness of care, medication errors, and patient falls. for example, once you pull a pain pill from the pixies, you must give it within 30 minutes and reassess within one hour. Quality metrics facilitates change and improves the management of depression.
Dashboards are helpful when monitoring the results of improvement. And can be used for measuring current performance. Wong et al. (2020), explained that while using the data from the Medicare and Medicaid Services (CMS) administrative claims data base, the dashboard revealed the impact of diabetes with readmissions and financial strain if they were admitted with it.
Nash et al. (2019), “reported that instead of measurement of what providers do, patient-centered care requires measurement of providers’ focus on meeting patients’ needs.” Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.
References
Nash, D., Joshi, M., Ransom, E., & Ransom, S. (2019). The healthcare quality book:
Vision, strategy, and tools (4th ed.)p 234, 304. Chicago, IL. p 41.
Wong, T., Broyman, E. Y., Rao, N., Tsai, M. &Urman, R., D. (2020). A dashboard prototype for
tracking the impact of diabetes on hospital readmissions using a national administrative
database. J Clin Med Res, 12(1); 18 – 25. doi: 10.14740/jocmr4029.
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This is an outstanding work Marian. The post is clear and insightful, which is a demonstration of good understanding of the content. I agree with it. In concurrence, the deployment of patient satisfaction measurement dashboards as quality metrics provides insights in the patients’ perception of promptness, efficacy, and quality of care (Piech et al., 2021). The dashboard displays data on patient satisfaction that helps organizations to check patient experience and deal with challenging areas. The patients’ insights are essential parts of organization’s quality improvement. Some of the major components of the patient satisfaction measurement dashboard include visualization of satisfaction metrics of patient, which helps leaders to seamlessly locate weakness areas in patient centered processes and enable them to adjust and improve (Epstein et al., 2020). The other component is recognition of areas for improvement. Since no organization perfect, the dashboard helps in identification of areas to improve and the processes that need emphasis (Dols et al., 2018). The dashboard also have element of breaking down satisfaction by service or team through identification of teams or services that may be failing in patient satisfaction.
References
Dols, J. D., Beckmann-Mendez, D., DiLeo, H. A., Weis, K. L., & Medina-Calvo, M. (2018). Nurse-managed health centers: Measures of excellence. The Journal for Nurse Practitioners, 14(8), 613-619. https://doi.org/10.1016/j.nurpra.2018.05.008
Epstein, J. A., Noronha, C., & Berkenblit, G. (2020). Smarter screen time: integrating clinical dashboards into graduate medical education. Journal of graduate medical education, 12(1), 19-24. https://doi.org/10.4300/JGME-D-19-00584.1
Piech, L. K., Burke, C., & Johansen, M. L. (2021). Dashboards and report cards: Using staff performance to drive outcomes. Nursing Management, 52(3), 10-13. doi: 10.1097/01.NUMA.0000733660.62672.8e
Healthcare organization
Skyridge Medical Center is the healthcare organization that I have selected for this week’s discussion. I currently work in the NICU as a NNP PRN.
Scorecard measures
Patients who reported that their nurses communicated well
Patients who reported that their doctors communicated well
Patients who reported that they received help as soon as they wanted
Patients who reported that staff explained about medicines before giving it to them
Patients who reported that their room and bathroom were clean/ Patients who reported that the area around their room was quiet at night
Patients who reported that they were given information about what to do during their recovery at home
Patients who understood their care when they left the hospital
Patients who gave their hospital a rating on a scale from 0 (lowest) to 10 (highest)/ Patients who would recommend the hospital to their friends and family
Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met.
In my current work environment of air medical transport, unfortunately we do not track the patient’s experience. Previously we did track our patient experience by sending out surveys to gain knowledge for improvement goals. Implementing standardized surveys for all patients and their families is an area to begin to assess where improvement is needed. Standardized surveys allow hospitals to share strategies that have improved scores while publicly reported quality measures allow consumers to make better choices in providers and hospitals (Joshi, Ransom, E., Nash, and Ransom S., 2014). The CAHPS program is an initiative to standardize patient experience surveys with the goal of using the results to assess patient centeredness, report on performance and improve quality of care (Joshi, Ransom, E., Nash, and Ransom S., 2014). “Public reporting serves to enhance accountability in health care by increasing transparency of the quality of hospital care provided in return for the public investment” (CMS, 2020, p. 1).
Describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.
Patient experience data is the most effective when the units of accountability and improvement are the same (Nash et al., 2019). “Data needs to be collected, analyzed and reported for the levels at which accountability can be created and improvement can occur (Nash et al, 2019, p. 244). Measuring these patient experience metrics allows the hospital to address specific areas for improvement that are identified by the patients. This data can also be used by patients to decide where to receive their care therefore it creates organizational competition. Medicare gives a financial incentive for hospitals to improve their patient experience (Nash et al., 2019) so not measuring or improving these metrics that measure patient experience puts the hospital at a financial disadvantage. Healthcare organizations can prioritize their efforts on patient experience based on what are the most important drivers of the patients’ ratings of care (Nash et al, 2019). Thus, measuring patient experience data and then not focusing on “Getting better at everything”, but focusing on improvement at the level of the major drivers of patients’ overall experience can impact the care that the patient perceives that they receive. This tool allows us to focus on improving the most important aspects of the patient experience.
References
Centers for Medicare and Medicaid Services. (2020). HCAHPS: Patients’ perspectives of care survey. https://www.cms.gov/Medicare/Quality-Initiatives-Patient[1]Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B., (Eds.). (2014). The Healthcare Quality Book (3rd ed.). Chicago, IL: Health Administration Press
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
This is a good work Brittany. The post is informative and interesting to read. However, I am surprised that your current work environment of air medical transport does not track the patient’s experience. Essentially, understanding patient experience is a major step in achieving patient-centered care. By considering different aspects of patient experience enables health care organizations to assess the level to which patients are given responsive and respectful care based on individual patient’s values, preferences, and needs (Larson et al., 2019). Therefore, it is imperative for your current environment to consider assessing patient experience together with other vital elements such as safety and effectiveness of care, which are critical in providing a full picture of quality of health care. As such, the organization can reintroduce standardized surveys to track patient experience (Zhang et al., 2020). In particular, the previously used CAHPS surveys program should be brought back. CAHPS surveys program is critical tool requests the patients to report the elements of their experience that are essential to them rather than asking them how satisfied they are with the care. The survey contains well-tested questions using reliable methodology which is essential in producing validated and standardized patient experience measures (Martino et al., 2017).
References
Larson, E., Sharma, J., Bohren, M. A., & Tunçalp, Ö. (2019). When the patient is the expert: measuring patient experience and satisfaction with care. Bulletin of the World Health Organization, 97(8), 563. doi: 10.2471/BLT.18.225201
Martino, S. C., Shaller, D., Schlesinger, M., Parker, A. M., Rybowski, L., Grob, R., … & Finucane, M. L. (2017). CAHPS and comments: how closed-ended survey questions and narrative accounts interact in the assessment of patient experience. Journal of patient experience, 4(1), 37-45. doi: 10.1177/2374373516685940
Zhang, Y., Li, Q., & Liu, H. (2020). From patient satisfaction to patient experience: A call to action for nursing in China. Journal of nursing management, 28(2), 450-456. https://doi.org/10.1111/jonm.12922