NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

Sample Answer for NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance Included After Question

NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

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Topic 5 DQ 2

Jan 13-17, 2022

Do you think it is important for health care organizations to be paid for quality of performance? Why or why not?

REPLY TO DISCUSSION

HK

Jan 18, 2022, 11:52 PM

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A Sample Answer For the Assignment: NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

Title: NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

According to Sura and Shaw, quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes. This is based on evidence based professional knowledge and is necessary for achieving universal health coverage. Sura and Shaw further explain that Payers assess quality based on patient outcomes as well as a provider’s ability to contain costs. Providers earn more healthcare reimbursement when they are able to provide high-quality, low-cost care as compared with that of their peers The pay-for-performance (P4P) initiatives have been suggested as a way to improve the quality of patient care and provide incentives to improve performance from providers.

In 2003, The Centers for Medicare & Medicaid Services endorsed this P4P initiative to strengthen quality measures, improve patient outcomes and maintain physician accountability. It offered incentives to hospitals, provider groups, and physicians based on adherence to specific metrics. What the data showed was that quality composite scores    promoted by CMS with the P4P programs needed improvement. They focused on initiatives to target high and low performers and ways to influence care. The goals of the project were straightforward and that was to reward or financially incentivize healthcare stakeholders to provide high quality care.

I think rewarding rates of improvement is important as it can potentially drive healthcare systems to produce higher results. It encourages organizations to invest in quality improvement. By creating financial incentives for providers to participate in P4P, it allows providers to focus on patients’ specific needs. According to Penner, there were also fewer hospital readmissions within two years following the implementation of a readmission reduction program, particularly among Medicare patients (Penner, 2016). I think that our healthcare industry is ever evolving but changes are continuously strengthening our system.

 

Penner, S. (2016). Economics and financial management for nurses and nurse leaders (3rd ed.). Springer Publishing Company

 

Sura, A., & Shah, N. R. (2010). Pay-for-Performance Initiatives: Modest Benefits for Improving Healthcare Quality. American health & drug benefits3(2), 135–142.

 

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REPLY

BH

 

Jan 19, 2022, 5:08 AM

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KNOWLEDGE. CHECK

Discuss the link between payment and quality. Is paying for quality a good thing? Provide rationale.

REPLY

  • CN

Jan 19, 2022, 3:35 PM

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Replies to Beth Hale

Yes it is important. Quality improvement is necessary for any organization to remain relevant and gain confidence with the general public. People work hard for their money. No one likes spending there hard earned cash on something that is of poor quality. Healthcare institutions should be at the frontline of providing quality healthcare service to the public, because the not only provide health care to all of us, but most importantly they also contribute to the improvement of our healthcare and quality of life for all of us.

Reference:

Nancy Dean Beaulieu, & Arnold M. Epstein. (2002). National Committee on Quality Assurance Health-Plan Accreditation: Predictors, Correlates of Performance, and Market Impact. Medical Care, 40(4), 325–337.

REPLY

CO

 

Posted Date

Jan 17, 2022, 11:03 PM

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It is important for healthcare organizations to focus in improving and providing quality of care to their patients. Quality of performance would involve improving healthcare delivery to patients in their community. Healthcare organizations would need to focus on identifying where their facility is lacking. Performance improvement helps healthcare organizations identify what type of quality of care is being provided to patients and allows the healthcare organization make improvements based on the feedback that is being provided. Healthcare organizations should be paid based on their performance providing quality of care. I think it is important and necessary to evaluate what type of care healthcare is being provided to patients. Providing top notch quality of care to the community would also bring other benefits to healthcare organizations by stressing quality of care over quantity of care. This incentive of getting paid for quality of care would allow healthcare organizations to focus more on their practices, processes, and policies to provide and promote positive health outcomes. Patients deserve to receive excellent patient care while keeping the cost of care down. That is why it is so important for nursing professionals track patient satisfaction and reducing cost by measuring patient outcomes. Measuring performance outcomes will allow the organization to achieve and improve patient quality of care.

References NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

Agency of Healthcare Research and Quality. (2020). Quality Improvement in Primary Care. https://www.ahrq.gov/research/findings/factsheets/quality/qipc/index.html

REPLY

  • BH

 

Jan 18, 2022, 6:22 AM

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The current drive is to provide consumers with education in order to make informed choices. You see this with the Medicare Compare websites, the emphasis on transparency, and the mandated quality reporting measures.

According to the American Medical Informatics Association (n.d.), health consumer informatics is a field that focuses on informatics from multiple perspectives or patient views. The emphasis is on consumer education and health literacy through information structures and processes to manage their own health.

We are seeing this emphasis in our own organizations. Web sites have become much easier to navigate. We are seeing increased access to patient education materials on our site that are easy to understand. Patient preferences for education are being assessed upon admission to organizations.

“The shift in this view of informatics analyzes consumers’ needs for information; studies and implements methods for making information accessible to consumers; and models and integrates consumers’

NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance
NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

preferences into health information systems” (American Medical Informatics Association, n.d., para 1).

Class – how do you see your patients and consumers using quality to make decisions?

Beth

American Medical Informatics Association. (n.d.). Consumer health informatics. https://www.amia.org/applications-informatics/consumer-health-informatics

 

REPLY

    • CY

 

Jan 18, 2022, 4:10 PM

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Replies to Beth Hale

According to the World Health Organization (2022), quality health care should be successfully managing care for patients when

needed, safe practicing techniques to prevent harm, and person-centered based on their desires. Patients often select a place to obtain care based on past experiences from themselves or loved ones. Patients might even consider researching various establishments and their quality scores based on their particular needs. Even though we have defined quality indicators some may elect to choose based on their personal experiences rather than specific data- which according to WHO is a quality indicator. My experiences with patients using quality to make decisions is based upon their own perceptions of quality.

 

Reference NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance

World Health Organization. (2022). Quality of care. https://www.who.int/health-topics/quality-of-care#tab=tab_1

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NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

Also Read: NUR 621 what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)