NR506NP Healthcare Policy and Leadership

Week 3 Discussion – Review the Hedis Measures and select ONE (1) measure. Briefly discuss the measure.

Discuss how each intervention can result in improved patient outcomes and cost savings for the practice. Provide evidence to support your discussion.

Discuss how each intervention can result in improved patient ratings (an NP’s patient scorecard). Provide evidence to support your discussion.

Use the provided APA Paper Template to complete the assignment.

Review writing for grammar and mechanics. Consider using academic writing resources to support writing. Your paper should include a title page, introduction with a purpose statement, body with citations to support assertions, conclusion addressing the findings of the paper, and reference page.

Review APA formatting. Consider using APA resources to support citation and reference formation.

Enjoy the learning and reach out to me if you have questions. Cphillips2@chamberlain.edu  or 260-417-2889

 

MORE INFO 

The Hedis Measures

Introduction

The Hedis measures, or the HEDIS Core Criteria, are a set of clinically-based criteria for important health outcomes. They were developed by the American Academy of Pediatrics (AAP) and pediatricians from leading medical institutions in the United States to help guide care decisions for children with chronic diseases or conditions. The HEDIS Core Criteria was first published in 2001 and updated in 2012 as part of the AAP’s Pediatric Quality Improvement Program (PQIP). By including these measures in your practice, you can help ensure that every child receives high quality care that reflects scientific evidence regarding their needs and helps them reach their full potential.

CHILD CORE

The core measures for children are:

• Immunizations

• Access to care

• Well child visits.

IMMUNIZATIONS

A vaccine is any preparation of dead or inactivated vaccine viruses, bacteria and toxins that induces immunity to the agent. Vaccines can be given as single vaccines or as combination vaccines containing several components.

A vaccine reaction is a local or systemic immune response to an antigenic component of a vaccine, resulting in cellular destruction and/or hypersensitivity reactions at the site of injection (usually referred to as an adverse reaction). Adverse reactions are usually self-limiting unless the person has underlying medical conditions such as allergies. They are most often caused by bacterial infections, but have also been associated with viral infections, autoimmune diseases such as lupus erythematosus (SLE), multiple sclerosis (MS) and Sjögren’s syndrome; genetic defects; metabolic disorders such as diabetes mellitus type 2 (DM2); organ transplantation from incompatible blood types; cancer chemotherapy treatment regimens including anthracyclines used during breast cancer therapy; radiotherapy treatment regimens including alkylators used during prostate cancer therapy

ADOLESCENT CORE

The adolescent core measures are a set of quality measures that apply to the care of adolescents ages 12 through 18. The adolescent core measures are based on the adult core measures and are organized around four domains:

• Physical Health

• Mental Health

• School Engagement/Learning (including medication management)

• Bullying/Harassment

ADULT CORE SET

The Adult Core Set includes the following measures:

• Cholesterol

• Blood Pressure

• Diabetes (pre-diabetes)

• Physical Activity

The Adult Core Set also includes screening for colorectal cancer.

ASTHMA-ADULT

Asthma is a disease of the airways in the lungs. Asthma can be triggered by allergens, cold air, exercise or emotional stress.

In addition to helping you manage your asthma symptoms and improve quality of life (QOL), our goal is to help you avoid serious complications that lead to hospitalization while still providing you with an effective treatment plan.

The Hedis measures are based on evidence-based research showing how we can help people manage their asthma more effectively long term by improving their QOL through better management of daily activities as well as reducing unnecessary emergency department visits and hospitalizations related to this condition.

DIABETES-ADULT

Diabetes is a disease in which your blood sugar, or blood glucose, levels are too high. Diabetes is caused by the body’s inability to produce or use insulin properly. It can also be referred to as “diabetes mellitus” (DM).

Insulin is a hormone that helps control how much glucose (sugar) enters your bloodstream from food you eat. When you have diabetes and don’t produce enough insulin on your own, it’s called diabetes mellitus type 1 (DM1). If you have DM2 instead of DM1, then this means that either: A) You didn’t make any more than normal amounts of insulin after being given regular doses; B) Your body doesn’t respond properly when given extra doses of insulin; C) Both A and B apply

HEART FAILURE-ADULT

Heart failure is a condition in which the heart muscle is unable to pump enough blood to meet the body’s needs. Heart failure can be caused by a variety of conditions, including high blood pressure, coronary artery disease, cardiomyopathy and valvular heart disease.

• High blood pressure: The heart has to work harder when it pumps more fluid into your veins. This puts pressure on your lungs and makes it harder for them to get enough oxygen into each breath you take every time you breathe out (breathe).

• Coronary artery disease: When plaque builds up inside arteries (the large pipes that supply oxygenated blood to all parts of the body), this causes narrowing of those arteries and can lead over time toward serious health issues like stroke or heart attack (myocardial infarction). If left untreated this type of blockage may cause death within months since no medicine can help stop its progress very far ahead; however there are treatments available now which reduce symptoms dramatically while allowing people time still live with fewer limitations than might otherwise have been imposed upon them if left untreated long term

Takeaway:

The takeaway is the most important part of any article, as it should be a concise summary of what you learned.

The takeaway should be interesting and engaging. If you can’t think of anything to say about your topic, then write about something else! For example: if you were writing about how to make a cupcake, maybe one way would be to use flour and eggs—but another way might be by mixing oil and baking powder together in the right amounts.

Conclusion

If you have any questions or concerns, please feel free to reach out to us. If you have any questions regarding this topic, please don’t hesitate to contact the Hedis Team at 1-800-HEDIS1 (1-800-437-3471). We are here to help.