In an 8 to 10 page paper, describe three rate based measurements of quality.Your paper must be fully annotated, written in scholarly voice, and compliant with APA 6th edition style.

In an 8 to 10 page paper, describe three rate based measurements of quality.Your paper must be fully annotated, written in scholarly voice, and compliant with APA 6th edition style.

Select three rate based measurements of quality that you will use as the primary basis for this paper.
These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care. For the purposes of this assignment, an analysis of staffing levels is not permitted. You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose only one of the three measures to be some form of patient satisfaction measure.
http://www.qualityindicators.ahrq.gov/
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html
http://www.medicare.gov/hospitalcompare/search.html?AspxAutoDetectCookieSupport=1
http://www.cdc.gov/HAI/surveillance/index.html
http://www.ihi.org/resources/Pages/IHIWhitePapers/AGuidetoMeasuringTripleAim.aspx
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS.html
http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS/index.html?redirect=/cahps/
http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html?redirect=/hos/
Deconstruct each measure to include descriptions of the following:
– The definition of the measure
– The numerical description of how the measurement is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.)
– Explain how the data for this measure are collected
– Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking.
– Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.
– Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace.
Describe the importance of each measure to a chosen clinical organization and setting.
Using these websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic or private office; a total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might hone in a particular healthplan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings. Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the instructor for guidance. You do not need actual data from a given organization to complete this assignment.
Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare.

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Readings
• Course Text: Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Adminisration Press.
o Chapter 5: Data Collection
o Chapter 6: Statistical tools for QI
• Article: Park, J., Konetzka, R. T., & Werner, R. M. (2011). Performing well on nursing home report cards: Does it pay off? Health Services Research, 46(2), 531–554. doi:10.1111/j.1475-6773.2010.01197.x
Retrieved from the Walden Library databases.

The study in this article evaluates whether or not nursing homes benefit from improvements in quality measures. Four financial outcomes are measured before and after the improvements are enacted. The study shows that the nursing homes that improved quality measures benefitted financially.

• Article: Suchy, K. (2010). A lack of standardization: The basis for the ethical issues surrounding quality and performance reports. Journal of Healthcare Management, 55(4), 241–251.
Retrieved from the Walden Library databases.

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