eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov)
ID: 384550 • Letter: E
Question
eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response no later than Thursday of each week. Answer questions/comments from other students (and your instructor) who respond to your initial post. Reply to at least two different students with a comment or question. Check back often to continue the discussion. Be sure to respond to your peers' and instructor's posts, as well. eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.
Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response no later than Thursday of each week. Answer questions/comments from other students (and your instructor) who respond to your initial post. Reply to at least two different students with a comment or question. Check back often to continue the discussion. Be sure to respond to your peers' and instructor's posts, as well. eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.
Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response no later than Thursday of each week. Answer questions/comments from other students (and your instructor) who respond to your initial post. Reply to at least two different students with a comment or question. Check back often to continue the discussion. Be sure to respond to your peers' and instructor's posts, as well. eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.
Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response no later than Thursday of each week. Answer questions/comments from other students (and your instructor) who respond to your initial post. Reply to at least two different students with a comment or question. Check back often to continue the discussion. Be sure to respond to your peers' and instructor's posts, as well. eview the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.
Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response no later than Thursday of each week. Answer questions/comments from other students (and your instructor) who respond to your initial post. Reply to at least two different students with a comment or question. Check back often to continue the discussion. Be sure to respond to your peers' and instructor's posts, as well.
Explanation / Answer
Review the National Quality Measures Clearinghouse (www.qualitymeasures.ahrq.gov) and identify two performance measures.
We would pick 2 performance measures 1) Patient Satisfaction 2) Process maturity
Patient satisfaction is the ultimate goal of the all the stakeholders and entities involved in a healthcare industry and would be a suitable measure of analyzing the performance.
Process adherence is key in the healthcare industry as a minor miss at any stage might have a huge impact later and the damages could be irreversible.
Discuss how each measure evaluates quality from the perspective of the consumer (patient), provider (i.e., hospital or physician) and the payor (insurance company). Is the measure meaningful to consumers? Does it offer enough information to make decisions? Why or why not?
Patient Experience/Satisfaction results can be derived from ratings, composites and individual questions which would span across Customer Service, Getting Care Quickly, Getting Needed Care, How Well Doctors and staffs communicate, shared decision-making with the patients and his family members rather than thrusting, coaxing treatment upon them etc.
First and foremost, It measures the quality from the customers’ point of view whether they feel they were treated with responsibility and warmth, whether the price charged was reasonable for the services provided, whether there was enough communication with them. This helps the customers decide whether they want to come again to the same place or not. Also the experience is always shared and advised to family and friends and even shared on social media.
From the point of view of the hospital, it means the revenues in future. It could be in the form of the same customer visiting again for his treatments or his family and friends’ decision to go/no go to the same hospital. Dwindling revenue would mean further degradation of services, quality of doctors and would ultimately lead to demise of the organization.
From the Payer’s (Insurance company) point of view, it would also be the expenses that they would shell out for the care which would be prime concern. Typically hospital in order to enhance their revenue might prescribe unnecessary procedures and extract more money from the patients which ultimately has to be borne by the insurance companies and thus impacts their profitability. Moreover it is an unethical step followed in the whole process.
Process Maturity and adherence is another parameter which is very important to measure the universal standards being followed. The compete process should be error free, followed without missing any step right from patient registration, diagnosis to his discharge. From customers’ point of view, this gives him the complete satisfaction and confidence of the treatment provided to him. For hospitals, it gives them the credibility needed to maintain repeat customers and business. The insurance companies are also content in such cases as they are confident of the necessary steeps taken and in sequence so that no untoward incident happens or costs are incurred later.
Both the measures are very meaningful for the customers as they directly reflect the satisfaction levels for the customers’ and thus their propensity to visit again (for future healthcare needs). Also since both the measures encompass a number of sub-processes, they are more holistic and wider in their overall representation.
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