Post a cohesive scholarly response that addresses the following:
Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives. From a systems perspective, discuss how this measure affects quality outcomes, supports ethical principles, and influences patient care and nursing practice.
RESOURCES
Nash, D. B., Joshi, M. S., & Ransom, E. R., & Ransom, S. B., (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Chicago, IL: Health Administration Press.
Chapter 4, “Data Collection”
Chapter 5, “Statistical Tools for Quality Improvement”
Park, J., Konetzka, R., & Werner, R. (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
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.
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.
Because performance reports are easily found online, this article supports creating ethical guidelines for the performance reports of the health care industry. It compares nearly ten different organizations that provide performance reporting, and then it proposes an ethical framework and principles for public quality reporting.
Wachter, R., & Pronovost, P. (2009). Balancing “No Blame” with accountability in patient safety. New England Journal of Medicine, 361(14), 1401–1406.
This article addresses the issue of individual accountability in health care organizations. It suggests moving from a culture within health care that does not place blame on individuals to a culture where individuals become more accountable.
Centers for Medicare & Medicaid Services. (n.d.). Quality initiatives: Overview. Retrieved from http://www.cms.gov/QualityInitiativesGenInfo/
Created by the U.S. Department of Health & Human Services, this website overviews quality initiatives that affect the health care industry. It also provides information and downloadable PDFs on the Post Acute Care Reform Plan and Development of Quality Indicators for Impatient Rehabilitation Facilities (IRF).