East Tennessee State University Metrics Evaluation Paper
Description
Write a 3-5 page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels.
Introduction
In the era of health care reform, many of the laws and policies set forth by government at the local, state, and federal levels have specific performance benchmarks related to care delivery outcomes that organizations must achieve. It is critical for organizational success that the interprofessional care team is able to understand reports and dashboards that display the metrics related to performance and compliance benchmarks.
Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set forth by relevant federal, state, and local laws and policies. Understanding relevant benchmarks that result from these laws and policies and how they relate to quality care and regulatory standards is also vitally important.
Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.
Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.
Instructions
Choose one of the following two options for a performance dashboard to use as the basis for your evaluation:
Option 1: Dashboard Metrics Evaluation Simulation
Use the data presented in your Assessment 1 Dashboard and Health Care Benchmark Evaluation activity as the basis for your evaluation.
Note: The writing you do as part of the simulation could serve as a starting point to build upon for this assessment.
Option 2: Actual Dashboard
Use an actual dashboard from a professional practice setting for your evaluation. If you decide to use actual dashboard metrics, be sure to add a brief description of the organization and setting that includes:
The size of the facility that the dashboard is reporting on.
The specific type of care delivery.
- The population diversity and ethnicity demographics.
- The socioeconomic level of the population served by the organization.
- Note: Ensure your data are Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.
- To complete this assessment:
Review the performance dashboard metrics in your Assessment 1 Dashboard and Health Care Benchmark Evaluation activity, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Note: The writing you do as part of the simulation could serve as a starting point to build upon for this assessment.
Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical and sustainable action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on the performance dashboard.
Make sure your report meets the Report Requirements listed below. Structure it so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks.
- Report Requirements
- The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
- Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies.
Which metrics are not meeting the benchmark for the organization?
What are the local, state, or federal health care policies or laws that establish these benchmarks?
What conclusions can you draw from your evaluation?
- Are there any unknowns, missing information, unanswered questions, or areas of uncertainty where additional information could improve your evaluation?
Analyze the consequence(s) of not meeting prescribed benchmarks and the impact this has on health care organizations or teams.
- Consider the following examples:
- Organizational mission and vision.
- Resources.
- Staffing.
- Financial: Operational and capital funding.
Logistical considerations: Physical space.
- Support services (any ancillary department that gives support to a specific care unit in the organization, such as pharmacy, cleaning services, dietary, et cetera).
Cultural diversity in the community.
- Staff skills.
- Procedures and processes.
Address the following:
- What are the challenges that may potentially contribute to benchmark underperformance?
- What assumptions underlie your conclusions?
- Evaluate a benchmark underperformance in a heath care organization or interprofessional team that has the potential for greatly improving overall quality or performance.
- Focus on the benchmark you chose to target for improvement. Which metric is underperforming its benchmark by the greatest degree?
- State the benchmark underperformance that is the most widespread throughout the organization or interprofessional team.
- State the benchmark that affects the greatest number of patients.
- Include how this underperformance will affect the community that the organization serves.
- Include the greatest opportunity to improve the overall quality of care or performance of the organization or interpersonal team and, ultimately, to improve patient outcomes, as you think about the issue and the current poor benchmark outcomes.
Advocate for ethical and sustainable action(s), directed toward an appropriate group of stakeholders, needed to address a benchmark underperformance.
- Who would be an appropriate group of stakeholders to act on improving your identified benchmark metric?
- Why should the stakeholder group take action?
- What are some ethical actions the stakeholder group could take that support improved benchmark performance?
Organize content so ideas flow logically with smooth transitions.
- Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis.
- Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
- Be sure to apply correct APA formatting to source citations and references.
Unformatted Attachment Preview
Law
Appold, K. (2020). Top 6 challenges healthcare executives will face in
2020. Managed Healthcare Executive, 30(1), 6n
yers, C. R. (2021). The politics of health care. American Journal of Nursing,
121(2), 22´.
Complete the Health Care Law Terminology interactive exercise to review and test
yourself on some of the terminology used in this course.
RESOURCES: US HEALTH AGANCIES AND ORGANIZATIONS
Review the following:
nstitute for Healthcare Improvement. (2018, November 14). Why health care
policy matters [Video].. YouTube.
Read the following U.S. Health Agencies/Organizations, which may interest you:
gency for Healthcare Research and Quality. (n.d.). https://www.ahrq.gov
Centers for Disease Control and Prevention. (n.d.). https://www.cdc.gov
Centers for Medicare and Medicaid Services. (n.d.). https://www.cms.hhs.gov
Food and Drug Administration. (n.d.). https://www.fda.gov
Health Resources & Services Administration. (n.d.). https://www.hrsa.gov
The Joint Commission. (n.d.). https://www.jointcommission.org
National Academy of Medicine. (n.d.). https://nam.edu
National Institutes of Health. (n.d.). https://www.nih.gov
Occupational Safety and Health Administration. (n.d.). https://www.osha.gov
U.S. Department of Health and Human Services. (n.d.). https://www.hhs.gov
U.S. Environmental Protection Agency. (n.d.). https://www.epa.gov
Resources: Health Care Dashboard
Metrics
The following articles will further your understanding of the significance of
benchmarking in health care as it relates to quality of care, regulatory and
government policies, and the law.
Bevan, G., Evans, A., & Nuti, S. (2019). Reputations count: Why benchmarking
performance is improving health care across the world. Health Economics, Policy,
and Law, Cambridge, 14(2), 141v1.
Centers for Disease Control and Prevention. (2018). Performance management
and quality improvement: Data and
benchmarks. https://www.cdc.gov/stltpublichealth/performance/data.html
xplore this web page that presents the Centers for Disease Control and
Prevention’s perspective on why performance and quality measures are
important for patient safety and the bottom line in health care.
Miner, C. Benchmarking in healthcare: Steps for improvement. The Journal of
Medical Practice management: MPM, 34(5).
NCQA. (n.d.). HEDIS measures and technical
resources. https://www.ncqa.org/hedis/measures/
his web page provides information about the Healthcare Effectiveness
Data and Information Set (HEDIS) and other performance measures, which
could provide useful information for incorporation into your assessment.
Resources: Benchmarking
PRINT
The following resources will further
your understanding of the significance of
benchmarking in health care as it relates
to quality of care, regulatory and
government policies, and the law:
hazisaeidi, M., Safdari, R.,
Torabi, M., Mirzaee, M., Farzi, J.,
& Goodini, A.
(2015). Development of
performance dashboards in
healthcare sector: Key practical
issues. Acta Informatica Medica,
23(5), 317ò1.
uerta T. R., Hefner J. L., Ford,
E. W., McAlearney A. S., &
Menachemi N. (2014). Hospital
website rankings in the United
States: Expanding benchmarks
and standards for effective
consumer engagement. Journal of
Medical Internet Research, 16(2),
e64.
artin, E. J. (2015). Healthcare
policy legislation and
administration: Patient Protection
and Affordable Care Act of
2010. Journal of Health and
Human Services
Administration, 37(4), 40711.
ippak, P., Veracion, J. I., Muia,
M., Ikeda-Douglas, C. J., & Isaac,
W. W. (2016). Designing and
evaluating a balanced scorecard
for a health information
management department in a
Canadian urban non-teaching
hospital [PDF]. Health
Informatics Journal, 22(2), 102±39.
The following web page provides
information about the Healthcare
Effectiveness Data and Information Set
(HEDIS) and other performance
measures, which could provide useful
information for incorporation into this
assessment:
CQA. (n.d.). HEDIS measures
and technical
resources. https://www.ncqa.org/
hedis/measures/
The following web page presents the
Centers for Disease Control and
Prevention’s (CDC’s) perspective on why
performance and quality measures are
important for patient safety and the
bottom line in health care:
enters for Disease Control and
Prevention. (2018). Performance
management and quality
improvement: Data and
benchmarks. https://www.cdc.gov
/stltpublichealth/performance/data
.html
Resources: Health Care Law and
Policy
PRINT
Healthcare law and policy has a direct
impact on practice guidelines, policies,
and the success and sustainability of
health care organizations. The following
articles present a variety of perspectives
on the healthcare employment law and
organizational health:
cHugh, M. D., Aiken, L. H.,
Sloane, D. M., Windsor, C.,
Douglas, C., & Yates, P.
(2021). Effects on nurse-topatient ratio legislation on nurse
staffing and patient mortality,
readmissions, and length of stay:
A prospective study in a panel of
hospitals. The Lancet,
397(10288), 1905y13.
USA Gov. (n.d.). Labor laws and
issues. https://www.usa.gov/labor
-laws
Yang, Y. T., Pendo, E., &
Rubinstein Reiss, D. (2020). The
Americans With Disabilities Act
and healthcare employermandated vaccinations. Vaccine,
38(16), 3184ñ86.
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