Description Of Hedis Measures Of Care

UHDDS is specific to hospitals that provide medical services for those covered by Medicaid and Medicare. As the federal government was becoming increasingly involved in healthcare, analysts realized the importance of creating a standardized system of medical coding that would be allowed for an easier comparison between hospitals. This data could also be used to compare the reimbursement rates of different hospitals for similar medical procedures, and thereby work towards a standardized system of reimbursement for the federal government nationwide. Standardization in reimbursement rates also helped hospitals move towards standardization in quality of

Exercises and physical activity have been associated with numerous health benefits including reducing incidences of falls and injuries among the elderly and the geriatric population. Appropriately exercise programs and cardiovascular fitness in older people improve strength and balance. The interventions included strengthening, endurance, balance, flexibility exercises, Tai Chi, stand up/step down procedure and walking exercises. In the first research, the findings were that program targeting balance, leg strength, and freezing gait were only effective in people with milder illnesses, as opposed to more serious disorders like Parkinson’s disease. The study was done for a period of 2 years. In the second research, the findings showed that a multi-component enhanced physical performance of the community indwelling adults but did not translate to psychological outcomes or reduced rates of falling.

Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of

The WHOQOL surveys were developed by the World Health Organization (WHO) to assess population groups in a variety of situations in an effort to evaluate quality of life across various cultures (University of Washington, 2016). WHOQOL-OLD is one such measure for older adults, which was created in part because other QOL scales like WHOQOL-100 and WHOQOL-BREF did not address some of the more pertinent issues that individuals face in the latter portion of their lives (University of Washington, 2016). Similar to the other quality of life assessment tools created by WHO, WHOQOL-OLD includes basic, yet important quality of life indicators that touch upon the physical, psychological and environmental states of individuals as well as the quality of

Hospitals regularly measure patient care, which is defined as any health care service provided to an individual. It is measured in different ways according to the type of health care service provided. However, there are basic principles that guide how all patient hospital care is measured.

Please watch the recorded lecture and following along with the PPT under Module: Week 4. As you go through the PPT you are prompted to respond to certain questions below. Your responses should include citations and evidence to support in APA when appropriate. Once completed post this worksheet with your responses with the appropriate Assignment Module by Sunday 8 am.

In 2004, the Healthcare Effectiveness Data and Information Set (HEDIS) stated that “Kaiser Permanente Southern California (KPSC) region, where approximately 6,000 physicians in the Southern California Permanente Medical Group, and where approximately of 3.5 million adults and pediatric are treated, there performance was below the national 50th percentile”. (Kanter et al., 2013) Since the performance was below what they aspired to achieve, in 2005 KPSC recognized the potential to improve quality of care through providing complete care for patients who have chronic illness.

1). The IHI initiated this new framework of care because chronic health issues have become a global dilemma that has placed larger demands on healthcare systems, along with the aging population and longevity (IHI, 2016a). Other countries health systems outperform the United States in quality and cost in providing services for their citizens (IHI, 2016a). In order to meet the growing need for healthcare systems performance and to accommodate more enrollees through the ACA, healthcare providers and organizations must change their approach in providing healthcare for the public.

To deal with this information gap, the Hospital Quality Alliance program integrated the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey into its series of measurements. Several hospitals have

The United States health care system has can be assessed for quality measures in many different ways such as mortality rate or infant mortality, but the United States government often judges the efficiency of health care provider or network on the Centers for Medicare & Medicaid (CMS) core measures. The reason the United States gauge health care performance on CMS standards is due to CMS is the federal governing body that operates Medicare and how the hospital will be reimbursed from Medicare patients. Formerly Medicare would reimburse a hospital based all services the hospital provided a patient or fee for service (FFS). The rising

I am a CNA and I am currently working for a Home Health Care Agency. It is my job as a caregiver to keep my clients healthy and active. I do everything from making doctors appointments, give medications, prepare healthy meals and observe and report any signs and symptoms to the family, nurse, or physician. One of the most critical part of my job is to make sure they are staying active. There is a popular quote "if you don't use it, you lose it" this is incredibly true when it comes to the elderly. The majority of my clients are not active. The most walking they do is to the bathroom and down to the dining hall, even then most of them take their scooters to the dining room. So it is very vital that I encourage them to do as much physical activity

The SF-12 questionnaire was used to assess the health status of the subjects. The data was looked at sorting by gender differences and the activity level categories as they wanted to know these differences. The results showed a significant effect between physical activity levels and health status but there was not a significant change when looking at health status when separating by gender. The effect found between physical activity levels and mental health showed that 150 minutes was sufficient to increase mental health. For all physical activity over 150 minutes there was not an increase to show the subjects continued to increase their health status.

Healthcare Effectiveness Data and Information Set (HEDIS) is a tool that uses a comprehensive set of standardized performance measures which provide reliable comparisons of health care plans for purchasers and consumers. The tool is used by most HMO and PPO plans to measure important dimensions of care. The National Committee for Quality Assurance (NCQA) states that health plans also use HEDIS results themselves to see where they need to focus their improvement efforts (National Committee for Quality Assurance [NCQA], n.d.). Consumers benefit from HEDIS data through the State of Health Care Quality report, which provides a summary of performance of the nation’s health care system (NCQA, 2016). Purchasers and consumers can view

In the peer reviewed article Management of Falls in Community- Dwelling Older Adults, the authors clearly explain how an individualized patient assessment must be done to identify potential fall risk factors. Medical history of the patient, body functions, activities, participation and cognition are some of the aspects to take in consideration regarding an old adult health care. Beside those factors, environmental hazard is one of the most common causes of falling in old people even when they are healthy (Avin, Keith G, ; Hanke, Timothy A; Kirk-Sanchez, Neva; McDonough, Christine M; Shubert, Tiffany E; et al, Jun 2015). Because elderly

Currently, only 20% of Canadians are meeting the recommended 150 minutes of PA a week, with this number decreasing to 12% of adults over 60 years of age (Government of Canada, 2015). Sedentary activity later in life may be contributing to the rate of chronic disease being 4 times that of overall population in elderly individuals (Government of Canada, 2017). Yet, PA is a no cost, easily implemented, preventative measure and treatment for many chronic diseases and conditions, including osteoporosis. Increasing PA in at risk populations, such as seniors, could decrease the rate of chronic illness in these populations.