Tools for Measuring Quality
How do we determine quality? Quality in other areas of our lives can be subjective, so how do we ensure—specifically as it relates to our nursing practice—that quality is clearly defined and measurable?
Tools for measuring quality are used to assess the value measured, collected, or compared. These tools allow for subjectivity to be replaced with objectivity through data, formula, ranking, and analysis.
For this Assignment, you will explore at least three rate-based measures of quality. You will deconstruct each measure to explore your understanding of the measure, its importance, and its impact on patient safety, cost of healthcare, and overall quality of healthcare.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
· Review the Learning Resources, for this week, and reflect on tools for measuring quality in nursing practice.
· Select three rate-based measurements of quality that you would like to focus on for this Assignment.
o Note: 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.
o 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.
· Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the measures were collected, and how these measures are communicated to both internal and external stakeholders.
· Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance.
· Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of healthcare, and overall quality of healthcare.
The Assignment: (8–10 pages)
· Describe the three rate-based measures of quality you selected, and explain why.
· Deconstruct each rate-based measure to include the following:
o Describe the definition of the measure.
o Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.).
o Explain how the data for this measure are collected.
o Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a percentile ranking. Be specific.
o Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.
o Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be specific and provide examples.
· Describe the importance of each rate-based measure to a chosen clinical organization and setting.
o Using the 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 home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings.
o Note: 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.
· Explain how each rate-based measure (you selected) relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.
By Day 7
Submit your Assignment by Day 7 of Week 4.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK4Assgn2_LastName_FirstinitialThen, click on Start Assignment 2 near the top of the page.Next, click on Upload File and select Submit Assignment 2 for review.
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Rubric
NURS_8302_Week4_Assignment2_Rubric
NURS_8302_Week4_Assignment2_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeDescribe the three
rate-based measures of quality you selected, and explain why.
20 to
>17.0 pts
Excellent
The response
accurately and clearly describes in detail three rate-based measures of
quality…. The response provides accurate and specific details that fully
support the selection of the three rate-based measures described.
17 to
>15.0 pts
Good
The response
accurately describes three rate-based measures of quality…. The response
provides accurate details that support the selection of the three
rate-based measures described.
15 to
>13.0 pts
Fair
The response inaccurately
or vaguely describes three rate-based measures of quality…. OR… The
response describes less than three rate-based measures of quality…. The
response provides inaccurate or vague details that may support the
selection of the rate-based measures described.
13 to
>0 pts
Poor
The response
inaccurately and vaguely describes three rate-based measures of quality, or
it is missing…. The response provides inaccurate and vague details that
do not support the selection of the rate-based measures described, or it is
missing.
20 pts
This criterion is linked to a Learning OutcomeDeconstruct each
rate-based measure to include the definition of each measure, explanation of
the numerical description of how the measure is constructed, explanation of how
the data is collected, description of how the measure is compared externally,
explanation of whether or not the measure is risk adjusted, and a description
of the how goals might be set for each measure. Be specific, and provide
examples.
25 to
>22.0 pts
Excellent
The response
accurately and clearly explains in detail each of the three rate-based
measures…. The response accurately and clearly explains all elements of
each measure, including: the definition of the measure, explanation of the
numerical description, explanation of how the data is collected,
description of how the measure is compared, explanation of risk, and
description of goals…. The response includes relevant, specific, and
appropriate examples that fully support the explanations provided for each
of the three rate-based measures described.
22 to
>19.0 pts
Good
The response
accurately explains each of the three rate-based measures…. The response
accurately explains the elements of each measure, including: the definition
of the measure, explanation of the numerical description, explanation of
how the data is collected, description of how the measure is compared,
explanation of risk, and description of goals…. The response includes
relevant, specific, and accurate examples that support the explanations
provided for each of the three rate-based measures described.
19 to
>17.0 pts
Fair
The response
inaccurately or vaguely explains each of the three rate-based measures….
The response inaccurately or vaguely explains the elements of each
measure…. The response includes inaccurate and irrelevant examples that
may support the explanations provided for each of the three rate-based
measures described.
17 to
>0 pts
Poor
The response
inaccurately or vaguely explains each of the three rate-based measures, or
it is missing…. The response inaccurately or vaguely explains the
elements of each measure, or it is missing…. The response includes
inaccurate and vague examples that do not support the explanations provided
for each of the three rate-based measures described, or it is missing.
25 pts
This criterion is linked to a Learning OutcomeDescribe the
importance of each measure to a chosen clinical organization and setting. Be
specific as to the setting.
20 to
>17.0 pts
Excellent
The response
accurately and clearly explains in detail the importance of each measure to
a chosen clinical organization and setting. … The response provides
accurate and specific details that fully support the selection of the three
rate-based measures and the clinical organization or setting described.
17 to
>15.0 pts
Good
The response
accurately explains the importance of each measure to a chosen clinical
organization and setting. … The response provides accurate details that
support the selection of the three rate-based measures and the clinical
organization or setting described.
15 to
>13.0 pts
Fair
The response
inaccurately or vaguely explains the importance of each measure to a chosen
clinical organization and setting. … The response inaccurately or vaguely
provides details that may support the selection of the three rate-based
measures and the clinical organization or setting described.
13 to
>0 pts
Poor
The response
inaccurately and vaguely explains the importance of each measure to a
chosen clinical organization and setting, or it is missing…. The response
inaccurately and vaguely provides details that do not support the selection
of the three rate-based measures and the clinical organization or setting
described, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeExplain how each
rate-based measure you selected relates to patient safety, to the cost of
poor quality, and to the overall cost of healthcare delivery. Be specific,
and provide examples.
20 to
>17.0 pts
Excellent
The response
accurately and clearly explains in detail how each rate-based measure
relates to patient safety, cost of poor quality, and overall cost of
healthcare delivery…. The response includes relevant, specific, and
appropriate examples that fully support the explanations provided for each
of the rate-based measures described.
17 to
>15.0 pts
Good
The response
accurately explains how each measure relates to patient safety, cost of
poor quality, and overall cost of healthcare delivery…. The response
includes relevant, specific, and accurate examples that support the
explanations provided for each of the rate-based measures described.
15 to
>13.0 pts
Fair
The response
inaccurately or vaguely explains how each measure relates to patient safety,
cost of poor quality, and overall cost of healthcare delivery…. The
response includes inaccurate and irrelevant examples that may support the
explanations provided for each of the rate-based measures described.
13 to
>0 pts
Poor
The response inaccurately
and vaguely explains how each measure relates to patient safety, cost of
poor quality, and overall cost of healthcare delivery, or it is missing….
The response includes inaccurate and vague examples that do not support the
explanations provided for each of the rate-based measures described, or it
is missing.
20 pts
This criterion is linked to a Learning OutcomeWritten Expression
and Formatting – Paragraph Development and Organization: Paragraphs make
clear points that support well-developed ideas, flow logically, and
demonstrate continuity of ideas. Sentences are carefully focused—neither long
and rambling nor short and lacking substance. A clear and comprehensive
purpose statement and introduction is provided which delineates all required
criteria.
5 to
>4.0 pts
Excellent
Paragraphs and
sentences follow writing standards for flow, continuity, and clarity…. A
clear and comprehensive purpose statement, introduction, and conclusion is
provided which delineates all required criteria.
4 to
>3.5 pts
Good
Paragraphs and
sentences follow writing standards for flow, continuity, and clarity 80% of
the time. Purpose, introduction, and conclusion of the assignment is
stated, yet is brief and not descriptive.
3.5 to
>3.0 pts
Fair
Paragraphs and
sentences follow writing standards for flow, continuity, and clarity
60%–79% of the time. … Purpose, introduction, and conclusion of the
assignment is vague or off topic.
3 to
>0 pts
Poor
Paragraphs and
sentences follow writing standards for flow, continuity, and clarity <
60% of the time…. No purpose statement, introduction, or conclusion was
provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression
and Formatting – English writing standards: Correct grammar, mechanics, and
proper punctuation
5 to
>4.0 pts
Excellent
Uses correct
grammar, spelling, and punctuation with no errors.
4 to
>3.5 pts
Good
Contains a few
(1 or 2) grammar, spelling, and punctuation errors.
3.5 to
>3.0 pts
Fair
Contains several
(3 or 4) grammar, spelling, and punctuation errors.
3 to
>0 pts
Poor
Contains many (≥
5) grammar, spelling, and punctuation errors that interfere with the
reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression
and Formatting – The paper follows correct APA format for title page,
headings, font, spacing, margins, indentations, page numbers,
parenthetical/in-text citations, and reference list.
5 to
>4.0 pts
Excellent
Uses correct APA
format with no errors.
4 to
>3.5 pts
Good
Contains a few
(1 or 2) APA format errors.
3.5 to
>3.0 pts
Fair
Contains several
(3 or 4) APA format errors.
3 to
>0 pts
Poor
Contains many (≥
5) APA format errors.
5 pts
Total
Points: 100
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