2.50
Hdl Handle:
http://hdl.handle.net/10755/160383
Type:
Presentation
Title:
Application of HEDIS Quality Assessment Protocols
Abstract:
Application of HEDIS Quality Assessment Protocols
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Barkauskas, Violet
Contact Address:SON, 400 N. Ingalls, Room 3184, Ann Arbor, MI, 48109-0482, USA
Co-Authors:Joanne M. Pohl; Paul Hughs-Cromwick; Ramona Benkert; Andrea C. Bostrom; Sheila Ward; Claire Tanner; Lynn Breer
Introduction: Nurse-managed centers (NMCs) provide viable alternatives to traditional primary care, and contribute substantially to filling access gaps for uninsured and under-insured populations. While the basic safety of nurse practitioner practice and patient satisfaction have been demonstrated, few studies have addressed quality of care in NMCs using protocols applied across primary care services. Purposes: The purposes are to: (1) describe the application of eight Health Plan Employer Information Set (HEDIS) (National Committee for Quality Assurance [NCQA], 2001) protocols to six NMCs; (2) report the findings from the quality assessments; and (3) compare NMC findings to national HEDIS benchmarks. The eight quality assessment areas are: asthma, cervical cancer screening, childhood immunizations, depression, diabetes, hypertension, mammography screening, and smoking cessation. Sample: Data were collected in six academic NMCs in a midwestern state. These centers collectively managed over 28,000 visits in 2001. Methods: Researchers adapted the HEDIS protocols for the eight assessment areas, attempting to duplicate the HEDIS protocol as closely as possible. Data were collected by record review and abstraction by registered nurses from patient records. Results: NMC quality assessments will be reported, and compared to national benchmarks. The NMCs achieved or exceeded HEDIS benchmarks in a number of important clinical areas, but did not attain benchmarks in others. Quality of care was especially high in hypertension management and breast and cervical cancer screening. Conclusion: HEDIS quality assessment can be an important approach to benchmarking NMC quality. Challenges and limitations with HEDIS in these settings as well as recommendations for the adaptation of assessment protocols to non-managed care and nursing practices, and documentation issues are addressed. AN: MN030085
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleApplication of HEDIS Quality Assessment Protocolsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160383-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Application of HEDIS Quality Assessment Protocols</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barkauskas, Violet</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 400 N. Ingalls, Room 3184, Ann Arbor, MI, 48109-0482, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Joanne M. Pohl; Paul Hughs-Cromwick; Ramona Benkert; Andrea C. Bostrom; Sheila Ward; Claire Tanner; Lynn Breer</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Nurse-managed centers (NMCs) provide viable alternatives to traditional primary care, and contribute substantially to filling access gaps for uninsured and under-insured populations. While the basic safety of nurse practitioner practice and patient satisfaction have been demonstrated, few studies have addressed quality of care in NMCs using protocols applied across primary care services. Purposes: The purposes are to: (1) describe the application of eight Health Plan Employer Information Set (HEDIS) (National Committee for Quality Assurance [NCQA], 2001) protocols to six NMCs; (2) report the findings from the quality assessments; and (3) compare NMC findings to national HEDIS benchmarks. The eight quality assessment areas are: asthma, cervical cancer screening, childhood immunizations, depression, diabetes, hypertension, mammography screening, and smoking cessation. Sample: Data were collected in six academic NMCs in a midwestern state. These centers collectively managed over 28,000 visits in 2001. Methods: Researchers adapted the HEDIS protocols for the eight assessment areas, attempting to duplicate the HEDIS protocol as closely as possible. Data were collected by record review and abstraction by registered nurses from patient records. Results: NMC quality assessments will be reported, and compared to national benchmarks. The NMCs achieved or exceeded HEDIS benchmarks in a number of important clinical areas, but did not attain benchmarks in others. Quality of care was especially high in hypertension management and breast and cervical cancer screening. Conclusion: HEDIS quality assessment can be an important approach to benchmarking NMC quality. Challenges and limitations with HEDIS in these settings as well as recommendations for the adaptation of assessment protocols to non-managed care and nursing practices, and documentation issues are addressed. AN: MN030085 </td></tr></table>en_GB
dc.date.available2011-10-26T22:53:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:53:28Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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