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1, Steps to complete the assignment: Read and Review the Center for Medicare and Medicaid Services: Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program With this national program outlined, you will: o Investigate the role of the National Committee on Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS). o Pick one of the current HEDIS measures (for example, blood lead level in children, falls in older adults, patient satisfaction with providers). o Conduct research using the Capella library and the NCQA’s State of Healthcare Quality report. o Identify key indicators of quality related to the HEDIS measure you chose. Write a 23-page paper answering the following: How does the Roadmap for Success help define the need for the NCQA? Describe your HEDIS measure. What are the current trends for that measure? Why is it important to measure this area? Evaluate the role of quality assurance in the improvement of patient outcomes. Provide conclusions and recommendations. 2, Health care organizations rely on data to: Define value for their products. Improve market share. Maintain efficient use of resources. Ensure that patients receive evidence-based care. Reduce variation in treatment. Understand the relationship between intervention and outcomes. Communicate leadership goals. Compare one organization to other similar organizations across the country. Improve accountability of staff. Identify problems and evaluate solutions. Establish guidelines for delivery of care (Dlugacz, 2006, pp. 6364). You are the CEO of an ambulatory care clinic. Your facility provides outpatient, orthopedic procedures. Your facility directly competes with the local hospital. The hospital participates in several quality initiatives and is accredited by The Joint Commission (TJC). The hospital has created care maps to ensure evidence-based care is provided to all orthopedic patients. Your facility is owned by a physician group. This same physician group also staffs the hospital. You are not aware of any types of care maps or evidence-based practice polices and procedures within your ambulatory clinic. The hospital administrator is coming to meet with you in two days. This administrator is concerned about the financial loss of patients from the hospital due to the increasing trends of these patients being served by the ambulatory care clinic. The physicians have come to you to ask for a positive solution. What type of data will you collect? How will you respond to issues of quality? What do you project the outcome should be? 3, Providing care differently to those who may be of an ethic minority, speak a different language, or be of a different socioeconomic class, is a significant problem in the way health care is delivered and measured. Health care managers need to constantly be aware of the specific issues related to health care disparities. Health care managers can use the Agency of Healthcare Research (AHRQ) as a resource. The AHRQ created a National Healthcare Disparities report to educate health care professionals in this area. Please review this report and any other resources you may locate related to healthcare disparities from the Capella library or Internet. These resources will help you create your post. You are the CEO of a major organization that manages multiple primary care clinics across a geographic area. Within your service area are two new groups of immigrants that represent Hmong people from Southeast Asia and Somali refugees from the war-torn African nation of Somalia. Further, in the summertime you also have a significant population of legally present Hispanic farm workers who bring their entire family to the area. Considering the information from AHRQ, the Office of Minority Health, along with other sources, discuss how you will ensure that your organization provides quality medical care to those who are of an ethnic minority and likely have a language other than English.
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