NUR 630 Grand Canyon University Healthcare Quality Data Sources Organizer

The purpose of this assignment is to become familiar with various data sources used by health care organizations to obtain quality data NUR 630 Grand Canyon University Healthcare Quality Data Sources Organizer. The Agency for Healthcare Research and Quality (AHRQ) creates an annual report, the National Healthcare Quality and Disparities Report, which assesses the performance of the U.S. health care system.

This report identifies strengths and weaknesses of the health care system in addition to disparities for access to health care and quality of health care. The report is based on more than 250 measures of quality and disparities, and it covers a broad range of health care services and settings.

Access the “2017 National Healthcare Quality and Disparities Report Data Sources” through the AHRQ website, using the link provided in the topic materials. Select five data sources from this report and fill in the required components on the “Quality Data Sources Organizer.” NUR 630 Grand Canyon University Healthcare Quality Data Sources Organizer

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to LopesWrite.

Quality Data Sources Organizer Example

Data Source	Primary Content	Population Targeted	Demographic Data	Schedule	Is This a Source of Primary or Secondary Data?	How / When / Where the Information Might Be Used
Behavior Risk Factor Surveillance System (BRFSS)	The BRFSS collects uniform and state-specific data. The primary focus is on chronic illnesses, diseases, injuries, and preventable infectious diseases in the adult population. The primary survey consists of uniform questions asked in all states on selected topics administered with the states’ allowance. The set of questions is rotating and is asked yearly in all states. In some states, some questions are added to address the specific problems affecting these states. The questions asked focus on behavioral risk factors such as smoking, preventive health measures such as health-seeking behavior, HIV/AIDS, health status, physical abilities and limitations, and healthcare access and utilization	The targeted population is US civilian noninstitutionalized population ages 18 and above and residing in households	Significant demographic data includes gender, age (above 18), education level, race/ethnicity, household income, employment, and marital status	The data from the surveys are collected monthly and distributed annually	Primary data collected from health surveys carried out in all states in the United States	The BRFSS collected data on the health of US citizens, their health-related behaviors, chronic health conditions, and US preventive services. The system collects data from more than 400000 individuals annually, making it the most robust and continuously conducted healthcare survey system globally. The system produces data used in various ways, including determining the population’s health risks. The data generated is also used to determine the behaviors to target in managing chronic illnesses and other health conditions of public interest. The survey is thus integral to gathering information on behavioral risk factors and acting on them to minimize their effects on population health
Quality and Safety Review System (QSRS)	The system facilitates patient safety improvements by improving the understanding of the burden of specific patient safety issues associated with hospital care. The system also collects and examines the risk factors and data on outcomes such as in-hospital mortality and length of hospital stay	The system targets all Medicare patients	Patients of all ages, races/ethnicity, gender, and whose healthcare payment source is Medicare	Data is collected and submitted in real-time but reported quarterly and annually to the AHRQ	Secondary data. The information is collected from an analysis of clinical data the care providers have already collected. The data is collected during their interaction with the patients	The system uses reliable clinical information such as prescriptions and laboratory test results relevant to patient safety. The system provides data on trending adverse events, allowing health institutions to plan their prevention and management. The data also helps local care leaders to implement surveys and interventions at the local level to help manage these problems based on the outcomes of their specific healthcare facilities
American Hospital Association, Information Technology Supplement	The complete AHA survey focuses on statistics that include current and historical data on utilization, personnel, revenue, expenses, managed care contracts, community health indicators, and physician models. Other statistics include technology, electronic health records, admission volume and status, and urban and rural status. The supplement questions healthcare facilities to determine which electronic health records and health information systems they use and the scope of computer function, use, and utilization in the healthcare facility	The system targets all healthcare facilities/hospitals in the United States, including nursing homes, and private institutions	The demographic data is in addition to the core survey and includes hospital information, leadership and organizational structures, facilities, and services, utilization data, community orientation indicators, physician arrangements, managed care relationships, expenses, staffing HER utilization, electronic systems utilization for prescribing and data sharing	Data is collected and submitted annually	Primary data. The information is collected first-hand from all healthcare facilities across the nation	The AHA surveys are annual and from all hospitals in the United States. The data collected focuses on four primary areas, organization, facilities, community benefit, and utilization. They gather information on the extent to which hospitals have implemented health information systems, their characteristics and functionality, and utilization by the hospital. The information from this source can be used for a variety of reasons. It can help suggest useful technologies for a facility. It can also be used to determine the effectiveness of certain technologies from data collected nationally. The data can also spearhead interventions to improve technology utilization in healthcare services such as staff education and support.
National Cancer Data Base (NCDB)	The NCDB entails standardized data elements on patient demographics, insurance status, tumor characteristics (stage, morphology, and site), comorbidities, first treatment course, disease recurrence, and patient survival data. The database also contains information on residence, such as state and Zip Code which are then used to compute area-based sociodemographic data	The database collects information on cancer patients in the unites states	All data relevant to the patients, such as gender, age at diagnosis, race/ethnicity, and other information pertinent to the cancer diagnosis	The data is collected annually	Primary data. This database collects information and presents it as collected by healthcare providers. The database uses its developed standardized registries for data collection and captures data on about 70% of all newly diagnosed cancer patients	The database contains data vital to the management of cancer patients. Chronic illnesses such as cancer and diabetes are on the rise, prompting the development of corrective interventions. The database contains data that assists the US government and healthcare facilities in understanding the current cancer burden and the specific cancer diagnosis. The data helps direct national efforts toward preventing and managing cancer and uses issues such as risk factors and causes to develop interventions that reduce cancer prevalence. The data also helps responsible bodies redirect financial assistance to ensure quality healthcare delivery and population outcomes.
Medical Expenditure Panel Survey (MEPS)	MEPS has three constitute surveys: The HC, Medical provider, and Insurance components. The HC components focus on demographic data, health conditions, satisfaction rate, insurance coverage, employment, and income and are the primary source for the NHDQR and NHDR data. The sections that generate data include the SAQ questionnaire that collects data on a variety of adult health and healthcare quality measures, DCS (diabetes and diabetes care), Child Health and Preventive Care (children health affairs), Access to Care, and Preventive Care	The survey targets the US civilian noninstitutionalized population	The demographic characteristics of interest include age, gender, race, education, ethnicity, industry, occupation, employment status, family income, and household composition	Annually	Primary and secondary data sources	The AHRQ collects data from national probability surveys on financing and use of medical care. It helps the nation understand how its population uses medical care services and its financing for improvement in these specific areas. The data can be used to drive financial reforms and interventions to increase access and utilization of healthcare services. Data estimates in the NHDQR data tables based on MEPS data are modified to reflect the experiences of the target populations for inference purposes.

NUR 630 Topic 7: Performance Improvement Tools And Reportable Metrics

Objectives:

Identify stakeholder reporting agencies.
Identify trends in health care data.
Create a presentation of data for stakeholders.

Topic 7 DQ 1

Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?

Topic 7 DQ1 Example

Internal and external stakeholders are indispensable for the successful delivery of healthcare and its ongoing quality enhancement. Internal and external stakeholders are reporting sources for stakeholder agencies in health care. Internal stakeholders are involved in coordinating, financing, resource allocating, and publishing the health care and well-being partnership’s strategies.

(Lübbeke et al., 2019) External stakeholders frequently contribute their perspectives and experiences when addressing significant issues that may impact the overall management of healthcare. External stakeholders include insurance companies, such as Medicaid, pharmaceutical companies, and suppliers. Internal stakeholders include hospital administration.

The healthcare system should be tailored to its stakeholders’ ideas, requirements, and perspectives. Because the organizational output will be denied if such a decision is made, it is unwise to go against them. For instance, failure to adhere to market trends provided by external stakeholders will result in losses because products and services will not meet market demands. Thus, the stakeholders are crucial from program design to evaluation. (Wu et al., 2019).

External stakeholders contribute to an organization’s ongoing quality enhancement. Their perspectives shape healthcare delivery in the correct direction. It assists policymakers in passing appropriate legislation. It also aids in revealing the errors and inappropriate decisions made by the organization, as evidenced by the negative opinions of its stakeholders, thereby facilitating appropriate decision-making as efforts are made to avoid them. (Segarra-Ona et al., 2020). For instance, the opposing views of community members regarding the hospital’s environmental contamination influence the hospital’s recycling, waste treatment, and waste disposal practices.

In addition, how stakeholders’ opinions are addressed influences their perception of the institution and utilization of the offered services. Therefore, internal and external stakeholders contribute to shaping the organization’s operations and ensuring the organization’s pursuit of continuous quality improvement. Their perspectives, ideas, and requirements contribute to decision-making from project conception to evaluation, resulting in efficient service delivery.

The institution should listen to the affected parties’ opinions and consider them when making decisions. It ensures that the provided goods and services satisfy market demand and adhere to government regulations. The organization is improved by resolving its issues based on the perspectives of its stakeholders (Lübbeke et al., 2019).

References

Lübbeke, A., Carr, A. J., & Hoffmeyer, P. (2019). Registry stakeholders. EFORT open reviews, 4(6), 330–336. https://doi.org/10.1302/2058-5241.4.180077

Wu, J., Wang, Y., Tao, L., & Peng, J. (2019). Stakeholders in the healthcare service ecosystem. Procedia CIRP, 83, 375-379. https://doi.org/10.1016/j.procir.2019.04.085

Segarra-Oña, M., Peiró-Signes, Á., & Verma, R. (2020). Fostering innovation through stakeholders engagement in the healthcare industry: tapping the right key. Health Policy. https://doi.org/10.1016/j.healthpol.2020.05.013

Topic 7 DQ 2

You are going to present data that have been collected to your administrative group. The focus is on outcome measures and the data collected are unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?

Topic 7 DQ2 Example

I would want to present this data in a power point presentation with easy to see/understand graphs. First, I would explain the purpose of the project and data and relate the importance to any important CQI or hospital initiatives. I would also educate the administrative group on the data collection method(s) used to obtain the data. Data related to unnecessary readmissions and readmission rates differ based on the data collection methodology (Hechenbleikner, 2016). I would start with a control chart showing the total readmissions for both sites over the last year. I would then display the same data but broken into two charts, one for each location. This would assist in identifying/explaining any trends over time.

I would also plan to include pie charts with the associated readmission diagnosis for each location and relate this back to any affiliated best practices or certifications each facility may possess. I would also include national averages and show how my organization compared at this level. Depending on this comparison I would suggest areas of improvement or maintenance strategies. I love to include case studies and if time permitted, I would highlight a successful readmission case and recognize the employees who did the outstanding work. I would then dive into the unplanned cases and highlight ones that may have been prevented if best practices were followed.

Reference:

Hechenbleikner EM, Makary MA, Samarov DV, Bennett JL, Gearhart SL, Efron JE, Wick EC. Hospital readmission by method of data collection. J Am Coll Surg. 2013 Jun; 216(6):1150-8.

Benchmark – Hospital-Associated Infections Data

The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.

Scenario

You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.

Assignment

Create a 12-15-slide PowerPoint (not including title and reference slides) presenting the data to the stakeholders. Address the following in your PowerPoint:

What conclusions can be drawn for each quality measure over the 5-year period?
What trends do you see for each quality measure over the 5-year period?
When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
Based on your examination of the data, which of the quality measures should you prioritize and why?
Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
Explain how you would monitor the metric and use collected data for improvement.

Include a title slide, references slide, and comprehensive speaker notes.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Use a minimum of two peer-reviewed, scholarly sources as evidence.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

MSN Leadership in Health Care Systems

6.6: Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience.

NUR 630 Grand Canyon University Healthcare Quality Data Sources Organizer