Cancer leading to needing costly treatments (rim, 2019, p. 824).


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Introducing: As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.
**** Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.
***Category 1: List and discuss three different patient interventions and how you would specifically measure the outcomes.
-Details: From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for the one performance measure.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
Develop a measurement tool to track patient outcomes.

Three measurable interventions. What you are doing is not just developing a plan
of care for one patient with an elevated BMI (as an example) but a set of patients
because you have noted that it is a trend at your practice. Research interventions in
the library. The important part is that the interventions are measurable and can be
used across the patient population.
Screening tools come to mind for me right away, perhaps some forms of
prevention. The idea is really primary prevention, not secondary or tertiary
treatment.
There are 6 domains of care:
Effectiveness of Care.
Access/Availability of Care.
Experience of Care.
Utilization and Risk Adjusted Utilization.
Health Plan Descriiptive Information.
Measures Collected Using Electronic Clinical Data Systems
You may access the 6 domains of care by clicking this link:
(NCQA, n.d. https://www.ncqa.org/hedis/)
***Category 2:
How would these primary care interventions result in improved patient outcomes and cost savings for the practice?
-Detail: Discuss how the interventions can result in improved patient outcomes and cost savings for the practice.
COST SAVINGS
” Cost savings may mean the savings to healthcare expenditures overall. Primary
care and prevention of morbidity and mortality saves health care expenses over
time. Be thinking of these ideas as you complete your assignment.
EXAMPLE: The three interventions discussed above will result in cost savings as breast cancer
screenings promote early detection of cancer. With early detection of cancer there
is a better rate of reaching remission than to a patient who has metastatic disease. It
is generally seen uninsured women are less likely to comply to breast cancer!
screening recommendations and are more likely to present with advanced-stage
cancer leading to needing costly treatments (Rim, 2019, p. 824). An early diagnosis
not only saves money and lives, but it also saves resources. When cancer is not
caught early there comes a point in one’s diagnosis where treatment has more of a
maintenance goal. The goal is to maintain and potentially shrink the amount of
cancer, but it will never be curable. Those diagnosed with progressed cancer have
a larger amount of medical bills versus a patient who is diagnosed early with
breast cancer.
***Category 3: How can these interventions result in improved patient ratings?
-Details: Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard).
Measures of performance are used to determine if the standards of care are met
• Measures of performance are used to determine if the standards of care are rhet.
These include the measurements from NCQA (immunizations, smoking cessation,
etc., peers (expert diagnostician) and patients (timely, polite, and does not miss
vital diagnoses).
EXAMPLE: Patient education not only educates patients, but it can also grow the patient to provider
relationship. An important quality to caring for individuals is taking the time to listen, answer
questions and educate. As a nurse practitioner taking the time to educate patients on an
upcoming breast cancer screening can help answer many questions the patient has not even
thought of, as well as ease the anxiety of uncertainty. Spending this extra time with your
patients can help patients feel more confident and comfortable with their providers.
Providing client reminders to patients whether its automatic telephone calls, written letters
mailed, or receptionist calling it helps the patient know their health is important to the
practice and ensuring patient compliance. Mass media promotion can improve patient
ratings as current patients, and former patients can post their ratings on their experiences
with you as a provider. In the modern world ratings and reviews play an important role in the
everyday decisions. As a new nurse practitioner, it is important to build up your clientele,
and one way is to utilize technology and reach different generations. Advertising your
services through media and discussing who you are as a provider can make patients who are
uneasy about being seen a little more comfortable prior to their visit. These three
interventions play a major role in patient satisfaction, which is very important in the role of
being a nurse practitioner. It is seen in patients who are more satisfied with their care are
more likely to follow medical advice thus encouraging patients to follow through with their
treatment plan and screening procedures (Karaca, 2019, p. 540). Without patient satisfaction
it would not be possible to survive in the healthcare world as patient satisfaction is priority

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