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BUS4123 Quality Assurance and Risk Management

Unit 3 Assignment   

Evaluate Current Quality Assurance Efforts

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 (linked in Resources). With this national program outlined, you will:

Investigate the role of the National Committee on Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).

Pick one of the current HEDIS measures (for example, blood lead level in children, falls in older adults, patient satisfaction with providers).

Conduct research using the Capella library and the NCQA’s State of Healthcare Quality report.

Identify key indicators of quality related to the HEDIS measure you chose.

Write a 2–3 page paper answering the following:

Explain how the Roadmap for Success helps define the need for the NCQA.

Describe your HEDIS measure.

Identify current trends for that measure.

Explain why it is important to measure this area.

Evaluate the role of quality assurance in the improvement of patient outcomes.

Provide conclusions and recommendations.

To complete this assignment, be sure you have completed the following items from the studies (linked in Resources):

Read the National Committee for Quality Assurance’s 2008 State of Health Care Quality. This will help you determine the trends of the HEDIS measure you choose to discuss in this unit and the next unit. This is a longer document to read, so focus your attention on the trends.

Browse the National Committee for Quality Assurance’s 2009 HEDIS 2009 Summary Measures, Product Line and Changes.

Browse the U.S. Department of Health’s PQRI Measures List.

Resources

Evaluate Current Quality Assurance Efforts Scoring Guide.

Center for Medicare and Medicaid Services: Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program.

2019 HEDIS Summary Table of Measures, Product Line and Changes [PDF].

State of Health Care Quality.

PQRI Measures List.

  
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