03 Feb The National Committee for Quality Assurance (NCQA)

The National Committee for Quality Assurance (NCQA) ensures the quality of client care using defined standards. Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool millions of health insurance plans use. HEDIS includes six domains of care:

Effectiveness of Care
Access/Availability of Care
Experience of Care
Utilization and Risk Adjusted Utilization
Health Plan Descriptive Information
Measures Collected Using Electronic Clinical Data Systems
Select one NCQA HEDIS measure related to your future practice area. Use the Nurse Practitioner Quality Measures Worksheet to complete the assignment.

Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
Provide reference support from at least three scholarly resources according to program expectations. Include in-text citations in APA format when applicable.
Abide by Chamberlain University’s academic integrity policy.
Include the following sections (detailed criteria listed below and in the grading rubric).

1.Identification of the Selected Measure

Identify the selected performance measure and provide the full description of the measure.
Analyze the selected measure for clinical significance and evidence base considering both short term and long-term clinical significance.
Describe practical implications for clinical nurse practitioner practice.
Provide support from at least one scholarly source as defined by the NP program expectations.

2.Implementation Planning
Develop a detailed quality improvement plan for implementing the selected measure in your current or future practice, including:
Specific strategies for client education
Clinical workflow integration – roles and responsibilities
Documentation – roles and responsibilities
Provide support from at least one scholarly source as defined by the NP program expectations.

3.Measurement
Identify a tool or data collection technique to measure the outcomes of implementing the selected measure. Provide a detailed description of pre- and post-implementation measurement describing roles and responsibilities.
Describe how the tool can be successfully implemented in NP clinical practice.
Provide support from at least one scholarly source as defined by the NP program expectations.

4.Application to Practice
Discuss in detail how the interventions can improve client outcomes.
Discuss in detail how the interventions can improve cost savings for the practice in both the short-term and the long-term.
Discuss in detail how the interventions can improve client ratings (an NP’s patient scorecard).
Provide support from at least one scholarly source as outlined in the NP program’s expectations.

5.Reflection
Reflect on the importance of using NCQA HEDIS measures in NP clinical practice.
Identify two key takeaways to apply to your current or future practice.