BHA FPX 4106 Assessment 2 Benchmarks, Quality Measures, and Data Compatibility for a Documentation Review

Introduction

BHA FPX 4106 Assessment 2 Benchmarks, Quality Measures, and Data Compatibility for a Documentation Review :For healthcare facilities like ours, achieving data compatibility is crucial because it can make documentation review procedures more difficult. Data must be manually extracted and converted into readable formats due to system inconsistencies, even in facilities with electronic health record (EHR) capabilities (Tong, 2012).

It has been determined that American medical schools do not adequately prepare medical professionals in prevention and public health (Nash, Fabius, Skoufalos, & Clarke, 2016). Instead of emphasizing disease prevention, current medical education programs concentrate on treating acute medical conditions (Nash, Fabius, Skoufalos, & Clarke, 2016). Although experts agree that medical education programs need to be redesigned to incorporate new skills and approaches in preventative care in order to improve population health in our nation, they disagree on how best to accomplish this (Nash, Fabius, Skoufalos, & Clarke, 2016).

To guarantee proper care and meet the health care needs of our communities, the Institute of Medicine (IOM) has created and suggested a set of core competencies for all healthcare providers. According to Nash, Fabius, Skoufalos, and Clarke (2016), these competencies include applying quality improvement, using informatics, working in interdisciplinary teams, applying evidence-based practices, and delivering patient-centered care. Other suggestions have also been made, but their implementation has been sluggish.

• A patient seeking services was part of the standard patient care model in the past.
• An acute concern is diagnosed and treated by a provider.
• Whether or not the patient is following the treatment recommendations.

Patient advocacy and engagement are receiving more attention these days. Patient engagement is a crucial factor in better patient outcomes as provider reimbursement models change to pay for performance and the Affordable Care Act (ACA), and patients seek better services at a lower cost.

To aid in the study of patient engagement, the patient engagement framework was created. This unit will look at the framework, which has five steps (Nash, Fabius, Skoufalos, & Clarke, 2016):

1. Tell Me: Healthcare professionals educate and assist patients in understanding their care.
2. Engage Me: healthcare professionals engage with patients to enhance
3. Empower Me: patients participate in the treatment
4. Partner with Me: a shared care partnership between the patient and the provider
5. Encourage my E-Community: the community is part of the patient network.

One way that population health aims to change our emphasis from a reactive treatment model to a proactive wellness model is demonstrated by the framework above (Nash, Fabius, Skoufalos, & Clarke, 2016). Each model type can be succinctly described as follows for your future reference:

• Patients with problems are cared for by treatment models.
• Wellness models act proactively to stop issues before they arise.

Data Compatibility

Easy access to full patient records is crucial for ensuring that data from multiple sources is compatible with our office’s records. This is made possible by dependable computer networks that follow established protocols and compatible EHR systems (Tong, 2012). For accurate comparisons of comparable metrics from various sources, data standardization is essential. In order to achieve this standardization, electronic health information exchange (HIE) systems are essential because they allow transferred data to be seamlessly integrated into recipients’ electronic health records (EHRs) (HealthIT, 2019).

Benchmarks

Standardizing data and enhancing patient care require the implementation of benchmarks. For example, quickly identifying patients who need follow-up, like those with uncontrolled blood sugar, is made possible by integrating electronically received lab results into our EHR (Williams, 2012).

Quality Measures

Verifying sources to make sure they are compatible with data gathered internally is part of ensuring data standardization. In order to achieve this, I will contrast CMS-specified diabetes performance measures (see attached Excel spreadsheet) with quality metrics and data from the Agency for Healthcare Research and Quality’s (AHRQ) National Healthcare Quality and Disparity Reports (NHQDR) on Diabetes Quality Measures Compared to Achievable Benchmarks. These metrics, which are based on national percentages and historical trends, include blood pressure, cholesterol, and HbA1c control (AHRQ, Year; CMS, Year). BHA FPX 4106 ASSESSMENT 3

Conclusion

The cornerstone of any successful healthcare organization is strategic planning. Organizations can overcome obstacles and achieve sustainable growth by utilizing data-driven strategies, involving stakeholders, and coordinating goals with mission and vision.

References

1. ACHE, or the American College of Healthcare Executives, 2023. Healthcare organizations use strategic planning. taken from the website https://www.ache.org
2. AHRQ stands for Agency for Healthcare Research and Quality. (2022). SWOT analysis in medical care. taken from the website https://www.ahrq.gov
3. WHO stands for World Health Organization. (2023). essential tactics for healthcare planning. taken from the website https://www.who.int
4. HBR stands for Harvard Business Review. (2023). overcoming healthcare’s reluctance to change. taken from the website https://hbr.org
5. Health Affairs, 2023. Technology’s place in strategic planning. taken from the website https://www.healthaffairs.org

Frequently Asked Questions (FAQs)

Q1: Why is strategic planning important in the healthcare industry?

Strategic planning improves performance and patient care by coordinating organizational objectives with available resources and market trends.

Q2: How is the effectiveness of a strategic plan determined?

KPIs like workforce retention rates, financial performance, and patient satisfaction ratings are used to gauge success.

Q3: What typical problems arise in strategic planning?

Stakeholder alignment, resource limitations, and change resistance are obstacles.

Q4: How can strategic planning be aided by technology?

Planning and execution are improved by technology, which makes data analysis, process automation, and better communication possible.

Q5: What makes stakeholder participation crucial to strategic planning?

Involving stakeholders guarantees initiative alignment, support, and successful execution.