在医疗保险和医疗补助服务中心成功的策略 患者报告的结果措施 任务授权
概括
美国医疗保险和医疗补助服务中心 (CMS) 的强制性质量报告计划对关节炎和膝关节关节炎的患者报告结果措施 (PROM) 有影响. 本分析探讨了它对PROM收集及其在患者护理中的价值的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高医疗保健的质量 改善医疗保健的质量
- 肌肉骨健康结果
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 实施了一项强制性住院患者质量报告 (IQR) 计划.
- 该计划包括患者报告结果绩效指标 (PRO-PMs).
- 了解强制性PRO-PM报告的影响对于医疗保健质量至关重要.
研究的目的:
- 检查CMS IQR PRO-PM强制程序的预期和意外后果.
- 在临床实践中讨论患者报告结果指标 (PROM) 的价值.
- 评估该计划对PROMs在部和膝关节关节炎护理中的价值主张的影响.
主要方法:
- 对计划影响的定性分析.
- 综述各种实践环境中的早期经验.
- 讨论与PROMs相关的基于价值的医疗保健原则.
主要成果:
- 早期经验表明,强制性PRO-PM报告的各种影响.
- 目前正在研究该计划对PROM感知价值的影响.
- 预计PROM收集和利用策略可能会发生变化.
结论:
- CMS IQR PRO-PM 计划需要对其对医疗保健质量和患者结果的影响进行彻底评估.
- 需要进一步的研究,才能充分理解PROM在强制性报告环境中的长期价值主张.
- 适应该计划可能会重新定义整合以患者为中心的数据在骨科护理.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities


