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Quality Metric for Managing Chronic Disease Essay Paper

Quality Metric for Managing Chronic Disease Essay Paper

Diabetes mellitus was known in antiquity and remains today a worldwide and increasing health problem with a high cost from associated premature coronary artery disease, blindness, renal failure and amputations (Watkins, Amiel, Howell, & Turner, 2003, p. 224). Quality Metric for Managing Chronic Disease Essay Paper Chronic disease management such as diabetes type II (T2DM), has become the mainstay of primary care physicians (PCP) and inpatient hospitalizations while other emergencies and illnesses are treated at the urgent care facilities. The National Committee for Quality Assurance’s (NCQA’s) Diabetes Physician Recognition Program (DPRP) is designed to recognize PC physicians, who use evidence-based measures and provide excellent care to their patients with diabetes, in conjunction with the American Diabetic Association (ADA) (Beich, Scanlon, & Boyce, 2010, p. 132). Quality Metric for Managing Chronic Disease Essay Paper

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The treatment of patients with T2DM is individualized with the cornerstone therapeutic agent being Metformin and with the main goal of safely achieving a targeted A1C of 6.5% for all patients (Watkins et al., 2003). The National Quality Measures Clearinghouse maintained by the Agency for Healthcare Research and Quality (AHRQ), was searched for measures that addressed diabetes care, and blood glucose and Hgb A1C monitoring was the chosen one (Leas et al., 2009). Diabetes is common in hospitalized people, even among those without a previous history, and is associated with increased in-hospital complications, longer length of stay and mortality (Malcolm et al., 2018, p. 116).  It has been reported to be the fourth most common comorbid condition listed on all hospital discharges. Quality Metric for Managing Chronic Disease Essay Paper Hospitalized patients’ diabetes management occurs after meals and at bedtime daily without the cost of implements considered, coupled with frequent lab tests while PCPs must consider the cost to patients, so testing may be less daily with periodic hemoglobin A1C monitoring as protocol requires every 90 days. Common to both settings is the daily testing which allows for the application of solutions in the event of hyperglycemic episodes such as diet adjustments, lifestyle changes, and insulin use…

According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. Quality Metric for Managing Chronic Disease Essay Paper These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.

To prepare FOR Quality Metrics for Chronic Disease Management:

  • Review      the National Committee for Quality Assurance report, presented in the      Learning Resources, and examine current trends and measures associated      with at least two chronic diseases. This information will form the basis      for this Discussion.
  • Review      examples of measures that address the management of chronic diseases for      an inpatient setting that might not be relevant in an outpatient setting.      Be sure to explore the companion metrics that influence a patient’s      ability to manage chronic disease.
  • Consider      how these metrics facilitate change and improve the management of chronic      disease.
  • Examine      the efficiency of current automated trigger systems for managing patient safety.      Ask yourself: How do these automated trigger systems help improve quality      of health care, patient education, and management of chronic illnesses? Quality Metric for Managing Chronic Disease Essay Paper

 

Post a cohesive response that addresses the following:

1) Compare one quality metric for managing chronic disease that applies to your practice setting to a metric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).

2) Evaluate how these quality metrics facilitate change and improve the management of chronic disease. Quality Metric for Managing Chronic Disease Essay Paper

3) Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?

Read a selection of your colleagues’ responses.

Respond to two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library. Quality Metric for Managing Chronic Disease Essay Paper
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. Quality Metric for Managing Chronic Disease Essay Paper