W891 Outcomes
W8 Content Outcomes measures
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Topics of this game:
- determine indicators or measures of interest, gather data, analyze data, interpret results, implement practice
- established with clear rationale based on variables such as population serve, known quality problems, cost
- gold standard” for the measurement of healthcare quality
- clinical outcomes r/t nurse sensitive indicators
- nursing turnover, falls, restraint prevalence, RN satisfaction, linked to RN actions
- risk reports, financial reports, audits
- CMS, TJC, DCD, NQF
- global issues in nursing & health care
- indirect/direct care activities, consult, case mgmt
- surveillance, provision of care, support groups
- case mgmt, consultation
- Supporting RN personnel in care delivery
- ongoing education, preceptorship, unit participation
- mentorship, role modeling, serving as info resource
- Formal/Informal Education, Class evaluations, Role modeling
- advocate, initate/implement programs, high quality/cost effective care
- continuous QI initiatives, policy/EBP/procedure development, program development, EBP, committee work
- LOS, cost, Complications
- morbidity/mortality, symptom/fxn status, stress levels, QOL, benchmarks, pt satisfaction, burden of care
- case conferencing summaries, ethics review summaries, compliants/grievances
- LOS, pt satisfaction, recidivism, workforce redesign/pt care, achievement of benchmarks
- hospital databases, disease registry index, morbidity/mortality, redadmit data, chart audits, report cards
- cost-benefit analysis, revenue analysis, cost-effectiveness analysis
- systematic process for identifying, quantifying, and comparing expected benefits and costs of an investment
- way to compare the costs and benefits of an intervention, where both are expressed in monetary units.
- a deliberate, detailed and well-researched report that indicates revenue for all activities in a company
- Number of units sold x average price
- a way to examine both the costs and health outcomes of one or more interventions.
- costs of a program to its key outcomes or benefits.
- fiscal databases, CNS generated calculations, relevant clinical indicators from all 3 SOI
- implementation of job expectation as APN
- time-on activities, educational materials, summary of educational outcomes, presentations/publications
- assess patient’s physical and psych conditions, health behaviors, and environment
- planning comprehensive care for patient/family
- planning support groups for patient/family
- set rate of reimbursement for maryland
- overseeing care delivery
- applying knowledge in crisis intervention
- accurate diagnosis of patient needs, problems, and care provision
- focused on adverse aspects of treatment (mortality, adverse events, prolonged hospitalization, QOL)
- enhancing RN participation/job satisfaction, retaining competent personnel, improving staff knowledge, skill
- Achievement of appropriate self-care, QOL, symptom mgmt, perception of being cared for, health promoting behav
- early categorization, quality health outcomes model
- clinical outcomes, functional outcomes, perception outcomes, cost outcomes
- LOS, readmit, visit to ED, return to clinic
- quality of services, satisfaction with care recieved
- psych, social, physical fxn, ADL, overall well-being, QOL, modify self-behavior, self dx mgmt/knowledge
- disease mgmt, early identification and prevention of complications
- normal test values, decreased symptom frequency and severity
- Diagnose patient and family needs, Management of patient’s condition and progress towards achieving outcomes
- Providing extended education/counseling, Troubleshooting complex problems, Assess effectiveness of interventio
- Organizing logistics of support groups
- Coordinating intra/interprofessional services, discharge planning, Facilitation of inter/ra profess services
- Providing support for frontline, Problem solving (includes equipment problems)
- Direct outcome measures, surrogate outcome measures, process measures, time-on activities
- Direct Outcome Measures
- Make the organization, record summaries of monthly productivity on a template with subheadings for each of the
- Allows CNS to track time spend in SOI or organizational pillars, allowing data to be tailored
- Recipient can see what the CNS Is accountable for and solicit input for evaluation
- Keep track on electronic calendar populated with actual work done
- calendar, peer review/cns visibility, preformatted productivity spreadsheet, productivity report
- rounding, reflective practice, process compliance
- Academic detailing in the form of bedside rounds to solidify practice change
- streamlined medication passes, decreasing prompts on computerized documentation, reduced time getting supplies
- Calculate time spent in classroom using average wage of nurse, overhead cost, number of minutes, number of nur
- staff outcome, patient outcome
- turnover, retention, satisfication
- how well did the learners like the learning process?
- what did they learn? (the extent to which the learners gain knowledge and skills)
- what changes in job performance results from the learning process (capability to perform the newly learned ski
- what are the tangible results of the learning process in terms of the reduced cost, improved quality, increase
- Recognize RN has impact on broad set of patient outcomes, Reflect improvement in function, minimize AE
- disease/condition outcomes, physical/psycho sx outcomes, early id/prevention complications, self mgmt/tx adhe
- formal/informal education, resource utilization, consultation, mentorship/preceptorship
- unit los, hospital los, total HC charges
- Supports evidence-based practice centers, outcomes and effectiveness trials, NQMC
- Contains tools for causes analysis, evaluation and decision making, data collection and analysis, idea creatio
- Designed to help clinicians achieve large-scale health transformation to improve quality of patient care and m
- Promotes health care innovation through fellowships, the IGI Open School, and networking
- Excellent site for learning skills in change management, team building, brainstorming, straw man concept, stra
- Identifies the cause of problemIncreases understanding of the problem,Identifies multicause variables affectin
- Identifies driving and restraining forces that impact proposed change
- Dedicated to improving public health innovation, QI, and education
- Collects and evaluates unit-specific nurse-sensitive data from US hospitals
- Promotes continuous improvement of quality in health care by providing educational and development opportuniti
- Developed the Healthcare Effectiveness Data Information Set (HEDIS) to measure quality of care delivered by
- Identifies root causes Identifies variables affecting the process Identifies opportunities for improvement
- Compares categories of data during a single point in time. Numeric or categorical data. To show frequencies.
- increases problem understanding, identifies diff in variables, compares performance with standard
- continous/interval data, helps show patterns
- displays percentage ea variable contributes to whole; proportions
- identifies variables affecting process, increases problem understanding
- Displays relationship between two variables Individual points, show correlation between variables
- increases understanding of relationship between multiple variables
- Displays how predictable the process is over time Upper and lower limit. Shows variability against ref point
- identifies change in process as result of changes in process, identifies improvement areas
- Increased understanding of the problem Identifies changes overtime
- Displays performance overtime Similar to control chart, but doesn’t have boundaries
- Identifies principal variables impacting the process Identifies opportunities for improvement
- Facilitates understanding of the process Identifies stakeholders Clarifies potential gaps and system breakdown
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