NUR 630-050 Grand Canyon University – Analysis and Presentation of CMS Hospital Quality Measures Data

QUESTION

You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.

Assignment

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12-15-slide PowerPoint (not including title and reference slides) presenting the data to the stakeholders. Address the following in your PowerPoint:

  1. What conclusions can be drawn for each quality measure over the 5-year period?
  2. What trends do you see for each quality measure over the 5-year period?
  3. When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
  4. Based on your examination of the data, which of the quality measures should you prioritize and why?
  5. Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
  6. Explain how you would monitor the metric and use collected data for improvement.

Include a title slide, references slide, and comprehensive speaker notes.

ANSWER

Analysis and Presentation of CMS Hospital Quality Measures Data

Introduction

In this PowerPoint presentation, we will analyze and present the Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period at our site. The purpose is to identify trends and provide actionable information to stakeholders for quality improvement initiatives. The presentation consists of 12-15 slides, excluding the title and reference slides, and includes comprehensive speaker notes.

 Introduction

Introduce the purpose of the presentation and outline the topics to be covered.

 Quality Measure 1 – Conclusions

Present the findings and conclusions for the first quality measure over the 5-year period.

Highlight any significant changes or patterns observed.

 Quality Measure 1 – Trends

Illustrate the trends for the first quality measure using a line graph or bar chart.

Emphasize the direction of change (increase, decrease, or stability) over time.

 Quality Measure 1 – Comparison to National Benchmark

Compare the first quality measure to the national benchmark over the 5-year period.

Indicate whether the measure is better than, worse than, or no different from the benchmark.

Quality Measure 2 – Conclusions

Present the findings and conclusions for the second quality measure over the 5-year period.

Discuss any notable findings or insights.

 Quality Measure 2 – Trends

Visualize the trends for the second quality measure using appropriate graphs or charts.

Highlight any significant patterns or changes observed.

 Quality Measure 2 – Comparison to National Benchmark

Compare the second quality measure to the national benchmark over the 5-year period.

State whether the measure is better than, worse than, or no different from the benchmark.

 Quality Measure 3 – Conclusions

Present the findings and conclusions for the third quality measure over the 5-year period.

Discuss any significant findings or implications.

 Quality Measure 3 – Trends

Display the trends for the third quality measure using visual representations.

Highlight any noteworthy changes or patterns observed.

 Quality Measure 3 – Comparison to National Benchmark

Compare the third quality measure to the national benchmark over the 5-year period.

Specify whether the measure is better than, worse than, or no different from the benchmark.

 Quality Measure 4 – Conclusions

Present the findings and conclusions for the fourth quality measure over the 5-year period.

Discuss any key insights or implications derived from the data.

 Quality Measure 4 – Trends

Visualize the trends for the fourth quality measure using appropriate graphs or charts.

Highlight any significant trends, changes, or patterns identified.

 Quality Measure 4 – Comparison to National Benchmark

Compare the fourth quality measure to the national benchmark over the 5-year period. State whether the measure is better than, worse than, or no different from the benchmark.

 Prioritizing Quality Measures and Developing Improvement Metrics

Based on the examination of the data, identify the quality measures that should be prioritized for improvement.

Explain the rationale for selecting these measures, considering their impact on care processes, outcomes, and patient experience.

 Monitoring and Using Data for Improvement

Outline a strategy for monitoring the identified quality improvement metrics and collecting relevant data.

Discuss how the collected data will be utilized to drive improvement initiatives and enhance care processes, outcomes, and the patient experience.

Conclusion

Summarize the key findings and recommendations.

Reiterate the importance of utilizing the data to drive quality improvement efforts.

: References

Provide a list of references for any sources used in the presentation.

Comprehensive Speaker Notes

Include detailed speaker notes for each slide, elaborating on the information presented on the slides.

Speaker notes should provide additional context, explanations, and interpretations of the data.

Note: Ensure the PowerPoint presentation is visually appealing, using appropriate graphs, charts, and visuals to enhance understanding and engagement.

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