Evaluate quality improvement programs implemented in health systems, including how quality is measured.

You are a practice manager for a multispecialty provider group. You will prepare two emails, one to your providers and one to their clinical support staff, discussing a quality measure that you have scored low on for your value-based contract. (Hint: It can be a HEDIS measure for Medicare members or another NCQA quality measure for commercial health insurance patients.)

Address the definition, how the data is collected in the electronic medical record (hint: discrete data fields), and why it is important for them to use the recommended documentation process. Lastly, discuss how this impacts the provider group overall (recall the previous assignment on reimbursement).

· The email to the providers should be succinct and highlight only critical information, while the email to the clinical support staff should include more information and the “why.” The emails should motivate their respective audiences.

· Discuss one quality measure that is applicable to the multispecialty group and provide the definition and goal for the measure. You may also want to include a hypothetical current state.

· Highlight where the data is collected in the electronic medical record (should be a discrete field but may be collected by the provider or support staff depending on the measure).

· Discuss the importance of proper data documentation and the impact on the overall tracking and reporting of the measure, as well as how this can impact the organization financially based on your value-based contract.

Requirements

· Your submission is composed in a Microsoft Word® document, with the appropriate APA title page and reference page.

· Your submission includes specific examples of concepts, topics, definitions, and other elements to demonstrate mastery of the objective.

· Your submission includes a highly developed viewpoint and purpose.

· Your response is in Standard English and demonstrates superior organization.

· Your communication is highly ordered, logical, and unified as well as original and insightful.

· Your submission displays exceptional content, organization, style, and mechanics.

· A separate page at the end of your response contains a list of references.

· A minimum of three references are used.

· In-text citations are included where appropriate, and references are listed for all sources used, following proper APA style.

Please review the APA formatting and citation style in Academic Tools – Academic Writer.

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