Experience of Care Interventions for Prenatal and Postpartum Care Discussion Paper

Experience of Care Interventions for Prenatal and Postpartum Care Discussion Paper

Experience of Care Interventions for Prenatal and Postpartum Care Discussion Paper

Meeting patient quality measures has become a vital component of healthcare provision. The performances of Nurse Practitioners (NP) perform are measured by the ability to enhance positive patient outcomes, including patient satisfaction, patient safety, and quality of care, as well as cost-effectiveness. One of the tools used to measure patient outcomes is the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS categorizes care activities into six domains: effectiveness of care, accessibility, utilization and risk-adjusted utilization, health plan descriptive information, and electronic clinical data systems measurements. NPs are expected to implement quality improvement interventions to meet the quality and patient experience standards required by the National Committee for Quality Assurance (NCQA). The purpose of this paper is to provide quality improvement interventions for Prenatal and Postpartum Care and part of enhance the experience of care measurements.

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Interventions

1. Make postpartum care an ongoing process rather than a single contact checkup

Create constant monitoring and followup programs for pregnant women from the prenatal period to one year months postpartum. In most cases, postpartum care occurs as a single contact when women come for checkup. Moreover, there is barely any checkup for young mothers three months post-delivery. Yet, adequate support for young mothers requires follow-up and monitoring for at least six months. In this intervention, the clinic will create a program that ensures that checkup from prenatal to postnatal is an ongoing care process rather than once in a while. Additionally, the monitoring for young mothers would occur up to one-year postpartum. This will help keep track of the health of the mother and baby and provide support where necessary to enhance health outcomes. Outcomes will be measured by increased access to prenatal and postnatal services by pregnant women and mothers. Other  

2. Patient education and health promotion

Education and health promotion programs for pregnant women and postpartum mothers on self-care and healthy eating support their health and wellbeing (Herval et al., 2019). Health promotion is a powerful tool for encouraging positive health behaviors. Teachings can include hygiene, good nutrition, adequate rest, stress avoidant, benefits of exclusive breastfeeding, family planning, and disease prevention measures. The outcomes will be measured through a patient survey on the quality of life for the women and the health of the infants.

3. Psychosocial support

Initiate counselling services and connect women to socioeconomic resources according to their needs. Psychosocial support is important because of emotional issues that women experience and challenges with poor socioeconomic conditions (Nazari et al., 2021). Psychosocial support is especially important for vulnerable women such as pregnant teenagers or teenage mothers, women living with HIV, and women coming from poor socioeconomic conditions. The outcome will be measured by the reduced number of women reporting anxiety and other stress-related issues such as postpartum depression.

Improved patient outcomes

The interventions are based on preventive measures to mitigate the health risks that affect pregnant women and infants. For example, education on proper nutrition will ensure that women give birth to healthy babies, reducing the chances of hospitalization and associated costs (Pallangyo, 2018). For instance, when a woman follows a healthy nutrition regime during pregnancy, they are likely to give birth to a healthy baby that will not be susceptible to health problems such as premature birth, low birth weight, or deformity. Similarly, the initiatives will mitigate the risk of postpartum depression prevalent among new mothers and eliminate unnecessary costs. Moreover, prolonged monitoring will reduce cases of neonatal, sudden infant deaths, and maternal mortality. Similarly, psychosocial support has several beneficial outcomes in prenatal and postnatal women, including low rates of depression. A study by Moseholm et al. (2022) confirms that women who receive psychosocial support are likely to record low rates of depression.

NP ratings

NP ratings are measured by the improved health and wellbeing of populations and reduced cost of care. The interventions focus on the prenatal and postnatal population, which will lead to improved quality of life, reduced cases of illness, and overall wellbeing. For example, the likely measurements will be low premature births and infant deaths. Additionally, monitoring will ensure a good experience for women, encouraging them to adhere to exclusive breastfeeding for six months, which is essential for the baby’s proper health (Moseholm et al. (2022). The patients will report high patient satisfaction results, which improves NP ratings.

NPs must maintain patient quality outcomes to comply with care standards and reimbursement rules. The proposed interventions for prenatal and postnatal mothers are constantly monitoring and followup through a continuous process of care, education and health promotion, and psychosocial support. The likely outcomes from these interventions are improved health and wellbeing of the mother and baby, patient care experience, and reduced mortality associated with postpartum mothers. Overall, this population will experience patient satisfaction because of enhanced quality, patient safety, and reduced cost of care.

References

Herval, Á. M., Oliveira, D. P., Gomes, V. E., & Vargas, A. M. (2019). Health education strategies targeting maternal and child health. Medicine, 98(2), .

Moseholm, E., Aho, I., & Mellgren, Å. (2022). Psychosocial health in pregnancy and postpartum among women living with – and without HIV and non-pregnant women living with HIV living in Nordic countries – Results from a longitudinal survey study. BMC Pregnancy Childbirth, 22, 20. https://doi.org/10.1186/s12884-021-04357-5.

Nazari, S., Hajian, S., Abbasi, Z., & Majd, H. A. (2021). Postpartum care promotion based on maternal education needs: A mixed study. Journal of education and health promotion, 10, 261. https://doi.org/10.4103/jehp.jehp_1554_20.

Pallangyo, E. (2018). Improved postpartum care after a participatory facilitation intervention in Dar es Salaam, Tanzania: a mixed method evaluation. Global Health Action, 10:1. https://doi.10.1080/16549716.2017.1295697.

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Week 3: Quality Healthcare: Measuring NP Performance

Due May 22 by 11:59pm Points 200 Submitting a file upload

Week Three Faculty Assignment Orientation Presentation

Access the Webex Recording (https://nam12.safelinks.protection.outlook.com/? url=https%3A%2F%2Fteach.webex.com%2Fteach%2Fldr.php%3FRCID%3D943c4fd05dabcc2651a973eee158bdd1&data=
Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, student will l ist and discuss three different patient interventions and how
they would specifically measure the outcomes and h o w these primary care interventions result in improved patient outcomes and cost savings for the practice . In addition, students will discuss how these interventions result in
improved patient ratings .

Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:

1. Employ strategies to impact the development, implementation, and consequences of holistic healthcare
► policies using evidence-based practice principles (CO1)
2. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
3. Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)
4. Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)
5. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)
Due Date: Sunday of week 3 by 11:59 PM MST.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
Total Points Possible: 200

Requirements:
The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.
Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

Effectiveness of Care.
Access/Availability of Care. Experience of Care.
Utilization and Risk Adjusted Utilization. Health Plan Descriptive Information.
Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/ (https://www.ncqa.org/hedis/) )

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.
Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.
You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically
implement the intervention and measure the outcomes for that particular performance measure in clinical practice. How would these primary care interventions result in improved patient outcomes and health care cost savings?
How can these interventions result in improved NP patient ratings?

Category
Points
%
Description

List and discuss three different patient interventions and how you would specifically measure the outcomes.
60
30%
From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for the one performance measure.
Develop a measurement tool to track patient outcomes.

How would these primary care
interventions result in improved patient outcomes and cost savings for the practice?

60

30%
Discuss how the interventions can result in
improved patient outcomes and cost savings for the practice.

How can these interventions result in improved patient ratings?

60

30%
Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard).

180
90%
Total CONTENT Points= 180 pts

Category
Points
%
Description

Clarity of Writing

10

5%
Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning.

APA Format
10
5%
APA format, grammar, spelling, and/or punctuation are accurate.

20
10%
Total FORMAT Points= 20 pts

200
100%
ASSIGNMENT TOTAL= 200 points

Criteria

Ratings

Pts

Patient Interventions
From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for one performance measure.

Primary Care Interventions Discuss how these primary care interventions result in
improved patient outcomes and
cost savings for the practice.Patient Ratings Describe how these
interventions result in improved
patient ratings.

60 pts Excellent
Provides detailed
information regarding three patient interventions and how they could
specifically be measured. Uses valid, 6re0lepvtasnt, and
Erexlicaebllleent
oPurotsviiddees sdoeutarcileds.
information regarding how the
primary care interventions can result in improved patient outcomes and cost savings for the practice. U60sepstsvalid,
rEexlecveallnetn, tand
rPerloiavbidlees oduetsaiidleed
isnofourmceast.ion regarding how these
interventions may result in improved patient
ratings. Uses valid,
relevant, and
reliable outside sources.

54 pts
V. Good
Provides some
information regarding three patient interventions and how they could
specifically be measured. Uses some v5a4lipdt,s
rVe.leGvoaondt,
rPerloiavbidlees osoumtseide
isnofourmceast.ion regarding how the
primary care interventions can result in improved patient outcomes and cost savings for the practice. U54sepstssome
vVa. lGido, od
Prerloevviadnets, rseolmiaeble ionufotsrimdeation rseoguarcrdeisn.g
how the
primary care interventions can result in improved patient
ratings.

48 pts Satisfactory
Provides non- specific information on three
patient
interventions and how they could specifically be measured. Little valid, 4re8lepvtasnt, or
Srealitaisbflaectory
Pourotsviides nsonu-rcsepse.cific
information regarding how the
primary care interventions can result in improved patient outcomes and cost savings for the practice.
4L8ittpletsvalid, Srealteisvafanct,toorry
Preroliavibdles non- sopuetscifice sspoeucricfiecs.
information regarding how the
primary care interventions can result in improved patient
ratings. Little valid,
relevant, or reliable

30 pts Needs
Improvement Lacks detailed information
regarding three
patient
interventions and how they could
specifically be measured. The submission uses
i3n0foprmtsation tNhaeteidssnot
vImalipdr,orveelemvaenntt,
oLrarceklsiadbelet.ailed information regarding how the primary care
interventions can result in improved patient
outcomes and cost savings for the
practice. The 3s0ubpmtsission Nuseeesds
Iimnfoprrmovaetimonent
Lthaactkiss dneottailed ivnafolidrm, raetlieovnant, roergraerldiainbgle.how
the primary care
interventions
can result in improved
patient ratings.
The
submission uses
information that is not

0 pts Unsatisfactory
Does not provide
information regarding three patient
interventions and how they could
specifically be measured.
Information is not valid, r0epletvsant, or
Urenliasabtleis. factory
Does not provide
information regarding how the primary care
interventions can result in improved patient
outcomes and cost savings for the practice.
Information is n0opttvsalid,
Urenlesvaatnist,faocrtory
rDeolieasblneo. t provide
information regarding how the primary care
interventions can result in improved
patient ratings. Information is not valid,
relevant, or reliable.

60 pts

60 pts

60 pts

Criteria

Clarity of writing

10 pts Excellent
Excellent use of standard English showing original
thought. No spelling or grammar errors. Well organized

9 pts
V. Good
Good use of standard English showing
original thought. No more than two spelling or grammar errors. Well organized

Ratings
outside 8soputsrces/ Satisfactory
Some evidence of own expression and competent use of language.
No more than three spelling or grammar errors. Well organized thoughts and

valid, relevant, o5r rpetlsiable.
Needs
Improvement Language needs
development.
Four or more spelling and/or grammar errors. Poorly organized thoughts and

0 pts Unsatisfactory
More than six spelling and/or grammar errors. Poorly organized thoughts and concepts.

Pts

10 pts

Clarity of writing APA format,
grammar, spelling, and punctuation
APA style references and in text citations are required; however, there are no deductions for errors in
indentation or spacing of references. All elements of the reference otherwise must be
included.

w10ithptpsroper
fEloxwceolflent
0m-e1aenrirnogrs in APA format, grammar, spelling, and/or punctuation.

w9 ipthtsproper
fVlo. wGooof d
2m-e4aenrirnogrs. in APA format, grammar, spelling, and syntax noted.

8 pctsoncepts.
Satisfactory
5-7 errors in APA format, grammar, spelling, and syntax noted.

5 pts concepts.
Needs Improvement 8-9 errors in
APA format,
grammar, spelling, and syntax noted.

0 pts Unsatisfactory
Post contains 10 or greater errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.

10 pts

Late penalty deductions
Students are expected to submit assignments by the time
they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that
assignment for each day the assignment is late.
Assignments will be accepted,
with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

0 pts
Manual Deductions

0 pts
Manual Deductions

0 pts

Total Points: 200