M2 DB Quality Measures
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The attached article, Why Quality Measures Don’t Measure Quality, describes some of the challenges with how quality is measured in healthcare. The author proposes that because the methods of measurement do not always reflect actual quality care, not only is value-based care failing to meet its underlying goal (to incentivize healthcare organizations and providers to provide quality care), but it might also result in poor quality. While the author uses diabetes management in the illustrations, consider the arguments presented in relation to the quality measures for which your organization is held accountable.
Further, the synopsis published (see attached) about a recent study (Dash, D.W., et al., 2023) in the New England Journal of Medicine reports that adverse events occur in approximately 24% of admissions (Phend, 2023). The most common adverse were drug events (39%), surgical or procedural events (30.4%), events associated with nursing care (falls, pressure ulcers, etc.) (15%), and healthcare-associated infections (11.9%). Despite. the focus on quality care measures, healthcare organizations are experiencing the same rate of adverse events as were reported in the Institute of Medicine’s report, To Err is Human, in 2000 (Phend, 2023).
*Note: The Dash, et al. (2023) article was not yet available in the Loyola library when I posted this DB question. If it comes available before Module 2, I will attach it here.
What are your thoughts and reflection on these two reports? [Note: Do not simply provide a summary of the two reports/articles. Provide your insight, thoughts, and reflection.] What is your role as a nurse leader to move the needle on these two issues (using appropriate quality measures and the high rates of adverse events)? What measures do you think will be the most impactful as a nurse leader?
Be specific in your response. A vague statement (which is not acceptable) might read — I will encourage my staff to provide safe patient care.
