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NUR 630 Quality Data Sources

NUR 630 Quality Data Sources

Quality Data Sources

Healthcare organizations rely mainly on data to make informed decisions about their care services. Data from various sources provide them with insights into the actual and potential health needs of their target populations. Nurses and other healthcare providers should be able to determine the appropriate data sources that influence their practice. Therefore, the purpose of this paper is to explore the different data sources that inform nursing practice and healthcare as a whole.

Quality Data Sources Organizer

Data Source Primary Content Population Targeted Demographic Data Schedule Is This a Source of Primary or Secondary Data? How / When / Where
the Information Might
Be Used
 

Healthcare Cost and Utilization

 

The content of this data source comprises more than one hundred nonclinical and clinical data variables. The variables include gender, age, ethnicity, discharge information, and diagnostic data. The targeted population by this data source comprises individuals that apply for non-rehabilitation and public hospitals in the USA according to the guidelines that AHA advocates. The demographic data in this data source include age, gender, location, and the average household earnings according to the code address obtained from thepatient’s file during their hospital visit and admission. Annual The data source is the secondary data source. The information that is obtained and reported is acquired from other sources. The information can be used by hospitals to determine the quality, safety, and efficiency of the care process. Hospitals can also use it to determine the suitability of patients discharged and maintenance of safety and quality outcomes in the care process. The management can use the data to make quality improvement initiatives in the patient care process.
National Consumer Assessment of Healthcare Providers and Systems (CAHPS) Benchmarking Database

 

The data source comprisesdatasets of perspectives from voluntary persons such as patients about the rating of health programs and professionals. The survey provides insights into patient experiences with the care process in areas that include timeliness and appropriateness of care, provider interaction and knowledge, and their support of the care process
(AHRQ, 2021).
The target population comprises members of the healthcare schedule. They include adults, minors, infants, Medicaid, and care that Medicare coordinates. Age, gender, location, literacy, and ethnicity Annual This data source is secondary. It obtains data from autonomous studies from random participants and presents it for healthcare organizations to understand the quality, safety, and effectiveness of their care. The data source provides insights into the safety, quality, and efficiency of the provided care. It also provides insights into the relevance of care services to address the care needs of their target patient populations. Therefore, health organizations use the data to develop targeted services that are appropriate to their population’sneeds (Dc et al., 2021).
National Health Interview Survey (NHIS)

 

 

This data source provides information about the health of the US population. It provides information about areas that include household income, sample family, and child health status. The data source targets the institutionalized populations in the USA The demographic data includes race, ethnicity, marital status, income, and industry. Annually This data source is secondary data. It is an analysis of primary data obtained from different sources. The data provide insights into the overall health status of American citizens. The data guides the implementation of programs and policies that address the prioritized needs of the population.
National Ambulatory Medical Care Survey (NAMCS)

 

This information source provides data obtained from medical records. It includes the type of services and provider accessed, reasons for the medical visit, prescription, diagnosis, laboratory and diagnostic investigations, and patient data. Patient data includes gender, age, ethnicity, age, and reimbursement source (CDC, 2022). The data source targets physician offices that provide ambulatory care services in states, types of patients, diagnoses, and treatments offered to the patients. The demographic data includes the patient’s age, locality, gender, and ethnicity. Annual This data source is secondary since it obtains data related to procedures and provider-level detailsoffered in community health centers in the USA. The data can be used to inform improvement in healthcare policies and approaches utilized to address the care needs of ambulatory care patients. That data also informs the effectiveness of the interventions adopted to manage chronic illnesses in the country.
Medicare Patient Safety Monitoring System (MPSMS)

 

The content of this data source includes safety issues in healthcare that includes adverse events rate, unintended patient harm, loss, and injuries to patients. The data source also provides insights into the nature and effectiveness of the interactions that patients have with the healthcare system (CDC, 2021). The data source targets hospitalized patients that are aged 18 years and above. The hospitalized patients should be suffering from conditions that include myocardial infarction, heart failure, and those who underwent major surgical procedures covered by their insurers. The demographic data comprises age, race, gender, and payment source. Monthly data submission and annual reporting The data source is secondary data. It uses data submitted by different healthcare organizations. Health organizations use the data to determine the safety, quality, and efficiency f patient care. Patients also use the data in determining their preferred service providers based on safety, quality, and efficiency-related indicators in healthcare(cms.gov, n.d.).

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Conclusion

Overall, several data sources for healthcare exist. The data can be used to inform nursing practice, research, and policy issues in

NUR 630 Quality Data Sources
NUR 630 Quality Data Sources

healthcare. Nurses should be competent in implementing interventions based on quality indicators in healthcare. Therefore, I will explore the different data sources to determine the effectiveness, efficiency, safety, and quality f care given to patients in my practice.

References

AHRQ.(2021). National Healthcare Quality and Disparities Report.https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr.pdf

CDC. (2021, June 10). NAMCS/NHAMCS – Survey Results and Products. https://www.cdc.gov/nchs/ahcd/ahcd_products.htm

CDC. (2022, March 7). NHIS – National Health Interview Survey. https://www.cdc.gov/nchs/nhis/index.htm

cms.gov. (n.d.).Consumer Assessment of Healthcare Providers & Systems (CAHPS) | CMS. Retrieved March 10, 2022, from https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS

Dc, C., W, M., N, V., N, E., D, H., M, M., C, R., Y, W., Pj, B., A, H., & J, B. (2021).Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future).Journal of Patient Safety, 17(3). https://doi.org/10.1097/PTS.0000000000000322

In continuous quality improvement, both primary and secondary data are needed.  Surveys and interviews are examples of primary data and are usually collected for a specific research study.  Unfortunately,  it is cost-intensive and prone to biases during data collection that might impair the results.  Primary data can be used as specific research questions rely on real-life data within health care.   Secondary data, which is found in journals and healthcare facilities, provides easily accessible data that encompasses many different areas within the healthcare field.  Secondary data can be used for research,  as in students using the information in classes, or for medical documentation and reimbursement (Schneider et al., 2023).

When using both primary and secondary data, it is useful to combine the information received from both.  Using both data forms can then be used to improve the quality of healthcare.  For example, using the feedback received from a survey that patients took would allow the corporation to understand the problems that need to be addressed from a patient’s point of view.  Integrating secondary data would allow the corporation an advantage by looking into data that other companies have collected.  The research found from other studies allows a company to base quality trials on previous experiences others have tried without having to start at the beginning.  The combination of both primary and secondary data in continuous quality improvement areas helps to save time, money and resources.

Annual assessment of quality of healthcare services is crucial to promoting the accessibility and quality of care services provided. Quality of care services offered is measured by use of a number of dimensions among them, patient centered care, safety, healthy living, effective treatment, care coordination and affordability (Austin & Kachalia, 2020). Healthcare disparities are the variations that exist in terms of access and quality of care among various ethnic and racial groups in the US. There are still disparities in healthcare quality and accessibility between the majority Whites and the minority groups of Blacks, Hispanics. Latinos, and the Asian-Americans (MacLeod et al., 2017). The United States Department of Health and Human Services through the Agency for Healthcare Research and Quality provides annual report that provides a comprehensive analysis of the major healthcare departments and their contribution to ensuring accessibility to quality healthcare by people from all communities and races (Department of Health and Human Services, 2019)

 

 

 

 

 

 

 

Quality Data Sources Organizer

Data Source Primary Content Population Targeted Demographic Data Schedule Is This a Source of Primary or Secondary Data? How / When / Where
the Information Might
Be Used
 

 

Administrative data source

 

 

Data obtained from enrolment, services offered, charges, provider systems, claims Patients, nurses, clinicians Patients of all ages, condition, race and localities Hospitals,

Healthcare organizations and institutions

 

Primary source Information is useful determining the quality of care, cost and accessibility
 

Patient medical records

 

 

 

 

Electronic health records from patients’ files Patients and nurse informaticists All ages, health conditions, race and origins Healthcare institutions and department of healthcare services Primary source Information is useful in measuring the accessibility and the health risks by population
 

Patient Surveys

 

 

 

Survey forms, patient feedback and questionnaires Patients and care givers Patients from all ages, races and health conditions Hospitals and state mandated institutions on healthcare Primary source Information is crucial in gauging the quality of healthcare services offered.

 

 

 

 

 

 

Standardized Clinical Data

 

 

 

From healthcare institutions, organizations such as WHO, CDC and department of health

 

 

Patients All the population from diverse origins, age and ethnicity Healthcare organizations and department of health Primary and secondary sources Helps inform healthcare policies and regulations.
 

Comments from individual patients

 

 

 

 

 

Patients’ information Patients Patients of all ages and ethnicity Healthcare organization records Primary source Useful in enhancing quality of healtcare.

 

References

Austin, J. M., & Kachalia, A. (2020). The State of Health Care Quality Measurement in the Era of COVID-19. JAMA. https://doi.org/10.1001/jama.2020.11461

MacLeod, S., Musich, S., Hawkins, K., & Schwebke, K. (2017). Highlighting a Common Quality of Care Delivery Problem. Journal for Healthcare Quality, 1. https://doi.org/10.1097/jhq.0000000000000095

Department of Health and Human Services. (2019). Agency for Healthcare Research & Quality. Ahrq.gov. https://www.ahrq.gov/