NUR 630 Healthcare Quality Data Sources Organizer Paper

NUR 630 Healthcare Quality Data Sources Organizer Paper

NUR 630 Healthcare Quality Data Sources Organizer Paper

Data is an essential component of an effective healthcare delivery system as providers leverage it to make critical patient care decisions and choices. Data sources like the National Healthcare Quality and Disparities Report offer a comprehensive overview of the quality of healthcare that the general population attains and the compounding disparities experienced by various racial and socioeconomic groups. The report covers over 250 measures of quality and disparities based on indicators from different healthcare settings and service offerings(AHQR, 2021b). The purpose of this organizer is to explore five data sources from the report for effective use by providers.

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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
Health Cost and Utilization Project (HCUP)

 

Contains over 100 clinical and nonclinical data variables that include age, sex, race and ethnicity, diagnoses, procedures, discharge status and expected sources of payment (AHQR, 2021). The database combines categories for patient race leading to subgroups like Hispanic of all races, Asians and non-Hispanic African Americans. The HCUP data are based on Version 2019.01 of the AHRQ Quality Indicators that fall into four groups; inpatient quality indicators (IQI), preventive quality indicators (PQIs), patient safety indicators (PSIs) and Pediatric quality indicators (PDIs). The database targets any person including U.S. citizens, foreign citizens, that use nonfederal, non-rehabilitation and community hospitals. Age, sex, race/ethnicity, expectedprimary payer, median household income, Zip Code, urbanized location, and region. The schedule of the database is yearly. This data source collects primary data from nonfederal, non-rehabilitation and community hospitals. The information may be used to ascertain the number of patients accessing care services from the covered facilities when making decisions on expanding resources to enhance quality care (Moore et al., 2018). Both federal and nonfederal stakeholders can use this information to develop approaches that enhance access and reduces disparities that impact the minority races in access to healthcare. The data is essential in improving care outcomes, especially for pediatric population that needs more care and long-term monitoring.
National Consumer Assessment of Healthcare Providers and Systems (CAHPS)Benchmarking Database

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This is a voluntary data source comprising experiences and scores of health plans and practitioners. The 5.0 version of CAHPS reporting on adult and child health plan surveys reporting has four main composites which provide a summary of consumer experiences in areas that include attaining the required care, getting care fast, physician’s level of communication, and health plan information and customer services (AHQR, 2021). CAHPS targets various populations that include adults, children, children with chronic conditions, those under Medicare, Medicaid, and Medicare managed care. The demographics for the survey include education, race, ethnicity, and state. The schedule for the source is annually. The source collects secondary data. CAHPS surveys are given to random samples of health plan members through independent survey vendors that comply with set uniform procedures. Health plans, purchaser groups, state organizations and other significant organizations have participated in these surveys. The source collects data through standardized questions administered using questionnaire survey. CAHPS surveys are utilized in value-based purchasing and reimbursement by the Center for Medicare and Medicaid Services (CMS)(Moore et al., 2018). These initiatives are focused on enhancing care offering to patients based on quality and not quantity offered by providers.
Behavioral Risk Factor Surveillance System (BRFSS)

 

The BRFSS collects standardized, state-specific data on preventive health practices and risk behaviors about chronic diseases, injuries, and preventable infectious diseases in adult populations. The survey comprises of essential questions asked across all states, uniformvoluntary questions on certain topics administered at the preference of states (AHQR, 2021). Questions consist behavioral risk factors like substance use and abuse, preventive health measures, access to health care and utilization, individual and community health status and limitations to activities. The data source targets civilian noninstitutionalized adult population who reside in households. The demographic data consists of sex, age, educational level, race/ethnicity, household income, and employment status. The data also comprises of marital status of those targeted. While data are collected each month, the data source’s schedule is annual. The database is a secondary source. The BRFSS is state-based system of telephone health surveys implying that data comes from primary sources and compiled into the database as secondary source for use by different providers. States use the database to address urgent and emerging health issues and aspects that impact targeted population. States use this data source to monitor infectious diseases’ prevalence during outbreaks.
National Ambulatory Medical Care Survey (NAMCS)

 

The NAMCS is a yearly survey which collects data based on visits, practice and provider from office-based physicians and community health center providers in the country. Primary content includes data of all visits, reason for visits, diagnoses, drugs ordered or continued, chosen procedures and tests ordered and performed during the visit (AHQR, 2021). The survey also collects data on selected features of physician practices. This data source targets office visits in practitioner settings and specialties. Sample data are gathered to produce national estimates of visits in physician offices. Data demographic include patient age, sex, race and ethnicity The schedule for this data is annual implying that it is compiled and released each year. The data source is primary since it captures patient information presenting in physician office. The NAMCS is a visit-based survey and not a population-based one (AHQR, 2021). As such, estimates of incidence and prevalence of disease cannot be calculated. This data is essential in informing providers and state health systems of different aspects of patient physician visits. State health agencies can use the information to understand patient conditions presenting at physician offices.
National Health and Nutrition ExaminationSurvey (NHANES)

 

Collected data includes information about chronic diseases, including undiagnosed ones, and health status, dietary intake and nutritional status. The data also includes infectious conditions and immunization status, environmental health and exposures and associated risks. NHANES samples civilian noninstitutionalized residents of the United States. It does not contain individuals in supervised care or custody in institutional settings. Demographics include sex, age, race and Hispanic origin, educational level, place of birth and income as well as occupation. The data schedule is annual since 1999 but data releases occur in 2-year cycles. Secondary source of data. Different settings can use this data for various reasons that include research at university level(Artiga et al., 2020). NHANES demographic and dietary information can be used to investigate the nutritional status of different populations like the elderly and features of food stamp beneficiaries.

 

Conclusion

The use of data to enhance quality and access to care implores providers and organizations to have better approaches like leveraging on the National Healthcare Quality and Disparities Report which enables effective analysis of patient and health populations’ features. The data sources discussed in this organizer shows that better demographic information and awareness enable providers and organizations to offer quality care based on information compiled at state levels by different data sources. Through these databases, providers offer quality interventions to improve patient and population health, especially public health.

References

Agency for Healthcare Quality and Research (AHQR) (2021). 2019 National Healthcare Quality and Disparities

Report: Data Sources. https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf

Agency for Health Care Quality and Research (AHQR) (2021b). National Healthcare Quality and Disparities Reports

Artiga, S., Orgera, K., & Pham, O. (2020). Disparities in health and health care: Five key questions and answers. Kaiser Family Foundation.

Moore, J. E., Mompe, A., & Moy, E. (2018). Disparities by sex tracked in the 2015 National Healthcare Quality and Disparities Report: trends across national quality strategy priorities, health conditions, and access measures. Women’s Health Issues, 28(1), 97-103.

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The purpose of this assignment is to become familiar with various data sources used by health care organizations to obtain quality data. The Agency for Healthcare Research and Quality (AHRQ) creates an annual report, the National Healthcare Quality and Disparities Report, which assesses the performance of the U.S. health care system. This report identifies strengths and weaknesses of the health care system in addition to disparities for access to health care and quality of health care. The report is based on more than 250 measures of quality and disparities, and it covers a broad range of health care services and settings.

Access the most current report using the “National Healthcare Quality and Disparities Reports” AHRQ website. Select five data sources from this report and fill in the required components on the “Quality Data Sources Organizer.”

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