Assignment: Comparing Organizations With Benchmark Data
Assignment: Comparing Organizations With Benchmark Data
Please follow the template uploaded
Describe the two organizations you selected and explain why you chose them.
Summarize how your local organization compares to the local competitor, state averages, and national averages using the benchmark data from the three Compare sites in this week’s Resources.
Identify and describe any factors that can explain differences in performance measures. Find one scholarly article that could explain the differences.
Explain how these differences in performance measures might impact nursing practice.
Analyze the effect of publicly reported data on the quality and safety of care for ONE of the following organizations. Select hospitals, nursing homes, OR home health agencies, and analyze the effect of the data listed under that organization:
For Hospitals:
Patient Survey Results
Timely and Effective Care
Readmissions, Complications, and Deaths
Use of Medical Imaging
Linking Quality to Payment
Medicare Volume
For Hospitals:
Patient Survey Results
Timely and Effective Care
Readmissions, Complications, and Deaths
Use of Medical Imaging
Linking Quality to Payment
Medicare Volume
NURS 3110 Section 04 Information Management and Patient Care Technologies
Month, Day, Year
Comparing Organizations with Benchmark Data
Begin this paper with a brief paragraph that provides an overview of the assignment and its purpose. There is no separate heading for this paragraph; the heading for this paragraph is the same as the title of the paper. This paragraph will be about 2–3 sentences. The last sentence in this paragraph is a sentence that begins “The purpose of this paper is to¨.
Description of Two Organizations
Paper includes a comprehensive description of two organizations, including an explanation of why the organizations were selected. The description includes location –suburban or urban location, size of the facility (number of beds), awards or certifications and any specialty programs that the facility is renowned for.
Assignment: Comparing Organizations With Benchmark Data
Comparison of Two Organizations
Paper includes summary of how student’s chosen organization compares to a chosen competitor on state and national average on two different quality measures using the benchmark data from one of the three Compare sites. Addressed will include the compare site goal for the quality measure, the achieved goals for each facility, and if the facilities compare equally on the measure or one excels above the other.
Analysis of Factors that Contribute to Performance Measures
Assignment describes at least two factors that explain differences on performance measures between the chosen organizations. If the facilities results are comparable note two factors that explain these results. Include using supporting evidence from one scholarly article.
Data Standardization to Improve Quality Comparison Measures
Addresses how the comparison of data analysis is would not happen without standardized data.
Conclusion
End the paper with a summary on the main points of the paper.
References
Although a Reference List not is required at the 2000/3000 AWE Level, you may begin practicing referencing your source/s using APA formatting requirements. Review the “BSN TOP Ten References and Citations” found in Course Resources and the Academic Writing Expectations tab. Also, the Walden Writing Center is YOUR reference resource place at
Sample Paper: Comparing Organizations with Benchmark Data
NURS 3110 Section 04 Information Management and Patient Care Technologies
June, 18,
Comparing Organizations with Benchmark Data
Hospitals differ in the quality of care and services they provide to patients. Patients should consider multiple factors when choosing a hospital because they want to receive a high quality of care when hospitalized. Clinical quality measures (CQMs) are tools for setting the quality of care provided by hospitals in a variety of ways, which helps patients to select hospitals and encourages hospitals to improve the quality of care. The purpose of this paper is to compare and discuss two organizations and their performance measures.
Description of Two Organizations
The first organization I chose is the Mercy Medical Center(MMC) which is my current employer. The Mercy medical center is located in the urban city of Baltimore, MD and consists of 178 licensed beds which are all private. MMC is as a patient-friendly hospital, has been ranked the number three hospital in Maryland and one of the best hospitals in the nation for Orthopedics by U.S. News & World Report. Also, MMC has received numerous accreditations and recognition. Mercy has been named an Aetna Institute of Quality® Orthopedic Care Facility and a Blue Distinction Centers for Knee and Hip Replacement, Maternity Care and Spine Surgery.
The second organization I chose is Saint Agnes Healthcare which is located in the urban city of Baltimore. Saint Agnes Healthcare is about 5 miles far from MMC. Saint Agnes Healthcare consists of 254 beds. I chose Saint Agnes Healthcare to compare with MMC because it has a similarity of MMC. Saint Agnes healthcare achieved status as a Blue Distinction Center for spine surgery an knee and hip replacement. Also, it was accredited breast center by the national accreditation program for Breast Center. It also has a chest pain emergency program, was recognized the Primary Stroke Center with the Gold Plus Achievement Award and a center of excellence for Bariatrics.
Comparison of Two Organizations
The first I would like to compare these two hospitals is HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores. HCAHPS scores indicate quality care of hospital by using 5-star scales, so more stars indicates better quality care of each hospital than few stars. The patient can easily compare hospitals by HCAHPS star ratings. HCAHPS consists of 32-item survey questions for measuring patients’ perceptions of their hospital experience. “Experience is a primary factor in a patient’s choices about health care; and there is definitely competition for patient loyalty, retention and health care dollars, especially in light of the Affordable Care Act, designed to expand coverage and make it more efficient (Duplechank, 2016).” Therefore, HCAHPS scores are important for every hospital, and each hospital is trying to increase the patient’s satisfaction by improving the quality of care. When comparing the overall HCAHPS star ratings of MMC and SAH through the ‘hospital compare’ benchmark data from Centers for Medicare and Medicaid Services, MMC shows 4-star ratings and SAH shows 2-star ratings (Centers for Medicare and Medicaid Services. (n. d. -a).
The second I would like to compare is Healthcare-associated infections or HAIs. “HAIs measures show how often patients in a particular hospital contract certain infections during the course of their medical treatment(Centers for Medicare and Medicaid Services. (n. d. -a).” HAIs contains CLABSI and CAUTI data, SSI data, and MRSA bacteremia and C.difficile data. These infections can be prevented when healthcare facilities follow guidelines for safe care. Since HAIs are preventable, it is important that hospitals compare their HAIs to national benchmarks. It is also important that hospitals protect patients from HAIs by developing ways to reduce HAIs and by educating healthcare providers. When comparing HAIS of MMC and SAH through the ‘hospital compare’ benchmark data from Centers for Medicare and Medicaid Services, MMC shows no different than National Benchmark except ‘Surgical site infections (SSI) from colon surgery,’ and SSI from colon surgery shows worse than the National Benchmark. And SAH shows most lists as no different than National Benchmark, except Surgical site infections (SSI) from abdominal hysterectomy which is not available in this hospital (Centers for Medicare and Medicaid Services. (n. d. -a).
Assignment: Comparing Organizations With Benchmark Data
Analysis of Factors that Contribute to Performance Measures
There will be different factors affecting the performance measures for each hospital. These are the factors could affect the difference in Performance Measures; 1. There are too few measures or measure groups reported to calculate a star rating or measure group score. 2. Hospital star rating maybe includes data reported on inpatient services only. 3. Discrepancies could happen in the data collection process. 4. The hospital did not submit data and did not submit an HAI exemption form (Centers for Medicare and Medicaid Services. (n. d. -a). Also, I think that applying and using different evidence-based measures at each hospital could affect the quality of care and performance measures as well. For example, to prevent CLABSI, our hospital found evidence that Hibiclens bath helps reduce HAIs through evidence-based research. Evidence-based research and its practices that are done at each hospital will affect performance measures.
Data Standardization to Improve Quality Comparison Measures
Nowadays, many hospitals can transmit HAIs measures or other clinical quality measures (CQMs) data directly through electronic health record (EHR) systems or EHR components. Accurate analysis of the data sent from each hospital will help to improve the patient’s quality of care. However, if standard data varies from hospital to hospital, confusion will be added to the analysis of the data. “At the heart of any improvement activity must be accurate, reliable, standardized, and cost-effective means for measuring current performance and for setting desired performance goal (Tang, Ralston, Arrigotti, Qureshi, and Graham, pp, 10, 2007)”. Therefore, In order to reduce the gap between the quality and completeness of the reported data, it will be necessary to make use of standardized terms and data. It is our duty to provide the patient with accurate information about the hospital and help the patient make the right choice. In addition, comparing and analyzing accurate data will help to improve their quality care by helping to identify the problems and condition of each hospital accurately, and ultimately such efforts will help the patient’s treatment and recovery.
References
Tang, P. C., Ralston, M., Arrigotti, M. F., Qureshi, L., & Graham, J. (2007). Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: implications for performance measures. Journal Of The American Medical Informatics Association: JAMIA, 14(1), 10-15.
Centers for Medicare and Medicaid Services. (n. d. -a). Hospital compare. Retrieved June, 18, 2018, from https://www.medicare.gov/hospitalcompare/About/What-Is-HOS.html
Duplechan, L. (2016). Improving HCAHPS scores by offering hospitable service. Health Facilities Management, 29(4), 44.