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Discussion of Performance Based Factors and Measures for Quality Assessment

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Part 1
Please help with a paper about Performance Based Factors and Measures for Quality Assessment. Include the following in your paper:
For any health care activity, three performance factors can be measured: structure, process, and outcome. Identify one structure measure, one process measure, and one outcome measure that could be used to evaluate the following hospital admission process:
Upon arrival, the patient reports to the hospital registration or admitting area. The patient completes paperwork and provides an insurance identification card, if insured. Often, patients register before the date of hospital admission to facilitate the registration process. An identification bracelet including the patient's name and doctor's name is placed around the patient's wrist. Before any procedure is performed or any form of medical care is provided, the patient is asked to sign a consent form. If the patient is not feeling well, a family member or caregiver can help the patient complete the admission process.
Include a minimum of two peer-reviewed references APA style

Part 2
Query the NQMC (www.qualitymeasures.ahrq.gov) and write a 400- to 600-word paper and identify five evidence-based performance measures related to prescribing the correct medications for hospitalized patients. The measure should focus on choosing the right medication for the patient's condition. List each measure the organization or group that developed the measure, and the date the measure was published.

Include a minimum of two peer-reviewed references APA style

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Solution Summary

The solution involves a discussion of performance based factors and measures for quality assessment. It involves a detailed description of performance factors and evidence-based performance measures.

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Part One

One Structure Measure

One of the peer-reviewed articles recently reviewed for this post discusses the importance of measuring the performance of hospital administration to determine their efficiency. There are two models identified that facilitate the internal and external structure of performance such as DEA (Data Envelopment Analysis), optimization of product and services, performance control and efficacy management; CCR (Charles, Cooper, and Rhodes) is a measure of increasing hospital performance and efficiency. This type of measure is pertinent to ensuring that patient information remains confidential and that hospital staff integrates preventative measures to alleviate the potential of careless or negligent handling of patient files and sensitive information. All too often there has been instances where medical facilities improperly disposed of medical records after the mandatory transition from paper to electronic health care information systems (Hutchinson, 2013). The electronic transition has resulted in a high quality level of appropriate handling of confidential patient information.

One Process Measure

According to Terrazona, Clemente, Consuelo and Martinez (2010) the DEA Model is a performance measure that determines the efficiency or inefficiency of hospital administration, hospital management, and all factors that contribute to a hospital or clinics overall performance. The DEA model is linear qualitative assessment that determines a hospitals strategy for solving problems. For example, when I worked for a medical facility we implemented safeguards to protect patient information. For example, when a patient arrives for his or her appointment and signs the clipboard to document their name, date of birth, arrival time, insurance information, physician they are seeing, etc. we had to ensure that each subsequent patient is unable to view patient information of any patient who arrives before them. We also made sure that patient files were out of view for patients who arrive at the reception area. The electronic health information system eliminates the latter because patient information is contained electronically and is only viewable by medical staff.

In an article by Marcus Hollander, Jo Ann Miller, and Helena Kadlec (2010) they insinuate that a hospital ...

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