The healthcare industry is riddled with administrative and regulatory complexities that make it difficult for health systems to achieve the Triple–or better yet, the Quadruple–Aim of healthcare. For patient outcomes to be the most meaningful, the interventions, patient behaviors and health determinants would be documented. The patients outcomes associated with BSN nurses includes reduced mortality rate and increased satisfaction of both the clients and their families (Phillips, et al, 2002). Stabilized, or Deteriorated. Â. CCC of Nursing Outcomes were derived from the Nursing Diagnoses/ Patient Problems that were collected  on admission and again on discharge and were considered to be another facet of the diagnoses narrative statements. The industry is also shifting toward integrated care—hospitals aren’t just treating a hip anymore; they’re treating the whole person. Compare the effectiveness of various treatments and procedures. The three qualifiers were derived from the diagnostic statements that were collected on admission and on discharge and that were considered to be another facet of the statement. As soon as I leave a patient I will chart all my notes about our interaction while they're still … Background: Nursing is an integral part of all healthcare services, and has the potential of having a wide and enduring impact on health outcomes for a global ageing population. Patients want reassurance that they’re receiving the best care for the lowest cost. Citation: Jones, T., (May 31, 2016) "Outcome Measurement in Nursing: Imperatives, Ideals, History, and Challenges" OJIN: The Online Journal of Issues in NursingVol. It is important that the nurses should evaluate and observe for these factors to properly assist the patient and give immediate medications to the health problems encounter by patients. How we know Upstate Nursing makes a difference! Examples include patient mortality, surgical wound infection… Some of the questions researchers might ask in an outcome study include the following: See Table 1 for structure and process outcome measure examples and Table 2 for nursing professional development ... • Improvements in patient outcome data are seen 6 … Instead, they should focus on quality and improving the care experience at the most efficient cost. Telehealth is a new and valuable element in healthcare. The complexities found in outcomes improvement are particularly challenging, as health systems measure and report on hundreds of these outcomes annually. LeapFrog’s work centers on “increasing transparency among health care providers in order to reduce the estimated 440,000 annual deaths from hospital errors, accidents, and injuries.” While initial measures focused on inpatient care, they have since expanded to include most aspects of care delivery. Outcomes Improvement That is outcomes nirvana. As a result, the Expected Outcomes were created by using one of the three qualifiers as the proposed Goals of the Care on admission and the Actual Outcomes evaluated as the results of the Care on Discharge.  This process makes it possible to measure and/or evaluate the care process and the interventions provide the evidence for measuring the patient care outcomes. In comparison, medical outcomes are largely influenced by medical interventions. EDWs improve interoperability by integrating data and providing a single source of truth. Examples of nursing-sensitive outcomes include reduction in pain frequency, incidence of pressure ulcers, and incidence of falls (Box 20-1). One Expected Outcome qualifier is required for each of the 176 Nursing Diagnoses (528 possible Outcomes) to document the Goal of patient care and One Actual Outcome qualifier (528 possible Outcomes) is required to document the Result of the care. UTMB reduced their hospital readmission rate by implementing several care coordination programs and leveraging their analytics platform and advanced analytics applications to improve the accuracy and timeliness of data for informing decision making and monitoring performance. As health systems work diligently to achieve the Quadruple Aim, they need to prioritize three outcomes measurement essentials: transparency, integrated care, and interoperability. Conducting a medication reconciliation system check with heart failure patients at the time of discharge (process measure) can reduce. Accuracy. For example, as heart failure patients are discharged (depending on the risk stratification), it’s critical for them to see a cardiologist or primary care physician as quickly as possible. Failing to adhere to evidence-based care guidelines can have negative consequences for patients. 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