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Continuum of Care Outcomes: Strategic Actions for Nursing

Continuum of Care Outcomes: Strategic Actions for Nursing. Joyce A. Verran Reviewers: Katherine Jones, Joyce Pulcini Betty Bekemeier; Bonnie Wesorick. Purpose. Focus attention on the need to develop and measure generic patient outcomes across the health care continuum.

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Continuum of Care Outcomes: Strategic Actions for Nursing

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  1. Continuum of Care Outcomes: Strategic Actions for Nursing Joyce A. Verran Reviewers: Katherine Jones, Joyce Pulcini Betty Bekemeier; Bonnie Wesorick

  2. Purpose Focus attention on the need to develop and measure generic patient outcomes across the health care continuum. • Generic Outcomes: Appropriate across settings of care and applicable for all patients. • Within the Episodes of Care Framework of NQF • Builds on the early work of the Expert Panel on Quality

  3. Background: Expert Panel • Development of a model to define research in the area of quality • Identified a set of generic patient outcomes • Health Related Quality of Life • Symptom Management to Criterion • Appropriate Self-Care • Perception o Being Well-Cared For • Health Promoting Behaviors • Adverse Incidents • Two National conferences and several publications.

  4. Background: National Context • National Strategy for Quality Improvement in Health Care • System of Care Perspective needed to make care safer, ensure patient/family engagement and promote effective communication/coordination. • National Quality Forum Episodes of Care Framework • Episodes of Care are a series of temporarily contiguous healthcare services • Health Related Quality of Life and Patient Experience with Care • National Quality Forum Measurement Application Partnership • Utilizing Episodes of Care Framework for their work.

  5. Proposal • Other generic outcomes should be measured • Self-Care • Symptom Management • Further work should be done to examine other than Episodes of Care sites. • Benchmarking needs to be done across settings.

  6. State of the Science: Self-Care; Symptom Management • Appropriateness and Benchmarking • Clark, 2006 • Delineation of Self-Care and Symptom Management • Richard and Shea, 2011 • Measurement • Doran et al, 2006 • Badger, Segrin & Meek, 2011

  7. Summary Recommendation • Support Episode of Care measurement framework • Include generic outcomes • Support inclusion of HRQL and Expectations Actions • Letters of support forwarded to MAP and NQF.

  8. Summary Recommendations • Recommend addition of Self (Care) Management and Symptom Management Actions • Electronically convene group of experts • Consensus on description • Consensus on measurement • Forward recommendations

  9. Summary Recommendations • Initiate further examination of generic outcomes for community care centers Actions • Electronically convene experts to determine appropriateness of current outcomes and additional measures

  10. Summary Recommendations • Eventually develop a plan to benchmark generic outcomes • Organizations to initiate actions: • Expert Panel on Quality • Nursing Alliance for Quality Care. Actions

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