The Week 3 project consists of two parts:
Case 14 – Continuous Improvement for the NHS Quality and Outcomes Framework –
1.Case discussion
As more and more payers focus on measuring and rewarding performance, issues arise about how to use that process to motivate continuous quality improvement. The National Health Services has had the worlds largest implementation of pay-for-performance. General practitioners have responded rapidly to the incentives, driving most values rapidly toward their maxima. This case considers how the U.K. has addressed this now what question. This is a political environment, so the pacing and the apparent fairness and rationality of this process of continually raising the bar are very important to continued success.
This case gives insight into the functioning of the National Health Service in the U.K. as well as the role of NICE as a mechanism for forcing quality improvement. It also provides insight into some of the practical issues of implementing, maintaining and improving a pay-for-performance approach to primary care. Keep in mind that primary care physicians are comparatively better off when compared to the specialists and hospitals than they are in the United States. Each patient is assigned a medical home and electronic medical records are readily available to both physician and payer.
Discuss the following:
a.What do you consider to be the key issues for quality improvement in the NHS quality-improvement program as it goes forward?
b.What do you consider to be the strengths and weaknesses of the effort to improve the development of QOF indicators over the next couple of years?
2.Learnscape: Patient Engagement
The Marketing Director for Bright Road Healthcare is looking for ways to improve their Personal Health Record. A Personal Health Record not only engages patients in their own wellness; its a method of retaining loyal patients. In this Learnscape, the student will play the role of a marketing consultant who meets with Bright Road staff members to gather information about their patient demographics, and then analyze the functionality and utility of the Health Care Systems’ Personal Health Record, a resource provided to their patients. Using this information, the student as the marketing consultant will make specific recommendations on how to improve the functionality and utility of the Personal Health Record. At the end of the Learnscape, the student will meet with the Marketing Director to present recommendations.
On-screen instruction text: Type your recommendations.
Work through the entire Learnscape simulation and then create your blog page explaining your recommendations. (Remember to submit an organized format using bullet points, numbers or separate paragraphs.) Your recommendation must be specific and cite examples from the Learnscape scenario in addition to adding your recommendations.
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