Quality and Cost Measurements

 

As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide
the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several
challenges that advanced practice nurses face to provide quality care and meet productivity goals of an
organization. This week it is important to explore the connection of quality care and performance measures.
Some questions to consider as we discuss this topic are:
Why are quality measures important?
What is the difference between quality measures and performance indicators?
What performance measures are used for NP productivity?
Why are incentive plans used in clinical organizations?
To prepare:
Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and
Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)
Explore quality measures and identify at least one clinical performance measure, such as the Agency for
Healthcare Research and Quality (AHRQ)
By Day 3
Post an explanation of the importance of quality measures using the clinical performance measure you
identified as an example. Then, identify the performance measures used for NP productivity in Rhodes,
Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external
motivators and at least one business model.
please include 3 apa refrences with in the last five years

Malignant growth can be characterized as the “irregular development of cells”,1 a consequence of changes in the cells’ hereditary data so they can never again do the fitting capacities. At the point when disease cells develop in a mass together, it is alluded to as a tumor and this can be either favorable or threatening – kindhearted tumors being those which don’t influence close by cells, and dangerous tumors being those which will influence different cells, by a procedure known as “metastasis”. A tumor is characterized as being kind or dangerous dependent on the aftereffects of a biopsy, a strategy for analyzing the tumor by expelling a little bit of it. Kind tumors are simpler to treat through precisely evacuating them, because of the reality they are “independent”; harmful tumors, in any case, can influence the cells and tissue around them as are undeniably progressively hard to treat.2 Currently, malignant growth is second just to coronary illness as the most lethal malady in the US.3 Early discovery is imperative to guarantee that the treatment is as viable as could be allowed – in any case, conventional strategies need more than one million cells to identify the disease, which doesn’t take into consideration the early determination that is desirable.4

Photothermal treatment utilizing nanoparticles is a strategy for the treatment of malignant growth and, specifically, tumors. Contrasted with careful strategies, photothermal treatment can infiltrate tumors in any case hard to arrive at territories, and is non-obtrusive, so of less uneasiness to the patient.5 The utilization of warmth in the treatment of tumors is anything but another idea (it has been utilized as right on time as 1700BC); anyway it isn’t without its drawbacks. In spite of the fact that tumors have a lower heat resilience than sound tissue thus can be specifically harmed by controlling the temperature run, it is hard to have this degree of control with customary warmth sources, and this can prompt solid cells being harmed nearby the tumour.6 This is the place laser light is particularly fit, because of the light being in a little, in-stage bar – albeit even laser light presents challenges, as it will annihilate anything in its path.6

A potential application to illuminate the issues of non-selectivity is to couple the laser light with gold nanostructures which are close IR retaining: that is, they assimilate in the close infrared locale of the electromagnetic range, 700-2500nm.7 Examples of the gold nanostructures with close IR ingestion incorporate gold-gold sulfide nanoparticles8, gold-chitosan nanocomposites9, and Fe3O4 polymer nanoparticles with a gold shell10, to give some examples, and these will be examined in further detail later right now. When nanostructures which assimilate in the NIR area are treated with such light, they convert the vitality of the light into heat – enough to crush a tumor, and in this way can be utilized to specifically wreck tumors by being infused into them and illuminated with NIR laser light.11 NIR light is alluring because of the way that it doesn’t hurt the tissue itself; it is just when combined with the gold nanostructures that any harm is caused.12

A substitute strategy to photothermal treatment yet at the same time using the NIR assimilation of gold nanostructures is to utilize NIR light to start the arrival of an enemy of malignant growth medication, and utilize the gold nanostructures as a bearer for such medications. A case of this is gold/gold-sulfide nanoparticles, and their combination and point by point application will be talked about further.8

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