...Agency for Healthcare Research and Quality: Inpatient Quality Indicators xxxxxxxx xxxxxxxxxxxxxxxxxxxxx March 2, 2015 Agency for Healthcare Research and Quality: Inpatient Quality Indicators The purpose of this capstone paper is to discuss the Agency for Healthcare Research and Quality's (AHRQ) approach to quality and safety as this pertains to inpatient quality indicators. This will assist with better understanding what efforts are being taken within the contemporary healthcare system and by contemporary healthcare organizations in order to maximize the quality of care delivered to patients. The discussion within the essay will have three main parts. The first part will explain and analyze the significance of the topic under consideration here for clinical nursing practice. The second part will discuss information from the selected topic that can be applied in order to improve professional nursing practice and complex client care. The third part will evaluate the potential outcomes that may result from the application of the information from the topic to nursing practice. Before shifting into the body of the main discussion, though, it may be appropriate to discuss the AHRQ itself in greater detail. In the AHRQ's (2015a) own words, the organization's mission "is to produce evidence to make health care safer, higher quality, more accessible, equitable, affordable, and to work within the U.S. Department of Health and Human...
Words: 3178 - Pages: 13
...Ratios and Quality Indicators Monitoring ratios on a regular basis provides insight into how effectively a business is being managed. Investors/Lenders also evaluate risk by using several sets of ratios; ratios of assets to liabilities, and ratios of lender-investor dollars to owner-investor dollars. Recognize that ratios are only indicators and that only management can tell the full story about a business. The more adept management is at explaining financial ratios to their Investors/Lenders, the better they will understand your business. Key Indicators with their definitions, formula and analysis comments are discussed in the following pages: Page 2 Liquidity: Financial ratios in this category measure the company's capacity to pay its debts as they come due. Current Ratio Quick Ratio Page 3 Safety: Financial ratios in this category are indicators of the businesses' vulnerability to risk. Creditors to determine the ability of the business to repay loans often use these ratios. Debt To Equity Debt Coverage Ratio Page 4 – 5 Profitability: The ratios in this section measure the ability of the business to make a profit. Sales Growth COGS to Sales Gross Profit Margin SG&A To Sales Net Profit Margin Return On Equity Return On Assets Page 6 - 7 Efficiency: Also called Asset Management ratios. Indicator of how...
Words: 1710 - Pages: 7
...The main goal of nursing practice is to provide the patient with the best quality care possible. Therefore, there are tools aimed to track if this is being true in the health care setting. A quality indicator is an evidence-based measure of health care quality, which has been obtained from comparative data in regard to the organizational framework of nursing care, the nursing process, and the outcomes obtained (NDNQI, 2010) In other words, these indicators are a reflection of the quality of the nursing staff, and how assessments and interventions are being performed. It is important to count with these indicators since they provide standardized means by which the performance of nursing care can be evaluated and to identify potential needs for...
Words: 329 - Pages: 2
...Nursing Sensitive Indicators The American Nurses Association established national initiatives called nursing-sensitive outcome indicators that focus plans/programs to increase quality and safety in patient care. They gauge aspects of direct patient care related to quality of nursing care by reflecting on structure, process and outcomes of nursing care. Structure in regard to staffing and the skill, education and certification of staff; process in regards to measuring aspects of nursing care related to assessment, intervention and RN job satisfaction, and outcomes by improving the rates of specifics in relation to patient outcomes such as in this particular case preventing hospital acquired pressure ulcers, improving patient satisfaction and restraint prevalence. Nursing Sensitive indicators are only specific to nursing and in 1998, ANA developed a National Data base of nursing quality indicators (NDNQI) so they could continue to collect and build on data from studies to expand nursing knowledge related to factors that influence the quality of nursing care. Why is this important? The nursing profession has the responsibility to measure, evaluate and continually improve practice. NDNQI identify where and how the staff is needed and show the need to increase staff in particular areas of nursing care that need improvement. The NDNQI mission is to help the RN in patient safety and quality improvements by providing research based national and comparative data on nursing care...
Words: 838 - Pages: 4
...Introduction to the Chemical Analysis of Water Samples Each group will collect a fresh water sample from campus according to directions provided form your instructor or TA. You will learn how to use several pieces of equipment and several chemical kits in order to analyze the water sample. Each group may split up the tasks however it sees fit- however, each person in the group is expected to be able to complete any and all of the tests performed, with directions of course! Make sure that you answer the question on the last page of this handout as you work through the lab. You will need to share your answers with the others in your group. Test to Perform | Equipment or Kit Used | pH | Smart Colorimeter | Turbidity | Smart Colorimeter | Conductivity | Vernier LabQuest 2 and Conductivity probe | Ammonia Nitrogen | Smart Colorimeter | Nitrate Nitrogen | Smart Colorimeter | Phosphates | Smart Colorimeter | Dissolved Oxygen | Smart Colorimeter | Fecal Coliform | Coliscan EasyGel | To Begin: You have several small beakers and transfer pipettes on your table. You will need to transfer some of your water samples into these beakers, or other test tubes (found in the kits) in order to complete these tests. Do not put the pH meter or the conductivity probe directly into the large beaker of sample water- this could contaminate the entire sample, thus affecting the results of your other tests. The instructions for the Smart Colorimeter tests are in a...
Words: 743 - Pages: 3
...in-game settings - Visibility of aim-circles optimized - Crosshair colors optimized - Version of Artillery crosshair with shell travel time removed - XVM v3.5.0 included with config matching crosshair colors - Artillery and Tank Destroyer angle indicators moved to minimap (XVM) - Clock top left moved to config (XVM) - J1mB0’s logo added as player icon (XVM) 1.22 - World of Tanks v0.8.4 supported - Angle indicator added for Tank Destroyers 1.21 - World of Tanks v0.8.3 supported 1.20 - DebugPanel.swf reintroduced with clock - Font in FragCorrelation.swf fixed 1.19 - World of Tanks v0.8.2 supported - Clock removed - Angle indicator moved to FragCorrelation.swf 1.18 - World of Tanks v0.8.1 supported - Angle indicator for Artillery added - Clock added to DebugPanel 1.17 - World of Tanks v0.8.0 supported - Artillery aiming optimized - Angle indicator for Artillery removed 1.16 - World of Tanks v0.7.5 supported - My logo used as lag indicator - Center marker for Artillery angle indicator added - All sec changed to s 1.15 - World of Tanks v0.7.4 supported - Server side crosshairs removed - Performance optimized - Cassette indicators optimized - Angle indicator for Artillery added 1.14 - World of Tanks v0.7.3 supported - Distance indicators fixed - Design tweaked - Shell travel time added to crosshair_panel_strategic.swf - Max reload...
Words: 549 - Pages: 3
...from starting a motor vehicle. Paul R. Marques et al. (1998) states further that The new NHTSA guidelines attempted to differ the preoccupation with accuracy and advocated to key features: a rolling retest and a data recorder. The rolling retest requires operators to retest periodically is or her BAC while the vehicle was running. This feature was included to circumvention such as getting someone else to blow into the interlock, allowing the vehicle to sit idling for long periods to avoid having to restart and retest or using stored air sample to blow into the sampling head of the interlock. Studies by Roth (2007) show that missing a rolling retest not to be a significant predictor of recidivism. The studies conclude the significant indicator was the initial BAC when the individual attempted to start the vehicle. “All variables (gender, age, and BAC>0.16), except test refusal (interpreted in the study as a missing a rolling retest) were significantly related to recidivism.” ( Roth page 348) Paul Marqus, Tippetts, and Voas (2002) in one of the few studies not supported by MADD states that, Two of the key touchstones of science are demonstrating an ability to (1) predict and (2) control human behavior, with out unreasonable restrictions on civil liberties, remains among the more difficult challenges for any scientific or technologically based contribution to social order. Evidence suggests interlock technology is an innovation that succeeds reasonable well in the control...
Words: 507 - Pages: 3
...of their duties, approving leave ,conducting staff training and dealing with clients firsthand , caking phone calls making appointments, welcoming clients at reception and informing the stylists of their arrival. Purpose The purpose of their report is to determine whether sajini and Ihara will work successfully together, based on their personality, Interaction and learning styles. They will be working together on a daily basis and so must be compatible in terms of how they interact with one another and also how they plan to run the finance Scope Both Sajini and Ihara completed several personality inductors, It result of which will provides some suggestion as to weather they will be compatible the work environment. They following indicators will be used to ascertain such information . * ------------------------------------------------- Brain tlemisphere * ------------------------------------------------- Interaction styles * ------------------------------------------------- Learning styles * ------------------------------------------------- Personal...
Words: 293 - Pages: 2
...Hospital Reimbursement – Differences Between Medicare and BWC The two tables below provide a summary of areas where the Ohio Bureau of Workers’ Compensation (BWC) differs from Medicare for reimbursement of hospital inpatient and outpatient services. Use this document as supplemental material to support Ohio Administrative Code Rule 4123-6-37 Payment .1, of Hospital Inpatient Services, and Rule 4123-6-37 Payment of Hospital Outpatient Services, for the .2, effective dates specified at the beginning of each table. 4123-6-37.1 Payment of Hospital Inpatient Services Effective for Discharge Dates from Feb. 1, 2011, to Jan. 31, 2012 Area Payment adjustment factors Medicare 100 percent of the Medicare rate (Includes both the Medicare portion and the beneficiary portion) BWC • 120 percent of inpatient • • • prospective payment system (IPPS) rate for inliers (non-outlier bills). 180 percent of IPPS rate for outliers Additional 0.25 percent adjustment to restore Medicare’s market basket adjustment Additional 2.9 percent adjustment to restore Medicare’s documentation and coding adjustment Hospital acquired conditions (HACs) provision Reduces IPPS payments when hospitals meet the HAC criteria Excludes the HAC provision Direct graduate medical education per diem (DGME) Does not provide DGME per diem payments under IPPS Provides a per diem add-on payment for DGME for eligible providers Does not reduce IPPS payments Does not apply DGME per diem addon payments to outlier bills...
Words: 952 - Pages: 4
...the project is visualised as reports indicators. Therefore the indicator depicts data that is analyzed using a specified process to provide an estimate or evaluation of selected, measurable attributes. For each information need, a candidate indicator or set of indicators are identified.Futher the data elements needed to produce the indicator are identified. After the candidate indicators are identified based on information needs, the availability of the base measures needed to construct the indicator is considered. When the required base measures is not still collected then other base measures could be used to produce the indicator, If producing a candidate indicator is found to be too resource intensive, then alternative indicator would be chosen collected? If not, are they readily available? And if they are not readily available, could other base The PSM process would help to identify the information needed to manage the project successfully. This would inturn help us to know the acquisition project activities and their relation to project goals, objectives, risks, issues and requests for information received. need to know or understand about my acquisition project activities and products as they relate to project goals, objectives, risks, issues and requests for information received from the enterprise level or other external sources measures be used to produce the indicator? If you determine that producing a candidate indicator will be too resource intensive, you...
Words: 258 - Pages: 2
...Information not my work Signposts of Development RBM in UNDP: Selecting Indicators Contents What indicators tell us about the wind 1. Introduction 2. Indicators Only Indicate 3. Types of Indicators 4. Qualitative and Quantitative Expressions of Indicators 5. Selecting Indicators 6. Indicators are Practical and Observable 7. A Shared Commitment With Partners 8. Baseline, Target and Timeframe 9. Indicator Data Collection 10. Conclusion Figures 1. Assessing performance along results 2. School enrolment as an indicator of access to education Tables 1. Examples of outcomes and outcome indicators 2. Indicators according to relationship between output, outcome and impact 3. Examples of output and outcome indicator scales 4. Qualitative observation of advocacy and upstream policy results 5. Selection criteria for indicators 6. Sample indicator monitoring plan What indicators tell us about the wind Who has seen the wind? Neither you nor I. But where the trees bow down their heads, The wind is passing by. – The Wind, Christina Rosetti, 1830-1894 If we want to know if the wind is blowing, the bowing treetops are a good indicator. That the treetops are bending may tell us many different things: the coming of a change in seasons; that it is a good day for children to fly kites; or that bird nests may fall down. What it tells us depends on who we are and what we want to know...
Words: 6387 - Pages: 26
...pH Measurement and Buffer Preparation Quilao, M.H., Regua, R., Reinoso, L.A., Rojas, K.J., Sabalberino, E.M. Abstract In this experiment, phosphate buffer solution was prepared and the pH of the buffer and samples were determined through different liquid indicators and the pH meter. Also, the buffer capacity of the prepared buffer solution was calculated. The group was tasked to prepare a 250 mL phosphate buffer solution of pH 8.0 using dihydrogen phosphate ion (H2PO4) and primary sodium phosphate monohydrate (NaH2PO4.H2O). With the aid of 6.0 M HCl and 6.0 M NaOH, the pH of the buffer was adjusted while being recorded by the pH meter until it reached the desired pH. Afterwards, the buffer solution was introduced to Colorimetric Determination which used acid-base indicators. The buffer solution changed to color yellow when Thymol and Methyl red were added, blue when Bromophenol blue and Bromocresol green were included, purple for Bromocresol purple, pink for Phenol red and Phenolphthalein, and orange for Methyl orange. Introduction The measurement of the low concentration of hydrogen ions present in any biological process is expressed as pH. pH is used to measure the acidity and alkalinity of a solution. pH involves ionic activity, making it difficult to accurately predict the pH value of a solution. The pH is also known to greatly affect our biological system and any large changes could be dangerous, which is why there is a buffer present within our systems...
Words: 971 - Pages: 4
...Submitted by: Group-7 Using differential data for constructing an index which is leading indicator of economy. Decoding the economic data to predict economic health. Leading Indicators of Economic Growth Indian Perspective 1. Introduction Leading Indicator approach is helpful in predicting the health of economy and take corrective fiscal or monetary policy in anticipation. 2. Economic Indicators Leading, Lagging and Coincident indicators confirm what is happening in our economy. Leading Indicator: Predict what the economy will do in the future. Example: hours worked per employee. If the hours are rising, firms should increase hiring. Lagging indicators: confirm what leading indicators predict. Lagging numbers change a few months after the economy does. Example: unemployment rate. It will fall after a few months of economic growth. If the leading indicator of hours worked is increasing, after a few months the lagging indicator of unemployment should fall. Coincident indicators: mirror what the data is saying. It is generally what is happening right now, for example, the jobs report. If a leading indicator is predicting future job gains, a lagging indicator is saying unemployment is falling, a coincident indicator will tell you the current employment number. 3. Business Cycles 3.1 Definition Fluctuations found in the aggregate economic activity. It is cyclical, consisting of expansions followed by recessions, contractions and revivals which merge into the expansion...
Words: 1183 - Pages: 5
...Chemistry Notes 2010 Core Module 1: Production of Materials Contextual Outline Humans have always exploited their natural environment for all their needs including food, clothing and shelter. As the cultural development of humans continued, they looked for a greater variety of materials to cater for their needs. The twentieth century saw an explosion in both the use of traditional materials and in the research for development of a wider range of materials to satisfy technological developments. Added to this was a reduction in availability of the traditional resources to supply the increasing world population. Chemists and chemical engineers continue to play a pivotal role in the search for new sources of traditional materials such as those from the petrochemical industry. As the fossil organic reserves dwindle, new sources of the organic chemicals presently used have to be found. In addition, chemists are continually searching for compounds to be used in the design and production of new materials to replace those that have been deemed no longer satisfactory for needs. This module increases students’ understanding of the implications of chemistry for society and the environment and the current issues, research and developments in chemistry. 1.1 Construct word and balanced formulae equations of all chemical reactions as they are encountered in this module: • Acid reactions: o acid (aq) + base (aq) salt (aq) + water (l) o acid (aq) + active metal (s) salt (aq) + hydrogen (g)...
Words: 34562 - Pages: 139
...D1 – Qualitative and quantitative What is qualitative? Qualitative is represented as judgment quality of something for example colour and appearance. When checking the quality of something you don’t need to measure and weight of it, so numbers are not required to identify the substances. What is quantitative? Quantitative is checking the quantity of something such as the weight, mass and area to ensure to ensure accuracy of that specific substance. By doing this you would know the exact amount/ weight of the substance or equipment that you are using. Titration: The titration that we carried out was both qualitative and quantitative. For example when we made the standard solution for the titration we used the exact quantity of the substance and we mixed it with the exact amount of deionised water (250ml) and when we were doing the calculation to get the concentration of the standard solution we made sure to use weight of the equipment that we used. When we were caring out the titration we added indicator in the base so that the solution would turn into different colour and when we add the acid into it we would be able to tell when the end point comes because the colour will change. Qualitative and quantitative comparison: I think that quantitative technique is more important than qualitative for titration because if the measurements for titration and standard solution are not accurate and precise then then it can affect all of our result and conclusion can be completely...
Words: 1022 - Pages: 5
