You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your responses must be substantive and not just agreeing with someone’s work. You need to add by explaining more, refuting a point or correcting a point.  a minimum of 150 words and one reference with in text citation, one reference for each respond.  

Discussion 1 (Rebeca)

In order to determine how we would measure and monitor quality of care and subsequent outcomes from the APRN, we should first explain what these elements are and how they are used. Quality measures are standards used for evaluating the performance and improvement of population health or of health plans, providers of services, and other clinicians in the delivery of healthcare services. Quality measures are tools that help us assess healthcare processes, outcomes, patient processes, and organizational systems that are associated with the ability to provide high-quality healthcare and/or that relate to one or more quality goals for healthcare (, 2022). Outcomes are put in place by governing bodies as a measurement tool of the healthcare system. These outcomes include, mortality, readmission, patient experience, safety of care, effectiveness and timeliness of care. And these outcomes are a measure of the direct result of an intervention on a patient or group of people that is attributable to an intervention or series of the same ( Tinker, 2018). 

     The reason that it is important to have these measurements in place is to improve things like patient care experience, general health of a population, reduce healthcare costs and prevent clinician burnout. Because the majority of NP’s work in private practice with about one third in the acute care setting such as hospitals  identifying outcome measures that reflect the specific NP role components—can be adequately used to designate the impact of specialty NP practice (Kleinpell & Kapu, 2017). The outcome of these measures would help to amplify and solidify the role of the NP as a necessary element in todays healthcare. In primary care and community health the NP can be an important tool in monitoring and educating diabetes prevention and care. We would measure the success of the NP intervention by a reduction in Diabetes and related issues such as hypertension, hemoglobin AIC and LDL control.

     So what tools do we use to measure the success of the ARNP? There are several ways in which to do this. Patient assessments upon leaving hospital, household interviews and simulated patient groups are used mostly for assessing quality of care from the patient and family’s point of view, while interviewing providers and management or direct assessment are used to assess quality of care from the provider perspective. In the acute care setting, length of stay, time to consultation, cost and patient satisfaction. Finally the ARNP has proven effective in every aspect of healthcare, be it to reduce wait times, increase access to providers or provide affordable healthcare, there does not seem to be a downside to engaging the services of the ARNP, I believe one would fine that as a result of this addition to any staff patient satisfaction scores would increase exponentially.

Reference (2022, May) New