Nurs 4220 week 2 discussion

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Nurs 4220 week 2 discussion HEDIS is a set of measures that provide consumers and purchaser with objective information
about the performance of accredited health plans and is collected by the National Committee for Quality
Assurance (NCQA) (Spath, 2018). HEDIS measurements for comprehensive diabetes care assess adult
patients 18- 75 who had these components hemoglobin A1C testing and maintenance, retinal eye exams,
and blood pressure control (National Committee for Quality Assurance, 2020).
In this scenario as a staff nurse working in a private primary care practice. To be able to give the
information the physicians are inquiring about I would start with billing office staff. I feel this could give
us a starting point on the number of patients with the ICD codes for diabetes mellitus and ICD codes for
electronic medical records. I would request the lists to be completed within close of business of the
following day, as I can only assume that this day in time the billing is completed electronically.
Once this received, I would note the number of patients the electronic medical records codes and
the number of patients diabetes mellitus codes. This can give me the patients that we do not have to
search through paper charts. I would have a list of the thousand patients created and split the list of
patients with EMR codes and the patients that do not have the code.
Through that day I would review the EMR patient charts for HEDIS components, Hemoglobin
A1c testing, the eye exam (retinal) performed, medical attention for nephropathy and blood pressure
control along with the insurance providers for the patients. Once this is completed, I would request the
assistance of the available office staff to aid in going through the list of the known patients with no EMR
code to find the patients with diabetes diagnosis for me to review for the HEDIS measures.
Knowing that going through all these charts can be a long tedious process that can take days to
complete, I would ensure that the other staff nurse and medical assistant are continuing the daily process
to not disrupt the patient care, and I can an assist when needed

Nurs 4220 week 2 discussion 2

Nurs 4220 week 2 discussion