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You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders. Use the attached spreadsheet to answer the following: What conclusions can be drawn for each quality measure over the 5-year period? What trends do you see for each quality measure over the 5-year period? When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time? Based on your examination of the data, which of the quality measures should you prioritize and why? Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity. Explain how you would monitor the metric and use collected data for improvement.

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C . . . C D G M N Hospital Name Measure Name Measure ID Measure Start Date Measure End Date National
Benchmark Score Footnote 2 ABC Health Surgical Site Infection from colon surgery (SSI:( HAI_3_SIR 1/1/2015
9/30/2015 2.548 3.555 13 ABC Health Central line-associated blood stream infections HAI_1_SIR 1/1/2… Show more

SCIENCE
HEALTH SCIENCE
NURSING
NURSING MS NUR 630

 
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