1. How is it measured? How is it defined?
Quality Nursing Care
How is it measured?
How is it defined?

2. Defining “quality”
Definition of quality may depend upon stakeholder perspective.
IOM definition:  The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Accessed June 8, 2011

4. Nursing Sensitive Quality Indicators (ANA)
Staffing mix
Total nursing care hours/patient day
Pressure Ulcers
Patient falls
Patient satisfaction with:
pain management
Educational information
Overall care
Nursing care
Nosocomial infection rate
Nursing staff satisfaction

5. National Database of Nursing Quality Indicators
Initiated in 1998
The goals: to promote and facilitate the standardization of information submitted by hospitals across the United States on nursing quality and patient outcomes. Data on the 10 Nursing-sensitive Quality Indicators for Acute Care Settings are collected.
60 hospitals participate.
Quarterly reports

6. Review link for more information
American Nurses Association | Nursing Facts: Nursing-Sensitive Quality Indicators for Acute Care Settings and ANA's Safety & Quality Initiative

7. Quality education American Association of Colleges of Nursing
National League for Nursing

8. Why is the plethora of definitions concerning?
Lack of consistency affects measurement and standardization
Computerization is hindered.
Nursing nomenclature for reimbursement is affected.
International Council of Nurses
International Classification for Nursing Practice (Ehealth)

9. National Quality Forum
National Quality Forum Home
WEBINAR:
The National Quality Forum is a private, not-for-profit membership organization created to develop and implement a national strategy for healthcare quality measurement and reporting. The mission of the NQF is to improve American healthcare through endorsement of consensus-based national standards for measurement and public reporting of healthcare performance data that provide meaningful information about whether care is safe, timely, beneficial, patient-centered, equitable and efficient.

10. Nursing Performance Indicators
Suggests 15 national voluntary consensus standards.

12. HCAHPS Pronounced H-Caps
National Quality Forum endorses the use of this instrument
27 item survey to solicit standardized information about how patients perceived their care
Developed by CMS and AHRQ

13. Payment as Incentive for Quality?
NQF conducting meetings to explore possible mechanism for rewarding healthcare providers based upon performance.
“Pay for Performance” aligning performance to pay structures.
Conversations beginning—wave of the future?
Risks?