31 Oct 2022

114

CMS Core Measures

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Academic level: High School

Paper type: Essay (Any Type)

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Pages: 1

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Quality improvement in healthcare is indispensable in ensuring patient’s satisfaction ( Glickman et al., 2007) . CMS Core Measures outline primary care that pertains to specific areas that healthcare providers are to deliver on. These quality core measures aim at ensuring informed decision making by different stakeholders in healthcare, ensure value-based payment as well as purchasing, ensure a reduction in the differences witnessed in measure selection, ensure evidence-based undertakings in clinical settings, and a reduction in collecting burden and cost by the healthcare provides. The measures include cardiology, pediatric, medical oncology, orthopedics, gastroenterology, HIV and hepatitis C, obstetrics and gynecology as well as Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMH), and primary care. Under each of the above sets, CMS ensures specific performance standards have been met ("Core Measures - Centers for Medicare & Medicaid Services", 2017)

The measures could provide a benefit in terms of the quality of healthcare that citizens access. Particularly, they ensure quality alignment, especially with regards to the care provided by public and private care players. Besides, it builds a framework that guides future undertakings. This positively impacts quality care because there will be guidelines that dictate the standards to be achieved while caring for patients with medical issues in any of the areas in which the CMS quality measures are implemented. Specifically, on HIV and Hepatitis C, patients are likely to benefit from the consensus by healthcare stakeholders such as CMS, AHIP, and NQF ("Core Measures - Centers for Medicare & Medicaid Services", 2017) . Quality care in managing these chronic illnesses is reflected by linking the objectives by CMS to measures stewards. This ensures beneficial outcomes since there are stakeholders who are responsible for the implementation of the measures. On HIV, the measures aim at ensuring viral load suppression, HIV screening of patients diagnosed with STIs, monitoring the frequency of hospital visits by such patients, among others ("Core Measures - Centers for Medicare & Medicaid Services", 2017) . These are fundamental undertakings that are intertwined with high-level quality healthcare. On the other hand, for Hepatitis C, diagnostic undertakings ensure quality healthcare since they influence early intervention. 

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References 

Core Measures - Centers for Medicare & Medicaid Services. (2017). Retrieved 15 November 2019, from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html 

Glickman, S. W., Baggett, K. A., Krubert, C. G., Peterson, E. D., & Schulman, K. A. (2007). Promoting quality: the health-care organization from a management perspective.  International Journal for Quality in Health Care 19 (6), 341-348. 

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