Chamberlain University: Family Nurse Practitioner Track
NR506NP Healthcare Policy and Leadership
Professor Kelly Hudock CRNP, DNP, CNE
November 2020
, Quality Healthcare: Measuring NP Performances
Healthcare Effectiveness Data and Information Set (HEDIS) has 6 domains of care:
Effectiveness of Care, Access/Availability of Care, Experience of Care, Utilization and Risk
Adjusted Utilization, Health Plan Descriptive Information, and Measures Collected Using
Electronic Clinical Data Systems. According to NCQA website, “HEDIS is a performance
measurement tool used by millions of health insurance plans (HEDIS, 2020).” For this paper
Effectiveness of Care will be the chosen domain and Controlling High Blood Pressure is the
HEDIS performance measure. The purpose for this paper is to provide information on controlling
high blood pressure by providing three interventions, how it improves patient outcomes, cost
savings, and patient ratings. Hypertension is a leading cause of cardiovascular disease in the
United States more than any other modifiable risk factor. (Muntner, Hardy, Fine, Jaeger,
Wozniak, Levitan, & Colantonio, 2020) As an APN cardiovascular disease will be the most seen
in practice than any other disease and as APNs treating these patients is very important for their
health.
Patient Interventions
Prevention One: Weight Management
Hypertension can develop through modifiable risk factors and non-modifiable risk
factors. Obesity is one of the leading causes of hypertension and when weight is managed
properly hypertension can be controlled. In certain communities’ obesity and hypertension are
rapidly increasing and is seen as a health concern that can possibly turn into a global epidemic.
Studies show that obesity leads to increase heart rate, vasoconstriction, and increase blood
volume that affects the heart which increases vascular disease. (Ardahan & Konal) The best way
to monitor and track the patient’s weight is to have them weigh themselves daily at the same
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