Creating Valid, Reliable, and Realistic Measures: During

Creating Valid, Reliable, and Realistic Measures: During surgery, a friend of mine had layers of her skin cut open and stitched together. She was informed that the inner-layer stitches used on her skin are reversible. Unfortunately, the surgeon found she was not healing properly when she went back for a post-op. The inner layer’s stitches were found to be impermeable, which is a problem. In order to debride the wound and give her broad-spectrum antibiotics, the surgeon had to reopen the incision. She had to take some time off of work as a result of the lengthier time it took for her wound to heal. Because the surgical staff didn’t ensure that the proper suture was being used, I thought this was poor care. 1. Identify/develop three (3) performance measures that might assist the facility in measuring/evaluating the particular aspects of care or service that you found to be unsatisfactory. Each measure should first be written in the form of a measurement statement (e.g. “Percent of patients indicating satisfaction with their post-surgical care experience.”). Next, construct the measure in the form of an actual formula, indicating the specific numerator and denominator that would capture each measurement. Third, indicate why you felt each of the measurements you included would be appropriate (valid) as a means towards measuring the quality of those healthcare services. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/CMS_Inventory_User_Guide.pdf

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