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Goals and Learning Outcomes

Quality indicators measure quality and utilization to identify problems, areas that warrant further investigation, and changes over time (Agency for Healthcare Research and Quality [AHRQ], 2021). Numerous agencies dedicated to healthcare improvement in the U.S. have developed parameters to create meaningful change in how care is provided. Hospitals can choose which parameters they would like to implement and some agencies provide resources for how to collect, transmit, and analyze data. For example, The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) developed measures and provides technical specifications for how the electronic medical record (EMR), billing, coding, and other structured, encoded data can be used to monitor their chosen parameters (TJC, n.d.-a; QualityNet, n.d.-c). A plethora of hospital performance markers provide an objective assessment of the quality, cost, and efficiency of healthcare.

The goal of this course is to equip nurses with knowledge of quality indicators for utilization management in the acute care setting.


After taking this course, you should be able to:

  • Describe quality indicators that reflect the effectiveness and efficiency of healthcare processes.

Course Termination Date: Not yet determined

Content Expiration Date: 12/31/25

Course Originally Released On: 07/01/22

Course Authors

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Accreditation Information

NURSES

In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Provider approved by the California Board of Registered Nursing, CEP#13791

Disclaimer: Not all courses will provide California Board of Registered Nursing approval. Per California Assembly Bill No. 241, continuing education courses related to direct patient care shall address at least one or a combination of the following:(1) Examples of how implicit bias affects perceptions and treatment decisions of licensees, leading to disparities in health outcomes; or (2) Strategies to address how unintended biases in decision-making may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics.

 

CEBroker

Relias LLC reports to CEBroker for the following boards (Provider # 50-1489): Arkansas State Board Of Nursing, District Of Columbia Board Of Nursing, Florida Board Of Nursing, Georgia Board Of Nursing, Kansas State Board of Nursing, Kentucky Board of Nursing, Michigan Board of Nursing, Mississippi Board of Nursing, New Hampshire Board of Nursing, New Mexico Board Of Nursing, North Dakota Board of Nursing, South Carolina Board Of Nursing and West Virginia Board Of Registered Nurses

 

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Disclosures

None of the planners/faculty, unless otherwise noted, for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.