NurseLogic: Bridging Care and Technology

Reflect on electronic clinical quality measures (eCQMs) and “Meaningful Measures” as they relate to patient safety/quality and the role of the Family Nurse Practitioner.  Electronic Clinical Quality Measures (eCQMs) are metrics that use data extracted from electronic health records to evaluate the quality of healthcare services provided to patients and caregivers (CMS, 2024). utilization of resources and the clinical process currently used to achieve these measures. The centers for Medicare and Medicaid services do require FNP's to report ECQM electronically, this helps to improve monitoring of healthcare quality state and nationwide (CMS, 2024)  CMS launched the Meaningful Measures Initiative back in 2017, which looked to identify priority areas for improvement. The goal of this initiative was to enhance health care outcomes for patients and also their caregivers. Furthermore this initiative looked to make quality reporting easier by reducing administrative task on providers,...

Before reading the Case Study, learn more about the 5 D's of an Antibiotic Stewardship here Case Study: Interdisciplinary Approach to Managing Chronic Urinary Tract Infections (UTI's) in Primary Care Patient Background: Name: Mary Thompson Age: 68 Gender: Female Medical History: Type 2 diabetes, hypertension, recurrent urinary tract infections (UTIs) (6 episodes in the past year) Medications: Metformin, Lisinopril, Aspirin 81 mg, Nitrofurantoin (prophylactic) Presentation: Mary Jones, a 68-year-old Caucasian female, presents to the clinic with complaints of urinary urgency, burning sensation, and lower abdominal discomfort for the past three days. She reports a history of recurrent UTIs despite multiple courses of antibiotics. She follows proper hygiene, stays hydrated, and has tried cranberry supplements but continues to experience frequent infections. Clinical Findings: Vital Signs: BP 138/82 mmHg, HR 78 bpm, Temp 99.2°F, RR 16, SpO2 98% on room air Physical Exam: Mild suprap...