Complete the protocol evaluation activity by following these instructions:
- Select a practice protocol related to your clinical setting. These may
be from your agency’s policy and procedure manual used in your
practice. - Determine who wrote the protocol and request an interview with one
or more individuals who were involved in developing the protocol.
Interview questions may include, but are not limited to the following: - Can you explain how protocols are developed in your agency?
Reviewed yearly for compliance. - What specific information or data was used to develop this
protocol? Patient choice form. - Are there any references you can identify that would give me a
better understanding of the rationale for the practices used in
the protocol? JCAHO - What rating system was used to critique the protocol
guidelines? Confirmation of signatures on visual review - After the interview, categorize the sources of knowledge identified by
the interviewee (e.g., authority, experience, research-based). Be
specific. Case management director, physician, internal medicine .
ceo of hospital, director of quality- registered nurse, - After the interview, you may not have enough information on which to
rate the protocol. If, for example, the interviewee has not provided
you with sources from the literature, you will have to do a search to
determine whether research exists to support the protocol you are
assessing. This does not have to be an exhaustive review, yet you
should be able to determine whether there is valid research there to
support your rating (see next step). - Then, using the AGREE ll rating scale, assess the protocol for its
validity in application to practice. - Complete a Brief Evaluation of the Protocol Outline by following
these steps: - Brief description of the protocol.- see attached
- Title and credentials of the individuals who developed the
protocol. Director of Case Management, Chief Medical Director - Parameters of the literature search and a summary of how the
protocol was developed. Medicare.gov - Your summary conclusion about the types and quality of
knowledge upon which the protocol was based with supporting
rationale.
Directly a CMS requirement prior to admission to a nursing facility.
- A brief description of the AGREE rating scale used to assess
the protocol. - Your assessment of the validity of the selected protocol.
- Upload the following in the Assignment Dropbox:
- the Brief Evaluation (required elements listed below);
- the completed AGREE ll scale; and
Answers to: - Can you explain how protocols are developed in your agency?
Based on CMS guidelines for compliance. By the Utilization Review Committee
A better understanding of the rationale for the practices used in
the protocol? Based on CMS Guidelines – directly affected
Medicare accrediations that directly affects reimbursement for
hospital organizations. - What rating system was used to critique the protocol
guidelines? HCAHPS scores that affect discharge planning
scores directly related to policy improvement and tied to
reimbursement.
Abstract related to the policy of patient choice compliance.
See Medicare attached policy based on CMS guidelines.