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Quality Final
| Question | Answer |
|---|---|
| the dimensions of healthcare according to the IOM Committee on Quality of Health are (hint: there's 5) | Safe, Timely, Effective, Equitable, Efficient, Patient-Centered |
| The agency that leads the National Quality strategy on behalf of the US department of health & human services is the | AHRQ (agency for healthcare research & quality) |
| value = (?) / (?) | quality/cost |
| the concept that best describes the ability of a healthcare process to perform its prescribed function without failure for a given time when operated correctly in a specified environment is | reliability |
| on this organization's website, you'd find dashboards showing the quality of care delivered at various hospitals based on how the hospital performs on various quality measures | leapfrog |
| 3 primary activities of quality management | measurement, assessment, improvement |
| A systems perspective, organizational learning and agility, and valuing people are three core values associated with | Baldridge |
| An organization that operates in a complex, high risk environment and can manage the unexpected, balance failure and functionality, and limit catastrophic errors is considered a ____ organization. | high reliability (HRO) |
| The quality management activities in healthcare organizations are influenced by which of the the following external forces a) government regulations b) market conditions c) purchaser requirements d) competitor service lines e) accreditation standards | a,c,e |
| The Joint Commission, DNV-HL Healthcare and the Center for improvement in healthcare are all examples of organizations that provide | accreditation standards |
| The Juran Quality trilogy framework consists of | quality improvement, planning, & control |
| what type of problem is this: A doctor prescribing antibiotics for a common cold | overuse |
| what type of problem is this: A clinician that does not provide a health care service when it would have produced a favorable outcome for a patient | underuse |
| what type of problem is this: upcoding | misuse |
| To display data in an understandable form, which three factors must be considered: the [I], the [II] , and the [III]. | type of data, audience, intended use |
| A few months ago you decided to measure the time of your daily commute to work. you leave home at 8am to be at work by 8.30am. It takes you between 21 and 27 minutes, including your walking time and the metro ride. This kind of variation is called | random cause variation |
| The 30-day all-cause hospital readmissions measure, is this type of measure | outcome |
| The percentage of staff who washed their hands when entering AND exiting a patient's room to examine them would be a ___ measure | process |
| HEDIS measures werre developed by this organization | NCQA (national committee for quality assurance) |
| An organization that accredits insurance plans and patient-centered medical homes | NCQA (national committee for quality assurance) |
| Identify the organization that is a public–private partnership that serves a convening function between stakeholders and is focused on identifying valid and reliable performance measures to assess quality across the healthcare continuum | NQF (national quality forum) |
| The Pareto principle is often stated as the _______ rule | 80/20 (80% of results are from 20% of data) |
| T/F - Tabular reports and bar graphs can be used to report data for a single period or for several periods. | T |
| T/F - Pie charts, scatter diagrams, histograms, Pareto charts, and radar charts are typically used to report performance data from a snapshot of time. | T |
| T/F - Bar and line graphs are most commonly used to display performance data over time. | T |
| T/F - Bar and line graphs are most commonly used to display performance data from a snapshot in time. | F |
| T/F - Pie charts, scatter diagrams, histograms, Pareto charts, and radar charts are typically used to report performance data from over a period of time. | F |
| T/F - Tabular reports and bar graphs can be only used to report data for a single period. | F (singular or multiple) |
| Standardized work processes and reduction of waste are characteristics of a ___ project | lean |
| A systematic, data-driven improvement approach whose goal is to decrease variation and the near elimination of defects | six sigma |
| In Six Sigma we often use the DMAIC methodology which stands for | define, measure, analyze, improve, control |
| which is not an example of qualitative tools: a) affinity diagrams b) multivoting c) brainstorming d) nominal group technique e) PDSA | e |
| identifying the root cause + PDSA cycle is called the | IHI model for improvement |
| types of waste | movement, waiting, overprocessing, defects, inventories, transportation, design, overproduction |
| An incident in which death or serious harm to a patient occurred is called a | sentinel event |
| Any event that could have had adverse consequences but did not and was indistinguishable from fully fledged adverse events in all but outcome is a | near miss |
| An example of a prospective risk-assessment technique used to reduce high-risk process failures is | failure mode & effects analysis |
| eliminating errors from a process and reducing the chance of harm by redesigning the process | mistake-proofing |
| Placing a unique label on a medication bottle to prevent the wrong medication from being dispensed and containers that organize pills by day and time to prevent missed doses are examples of | safeguards |
| criticality = | detection * severity * detection |
| criticality score is used in | failure mode & effects analysis |
| an accident investigation technique undertaken to find and fix the fundamental causes of an adverse event | root cause analysis |
| what org requires RCA after an adverse event | joint commission |
| Organizations with expertise in healthcare safety and identifying risks that work with healthcare delivery organizations and are administered by AHRQ are called | PSO (patient safety org) |
| components of a project charter: | problem statement, improvement goal, project scope, team members + roles, timelines, deliverables, description of system/process to be improved, time frame for project, measures, scope |
| Assists with team-building activities, may assist with project planning, keeps meeting discussions and the entire project on track. a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | h |
| Coordinates project, chairs discussions, keeps project focused, establishes meeting schedule and communicates with external parties a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | b |
| Documents activities, ideas and decisions throughout the project and creates meeting minutes and summaries a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | c |
| Keeps the team on track during meetings and alerts the group If a discussion point becomes extended a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | d |
| Charters the improvement team, provides initial improvement goals monitors and supports the team a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | a |
| Participate in discussions, decision-making, and other tasks related to completing the project a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | e |
| Personnel in the project who are involved in the work area of the improvement project a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | f |
| project members with little or no knowledge of the process to provide a fresh and creative perspective. a) sponsor b) team leader c) recorder d) timekeeper e) team member f) process owners g) independents h) facilitator | g |
| abilities and characteristics that are important for project team leaders to demonstrate in order to influence the outcome of an improvement initiative | problem-solving ability, perspective, results orientation, communication skills, energy & initiative, negotiation skills |
| ___ - what the team leader would set in the first meeting and lists expected team behaviors and directives on how team members are expected to communicate in meetings, make decisions, resolve conflicts and conduct themselves through the project. | ground rules |
| According to B. W. Tuckman all teams go through the following phases of development | forming, storming, norming, performing |
| A Gantt Chart is tool to show the project | timeline |
Created by:
maggiemcel