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Program Eval/Quality
Program Evaluation and Qualty Improvement
| Question | Answer |
|---|---|
| Continuous Quality Improvement CQI | System Orientated Approach. Uses limitations to increase change |
| Total Quality Improvement TQM | Organised culture - enables employees to participate |
| Performance Assessment and Improvement PAI | Systematic method to evaluate appropriateness of services |
| Utilisation Review | Resources within facility |
| Statistical Utilisation Review | Reimbursement claims data used to review |
| Professional Review Organisation PRO | Peers who evaluate service/care under reimbursement or state |
| Prospective Review | Used by 3rd party payers to approve OT intervention programs |
| Concurrent Review | Evaluation of ongoing intervention |
| Retrospective | Looks at past data |
| Risk Management | Looks at level of risk in location/intervention |