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Q & O Final
Terms in this set (60)
What is quality in healthcare?
all of the above
Quality Management is defined as
a way of doing business that continuously improves products and services to achieve better performance .
quality management uses a cycle to improve that includes
measurement, assessment, and improvement
The National Quality Strategy uses levers to align business functions to the quality aims - HIT is one of the levers used to
Improve communication, transparency, and efficiency for better coordinated health and health care
Measurement as the first step in quality management includes collecting information for the purpose of understanding current performance and seeing how performance changes or improves over time.
Government regulations and accreditation groups influence the business activities of healthcare .
When a hospital is accredited by the Joint Commission and CMS accepts this as proof that they meet the Conditions of Participation, this is known as
Failure to follow Quality Management requirements of Conditions of Participation can result in jeopardy of payment through federal programs like CMS
CMS is a
Which of the following is a part of Deming's quality management philosophy?
How people are motivated and work together must be understood.
Key major elements of Process Excellence are
customer focus, scientific approach, team work
Which of the following individuals is considered the father of statistical quality control?
number of physicians in hospital
Time until head-CAT scan for head trauma patient, number of surgeries performed in particular hospital
mortality of specific surgery, quality of life
quality circles is
Group of employees that form a quality management team.
The Baldrige Performance Excellence Program is a framework to
help your organization improve and achieve excellence
ISO 9001 is a management framework used only in many industries and applies to healthcare .
ISO 9001 and Baldrige both emphasize the role of the customers expectations as a key element to quality excellence.
Workflow is important
Which of the following tasks is commonly done by hospital case managers?
Arrange for medical services that patients need after discharge
Mr. Jones is a 67 year old patient being discharged after hip replacement surgery. Which of the following is not part of Mr. Jones's discharge planning?
Arrange for the local library to drop off books related to his recovery
Which of the following sources is used to identify medically necessary services?
clinical practice guidelines
Which of the following is a publicly available source of national comparative data on the use of healthcare resources?
health care cost and utilization services
Which of the following is the health plan reimbursement system that rewards care providers for achieving cost performance expectations?
pay for performance
In 2010, spending on health care accounted for ____ percent of the U.S. economy.
Two hospitals are treating renal-failure patients. One hospital reports higher costs than the other. Upon investigation no unnecessary services were found. The primary difference in costs could be due to which of the following?
the patient severity and clinical complexity is different
A Utilization Management Plan does not describe
procedures for evaluating adverse events
The requirement that hospitals have a utilization review committee is found in the
Medicare Conditions of Participation
Which of the following does not constitute Utilization Review
allotting more cleaning staff to operations rooms
Health Resources and Services Administration; Introduction to Teams in Quality Improvement discusses the power of teams as
all of these
critical elements of the launch meeting include
provide general ground rules about how the team will function, such as, meeting times, expectations for punctuality and participation, record keeping, and accountability of the team and its members.
explicit mission of organization
form team with appropriate members
Involve boards and key personals in the organization for the plan
Use brain-storming / consensus methods to generate a plan for the quality improvement.
Develop a road map for the action plan.
The three success factors necessary to have continual Quality improvement in healthcare in this week's readings include:
all of them
The medical director of an outpatient family practice clinic has asked you to investigate variations in patient wait times. The medical director wants to know if there is a correlation between the number of minutes patients must wait to see a physician and the time of the patient's scheduled appointment. Which type of graph would you use to provide the medical director with the information needed to determine if such a relationship exists?
Which of the following is a graph used to display the frequency distribution of measurement data?
The Pareto Principle is a technique for determining which performance problems should be corrected first. Which of the following statements best represents the philosophy behind this principle?
The majority of quality defects are caused by a small percentage of identifiable problems
Which of the following is a type of data display that uses symbols or colors to draw people's attention to performance concerns?
Which of the following is not used to establish performance targets?
Which of the following sources of comparative healthcare performance data is publicly available?
Healthcare Cost and Utilization
During which phase of quality management are raw data examined to draw conclusions about performance?
Which of the following formats can be used to report measurement data from different periods?
Statistical process control techniques can be applied to which type of graph?
benchmarking is a measure of
current performance compared to an exemplary organization's performance
The originator of the Plan-Do-Check-Act model of performance improvement was
The goal of Six-Sigma is to have a defect rate of
According to The Joint Commission, what is a common cause of sentinel events in healthcare organizations?
Which of the following is a tactic designed to improve the reliability of a healthcare process?
When an IT system alerts a physician to a potential incompatibility when a new drug is prescribed for a patient, how is the system helping to prevent mistakes?
making failures visible
According to reliability science, which of the following improvement actions can help to bring about 95% process reliability?
standardize the process steps
At what level of reliability do most US hospitals function?
The primary purpose of measuring the effectiveness of improvement actions is to
confirm the actions were successful
Which of the following is a common reason improvement projects fail to achieve desired results?
people lapse into the old ways of doing things
According to Vincent et al (1997), which of the following is work environment factor in risk analysis framework?
administrative and managerial support
a sentinel event is
An event that has resulted in death or severe harm to patient
In Hazard analysis, the Criticality Score is a
measure of risk of a step
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