Technique used in performance improvement initiatives to discover the underlying causes of a problem
What is root-cause analysis
100
Bar graph that includes bars arranged in order of descending size to show prioritization
What is pareto chart
100
Continuous study and adaptation of functions and processes to increase the likelihood of achieving desired outcomes
What is performance improvement
100
Written description of the expected features, characteristics, or outcomes
What is a standard
200
Performs medical peer review of Medicare and Medicaid claims, including review of validity of hospital diagnosis and procedure coding for appropriate payment
What is the Quality Improvement Organization (QIO)
Formerly known as a Peer Review Organization (PRO) prior to 2002
200
Technique used to generate ideas from the team
What is brainstorming
200
Displays linear relationships among factors
What is scatter diagram
200
Process that determines whether the medical care provided to a specific patient is necessary according to preestablished criteria specified time frames
What is utilization management
200
Guidelines followed that are voluntary and meant to improve patient safety
What are accreditation standards
300
Agency for Healthcare Research and Quality (AHRQ)
What is HHS
AHRQ's mission is to improve the quality, safety, efficiency, and effectiveness of healthcare
300
Identifies the root cause of a problem and displays the root causes graphically
What is a fishbone diagram
300
Displays the frequency distribution of continuous data
What is histogram
300
Comprehensive program of activities intended to minimize the potential for injuries to occur in a facility and to anticipate and respond to ensuing liabilities that do occur
What is risk management
300
detailed criteria the healthcare organizations must comply with in order to operate
What are licensure requirements
400
Health Effectiveness Data and Information Set uses purchasers and consumers of healthcare to compare the performance of managed care plans
What is NCQA
National Commission for Quality Assurance
400
Displays data generated through brainstorming identifying the pros and cons toward the solution to a problem
What is force field analysis
400
Organizes team ideas into logical groupings
What is affinity diagram
400
Process of managing the legal and administrative aspects of injury claims
What is claims management
400
standard against which actual care may be measured to identify a level of performance for that standard
What is a quality indicator
500
ORYX data
What is Joint Commission
The goal of the ORYX initiative is to gather performance data and performance measures and use as comparative data to improve patient care across hospitals
500
Identify the problem, measure the performance, analyze and compare the data, identify improvement opportunities, perform ongoing monitoring is
What is performance improvement model
PDCA
500
Flowchart of a current process
What is a work flow diagram
500
Patient representative that responds personally to patient complaints
What is a patient advocacy or ombudsperson
500
Detailed step by step guides to make knowledge based decisions
What are clinical protocols or clinical practice guidelines