Structure
This first step is foundational to move the strategic plan into an operational plan for improvement.
Hint: leaders apply the mission, vision, values, & strategic plan, to set direction.
What is a framework for leadership of improvement? (page 143)
In the case of Bing vs. Thunig, the NY Court of Appeals ruled that this doctrine no longer applied to hospitals. As a result, hospitals are liable for patient injuries sustained through negligence of employees.
What is the doctrine of charitable immunity? (page 151)
The process of creating the most accurate list of all medications a patient is taking, and comparing that list against the physician's admission, transfer, and dc orders, with the goal of providing correct medications at all transition points within the hospital.
What is medication reconciliation? (page 157)
The "PDSA" cycle builds on incremental improvements.
What is plan-do-study-act.
(pg 154)
The healthcare quality professional facilitates development of ___________ for improvement, by establishing criteria, using data, & involving key stakeholders.
What are priorities? (page 143)
This organization developed the first Quality Assurance standards requiring a problem-focused approach to measuring quality.
Who is The Joint Commission? (page 152)
This high-risk, high-cost aspect of care should be monitored for key elements to include ordering, distribution, handling and dispensing, administration and monitoring the effects on patients.
What is blood-product use? (page 158)
"EBP" promotes patient safety through the provision of effective and efficient healthcare, resulting in less variation in care, and fewer unnecessary interventions.
What is evidence-based practice? (page 147)
The healthcare quality professional may use this tool to facilitate prioritizing improvement activities by evaluating items against specific criteria.
What is a prioritization matrix? (page 146)
Originally a business management strategy developed by Motorola, this improvement methodology uses data and statistical analyses to measure and improve performance through the reduction of variation.
What is Six Sigma? (page 154)
An evaluation of an episode of care conducted to improve the quality of patient care or the use of healthcare resources.
What is a peer review? (page 163)
The rating evidence of evidence-based practice is often based on the "USPSTF" levels of evidence and grading system.
What is the U.S. Preventive Services Task Force
(pg 148)
The data collection plan is often used by healthcare quality professionals to guide the p__________ and e_________ for improvement projects and activities.
What is planning and evaluation? (page 146)
This improvement approach focuses on reducing waste and centering on those activities that add value for the end customer.
What is Lean Enterprise? (page 155)
The goal of this program is to identify and reduce the risks of acquiring and transmitting endemic and epidemic infections among patients, employees, physicians, contractors, volunteers, students, and visitors.
What is infection prevention and control program? (page 161)
"AHRQ" is a common source for evidence-based practice (EBP) guidelines and national measures.
What is the Agency for Healthcare Research and Quality? (page 149)
Clinical _______are concensus statements developed to assist in clinical management decisions.
Clinical _______ are tools to manage quality outcomes & cost of care based on clinical guidelines and current evidence.
What are clinical guidelines?
What are clinical pathways?
(page 149)
a) This approach was developed by IHI to bring about rapid-cycle improvements and promote spread of improvements.
b) This cycle is at the core of this approach, and builds on incremental improvements.
a) What is the collaborative approach?
b) What is the PDSA cycle (plan-do-study-act).
(page 154)
This "status" is required for organizations to receive reimbursement from CMS. Organizations are reviewed by a state or national accreditation agency like Joint Commission, for compliance with the CMS Conditions for Coverage and Conditions of Participation.
What is "deemed-status"?
(page 159)
Six-Sigma efforts typically include a methodology that addresses variation, and goes by the acronym "DMAIC".
What is Define, Measure, Analyze, Improve, Control? (page 153)