Vocabulary
This type of goal is Specific, Measurable, Achievable, Realistic, and Timely
What is SMART?
These team members are responsible for quality outcomes
What is or who is everyone!
Comparing your performance to other organizations, past data
What is benchmarking?
An independent, not-for-profit organization, that is the nation's oldest and largest standards-setting and accrediting body in health care.
What is The Joint Commission?
National standardized survey measures patient experience/satisfaction in hopsitals
What is HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) or CGCAHPS?
Process used to investigate adverse events and identify their underlying causes
What is Root Cause Analysis (RCA)?
Identify performance opportunity, research and define performance expectations, measure performance, analyze and compare data, identify improvement opportunity, design/redesign process, implement new process, monitor, start over
What is the quality improvement cycle?
CHoR recently celebrated being named as a top Children's Hospital for two pediatric specialties in this report.
What is U.S. News and World Report?
This reporting system is accessible by any team members and allows team members to report patient safety events and safety concerns
What is VCU Health Safe (VHS)?
Provide a flow chart to aid in medical decision making
What are Practice Guidelines/Clinical Pathways?
A bar chart that illustrates a project schedule
What is a Gantt chart?
Formal process frequently used to aid in quality improvement changes
What is Project Management?
This quality metric is one of CHoR's FY 25 priority metrics aimed at reducing the burden of health care-associated infections
What is handwashing?
What is privileging?
Looks like a fish and helps in determining where to start with problem solving
What is Fish Bone diagram/Root Cause Analysis?
The diagrams, charts, techniques, and methods used in quality improvement work.
What are Quality improvement tools or Analytic tools?
Physicians reviewing physicians, a practice deemed confidential by the Health Care Quality Improvement Act
What is peer review?
To be America's Safest Hospital and Zero Events of Preventable Harm.
What is our Health System vision and goal?
This acronym can be utilized as a guide on how to respond during a fire.
What is R- Rescue anyone in immediate danger, A-Activate the fire alarm by pulling the fire alarm pull station or calling *500 on-campus or 911 off-campus, C-Close doors to contain smoke, E-Extinguish the fire if it is small and if trained to do so, R- Relocate patients to a safe area?
Evaluates Strengths, Weaknesses, Opportunities, Threats
What is a SWOT analysis?
The Pareto Principle (80/20 Rule) suggests this relationship between cause and effect.
What is 80% of effects come from 20% of causes?
This quality approach, originally from manufacturing, aims to eliminate waste and optimize processes
What is lean?
Standard time frame used to measure readmission rates?
What is 30 Days?
How are patients advised of their rights?
What is The Patient's Bill of Rights which should always be posted in highly visible patient care areas, Ambulatory Care Clinics, and all other outpatient areas.
This practice involves managers and leaders visiting the place where work happens to observe processes, engage with employees, and identify improvement opportunities firsthand.
What is a GEMBA walk?