Structure
Approaches
Monitoring and Evaluation
Acronyms
100

First step in turning the strategic plan into an operational plan for improvement.

What is the framework for leadership of improvement? (page 143)

100

In this case, the New York Court of Appeals ruled that the doctrine of charitable immunity no longer applied to hospitals. Hospitals are liable for patient injuries sustained through negligence of employees.

What is Bing vs. Thunig? (page 151)

100

Purpose is to improve the efficiency and effectiveness of medication use and the appropriate use of medication.

What is medication use monitoring? (page 157)

100

EBP

What is evidence-based practice? (page 147)

200

Evaluates key processes against key business drivers to identify the most important processes to improve and measure in evaluating performance.

What is prioritizing? (page 143)

200

Developed the first QA standards requiring a problem-focused approach to measuring quality.

Who is The Joint Commission? (page 152)

200

Key elements to be monitored include ordering, distribution, handling and dispensing, administration and monitoring the effects on patients.

What is blood product use? (page 158)

200

USPSTF

U.S. Preventive Services Task Force

300

Assists in evaluating items against specific criteria.

What is a prioritization matrix? (page 146)

300

A business management strategy that uses data and statistical analyses to measure and improve performance through the reduction of variation.

What is Six Sigma? (page 154)

300

When these are used, a checklist is employed to ensure that all required components are met and each episode can be easily monitored using criteria.

What are restraints? (page 159)

300

AHRQ

What is the Agency for Healthcare Research and Quality? (page 149)

400

Includes who, what, when, status, and completion.

What is the format of an action plan? (page 146)

400

Key focus is to eliminate waste in eight key areas: defects, overproduction, waiting, non-utilized talent, transportation, inventory, motion, and extra processing.

What is a Lean Enterprise? (page 155)

400
Goal 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? (page 161)

400

DMAIC

What is Define, Measure, Analyze, Improve, Control? (page 153)

500

Tools to manage quality outcomes and cost of care based on clinical guidelines and current evidence.

What are clinical pathways? (page 149)

500

Works like a compass, providing a guide to take an organization from the current condition to where they want to be.

What is True North? (page 156)

500

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)

500

HEDIS

What is Healthcare Effectiveness Data and Information Set? (page 156)