Questions and Answers of Introduction To Healthcare Quality Management

describe the vital role of management in achieving quality patient and client health services;AppendixLO1
discuss strategies for overcoming environmental characteristics inhospitable to quality improvement.AppendixLO1
recognize aspects of organizational culture that influence the effectiveness of quality management, and AppendixLO1
explain the purpose and content of a quality management plan, AppendixLO1
describe typical participants in healthcare quality management activities, AppendixLO1
identify groups responsible for quality in a healthcare organization, AppendixLO1
What UM practices does your health insurance company follow to control costs and ensure provision of medically necessary services? This information may be available in your insurance benefits booklet
A hospital’s UM committee discovers that the rate of cesarean section births at the hospital is higher than the rate at other hospitals in the region. A higher percentage of women at other
Use the most current information in the Healthcare Cost and Utilization Project (http://hcupnet.ahrq.gov) database to answer the following questions:a.â•‡What are the nationwide average length
describe how clinical practice guidelines are used for utilization management purposes; and identify sources of comparative healthcare utilization data.AppendixLO1
recognize the role of physicians and nonphysicians in managing the use of healthcare resources;AppendixLO1
discuss utilization management measurement, assessment, and improvement activities;AppendixLO1
describe the purpose of utilization management;AppendixLO1
describe patients’ role in reducing adverse events.AppendixLO1
use root cause analysis to improve patient safety, and AppendixLO1
use prospective risk analysis to improve the safety of healthcare processes, AppendixLO1
recognize measures of patient safety, AppendixLO1
contrast quality management and patient safety, AppendixLO1
If you were the team leader of the group described in the following case study, how would you refocus and remotivate the team toward the improvement goal?â•… When members were recruited for the
Of the ground rules listed in Critical Concept 7.1, which three do you think are most important for a team to adopt, and why? When choosing the rules, consider your past experiences working with a
identify strategies for preventing improvement project failures.AppendixLO1
describe stages of team development, and AppendixLO1
apply leadership skills to manage team meetings effectively, AppendixLO1
recognize beneficial and disruptive team behaviors, AppendixLO1
discuss the purpose of a team charter, AppendixLO1
explain the role of improvement project participants, AppendixLO1
After redesigning the record retrieval process, you want to monitor the effectiveness of your actions. What quality improvement tool would you use to determine whether the number of complaints has
You believe that cooperation between the clinic receptionists and HIM staff would improve if phone responsibilities were more clearly defined. To whom would you assign the task of defining roles and
What quality improvement tool would you use to define the current process for retrieving patient records?AppendixLO1
The HIM staff tallies information about the causes of complaints. What quality improvement tool would you use to prioritize the problems?AppendixLO1
You hypothesize that complaints spike on certain days of the week. What quality improvement tool would you use to analyze this theory?AppendixLO1
What quality improvement tool would you use to gather information to confirm the reasons for the complaints about the HIM department?AppendixLO1
What quality improvement tool would you use to identify possible reasons for the increase in complaints about the HIM department?AppendixLO1
explain the difference between improvement models and improvement tools.AppendixLO1
apply improvement tools in an improvement project, and AppendixLO1
identify commonly used quantitative and qualitative improvement tools, AppendixLO1
describe how quality improvement tools are used throughout an improvement project, AppendixLO1
demonstrate an understanding of the steps in a performance improvement project.AppendixLO1
recognize the similarities and differences among improvement models, and AppendixLO1
discuss common performance improvement models, AppendixLO1
explain the purpose of a systematic approach to improving performance, AppendixLO1
The Joint Commission Quality Check website (www.qualitycheck.org) provides performance ratings for accredited organizations. Go to this site and look up the hospitals ranked high in performance on
Explore the CMS Hospital Compare website and review the data for each measurement category. Which performance measures in these categories are most important to consumers of healthcare services?
The CMS Hospital Compare website (www.hospitalcompare.hhs.gov) allows you to compare performance at hospitals throughout the United States. Go to this site and search for hospitals within 100 miles
explain how comparative performance data are used for assessment purposes.AppendixLO1
identify common techniques for establishing performance expectations, and AppendixLO1
describe the role of performance targets in evaluating performance, AppendixLO1
apply methods of interpreting healthcare performance measurement data, AppendixLO1
identify common ways of reporting measurement data to facilitate performance assessment, AppendixLO1
Suppose the manager of the hospital registration area wants to gather data to report performance results for the measures you’ve chosen. What data source could be used to gather information for the
For each measure you selected to evaluate the hospital admission process, describe the measure in fundamental terms. What are the numerator and denominator? If the measure does not require a
For any healthcare activity, three performance factors can be measured: structure, process, and outcome. Identify one structure measure, one process measure, and one outcome measure that could be
identify the role of balanced scorecards in performance measurement.AppendixLO1
describe the difference between measures of healthcare services and measures of clinical decision making; and AppendixLO1
recognize how healthcare organizations select performance measures;AppendixLO1
identify national groups influencing healthcare performance measurement priorities;AppendixLO1
demonstrate the steps involved in developing performance measures;AppendixLO1
describe common performance measures of healthcare services;AppendixLO1
apply structural, process, and outcome measures to evaluate quality;AppendixLO1
Consider the healthcare encounter you described in Chapter 1 (see student discussion question 2). If wasteful practices had been eliminated or steps in the process had been standardized, would you
How do quality practices that originated in the manufacturing industry differ from the traditional quality practices of healthcare organizations? How would applying the core values and concepts of
describe external forces that influence quality management activities in healthcare organizations.AppendixLO1
identify factors that prompted healthcare organizations to adopt quality practices originally developed for use in other industries; and AppendixLO1
recognize quality pioneers’ contributions to, and influence on, the manufacturing industry;AppendixLO1
describe the three primary quality management activities: measurement, assessment, and improvement;AppendixLO1
Think about your most recent healthcare encounter. What aspects of the care or service were you pleased with? What could have been done better?AppendixLO1
In your opinion, which companies provide superior customer service? Which companies provide average or mediocre customer service? Name the factors most important to you when judging the quality of a
demonstrate an understanding of the varied dimensions of healthcare quality.AppendixLO1
recognize the quality characteristics important to healthcare consumers, purchasers, and providers; and AppendixLO1
explain the relationship between cost and quality;AppendixLO1
recognize factors that influence consumers’ perception of quality products and services;AppendixLO1
explain the purpose of a systematic approach to improving performance,LOP4
discuss common performance improvement models,LOP4
recognize the similarities and differences among improvement models, LOP4
demonstrate an understanding of the steps in a performance improvement project?LOP4
Many examples of improvement projects conducted by healthcare organizations can be found on the Internet. Find an example of each type of project: PDSA, RCI, FOCUS-PDCA, FADE, Lean, and Six Sigma.
describe how quality improvement tools are used throughout an improvement project, lop5
identify commonly used quantitative and qualitative improvement tools, lop5
apply improvement tools in an improvement project, lop5
explain the difference between improvement models and improvement tools.?lop5
What improvement tool would you use to identify all possible reasons for the increase in complaints about the HIM department??lop5
What improvement tool would you use to gather data to confirm the reasons for the complaints about the HIM department?
You hypothesize that complaints spike on certain days of the week. What improvement tool would you use to analyze this theory??lop5
The HIM staff tallies information about the causes of complaints. What improvement tool would you use to prioritize the problems??lop5
What improvement tool would you use to define the current process for retrieving patient records??lop5
You believe that cooperation between the clinic receptionists and HIM staff would improve if phone responsibilities were more clearly defined. To whom would you assign the task of defining roles and
After redesigning the record retrieval process, you want to monitor the effectiveness of your actions. What improvement tool would you use to determine whether the number of complaints has
explain the role of improvement project participants,?lop5
discuss the purpose of a team charter,?lop5
recognize beneficial and disruptive team behaviors,?lop5
apply leadership skills to manage team meetings effectively,?lop5
describe stages of team development, ?lop5
identify strategies for preventing improvement project failures.?lop5
Of the ground rules listed in Critical Concept 7.1, which three are most important for a team to adopt, and why? When choosing the rules, consider your past experiences working with a team or a
contrast quality management and patient safety,
recognize measures of patient safety,?lop5
use prospective risk analysis to improve the safety of healthcare processes,?lop5
use root cause analysis to improve patient safety, ?lop5
describe patients’ role in reducing adverse events. lop5
Heating devices that shut off automatically so that they are not left on all day? lop5

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