Questions and Answers of Introduction To Healthcare Quality Management

Circuit breakers that trip when circuits are overloaded lop5
Computer disks that have overwrite protection lop5
Lawn mower motors that shut off when the operator lets go of the handle? lop5
Who might experience this problem? Would all the people who do the work experience it, or just some of them?
What is the specific problem? For example, referring to the laboratory ordering process, what information is the physician likely to omit when ordering a test? lop5
Where might the failure occur? Where is the failure unlikely to occur? lop5
When would the problem likely happen (during certain times or days of the week)? When would the problem not happen? lop5
Why might the failure occur? Why doesn’t it occur all the time? lop5
How many times has the problem occurred in the past? How can the process be changed to eliminate or reduce the chance this problem will occur? lop5
Go through the steps of an FMEA project for the process of taking a bath, shown below.Use a worksheet like the one in Exhibit 8.9 to document your ideas.When completing the FMEA, consider your own
Read the description of the wrong-site surgery event in Critical Concept 8.2 and the root causes identified by the team who conducted the RCA. Conduct a literature review and Internet search for risk
How do your healthcare providers (e.g., hospital, emergency department, personal physician) keep you safe from being harmed by the effects of healthcare services? What could your providers do better
explain the roles of human factors engineering and reliability science in the improvement of healthcare services, lop5
discuss the importance of reliability in the delivery of healthcare services, lop5
recognize how process reliability is measured and managed, lop5
identify strategies to improve the reliability of healthcare processes that address the needs of staff and the work to be done, lop5
discuss how the effectiveness of improvement actions is measured and how gains are sustained. lop5
How will you know the action has been effective in improving performance?
What will you evaluate to determine if the process is more reliable? lop5
Do you have any data that can be used for before-and-after comparisons? lop5
How often will you measure performance (by shift, daily, weekly, biweekly, monthly, other)? lop5
How will data be gathered, and by whom? lop5
How long will you continue to measure performance? lop5
How often will performance results be reported, and to whom? lop5
Once measurement data substantiate that performance goals are met, how often will you measure to ensure improved performance is sustained? lop5
What process changes could be implemented to achieve 80 to 90 percent reliability in preventing and managing heel ulcerations? lop5
What process changes could be implemented to reach 95 percent reliability in preventing and managing heel ulcerations? lop5
If process changes are made to achieve 80 to 90 percent reliability, how would you measure the effectiveness of these changes? lop5
If process changes are made to achieve 95 percent reliability, how would you measure the effectiveness of these changes? lop5
Consider the organization you now work in, or if you are not currently employed, consider your last employer. What three words or phrases would you use to describe the company or department culture?
Consider the cultural assumptions and beliefs underlying a perfectionist mentality: Perfection is always expected; mistakes are not allowed. This assumption can create an environment inhospitable to
Performance excellence is pursued for its own sake.? lop85
Employees constantly learn from the best practices of top-performing organizations.? lop85
Individual competencies are systematically developed on an ongoing basis.? lop85
Individual and team successes are acknowledged and celebrated.? lop85
Individual and collective performance is monitored, reinforced, and corrected on an ongoing basis.? lop85
People support one another; the concept of teamwork is apparent throughout the organization.? lop85
People know what they are accountable for, take ownership of their responsibilities, and continuously strive to perform better.? lop85
People are dedicated to continuous improvement; higher quality goals are set once initial goals are met.
Conflict and disagreement are dealt with openly.? lop85
Open communication is practiced; people are free to voice opinions, share ideas, and make decisions.
Senior leaders and managers communicate and support high-quality performance through words and actions.
Effectiveness—Care should be based on scientific knowledge and provided to patients who could benefit. Care should not be provided to patients unlikely to benefit from it. In other words, underuse
Safety—Care intended to help patients should not harm them.? lop85
Promotion of a safe environment for reporting errors?? lop85
Regular reporting of performance measures with accountability for improved results? lop85
Standing and ad hoc quality committees? lop85
An explicit quality-related mission and best-in-industry quality improvement targets? lop85
Active leadership and personal involvement on the part of the senior team and the board of trustees? lop85
discuss strategies for overcoming environmental characteristics inhospitable to quality improvement.? lop85
recognize aspects of organizational culture that influence the effectiveness of quality management, and
explain the purpose and content of a quality management plan,
describe typical participants in healthcare quality management activities,
identify groups responsible for quality in a healthcare organization,
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. What are the nationwide average length of
Does he have mental health or social needs? p-968
Which posthospital services will he need? p-968
Will he need to go to a nursing home or another facility at discharge? p-968
Will he need home care services? p-968
Will his ability to care for himself change after discharge? p-968
Can Mr. Jones return to his preadmission situation? p-968
Does the patient require frequent changes in body position and/or have an immediate need for a change in body position? p-968
Does the patient require a bed height different from that of a fixed-height bed to permit transfer to a chair, a wheelchair, or a standing position? p-968
Does the patient require traction that can be attached only to a hospital bed?
Does the patient require the head of the bed to be elevated more than 30 degrees most of the time because of congestive heart failure, chronic pulmonary disease, or aspiration? p-968
Does the patient require, for the alleviation of pain, positioning of the body in ways not feasible with an ordinary bed? p-968
Does the patient require positioning of the body in ways not feasible with an ordinary bed because of a medical condition expected to last at least one month? p-968
identify sources of comparative healthcare utilization data.• Safety—Care intended to help patients should not harm them.• Effectiveness—Care should be based on scientific knowledge and
describe how clinical practice guidelines are used for utilization management purposes; p-968
recognize the role of physicians and nonphysicians in managing the use of healthcare resources; p-968
discuss utilization management measurement, assessment, and improvement activities;;lop5
describe the purpose of utilization management;lop5
recognize factors that influence consumers’ perception of quality products and services;
explain the relationship between cost and quality;
recognize the quality characteristics important to healthcare consumers, purchasers, and providers; and
demonstrate an understanding of the varied dimensions of healthcare quality?
WHAT IS QUALITY?
Review the priorities in the current National Quality Strategy (www.ahrq.gov/working forquality). Which priority is most important to you as a healthcare consumer, and why?Which priority do you
describe the three primary quality management activities: measurement, assessment, and improvement; p-69
recognize quality pioneers’ contributions to, and influence on, the manufacturing industry; p-69
identify factors that prompted healthcare organizations to adopt quality practices originally developed for use in other industries; p-69
describe external forces that influence quality management activities in healthcare organizations.? p-69
identify important or potential problems or concerns with patient care, p-69
objectively assess the cause and scope of the problems or concerns, p-69
implement decisions or actions designed to eliminate the problems, p-69
monitor activities to ensure desired results are achieved and sustained, p-69
document the effectiveness of the overall program to enhance patient care and ensure sound clinical performance. p-69
Describe how you use the cycle of measurement, assessment, and improvement (see Exhibit 2.1) to evaluate and make changes in your personal life. p-69
How do quality practices that originated in the manufacturing industry differ from the traditional quality practices of healthcare organizations? p-69
How would applying the core values and concepts of the Baldrige Health Care Criteria for Performance Excellence improve healthcare quality? (See Critical Concept 2.1.) p-69
Consider the healthcare encounter you described in Chapter 1 (see For Discussion question 2). If wasteful practices had been eliminated or steps in the process had been standardized, would you have
apply structural, process, and outcome measures to evaluate quality; lop5
describe common performance measures of healthcare services; lop5
demonstrate the steps involved in developing performance measures; lop5
identify national groups influencing healthcare performance measurement priorities; lop5
recognize how healthcare organizations select performance measures; lop5
describe the difference between measures of healthcare services and measures of clinical decision making; lop5
identify the role of balanced scorecards in performance measurement.? lop5
What is the date of your clinic visit? l01

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