At a senior leadership meeting, the COO says, "We need to know how to make nursing more effective. What can we do collectively to improve nursing unit scorecards?" The CNO replies, "I'm not sure what we could do collectively. I think the only way to improve our scores is to work in each service line, which we're doing." What should the COO say next? Select one: a. "Last year, a bunch of service lines just said they couldn't get any closer to benchmark." b. "OK, but next year's goals have to be closer to benchmark for every service line." c. "I guess you are right. We're not losing market share, so we can continue as we are." d. "Let's form a small PIT to check for new options. We could look over the OFIs collectively, to see if they share any themes.\" Pursuing the nurse's complaint in the previous question, you look up the lab's patient waiting time results and goals on its scorecard. It's not there, but patient satisfaction is lowerthan nursing or most other CSS. You talk to the lab manager, who says that delays happen sometimes, and they're not avoidable. He adds that the EHR records arrival and service times by patient. Select one: a. You tell the lab manager that it is important, and that you will enter an OFI to improve lab schedang. b. You get a sample of patients from Knowledge Management and, with their help, nd that the median wait is near 30 minutes. About one patient in ve waits 45 minutes or longer. You report the data to the lab manager and the chief pathologist, who agree it's an OFI. c. You complete the actions described in option b and thank the nurse manager for identifying an OFI. d. You complete the actions described in option b, except for reporting to the chief pathologist. The lab manager says again that it's unimportant, that "all labs work that way." You thank him and drop the matter. You are stafng a PIT to implement an accountable care organization. The PIT's initial list of criteria for success include team care, emphasizing clinical support service professionals; holistic care plans; community support; and an outcomesoriented scorecard. You consider proposing... Select one: a. ...adding palliative and endoflife care, because it's a critical element for many patients. b. ...dropping community support, because it will be complicated to build. 0. ...substituting "evidencebased" for "holistic" care plans, because it's not clear how the H00 can build holistic plans. d. ...dropping the scorecard until the ACO is established, because it will be less important until the organization stabilizes