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30 Cards in this Set
- Front
- Back
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What is Zero Harm or chasing Zero? Who is instrumental in moving this forward? |
Zero Harm: sustaining an environment which supports the health and safety of its people and minimize the busninesses impact on the environment. Dennis Quaid. |
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PCORI. |
Established as an independent, nonprofit orginization under the affordable care act. PATIENT CENTERED OUTCOMES RESEARCH INSTITITE. Will build on the current work of AHRQ and NIH |
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PPACA. |
Patient protection and affordable care act. Insurance companies must spend money on quality of care |
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PHC4 |
PA Health care cost containment council. PA state agency in charge of quality of care. |
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Difference bt QA and QM |
QA - Systematic evaluation to monitor and evaluate the quality and appropriateness of patient care.
QM - a Management philosophy that seeks to integrate all orginizational functions to focus on meeting customer needs and other orginizational objective. Based on statistcal analysis |
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Difference bt a Pareto Chart and a histogram. |
Pareto chart: bar graph used to determine priorities in problem solving, focus efforts on problems that offer the greatest potential for improvement by showing their relative frequency in descending bar graph.
Histogram: bar graph used to display data proportionally, based on raw data and absolute frequencies. Displays large amounts of data in bar form. |
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JCAHO 10 step monitoring and eval process |
Assign responsibility Scope of care Identify important aspects of care Perfromance measures thresholds - (when should eval be preformed) Collect&organize data Evaluate care take action to solve problems Assess actions communicate results
ASIPTCETAC |
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Why must a QM plan be developed |
provides guidance on how quality will be ensured on the project through design reviews, documentation, and other protocols |
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Who should take part in the development of the QM plan in the orginization |
everyone employed in the organization |
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Importance of PDCA |
Its important bc its a continuous cycle. -- helps take remedial measures if a process does not turn out as expected -- helps find the solution
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what is six sigma? how is it useful in QM? |
seeks to improve the quality process by eliminating defects in the organization, refers to standard deviation |
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FOCUS |
F - ind: choose a process that needs to be improved O - rganize: assemble a team that is capable of dealing with the process C - larify: examine current knowledge U - nderstand: to learn the causes of problems found in the process S - elect: team selects the major cause of the problem |
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FADE |
Focus Analyze Develop Execute
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Internal and external customers for the HIM department |
Internal - All medical staff/ healthcare providers
External - Purchasers/Consumers/ Individual users of health care
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How often should the QM plan be reviewed and evaluated
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ANNULAY Address the following techniques - Comprehensivness - Pertinence - Validity - Effectivness - Efficiancy
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Who should establish and support QM? |
BOD then downward |
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three examples of performance measures |
PM- addresses performance in an organization, seeks out the issues related. Structure Process Outcome |
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what should the first step be in the beginning of a QM study? |
Identify an improvment oppurtunity |
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What is a control chart and when should it be used? |
CC: detects and monitors variations over time, distinguishes special vs common causes of variation, common language for distinguishing process performance. Used often |
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When should a scatter diagram be used? |
used when it nessassary to measure the relationship bt two variables. provides a good folllow up to fishbone |
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What is a sentinel event? |
A serious event that requires individual review for each and every occurance of the event involving death or serious injury |
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Diff bt SOP |
Structure - base for caregiving Process -all activities that occur during stay Outcome - the result of the stay |
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When should the affinity diagram be used? brainstorming? diff bt brainstorming and nominal group technique |
AD: helps with organizing large data into groups, used when issues seem to be too large or complex and when creative ideas are needed
Brainstorming:EVERYONE should be involved
Nominal GT: Ranking the brainstorming ideas |
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What is srs? Why is it so important to qm studies? |
A random number sample from a population, a random sample will eliminate bias results. Must take a sample to determine the quality in an organization |
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FIshbone Diagram |
FBD: identify, explore, graphically display all possible cause related to problems to discover root causes, not symptoms |
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QM and UM |
QM - system in which an organization measure, assess, and improve quality of care
UM - process of evaluating the use of medical care services by comparing pre-established criteria |
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Rate based perfromance measure |
performance measure that needs to be hit in an organizaion in order to be reimbursed |
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Major components of a QM plan? |
A. Mission and vision statement B Structure of the QA program C Authority/Responsibility D Program component E Scope of services F Eval of the QA program |
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basic steps for collecting data? |
high volume - use a sample sentinal events - look at everything
look for risk, frequency and extent |
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Whos responsible for improving quality in the HIM department? |
Director, then trickle down
BOD has ultimate charge |
