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54 Cards in this Set
- Front
- Back
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What are the four P's in a fishbone diagram?
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People, Policies, Plant, Procedures
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What's another name for a fishbone diagram?
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Cause and effect/ Ichikawa
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What are the four M's of the fishbone?
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Man, Methods, Materials, Machinery
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Who created the dartmouth atlas?
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Jack Wennburg
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What does DMAIC mean?
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Define, Measure, Analyze, Improve, Control
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Who was the father of zero defects?
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Philip Crosby
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What is assignable variation?
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* specific cause
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Whats another name for normal variation?
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Gaussian
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What other tool uses a normal distribution?
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Control Chart
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Name four leaders in quality health care?
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Deming
Tachi Ohno Donevedian Crosby |
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What is "lean" trying to eliminate?
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waste
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Who created the Toyota production system?
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Taichi Ohno
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What level must be met for quality to be considered acceptable.
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Minimum
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Rapid cycle CQI?
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rapid PDSA cycles, evaluate, do again
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Pareto Chart/Principle?
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80% of the wealth was held by 20% of the population
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What uses OBQI?
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Homehealth
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Health plans?
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NCQA
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What does HEDIS stand for?
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Healthcare Effectiveness Data and Information Set
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ORYX stands for?
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ORYX
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SPC stands for?
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Statistical Process Control
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What is the minimum data set for hospitals?
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UB 92
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What is the minimum data set for home health?
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OASIS
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what is the minimum data set for nursing homes (LTC)?
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MDS
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Agency for accrediting health plans?
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NCQA
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TJC developed what kind of MDS?
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ORYX
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What is a sentinel event
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Rare event
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4 characteristics for Quality Indicators for public release?
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*Standardized across all providers (common definitions and data collection)
*Produced within reasonable time frames (widely debated issue) *Developed at a reasonable cost to both the providers and those assembling the data *Easy to read and interpret (especially by consumers and purchasers) |
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6 quality dimensions IMO?
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* safe
* effective * timely * family centered * efficient * equal |
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An example of a structural characteristic?
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staff ratio
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Example of process characteristic?
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% of post-heart attack patients prescribed beta-blockers on discharge
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Example of outcome characteristic?
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Mortality rates
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What are the 4 dimensions of healthcare?
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Person (a)
Microsystem (b) Organization (c) environment (d) |
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4 categories of data
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* clinical
* financial * patient satisfaction * functional status |
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What percent of charts do you need to review in order to gather enough data?
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10%
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What projects require data from entire continuum of care?
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disease management
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List advantages of prospective data
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collect whatever you want, control over it, implement it in different ways
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Disadvantage of of prospective
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costly, have to train someone, extra burden on nursing staff
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What is an administrative database?
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Helps with the running and functioning of healthcare institute (financial records)
refers to information that is collected, processed, and stored in automated information systems. |
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What type of information is gathered in an SF survey?
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Functional status surveys - usually measured before and at several points following treatment or procedure. The most widely recognized pioneer of functional status surveys is John Ware.
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What does SF stand for?
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Short Form
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How many forms of SF exist?
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3
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What is the legacy system?
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currently exists, current admission databases
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What does SPC stand for?
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Statistical Process Control
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Who invented SPC?
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Walter Shewart
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What are the two sources of variation in SPC?
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Common cause and Speecial Cause
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In a control chart what are the two limits called?
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UCL
LCL |
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Rules of SPC?
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How many points are above and below the mean
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What is the trial limit?
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25 points
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Name 3 ways to identify special cause
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* 3 standard deviations above
* observe 8 consecutive points above or below mean * 4 or 5 consecutive points beyond one sigma * 2 or 3 consecutive points beyond two sigma |
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How many observations to identify a trend in control chart?
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6
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(true or false) control charts give you desired levels of quality?
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FALSE
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Example of quality indicators that shouldn't be present in control charts?
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Sentinnel events
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What is a data warehouse?
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database used for reporting and analysis that is often used to support management decision making
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How do you measure how well a survey performs?
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face validity, construct validity, criterion validity
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