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37 Cards in this Set
- Front
- Back
TQM
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Joseph Juran. Quality (planning, control & improvement)
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Types of planning (6)
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SNOBPT: Strategic, Narrow, Operational, Broad, Participants, Time Frame
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4 Quality components
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Effectiveness, PT safety, PT-centeredness, timeliness
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W.E. Deming
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Quality objective: error-free care. Poor quality is the cause of process, not workers.
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P.B. Crosby
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Quality is free. Do it right the 1st time, or pay w/ integrity, reputation, dissatisfied patients
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Donabedian
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Structure —> Process —> Outcome
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FOCUS-PDCA
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Find a process that needs improvement, Organize a team, Clarify current knowledge, Understand sources of process variation, Select the process improvement, Plan, Do, Control, Act
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Strategies for success
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Differentiation, Specialization, Low-cost leadership, Integration, Retrenchment, SA & Diversification
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Mechanisms for control
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BBDR - Budget, Benchmarking, Data analysis, Ratio analysis
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Control, def.?
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Ensuring organization is reaching its goals
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Quality, def.?
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AHRQ - the right thing at the right time
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Traditional measures of quality
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Morbidity, mortality, readmission rates, infection rates
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Tools used to improve quality?
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Metrics, CQI, TQM, ISO, 6-sigma
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Moral philosophies
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Teleology, Deontology, Natural Law, Casuistry, Virtue Ethics
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Teleology
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End result determines the decision
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Deontology
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Golden rule
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Natural Law
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Humans are rational; do good & avoid wrong
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Casuistry
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Case based (situational ethics)
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Virtue Ethics
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Theological basis
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Ethical theories in HSOs (4)
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Respect for persons, beneficience, nonmaleficence & justice
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Beneficience
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Act with kindness and charity
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Nonmaleficence
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Do no harm to anyone
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Organizational response to ethics problems?
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Ethics committee, IRB, Infant care review committee, Ethics consultants
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Tort, 4 elements thereof
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Duty to act, Breach of duty, Breach of duty was a substantial factor of harm, PT must have been injured
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Communication, def.?
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The creation or exchange of understanding between senders & receivers
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Types of communication (2)
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Internal, external
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Effective communication element
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Receiver should be cued about the PURPOSE of info (information, response, decision)
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Barriers to effective communication (2)
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Environmental, Personal
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Intra-Organizational flow of communication
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Downward flow, Upward flow, Horizontal flow, Comm network, informal comm
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Communication, 5 options when things go badly
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CODPA - Concealment, Obstruction, Defensive position, Prevention, Accommodation
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4 P's of marketing
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Product, Price, Place, Promotion (need all 4 elements)
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4 R's of marketing
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Relevance, Response, Relationships, Results (qualitative or quantitative)
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Questions for strategic planning
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Where are we? What does future look like? What role do we want to play? How do we get there?
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Levels of control (3)
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Strategic (how org is doing as a whole), Operational (daily metrics), Functional
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Control model (control loops)
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PAIR
Positive (Higher than expected results), Acceptance (results ok, but this is out of our control), In control (achieving goals), Required change (unacceptable perf devtn), |
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QI asks…
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Why did this happen? NOT who did this?
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QA
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Retrospective quality evaluation
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