Term
Identify the 4 basic elements that must be proven in a malpractice case |
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Definition
1. Duty
2. Breach of Duty
3. Damages
4. Cause |
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Term
The process for ensuring qualifications for medical staff members in healthcare organizations is known as . . . |
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Definition
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Term
| Peer review and performance improvement discussions, deliberations, records and proceedings of the medical staff committees are considered "discoverable" in a court. |
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Definition
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Term
The Federal Health Care Quality Improvement Act of 1986 confers immunity from civil liability for damages for actions taken by peer review bodies to the following individuals and entities: |
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Definition
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The professional body itself
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Any person acting as a member of a staff to the professional review body
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Any person under a contract or other formal agreement with the professional review body
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Term
A healthcare organization has the responsibility for disclosing these elements of adverse events to the patient or the patient's family. |
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Definition
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A factual explanation of the circumstances surrounding the adverse event
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An explanation of the impact of the adverse event on the patient's treatment, including treatment that may otherwise not have been necessary
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Steps that will be taken to correct or mitigate any injury
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An assurance that the physician and/ or other memebers of the patient care team will remain available to discuss any concerns that the patient or family may have
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Term
Chapter 22
The Institute of Medicine defined six aims for providing care that health care organizations and professionals should have focused and aligned. These six aims are: |
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Definition
- safe
- effective
- patient centered
- timely
- efficient
- equitable
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Term
Identify Peter Senge's suite of five disciplines that individuals should master to be able to approach quality from a systems orientation rather than a process orientation. |
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Definition
- a shared vision
- team learning
- personal mastery
- mental models
- systems thinking
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Term
| A quality functional deployment is a two-step process that helps the concurrent engineering team identify the following: |
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Definition
1. factors that determine the quality of performance
2. actions that ensure the desired performance |
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Term
| Identify the four groups of systems analysis tools |
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Definition
Modeling and simulation
Enterprise management tools
Financial engineering and risk management tools
knowledge discovery in database |
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Term
| List five steps required to apply Theory of Constraints |
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Definition
1. Identify the systems constraint
2. Decide how to exploit it.
3. Prioritize and synchronize decisions above everything else
4. Elevate the systems constraints
5. If in the above steps the constraint has shifted, go back to step one. Do not allow inertia to become the system constraint. |
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Term
| The primary objective in healthcare for both the patient and provider is to |
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Definition
| arrive at the desired outcome |
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Term
| Which of the following statements regarding quality management in healthcare is true? |
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Definition
| Healthcare Quality Improvement Methods have been adopted from the business sector. |
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Term
| Clinical quality management focuses on the evaluation of |
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Definition
| direct care and treatment of patients |
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Term
| The current Joint Commission accreditation standards related to quality emphasize |
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Definition
| measuring process of performance and using the data to improve care. |
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Term
| The current Joint Commission quality initiative is called |
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Definition
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Term
| The Institute of Medicine released a report in 2000, that focused attention on medical errors. According to the IOM, reports about errors indicate that |
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Definition
| there is a gap between average care and best care |
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Term
| The role of the health information professional in QM includes all of the following except- |
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Definition
| making judgements about the quality of clinical care. |
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Term
| An organization- wide QI plan in hospitals is required by |
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Definition
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Term
| Which landmark legal case established responsibility of the hospital for the quality of care given by its physicians? |
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Definition
| Darling vs Charleston Community Memorial Hospital |
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Term
| Every healthcare organization's risk management plan should address |
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Definition
| focus areas for the current year |
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Term
| Which of the following is not a basic function of the utilization review process? |
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Definition
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Term
| In assessing the quality of care given to patients with DM, the CQI group collects data regarding blood sugar levels on admission and discharge. This date is called- |
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Definition
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Term
| The Donabedian Quality Assessment Model includes which three measures? |
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Definition
| Structure, Process and Outcome |
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Term
| The Joint Commission currently indentifies five core measures that provide an indication a healthcare facility's performance. The core measures include all of the following except- |
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Definition
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Term
| Which of the following provides step-by-step guidance to physicians and others in making decisions related directly to patient care? |
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Definition
| Clinical Practice Guidelines |
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Term
| During the voluntary review process, the performance of a healthcare organization is measured against- |
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Definition
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Term
| Which of the following documents the results of care for individual patients as well as for specific types of patients grouped by dx category? |
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Definition
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Term
| Under the ORYX system, all hospitals and skilled nursing facilities must report outcome measures on at least - percent of their patients. |
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Definition
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Term
| The process of reviewing and validating a physician's education and experience prior to granting medical staff membership is called - |
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Definition
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Term
| Dr. Smith, an OBGYN specialist, is granted membership on the Medical Center Hospital medical staff, where she may offer care and treatment related to obstetrics . . . The process of defining what services she may perform is called - |
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Definition
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Term
| During a hospital stay the social worker assesses the situtation and determines that LTC placement is necessary upon DC. This process is called- |
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Definition
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Term
| A risk manager is called in to evaluate a situation in which a visitor to the hospital slipped on spilled water, fell, and fx'd his femur. This situation was referred to the Risk Manager because it involves a - |
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Definition
| potentially compensable event |
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Term
| The terrorists attacks of 9/11/2001, focused additional attention on which of the following components of Risk Management? |
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Definition
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Term
| In 1998, the Joint Commission implemented a QI poicy that requires review of unexpected occurrences that result in death or serious physical or psychological injury. These occurrences are referred to as - |
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Definition
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Term
| The systematic investigation of both the clinical and administrative reasons for the occurrences described above is called - |
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Definition
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