Term
| What percent of the US GDP is spent on healthcare? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the 3 major reports for quality? |
|
Definition
- The national roundtable of Health Care Quality report
- The IOM - To Err is Human
- IOM - Crossing the Quality Chasm
|
|
|
Term
| What does the IOM stand for? |
|
Definition
| The Institute on Medicine |
|
|
Term
| What are the six IOM aims for improvement? |
|
Definition
- Safe
- Effective
- Efficient
- Timely
- Patient Centered
- Equitable
|
|
|
Term
| Who is at the center of the health system? |
|
Definition
|
|
Term
| What are some examples of structure characterists of a health system? |
|
Definition
- Education
- Training
- Certification
- Staffing
- Equipment
|
|
|
Term
| What are some examples of process characterists of a health system? |
|
Definition
|
|
Term
| What are some examples of outcome characterists of a health system? |
|
Definition
|
|
Term
| True or False - process adjustments can be used with outcome information |
|
Definition
| True (not sure if this was the actual question) |
|
|
Term
| What quality measure is most important for physicians? |
|
Definition
|
|
Term
| What quality measures are most important to patients? |
|
Definition
Amenities of care
- Comfort
- Convience**
- Privacy
|
|
|
Term
| How many people die in hospitals every year from errors? |
|
Definition
100,000
(100k initiative) |
|
|
Term
| What are the 4 levels of the health care system |
|
Definition
- Patient (center of system)
- Microsystem
- Organization
- Environment
|
|
|
Term
| What is the relationship between cost and quality? |
|
Definition
| The tipping point - increasing with spending, hitting and peak and the decreasing |
|
|
Term
| Name two countries on the cost quality curve and where they are located |
|
Definition
Canada - towards the peak
US - past the tipping point |
|
|
Term
| True or False - variation in practice is always undesirable |
|
Definition
|
|
Term
| Identification of a specific cause is most likely associated with? |
|
Definition
|
|
Term
| What are the 4 P's of the fishbone diagram? |
|
Definition
- People
- Procedures
- Policies
- Plant
|
|
|
Term
| What are the 4 M's of the fishbone diagram? |
|
Definition
- Man power
- Materials
- Methods
- Machinery
|
|
|
Term
| What is the level that must be met for quality to be desirable? |
|
Definition
|
|
Term
| Toyota Production System eliminates.... |
|
Definition
|
|
Term
| Describe "a built bed is a used bed" |
|
Definition
| A bed that is constructed will be filled at a facility. If it is not then it does not have justification to be built?????? |
|
|
Term
| Who created the Dartmouth Atlas? |
|
Definition
|
|
Term
| List four thinkers in quality |
|
Definition
- Demming
- Juran
- Taiichi Ohno
- Crosby
- (Shewhart)
|
|
|
Term
| Who developed the Toyota Production System? |
|
Definition
|
|
Term
| What is another name for normal distribution? |
|
Definition
|
|
Term
| Who described the 80/20 rule? |
|
Definition
|
|
Term
| Who created the idea of zero defects? |
|
Definition
|
|
Term
| Name one of the Baldridge criteria |
|
Definition
|
|
Term
| What chart uses a normal distribution |
|
Definition
|
|
Term
|
Definition
| A practice that is evidence based and example would be washing your hands?? |
|
|
Term
|
Definition
| the PDSA cycle without a time constraint - utilized by IHI |
|
|
Term
| What does PDCA stand for? |
|
Definition
|
|
Term
| What are the levels in the quality improvement iceberg? |
|
Definition
- Tools, methods and procedures
- Systems and processes
- Theories, paradigms and assumptions
|
|
|
Term
| True or False - the number of patient days during the last six months of life among Medicare recipients does not vary much |
|
Definition
|
|
Term
| True or False - the percent of deaths associated with admissions to intensive care among patients recieving most of their care in one of the 77 best US hospitals does not vary much |
|
Definition
|
|
Term
| True or False - The percent of patients seeing 10 or more physicians during the last 6 months of life among patients receiving most of their care in one of the 77 best US hospitals does not vary much |
|
Definition
|
|
Term
| What does HEDIS stand for? |
|
Definition
| Health Plan Employer Data and Information Set |
|
|
Term
| Name one company who created Six Sigma |
|
Definition
- GE
- Motorola
- Hewlett-Packard
|
|
|
Term
| Describe retrospective data |
|
Definition
a look back on information that has already been collected
PROS
- Most accurate
- Data not available in admin databases
- Used by JCAHO, HEDIS etc
CONS
- Costly
- Time Consuming
- Have to wait for all info to be collected
|
|
|
Term
| What is an example of retrospective data collection? |
|
Definition
|
|
Term
| Describe prospective data collection |
|
Definition
Collection of data in real time
PROS
- Completed during patient hospitalization
- Completed by nurses, research staff or data analysts
- Detailed clinical information
- Can spot trends as they develop
CONS
- Costly
- Time Consuming
- Extra work for nurses
|
|
|
Term
| Provide an example of prospective data collection |
|
Definition
|
|
Term
| What is the minimum data set in a nursing home? |
|
Definition
| MDS (minimum data set) 3.0 |
|
|
Term
| What is the minimum data set for home health care? |
|
Definition
OASIS
OBQI - outcome based quality improvement |
|
|
Term
| What TJC initiative allowed hosptials to select from a broad range of indicators? |
|
Definition
|
|
Term
| Who accredits health plans? |
|
Definition
|
|
Term
| What organizations would use OBQI? |
|
Definition
|
|
Term
| What is an administrative database? |
|
Definition
| Information collected, processed and storedin automated information systems |
|
|
Term
| What is an example of an administrative database |
|
Definition
| hospital or physician billing systems |
|
|
Term
|
Definition
| Statistical Process Control |
|
|
Term
|
Definition
|
|
Term
| Name a firm that collects statistical information (patient satisfaction) |
|
Definition
|
|
Term
| What is a sentinel event? |
|
Definition
|
|
Term
| What is an example of a sentinel event? |
|
Definition
|
|
Term
| What information is in an SF survey |
|
Definition
|
|
Term
| SF stands for what in the SF-36 |
|
Definition
|
|
Term
| When using chart reviews, about what percent of cases represent a good start point? |
|
Definition
|
|
Term
| True or False - control charts give you the desired level of quality |
|
Definition
|
|
Term
| A trend is when ____ consecutive data points increase or decrease |
|
Definition
| 6 consecutive data points |
|
|
Term
|
Definition
| When there are less than 25 total data points on a control chart |
|
|
Term
| What are 3 ways of identifying a special case in a control chart? |
|
Definition
- one point over 3 sigma
- 2-3 consecutive points over 2 sigma
- 4-5 consecutive points over 1 sigma
- 8 consecutive points above or below the mean
|
|
|
Term
| List a quality indicator that would not be present in a control chart |
|
Definition
|
|
Term
| What are events not included in control charts generally called? |
|
Definition
|
|
Term
|
Definition
| Methicillin resistant staphylococcus aureus |
|
|
Term
| Patient safety is focused on _______ |
|
Definition
|
|
Term
| What is the minimum data set for hospitals? |
|
Definition
|
|
