14) Ch14: Mixing Outcome Measurement w/Practice Management

Question 1

Quality Assurance

Answer 1

Monitors if standards are met in daily practice, identifies poor performers, and emphasizes correction of errors

Question 2

Small qa

Answer 2

Focuses on the structure of the activity to determine the minimum level of compliance

• Initiated after a problem is identified
• Focuses on what is missing

Question 3

Large QA

Answer 3

Focuses on why compliance w/standards are lacking and then sets a solution + expected outcome to fix the problem to improve efficiency and effectiveness

Question 4

Continuous Quality Improvement(CQI)

Answer 4

Ongoing process of measuring the quality of services provided and making the services more effective to improve customer satisfaction

• Emphasizes understanding and improvement of the foundational work processes/routines
• Address customer satisfaction, procedures for continuous improvement, involvement of the entire organization, and use of data & provider knowledge to improve decision-making
• Typically done at the managerial level

Question 5

Total Quality Management(TQM)

Answer 5

Participatory and systematic approach to planning and implementing continuous organizational improvement to improve customer satisfaction

Question 6

Structure

Answer 6

Qualifications & credentials of staff and the physical structures in which services are delivered

• Licensure, Certifications, Adequacy of clinic space/facility

Question 7

Process

Answer 7

What actually happens during the course of service delivery

• What the clinician does, What the pt does, provided supportive services, patterns of movement in an out of clinic areas, pt scheduling, and frequency and reasons for equipment use

Question 8

Outcome Measurement

Answer 8

Changes in impairment, fxn, participation, satisfaction w/services, the environment, pt perception of improvement, long-term outcomes, and need for additional episodes of care for the same problem

Question 9

Content Evaluation

Answer 9

Compares your utilization patterns to best practices to see if the services you provided were appropriate

• Looks at issues such as whether pt problems are linked to service utilization, incorrect/unnecessary patterns of care, or if patterns of care demonstrate best practice

Question 10

Impact Measurement

Answer 10

Focuses on the impact of care on society

Question 11

Clinical Pathways

Answer 11

Outline/overview of an agreed upon general action plan for the management of a particular pt group to decrease variability in care, decrease costs, and increase efficiency

• Predominantly a management tool based on clinical info gathered from pt charts, outcome studies, or other guidelines/parameters → Used to reduce variability and cost, incr efficiency, and monitor & improve pt care
• Can be devoed by a committee at an institution or adapted from

Question 12

Care Paths

Answer 12

Documentation forms that indicate if the clinical pathway was followed step-by-step.

• Comprised of a plan, timeline, & management + evaluation processes
• Have designated areas for documentation about each step of a clinical pathway

Question 13

Pt Care Protocols

Answer 13

Progression of a specific intervention for a particular diagnostic group initiated by a service provider within a specific discipline

Question 14

Practice Guidelines

Answer 14

Recommendations for pt management that are not unique to any one institution to improve pt outcomes, reduce wrongful management of pt conditions, control costs, and inform pts and clinicians about appropriate choices for management

Question 15

Benchmarking

Answer 15

Process of comparing one’s own procedures and outcomes w/those of a known or best available gold standard in order to improve service outcomes

Question 16

Strategic Benchmarking

Answer 16

Used to ID best practices and successful approaches

• CAPTE criteria

Question 17

Operational Benchmarking

Answer 17

Emphasizes process performance and improvement