7 Flashcards
(25 cards)
the degree to which health services for individuals or populations increase the likelihood of desired health outcomes and are consistent with the current professional knowledge
institute of medicine definition of QUALITY
donabedian conception of quality as
structure, process, outcome
quality personnel and facilities
structure
quality processes both in management and production of healthcare
process
quality resulting from the application of structural and process variables
outcomes
donabedians four parts
technical management, interpersonal relationships, amenities of care, ethical principles guiding care
quality questions
are the right things done?
are things done right?
the effectiveness of a drug or surgical drug in a laboratory under very observed conditions
efficacy
care centered around the individual
patient-centered care
patient-centered care is responsive to
the individuals physical abilities
medical needs
social and psychological abilities/preferences/lifestyle
failure to provide a service whose benefit is greater than it’s risk
underuse
use of service when risk outweighs its benefits
overuse
risk service is provided badly reducing benefit to patient
misuse
a structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality healthcare that meets or exceeds expectations
continuous process involvement
TQM/CQI’s five dimensions
process focus
customer focus
data-based decision making
employee empowerment
organization-wide scope
FOCUS-PDCA acronym
find
organize
clarify
understand
select
plan
do
check
act
FOCUS-PDCA: identify process problem
find
FOCUS-PDCA: put together a team
organize
FOCUS-PDCA: use techniques to clarify the problem
clarify
FOCUS-PDCA: measure and collect data
understand
FOCUS-PDCA: identify process improvements for implementation
select
FOCUS-PDCA: create an implementation plan for taking the process to the next level
plan
FOCUS-PDCA: implement and test the new process
do
FOCUS-PDCA: evaluate the measures used and assess outcomes
check
