B5.029 - Quality Improvement Tools

Question 1

aim of QI

Answer 1

improvement of care

Question 2

aim of accountability

Answer 2

comparison care to another entity

Question 3

aim of research

Answer 3

new knowledge

Question 4

audience of QI

Answer 4

medical group or admin

Question 5

audience of accountability

Answer 5

payers, pts, purchasers

Question 6

audience of research

Answer 6

scientific community, general public

Question 7

measures of QI

Answer 7

few, easy to collect or observe

Question 8

measures of accountability

Answer 8

few, complex collection, precise and valid

Question 9

measures of research

Answer 9

many, complex collection, very precise, reproducible

Question 10

bias of QI

Answer 10

accept consistent bias

Question 11

bias of accountability

Answer 11

adjust for bias

Question 12

bias of research

Answer 12

eliminate bias

Question 13

sample size QI

Answer 13

small, just enough data

Question 14

sample size accountability

Answer 14

large, obtain all available data

Question 15

sample size research

Answer 15

large, extra data, just in case

Question 16

hypothesis QI

Answer 16

flexible, changes as learning occurs

Question 17

hypothesis accountability

Answer 17

no hypothesis

Question 18

hypothesis research

Answer 18

fixed

Question 19

testing strategy QI

Answer 19

sequential tests

Question 20

testing strategy accountability

Answer 20

no tests

Question 21

testing strategy research

Answer 21

one large test

Question 22

determine whether change is an improvement QI

Answer 22

dynamic data (run charts, process control)

Question 23

determine whether change is an improvement accountability

Answer 23

no change focus

Question 24

determine whether change is an improvement research

Answer 24

statistical tests (CI, p values)

Question 25

confidentiality QI

Answer 25

high, data only used by those involved in improvement project

Question 26

confidentiality accountability

Answer 26

data available for public review

Question 27

confidentiality of research

Answer 27

high, research subjects identities protected

Question 28

common cause variation

Answer 28

inherent to process
d/t regular natural or ordinary causes
affects all outcomes of process
results in stable process
random variation

Question 29

special cause variation

Answer 29

not inherent
due to irregular unnatural causes
affect some but not all outcomes
results in unstable process
non random