CPXP Flash Cards

1
Q

Cultural Competence BAP

A

A set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals that enables effective work in cross-cultural situations

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2
Q

Culture

A

Integrated patterns of behavior that include the language, thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious or social groups

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3
Q

Competence

A

Capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs of the community

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4
Q

How does cultural competency impact healthcare

A
  • Enables positive and constructive dynamics between patient and provider.
  • Improves communication
  • Promotes trust
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5
Q

Characteristics of a culturally competent provider

A

Views patient as a unique individual

Realizes their experiences, beliefs, values and language affect their perceptions of clinical care

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6
Q

Cultural Sensitivity

A
  • Recognition that there are differences between cultures
  • Reflected in the ways that different groups communicate, relate to one another and interact with healthcare professionals.
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7
Q

Areas of cultural sensitivity

A

Communication, personal space, touching, eye contact, social orientation, time, family organization, language, relation to nature, ethnicity, values, beliefs, customs, spirituality, religion

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8
Q

Diversity includes (REGARDS)

A

Race, Ethnicity, gender, age, religion, disability, sexual orientation

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9
Q

What is PFCC (Patient & Family Centered Care) for?

A

Promote the health & well-being of individuals and families

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10
Q

Patient Family Care Model (RIPC)

A

Respect, Information Sharing, Participation, Collaboration

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11
Q

Equipping Caregiver for a Patient & Family Centered Care Model DDCC

A
  • Definition of Patient Experience
  • Definition PFCC
  • Cultural Competence
  • Communication and Empathy
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12
Q

PFCC Strategies for an Exceptional Experience

A
  • Bedside shift reporting
  • Calming and healing techniques
  • Communication tools: Pearls, AIDET, Heart-Head-Heart
  • Communication frameworks: scripting, storytelling, huddles, patient rounding
  • Conversation strategies
  • Experience Mapping
  • Room Service Food on Demand
  • Rounding
  • Relationship Building
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13
Q

Health Literacy

A

The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions

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14
Q

Impact of health literacy limitations

A
  • Preventative services
  • Medical condition and treatment
  • Rate of hospitalization
  • Health status
  • Healthcare costs
  • Stigma & Shame
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15
Q

Promoting health literacy

A
  • Clear & Simple
  • Cultural respect
  • offer and confirm understanding through teach back
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16
Q

What are patients rights?

A
  • Receive accurate, easily understood information
  • A choice of health care providers
  • Access emergency health care services
  • Fully participate in all decisions related to their health (if able)
  • Considerate, respectful care
  • Communicate with health ar eproviders in confidence
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17
Q

Strengths/limitations of CAHPS Survery

A

Strength - Standard actionable questions; scientifically sound
Limitations - timeliness, rater fatique
This is not a patient satisfaction survey

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18
Q

Strengths/limitations of rounding

A

Strength - most reliable - real time, engages leaders

Limitations - time intensive

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19
Q

Strengths/limitations focus groups

A

Strength - deeper dive into topics

Limitations - small samples of issues

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20
Q

Strengths/limitations of social media

A

Strength - instant feedback

Limitations - may be hard to aggregate data

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21
Q

Strengths /limitations of compliments & complaints

A

Strength - can count, sort and trend

Limitations - dependent on rater actions

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22
Q

Strengths/limitations of PFACs

A

Strength - builds relationships

Limitations - often infrequent meetings

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23
Q

Strengths/ limitations discharge phone calls

A

Strength - quick feedback

Limitations - requires consistent resource

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24
Q

Strengths/limitations of employee satisfaction or engagement survey

A

Strength - informs regarding culture

Limitations - it is a point in time survey (every two years)

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25
Q

What is the “mean”

A
The mathematical average 
7,6,3,3,1 (4)
4,4,4,4,4 (4)
5,5,5,0,5 (4)
Smooths data by removing peaks and valleys
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26
Q

What is the “median”

A

The number that divides the sample - middle value

  • If middle has two numbers - add two numbers and divide by 2
  • Sort numbers lowest to highest
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27
Q

What is the “mode”

A

The most common (frequently occurring) value

50, 55 ,58 ,70 ,70, 90, 93, 99 (70)

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28
Q

What is the “range”

A

The highest minus the lowest 50, 55, 58, 70, 70, 90, 93, 99 (99-50= 49)
Spread of the data set

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29
Q

What is “variability”

A

Reflects how scores differ from one another

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30
Q

What is “variance”

A

The average squared difference from the mean

Measure the amount of variability in a set of scores

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31
Q

What is “inclusive range”

A

The highest score minus the lowest score plus 1

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32
Q

What is “histogram”

A

A graph

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33
Q

What is “standard deviation”

A

The average deviation from the mean. The lower the number, the less the variation, the closer to the mean

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34
Q

What is “correlation”

A

The degree that two factors are related

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35
Q

What is “positive correlation” - direct correlation

A

the values change in the same direction (graph heading upward)

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36
Q

What is “indirect correlation”

A

a negative. The values change in opposite directions. (when one goes up and the other goes down)

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37
Q

99.7% of data in normal distribution is within how many deviations of the mean?

A

3

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38
Q

95% of data in normal distribution is within how many deviations of the mean?

A

2

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39
Q

68% of the data in normal distribution is within how many deviations of the mean

A

1

40
Q

Another name for normal distribution

A

bell curve

41
Q

What is qualitative data?

A

Information that is not in numeric form.

Example : patient comments

42
Q

What is quantitative data?

A

Information that is numeric in form.

Example: number of days in hospital

43
Q

What is valid data?

A

data is valid when it measures what it is supposed to measure

44
Q

What is reliable data?

A

data is reliable when it produces similar results under consistent conditions.
Example: scale - if it weighs you different each time it is not valid but still reliable (consistent)

45
Q

What is evidenced based data?

A

hard data to support effectiveness of a process or improvement

46
Q

What is a flow chart?

A

A diagram that represents a workflow or process. Connects with arrows, Analyzing, designing, documenting or managing a process or program
Example: Org Chart

47
Q

What is a pie chart?

A

Circle chart divided in slices - visual display of data. Displays nominal or ordinal categories

48
Q

What is nominal data

A

data categorized according to descriptive information

49
Q

What is ordinal data

A

data categorized according to ranking

50
Q

What is a run chart?

A

trends improvement over time. Graphically display cycles overtime. It is simple to produce but does not allow for full range of analytic techniques that a control chart would. Effective way to show process improvements

51
Q

What is a control chart?

A

a graph that is used to study how a process changes over time. Central line in middle for an average. Limited upper and lower points

52
Q

Affinity Diagram

A

LEAN - brainstorming - organized data - random thoughts
Use when issues are too large and complex to grasp
Brainstorming
Alayzing verbal data such as survey results

53
Q

Dashboards

A

Used to share data with specific audiences. (board of directors, managers, front line staff) Identified trend

54
Q

What is Value Based Purchasing?

A
  • CMS driven

* Reimbursement based on quality, rather than quantity

55
Q

Percentage of patient experience tied to care coordination

A

25% - 2017 to increase by 2%

56
Q

How to effectively communicate with stakeholders

A
  • Communicate
  • Use key drivers
  • vendor resources
  • The “why” - why it is important
  • They understand their important role
57
Q

When computing the standard deviation, what do you need to do FIRST as a measure of central tendency

A

Compute the mean

58
Q

What data collecting tool would be most useful in reviewing written comments in a patients survey?

A

Affinity Diagram

59
Q

What is Experience Based Design

A

EBD - FOCUSED ON understanding the experiences and EMOTION of those who are involved in receiving and delivering healthcare services.
Best for “what really matters to our customers”
Understanding our patients emotional experience.

60
Q

What is LEAN

A

Improve Value Stream by eliminating WASTE
Focus on effectively delivering value
Respect people

61
Q

What is PFAC - Patient Family Advisory Council

A

Council that partners with patients, family and healthcare team to improve the patient and family experience

62
Q

Effective uses of PFAC

A

Help with Patient & Family Experiences
Assist in how care is delivered to patients
Decide on materials given to patients and families
Help with facility design

63
Q

Benefits of PFAC for an organization

A
  • Insight to what is done well and ares of change needed
  • Helps to prioritize improvement needs
  • Offers new ideas and solutions
  • Promotes partnership with patients and families
  • Strengthens community relationship
64
Q

Benefits of PFAC to patients and families

A
  • Understand the healthcare system
  • Community advocate
  • Feels listened to and valued
  • Skill development
  • Relationship building
65
Q

PFAC Design & Implementation

A
  • Sponsor - leader
  • Liaison - assists Sponsor
  • Steering Committee
  • Planning Committee - staff & patient/family
  • Members - patient, family, staff, senior leadership, service area directors, physician representative
66
Q

What is Shared Decision Making?

A

A collaborative process that allows patients and their providers to make health care decisions together

67
Q

Benefits/Limitations of Technology Solutions - such as patient portal

A
Benefits:
Meets customer expectations
Parallel best practices in other industries
Easy to use
Opportunity for engagement and partnership in care
Improved adherence to care
Limitations:
Cultural resistance to change
Infrastructure costs
Concerns in privacy
Training required
Needs access to technology
68
Q

Key elements for successful and sustained change in healthcare?

A
  • Sense of urgency
  • Guiding coalition
  • Vision and strategy
  • Communicate the change vision
  • Empower broad-based action (empower staff to do the right thing)
  • Generate short-term wins
  • Consolidate gains producing more chnage
  • Anchor new approaches in culture (sometimes the only way to change is to change people)
69
Q

Transactional Leadership

A
Focuses on tasks and status quo
Accepts existing culture
Responsive
Extrinsic Motivation
Management by exception
Corrective action to improve performance
70
Q

Transformational Leadership

A
Achieving inspirational vision
Shapes a new culture
Proactive
Intrinsic Motivation
Intellectual stimulation
Promotes innovative ideas to solve problems
71
Q

Six Stigma

A

process that can be definited, measured, analyzed, improved and controlled
Rigorous approach to identifying and implement solutions
MEASURE

72
Q

TQM Total Quality Management

A

Long term quality improvement

Customer satisfaction

73
Q

IHI - Institute for Healthcare Improvement - AMI

A

Plan, Do, Study, Act PDSA - action oriented
What are we doing (Aim)
How will we know it is an improvement (Measure)
What change can we make that will improve (Idea)

74
Q

What is Outcome Measure? (how the parts and steps impact patients)

A

How the system impacts the values of patients, their health and wellbeing
How the system impacts other stakeholders such as payers, employees, or the community
Driven by national standards and financial incentives.
EXAMPLE: Pt experience - number of complaints
Access - number of days to 3rd next avail appt.
Critical care - ICU pct unadjusted mortality

75
Q

What is Process Measure? (what are the parts and steps in the system)

A

Are the parts in the system performing as planned?
Are we on track to improve our system?
EXAMPLE: Pt experience - Decrease time between lab and test results
Access - Daily hours available for appts
Critical care - pct of patients with intentional rounding completed

76
Q

What is Experience Based Co-Design (EBCD)

A

INVOLVES GATHERING experiences from patients and staff through in-depth interviewing
Identifying key EMOTIONALLY significant touch points
Assigns positive or negative feelings

77
Q

EBD; EBCD Framework CUIM

A
  1. Capture the Experience (observations, interview, questionaires
  2. Understand the Experience (affinity diagram, reports, sharing experience, emotional mapping, identifying priorities
  3. Improve the Experience (Co-design / Forming Team)
  4. Measure the Experience (Subjective and Objective Measure
78
Q

Descriptive Statistics

A

Values that describe the characteristics of an ample or population

79
Q

What is ethnography

A

A form of qualitative research that allows a trained observer to observe and document the experience. Studying the patient experience

80
Q

What is frequency distribution

A

A method for illustrating the distribution of scores within class intervals

81
Q

What is a histogram - bar graph

A

A graphical representation of a frequency distribution

82
Q

PDCA The Plan Do Study Act PTOA

A

testing a change in the real work setting

planning it, trying it, observing it and acting on what is learned

83
Q

Process Flow Chart

A

Picture of th eseparate steps of a process in sequential order
USES:
develop understanding of how a process is done
study a process for improvement
communicate to others how a process is done
when communication is needed between people involved
document a process
planning a project

84
Q

Total Quality Management (TQM)

A

Management approach to long-term success through customer satisfaction. All members participating in improving processes.

85
Q

Evidence Based

A

Hard data to support the effectiveness of a process or an improvement
Persuasive

86
Q

Nominal measure

A

Answer fits into category

Example: Gender, Race, Yes/No

87
Q

Ordinal measure

A

Categorical but sequential
Example: Date range, Pain scale
Goes up in equal amounts as the scale goes up

88
Q

Interval data

A

Scale data or temperature gauge
Numerical and logical
Example: 1 is great than 0

89
Q

Likert scale

A

Any scale with multiple points
Example: Many survey questions (Fair, good, very good)
Any measure from lowest to highest
*After data collected you can turn into interval data so more statistics can be run such as mean

90
Q

Ratio data

A

Comparison or relation between two numbers

Example: 1 to 4 ratio of female nurses

91
Q

Number of sample size reliable results for an actionable result?

A

30

92
Q

Standard Deviation

A

Measure variability and how much is considered normal. Measure the average amount of variability
in a set of scores
Most commonly used

93
Q

In a perfect normal distribution or bell curve the mode, median and mean are all….

A

Equal

94
Q

Top Box Data - Strength and limitations

A

Strength - Simple

Limitation - loses information on variability and precision

95
Q

Triple AIM

A

patient experience, population health, reducing cost

Outcome Measure