Data Analytics

Question 1

In root cause analysis what is assumed to be the problem People or process?

Answer 1

process drives outcomes!!

• within our control
• can be altered

Question 2

What are the two variables we need to determine about an incident?

Answer 2

severity

probability

Question 3

what two things make up the criteria for a sentinel event?

Answer 3

unexpected pt death

injury/incident that could lead to permanent change in function

Question 4

Name as many potential sentinal events as you can

Answer 4

pt abduction, elopement, pt or caregiver assult or injury, MEDICATION ERROR (very common), care delivered by an unlicenced practitioner, medical procedure on wrong pt or incorrect procedure

Question 5

What is a very common potential sentinel event?

Answer 5

medication error

Question 6

What is the “definition” of a major event as it relates to injury to a pt.

Answer 6

incident leading to hospitalization

Question 7

What are a couple examples of a major event?

Answer 7

fall w/injury that impacts function
theft
fire
equipment damage

Question 8

What are the towo definitions of moderate event

Answer 8

potentially avoidable complication of an existing condition

fall or injury that does NOT impact function

Question 9

What severity event would someones wound that gets infected?

Answer 9

moderate incident

Question 10

what kind of event would it be if a pt had a fall and they ended up hospitalized because of it?

Answer 10

major incident

Question 11

minor event is defined as what?

Answer 11

non injury or first aid tx

Question 12

what is the timeline definition of frequent?

Answer 12

circumstances leading to incident occur at least monthly

Question 13

What is the timeline definition of occasional?

Answer 13

circumstances leading to incident occur at least 1-2x per year

Question 14

what is the timeline definition of uncommon?

Answer 14

potential to occur every 2-5 years

Question 15

What is thetimeline definition of remote?

Answer 15

potential to occur is less than every 5 years

Question 16

true or false probability takes into account how often something actually happens?

Answer 16

false! talk about how often do the circumstances exist that the issue is likely to occur in

Question 17

What kind of events (in terms of severity and probability) would you for sure do a RCA on?

Answer 17

Frequent + sentinel (as well as possible sentinel)
Frequent + major
Occasional + sentinel (+ possible sentinel)
Occasional + major

Question 18

What are the three major questions you have to ask when dconducting the RCA?

Answer 18

what happened (event, data collection, timeline, interview staff)
why did it happen (root cause, contributing factors)
what will prevent it from happening again (implement action plan, measure progress)

Question 19

preliminary data collection is part of what question associated with conducting an RCA?

Answer 19

what happened

Question 20

llisting all potneital “causal factors” contributing to an event is part of what question for conducting an RCA?

Answer 20

Why did it happen.

Question 21

equipment/supplies
environmental
rules policies and procedures
people

are all categories of what?

Answer 21

Fishbone diagram for the “Why did it happen” portion of RCA

Question 22

DMAIC and PDSA are part of what question of the RCA?

Answer 22

What will make sure it does not happen again

Question 23

What does PDSA stand for?

Answer 23

plan
do
study
act

Question 24

What does DMAIC stand for

Answer 24

define 
measure 
analyze 
improve
control

Question 25

continual process improvement deals with looking at what?

Answer 25

day to day how well you are doing

Question 26

payor claims is also called what

Answer 26

billing

Question 27

what is the huge focus in information collection?

Answer 27

payor claims (billing)

Question 28

HIE’s is what

Answer 28

health information exchanges

Question 29

aggregation and statistics
vs.
analytics

Answer 29

aggregation and statistics: just spreadsheets

analytics: knowledge discovery; what is actually useful
- data mining
- Extraction of new information

Question 30

provides the right info at the right time to enable leaders to make informed business decisions

Answer 30

strategic analytics

Question 31

is strategic analytics fact or gut based decision making?

Answer 31

FACT!

Question 32

actionable insight is related to what concept we talked about

Answer 32

strategic analytics: how do you use the numbers to make informed decisions about your pt population

Question 33

what is the big picture behind classifying analytics (the slide with the graph on it?)

Answer 33

you take a piece of data and want to end up with an action based on this which is an actionable insight

Question 34

QAPI stands for what

run through what

Answer 34

Quality
Assurance
Performance
Improvement

Medicare

Question 35

In terms you learned, what are the three things QAPI says need to happen

Answer 35

RCA - document events of any kind

analytics and data reporting (quality indicator data)

DMAIC, PDSA: come up with an action plan

Question 36

three things needed for a structured approach to individual performance improvement

Answer 36

1) set clear expectations
2) verify skills
3) hold staff accountable: make a timeline to review, include follow ups, document and stick to it; i.e. consequences if not

Question 37

individual performance improvement is the job of a leader or a manager?

Answer 37

manager!!!