Leadership, QI, policy Flashcards

1
Q

Team Leadership Model: Decision 1

A

Should the leader monitor the team or take action?

Seek out information to understand the team

Analyze information

Interpret the information and decide how to act

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2
Q

Team Leadership Model: Decision 2

A

Should the leader intervene to meet the task or relational need?

Performance functions

Task functions

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3
Q

Team Leadership Model: Decision 3

A

Should the leader intervene internally or externally?

Assess for conflicts between group members.

Assess for unclear goals

Assess for proper support

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4
Q

Reflective Practice

A

Reflection is used to make sense of experience

Enhances critical thinking and clinical reasoning

Links theory to practice

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5
Q

Conflict

A

Occurs when a person believes he wants something that’s incompatible with what other people want

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6
Q

Conflict resolution

A

Directed by a neutral party who tries to get a win-win

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7
Q

Negotiation

A

Discussion between people, trying to reach a goal

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8
Q

Mediation

A

It’s like a negotiation but there’s a 3rd party who is facilitating a DISCUSSION

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9
Q

Arbitration

A

There’s a 3rd party who reviews the evidence and, unlike with mediation, they don’t just get a discussion going, they actually make a decision to settle the case

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10
Q

Professional Civility

A

Behavior that shows respect toward another person

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11
Q

Critical thinking

A

The acquisition of knowledge with an attitude of deliberate inquiry

Making clinical decisions based on evidence-based practice

Decreases the difficulty of choosing from conflicting or multiple recommendations when diagnosing and treating clients

Develops self-awareness, gain new insights about self, and in relation to others

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12
Q

Research Utilization

A

It’s a specific part of evidence based, where you examine knowledge from research to make changes in practice

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13
Q

The process of Research Utilization

A

Critique research

Synthesize the findings

Apply the findings

Measure the outcomes

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14
Q

Develop a clinical question using the PICO method

A

Patient/population/problem
Intervention
Comparison
Outcome

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15
Q

evidence hierarchy

A

RCT, meta analysis, systematic review

Evidence based guidelines based on systematic review

RCT without randomization

Evidence from systematic review of descriptive and qualitative studies

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16
Q

Internal validity

A

The intervention (independent variable) actually caused the change in the outcome (dependent variable)

17
Q

External validity

A

The sample is representative of the population and the results can be generalized (aka applied to external people)

18
Q

Descriptive statistics

A

Used to describe the basic features of the data in the study.

These statistics can be used in qual and quan studies

Examples of descriptive statistics are mean, standard deviation, and variance

19
Q

Mean

A

average of scores

20
Q

Standard deviation and variance

A

Pretty much the same thing.

How much deviation is there from the average. Low standard deviation means all the scores are around the mean. High deviation means the scores are all over the place, far from the mean.

21
Q

Inferential statistics

A

Values that let you make conclusions that go beyond just the data themselves; it’s about taking the data and saying, this is what the data means for the larger population

22
Q

Example of inferential statistics

A

t test

Analysis of variance

Pearson’s correlation

Probability

P value

23
Q

t test

A

Assesses whether the means of two groups are statistically different from each other

24
Q

Analysis of variance

A

tests the differences among three of more groups

25
Q

Pearson’s r correlation

A

Tests the relationship between two variables

26
Q

Probability

A

how likely is something. 0 = definitely will not happen. 1 = definitely will happen

27
Q

P value

A

Also known as level of significance.

It describes the probability of a particular result occurring by chance alone.

For example, if P = .01, there’s a 1% chance that the outcome was just from chance and not from your intervention

28
Q

Institutional Review Boards ensure that

A

Risks to participants are minimized
Participant selection is equitable
Adverse events are reported and risks and benefits are reevaluated
Informed consent is obtained
Everyone involved has to pass an exam about human rights

29
Q

Quality Improvement

A

Projects that improve systems, decrease cost, and improve productivity

It lets you have a standardized way of evaluating things

30
Q

Institute of Medicine’s quality aims

A
Safe 
Effective 
Client-centered
Timely
Efficient
Equitable
31
Q

Donabedian Model of quality improvement

A

Structure
Process
Outcome

32
Q

Process of quality improvement can be P.D.S.A. cycle:

A

Plan

Do (carry out the plan)

Study (examine the results)

Act (decide what actions will improve the process)

33
Q

Just Culture of Safety

A

Hold people accountable and investigates errors

Goal of creating open and fair learning environment to design safe systems and manage choices

It’s a mindset that makes people proactively look for ways to improve the system

34
Q

Complexity Science

A

Provides a framework to understand, design, and structure change

It’s a nonlinear process

It focuses on the interaction of the parts and relationships

35
Q

National Committee for Quality Assurance (NCQA)

A

The NCQA has developed Health Effectiveness Data Information Sets (HEDIS) to measure health outcomes. Currently, 11 HEDIS measures exist:

  1. Antidepressant medication management
  2. Follow-up care for children prescribed ADHD meds
  3. Follow up after hospitalizations
  4. Diabetes screening for people with schizophrenia and BP who use antipsychotics
  5. Diabetes monitoring for people with diabetes and schizophrenia
  6. Cardiovascular monitoring for people with cardiovascular disease and schizophrenia
  7. Adherence to antipsychotic medications for individuals with schizophrenia
  8. Use of multiple concurrent antipsychotics for child/adolescents
  9. Metabolic monitoring for children and adolescents on antipsychotic medication
  10. Use of first line psychosocial care for children and adolescents on antipsychotic medication
  11. Mental health utilization
36
Q

Patient-Centered Care Model

A

Welcoming environment

Activation (which means client empowerment)

Coordination and integration (assess the client’s needs for services)

Access and navigation skills (Provide the patient with a “medical home,” keep wait times to a minimum)

Community outreach

37
Q

Conflict of Interest

A

Conflicts of interests should be disclosed at least annually, or whenever new financial interests are received.

Examples of COIs include relationships with companies, money, referrals, and fee splitting.

38
Q

The 4 components of health policy

A

Process: creating, implementing, and evaluating

Policy reform:

Policy environment: where it takes place

Policy makers