Management and Communication (14 exam questions) Flashcards
Process measure
Focus on a process or the steps in a process that lead to a specific outcome (Ex: compliance with aseptic technique for dressing change)
Outcome measures
indicates the result of performance of function or process (Ex: SSI, VAP)
SWOT Analysis
Strength, Weakness, Opportunities, Threats
Six sigma and lean approach
Analysis type. Six sigma focuses on precision and accuracy that leads to data driven decisions. Lean focused on lead, efficiency and elimination of “waste”. DMAIC= define, measure, analyze, improve, control
Gap Analysis
Used to determine steps necessary to take to move from a current state to desired future state, based on identified gaps in process.
Compares best practices with current practices
Failure Mode Effect Analysis (FMEA)
Proactive, preventative approach to identify potential failures and opportunities for error
Check sheets
Type of measurement tool.
-Documents for real time data collection
-used when data is observed and collected repeatedly at the same place or by the same person
Run chart
- Graphs that display observed data in a time sequence
- are analyzes to find anomalies int he data- suggest shifts in a process over time or factors that may influence variability of process
Histograms
Graph showing visual representation of distribution of data (bars touching)
Statistical Process Control charts
used to determine whether or not a process is in a state of statistical control. (have upper and lower control limits)
Monitor process of care, facilitate the determination of variation, monitor outcomes
Cause and Effect or “fishbone” diagram
take event or piece of info and work backwards to determine cause. Usually have causes grouped into major categories
Pareto chart
- contains bars and line graph. Bars= individual values represented in descending order, line = cumulative total
- used to highlight the most important among a set of factors
Numerator
event being measured
denominator
population at risk
Risk adjustment
Statistical process for reducing, removing or clarifying the influences of confounding factors that differ among comparison groups. Used most frequently with outcome measures
Stratification
form of risk adjustment- classifying data into subgroups based on one or more characteristic (ex: age, gender)
Mission statement
defines what the program is, why it exists, its reason for being.
The mission statement should define who your primary customers are, identify the products and services you produce, and describe the distinctive features of your program.
Legitimate power
is based upon the perception that the leader has a right to exercise influence because of the leader’s: Title or position within the organization
refers to the ability to administer to another certain feelings of obligation or the notion of responsibility.
Antibiogram is prepared by
Lab
Many hospital laboratories routinely perform antimicrobial
susceptibility testing on bacterial pathogens. Cumulative susceptibility
testing results are often organized into a summary table, or antibiogram,
which may be used by clinicians, pharmacists, infection control personnel,
and microbiologists as a reference guide to community or hospital-specific
resistance patterns. Antibiograms lend information that can be used to raise
awareness of resistance problems, support the use of optimal empiric therapy,
and identify opportunities to reduce inappropriate antibiotic usage and to
ascertain success of such efforts. Antibiograms are generally prepared by the
laboratory according to the Clinical Laboratory Standards Institute guidelines.
develops,
implements, monitors, and enforces standards for the safety, effectiveness,
and labeling of all drugs and biologics, including food, blood and blood
products, medical and radiological devices, antimicrobial products, and
chemical germicides used in conjunction with medical devices
FDA
Each year in the United States, what percentage of hospitalized patients develop HAIs?
4%
1 in 25 patients in the US will get an HAI each year.
Most common to least common HAI =
pna (22%)
SSI (22%)
GI (17%)
Urinary tract (13%)
CLABSI (10%)
Top orgs leading to HAI=
C diff (12%)
Staph (11%)
Klebsiella (10%)
E. Coli (9%)
Enterococcus (9%)
Pseudomonas (7%)
Failure mode and effects analysis (FMEA) is used to examine
adverse events and identify what went wrong and what might
prevent it from happening again. Which statement best describes
the mode element of FMEA?
The way of operating or using a system or process,
or a way or manner in which a thing is done.
A failure mode generally describes
the way the failure occurs and its impact on a process. Any step in a process
can fail, and each failure may have many failure mode.
Return on investment (ROI)
Provide a synopsis of the investment and direct and indirect
costs, including factors such as capital expenses, depreciation,
and inflation.
ROI is a financial ratio intended to measure the benefit obtained from an investment. A high ROI means the investment
gains compare favorably to investment cost. As a performance measure, ROI is
used to evaluate the efficiency of an investment or to compare the efficiency
of a number of different investments.
APIC competency model. After passing CIC what level are you at?
Proficient
Which of the following terms refers to patient harm that is the
result of treatment by the healthcare system rather than from
the health condition of the patient?
a. Adverse event
b. Dire consequence
c. Unanticipated event
d. Sentinel event
A. Adverse event
Rationale: An adverse event is an unintended consequence of healthcare
or services that results in a negative patient outcome (e.g., infection or
physical or psychological injury). Incidents such as patient falls or improper
administration of medications are also considered adverse events even if
there is no permanent effect on the patient.
The objective in
developing a business plan for leadership is to:
Demonstrate whether the expanded program will be worth
the investment
A business plan is formal statement of a set of business goals, the reasons they are believed attainable, and the plan for reaching those goals.
Business plans are decision-making tools and cost and revenue estimates are
central to any business plan for deciding the viability of the planned venture
A newly hired Infection Prevention Manager is addressing program
deficits that occurred during the months the facility sought to fill
the vacant position. The new manager must focus on many specific
tasks, including working closely with others to clarify roles and
responsibilities. This type of management approach is known as:
a. Charismatic
b. Situational
c. Functional
d. Motivational
C Functional
Rationale: Functional management is the most common type of
organizational management. A functional manager is a person who has
management authority over an organizational unit—such as a department—
within a business, company, or other organization. Functional managers
have ongoing responsibilities and are not usually directly affiliated with
project teams, other than ensuring that goals and objectives are aligned
with the organization’s overall strategy and vision.
sentinel event
death, permanent harm or severe temporary harm- need RCA
