Program Management and Process Improvement Flashcards
What is a performance measurement?
Regular collection of data to assess whether the correct processes are being performed and desired results are being achieved
Process improvement and Quality improvement
Systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups
Quality indicators
measures of health quality that make use of readily available hospital inpatient administrative data
What are the six measures of quality?
- safe
- timely
- effective
- efficient
- equitable
- patient- centered
Quality improvement skills
using systematic processes and tools to define problems, recognizing potential causes of problem, using tools to measure quality, select appropriate methods for testing possible solutions, evaluating effects of change to improve care and practice.
PDCA or PDSA
Plan-Do-Check-Act or Plan-Do-Study-Act
Lean thinking
the goal is to provide perfect value and eliminate waste
Rapid cycle improvement
focus on small, concrete changes that can be implemented quickly
Rapid cycle improvement steps
- set the aim
- define the measures
- make changes
- test changes
- repeat if changes did not work
Flowchart
shows the flow of work, steps in a process
Pareto chart
shows frequency of measures in descending order
control chart
analyze and sustain current levels of process, stability, and identify key issues for problem solving or root cause. Looks for variation over time
Histogram
bar graph showing frequency and pattern of distribution
Fishbone diagram
problem statement and brainstorm to identify potential issues related to specific categories
What is QSEN?
six quality and safety competencies for nurses
What are the six QSEN competencies?
- patient-centered care
- teamwork and collaboration
- evidenced based practice
- quality improvement
- informatics
- safety
What are organizational performance indicators?
core measures, staff retention/turn over, nurse satisfaction engagement, patient satisfaction, dashboards, infection control surveillance, report cards, nurse sensitive indicators
What is the NPDs role in practice/quality improvement?
know organizational key indicators, use quality data to identify professional practice gaps, support or facilitate quality initiatives, educate employees on quality concepts, engage in quality improvement
Program
multifacted, remain in place for a long time, produce outcomes or changesp
Project
in place for a limited time, produce outputs or measurable outcomes
Program Manager
responsible for complex coordination of multiple projects to create a specific outcome
Project Manager
have a task oriented focus for defining projects, establishing plans and implementing a control process to monitor progress
Environmental scanning in project management
systematic examination of the organizations internal and external environments to identify issues, influences, and resources
SWOT analysis
Strengths, weaknesses, opportunities and threats
strengths and weaknesses are internal
opportunities and threats are external
Gap analysis
determines actions to close the gap between the current state and desired state to meet project goals and objectives
RACI diagram
a grid used to identify
Responsible
Accountable
Consulted
Informed
PERT chart
Program Evaluation and Review Technique
What does the PERT chart do?
prioritizes, organizes, coordinates and manages individual components of the work needed in project.
LOGIC model
visual tool used in planning, implementation, and evaluation of programs to identify project goals, desired outcomes, products, services, resources, planned work and expected results
Components of the LOGIC model
Inputs
Activities
Outputs
Outcomes
Impact
Gantt Chart
graphic representation of task and time to plan schedule and monitor progresses
Project Management
the application of knowledge, skills, tools and human resources to plan, control and deliver a project on time
Projects three key objectives
- Meet the budget
- Complete on schedule
- Produce deliverables that meet client needs
Fishbone
cause and effect diagram
RACI Diagram
Responsible
Accountable
Consulted
Informed
Dashboard
offer quick picture of data outcomes
ROI Calculation
benefits minus costs divided by costs multiplied by 100 = %
(benefits- cost)
———————- x 100
costs
ROI
Return on investement
Sensitive information
gender, health, financial information, that can cause embarrassment or harm
External performance measures/ quality indicators
core measures, nursing sensitive care performance measures, national database of nursing quality indicators, hospital acquired conditions
Internal performance measures/ quality indicators
Dashboards, report cards, employee satisfaction, infection control surveillance results, core measure reports.
