QA #3 Flashcards
Quantitative or Qualitative?
- Generate ideas
- Set priorities
- Maintain direction
- Determine problem causes
- Clarify process
Qualitative
Quantitative or Qualitative?
- Measure performance
- Collect and display data
- Monitor performance
Quantitative
What is used during preiminary performance assessment phase to display numeric or measurement information in a manageable and useful form?
Quantitative
What are these examples of?
- Affinity diagram
- Brainstorming
- Decision matrix
- Flowchart
- Force field analysis
- Nominal group technique
- Planning matrix
- Stakeholder analysis
- Workflow diagram
“Design and implement improvements”
What are these examples of?
- Affinity diagram
- Brainstorming
- Decision matrix
- Force field analysis
- Multivoting
- Nominal group technique
- Survey
“Define the improvement goal”
What are these examples of?
- Brainstorming
- Cause and effect diagram
- Five Whys
- Flowchart
- Survey
- Workflow diagram
“Analyze current practices”
What is a survey an example of?
“Measure success”
___________ is designed to generate a large number of creative ideas.
Interactive decision-making
What technique is this describing?
- Group leader requests ideas from participants one at a time
- Participants may skip their turn if do not have an idea
Structured
What technique is this describing?
- Participants contribute ideas as they come to mind
- Participants can build on each other’s ideas in a relaxed environment
Unstructured
What technique is this describing?
-Participants write ideas on small slips of paper and posted for everyone to see
Silent
_________________ is to reduce a long list of items to a manageable number through a series of structured votes.
Group decision-making
Analysis that deep dives into the causes of problems by asking ______ and ______ until all aspects of the situation, process, or service are reviewed and contributing factors are considered.
What & Why
What are the four types of flow charts?
High-level, Detailed, Deployment, and Top-Down
Name the chart.
To document the (current) flow or sequence of events in a process
Flow Chart
Name the chart.
To develop an optimal new process during the solution phase of improvement
Flow Chart
Name the chart.
Illustration of the movement (motion) of people, materials, paperwork, or information during a process.
Workflow Diagrams
What is a form containing questions to which subjects respond?
Questionnaire
What is a formal discussion between two parties in which information is exchanged?
Interview
What identifies groups and individuals who will be affected by a process change and whose participation and support are crucial to realizing successful outcomes?
Stakeholder Analysis
What is a diagram that shows tasks needed to complete tasks, the people or groups responsible for the tasks, and an activity schedule with deadlines for task completion.
Planning matrix
What are used to provide a representation of improvement plan or improvement project’s activities as bars measured against a horizontal time scale?
Gantt Charts
Developing a planning matrix is useful due to it considering every task in an _________ or project plan.
Improvement plan
T/F
Before finalizing the planning matrix, the team should agree on the assignment of responsibility and the start and completion dates for each ta
True
What are the 4 Cs of good communication for reports
Clear, Concise, Complete, Correct
Use terms understandable to audience=
Clear
Be short, to the point=
Concise
Include all relevant information=
Complete
Ensure all data and information is accurate=
Correct
T/F
When improvement opportunities are identified, a group of people known as an improvement project team is assembled.
True
T/F The size of the team is not as important as the similarity of its members
False: diversity
What is a written declaration of an improvement team’s purpose…that keeps the team focused and the project on track?
Project Charter
What is a project charter consist of?
Problem statement, goal, project scope, measures, deliverables, and the team
What all people do you need for a team?
sponsor, team leader, facilitator, recorder, timekeeper, and team memebers
A _______ is a leadership representative or quality oversight committee
Sponsor
A ______ is an individual of the team ultimately responsible for a projects processes including its performance and outcomes
Team Leader
T/F
A team leader is also known as a process or business owner
True
A ______ is an individual of the team knowledgeable about group processes and team interaction as well as performance improvement principles and techniques
Facilitator
T/F
A facilitator can not perform the role of time-keeper or reorder
False: They CAN
This person keeps track of the time during project meetings
Timekeeper
What person captures ideas, decisions, action items, and assignments (on paper or in an electronic document)
-This person also provides updates, meeting minutes, and a written summary of the project to the team
Recorder
What are the flow points of an agenda?
Overview, Updates, Review Timeline, Discussion, and Action Items
What are the different team dynamics?
Norming, Storming, Forming, and Performing
What is it called when members are concerned with inclusion and acceptance=
Norming
What is it called when members want to be heard and begin to assert control
Storming
What is it called when members have a good understanding of the improvement process and want to accomplish the project goals
Forming
What is it called when members are highly effective problem solvers
Performing
An organization’s governing body and senior management must be what three things?
- Committed to quality of healthcare services
- Create a framework for accomplishing quality activities
- Foster an environment that supports continuous improvement
Active and personal board involvement in quality and patient safety oversight contributes to a _________ healthcare organization.
High-performing
What defines and guides all measurement, assessment, and improvement activities
Quality Management System
The quality management system is documented in a ___________
Quality management plan
What are some variables that affect the quality framework of a management
- Type of organization
- Size of organization
- Available resources
- Number and type of externally imposed quality requirements
- Internal quality improvement priorities
The Governance and Management Structure is made up of what 6 elements?
The Board, Administration, Coordinating Committee, Medical Staff, Departments, Quality Support Services
Who is the legal authority and responsible for the operation of the healthcare organization and its quality management activities?
The Board
Who is responsible for implementing and ensuring the fulfillment of day-to-day quality management activities?
Administration
Who directs the quality management program activities in accordance to accreditation and regulatory requirements and establishes expectations, quality goals, improvement priorities while also communicating the activities to the organization and board?
Coordinating Committee
Who evaluates quality of patient care provided by physicians and other medical professionals?
Medical Staff
T/F
The Medical Staff advises the board of the results of the patient care and gets legal authority to make financial decisions
False: The legal authority stays with the board, not medical staff
What is this describing?
-All departments and services in a healthcare organization participate in quality management activities
-Managers are responsible for overseeing performance within the department
Departments
What serves as a blueprint for quality and patient safety in the organization
The Quality Management Plan
What are the elements of a quality management plan?
- Quality statement
- Description of the quality management infrastructure
- Details of performance measurement, assessment, and improvement activities
- Evaluation of the effectiveness of quality management activities
Who all develops the quality statement in a management plan?
The board, administration, and medical staff
What describes the goal to which all quality management activities are directed & reflects the organization’s ideals—what it wants for patients and the community
Quality Statement
What Quality Statment incorporates what things?
Mission, vision, and values
What conveys an organization’s approach to quality management, describes each quality management stakeholder and its responsibilities (expectations), and defines the committee structure
Quality Management Infrastructure
A committee structure includes what things?
Committees involved, committee chairpersons and members, meeting frequency, and methods of communicating quality management activities throughout the organization
What part of the quality management plan defines the variables to be measured, provides execution details for assessment and improvement activities, and includes the improvement model, chartered groups for improvement projects
The Performance Measurement, Assessment, and Improvement Activities
Name some of the elements that frequently changed and documented in the appendixes of the QM plan
QI goals and objectives, performance measures, performance data sources
T/F
In some organizations, the QM plan does not change often and fundamentals remain the same
True
T/F
The QM plan is reviewed quarterly and updated to reflect infrastructure changes and new regulatory or accreditation requirements.
False: it is reviewed annually
Why does the coordinating committee periodically evaluate overall quality management performance?
To determine if the quality infrastructure improved the organizational performance, see if quality goals are met, and use the findings to plan for the upcoming year’s quality improvement activities
