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HC Quality Management > QA #3 > Flashcards

QA #3 Flashcards

1
Q

Quantitative or Qualitative?

  • Generate ideas
  • Set priorities
  • Maintain direction
  • Determine problem causes
  • Clarify process
A

Qualitative

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2
Q

Quantitative or Qualitative?

  • Measure performance
  • Collect and display data
  • Monitor performance
A

Quantitative

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3
Q

What is used during preiminary performance assessment phase to display numeric or measurement information in a manageable and useful form?

A

Quantitative

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4
Q

What are these examples of?

  • Affinity diagram
  • Brainstorming
  • Decision matrix
  • Flowchart
  • Force field analysis
  • Nominal group technique
  • Planning matrix
  • Stakeholder analysis
  • Workflow diagram
A

“Design and implement improvements”

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5
Q

What are these examples of?

  • Affinity diagram
  • Brainstorming
  • Decision matrix
  • Force field analysis
  • Multivoting
  • Nominal group technique
  • Survey
A

“Define the improvement goal”

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6
Q

What are these examples of?

  • Brainstorming
  • Cause and effect diagram
  • Five Whys
  • Flowchart
  • Survey
  • Workflow diagram
A

“Analyze current practices”

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7
Q

What is a survey an example of?

A

“Measure success”

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8
Q

___________ is designed to generate a large number of creative ideas.

A

Interactive decision-making

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9
Q

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
A

Structured

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10
Q

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
A

Unstructured

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11
Q

What technique is this describing?

-Participants write ideas on small slips of paper and posted for everyone to see

A

Silent

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12
Q

_________________ is to reduce a long list of items to a manageable number through a series of structured votes.

A

Group decision-making

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13
Q

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.

A

What & Why

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14
Q

What are the four types of flow charts?

A

High-level, Detailed, Deployment, and Top-Down

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15
Q

Name the chart.

To document the (current) flow or sequence of events in a process

A

Flow Chart

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16
Q

Name the chart.

To develop an optimal new process during the solution phase of improvement

A

Flow Chart

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17
Q

Name the chart.

Illustration of the movement (motion) of people, materials, paperwork, or information during a process.

A

Workflow Diagrams

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18
Q

What is a form containing questions to which subjects respond?

A

Questionnaire

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19
Q

What is a formal discussion between two parties in which information is exchanged?

A

Interview

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20
Q

What identifies groups and individuals who will be affected by a process change and whose participation and support are crucial to realizing successful outcomes?

A

Stakeholder Analysis

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21
Q

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.

A

Planning matrix

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22
Q

What are used to provide a representation of improvement plan or improvement project’s activities as bars measured against a horizontal time scale?

A

Gantt Charts

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23
Q

Developing a planning matrix is useful due to it considering every task in an _________ or project plan.

A

Improvement plan

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24
Q

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

A

True

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25
Q

What are the 4 Cs of good communication for reports

A

Clear, Concise, Complete, Correct

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26
Q

Use terms understandable to audience=

A

Clear

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27
Q

Be short, to the point=

A

Concise

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28
Q

Include all relevant information=

A

Complete

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29
Q

Ensure all data and information is accurate=

A

Correct

30
Q

T/F

When improvement opportunities are identified, a group of people known as an improvement project team is assembled.

A

True

31
Q

T/F The size of the team is not as important as the similarity of its members

A

False: diversity

32
Q

What is a written declaration of an improvement team’s purpose…that keeps the team focused and the project on track?

A

Project Charter

33
Q

What is a project charter consist of?

A

Problem statement, goal, project scope, measures, deliverables, and the team

34
Q

What all people do you need for a team?

A

sponsor, team leader, facilitator, recorder, timekeeper, and team memebers

35
Q

A _______ is a leadership representative or quality oversight committee

A

Sponsor

36
Q

A ______ is an individual of the team ultimately responsible for a projects processes including its performance and outcomes

A

Team Leader

37
Q

T/F

A team leader is also known as a process or business owner

A

True

38
Q

A ______ is an individual of the team knowledgeable about group processes and team interaction as well as performance improvement principles and techniques

A

Facilitator

39
Q

T/F

A facilitator can not perform the role of time-keeper or reorder

A

False: They CAN

40
Q

This person keeps track of the time during project meetings

A

Timekeeper

41
Q

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

A

Recorder

42
Q

What are the flow points of an agenda?

A

Overview, Updates, Review Timeline, Discussion, and Action Items

43
Q

What are the different team dynamics?

A

Norming, Storming, Forming, and Performing

44
Q

What is it called when members are concerned with inclusion and acceptance=

A

Norming

45
Q

What is it called when members want to be heard and begin to assert control

A

Storming

46
Q

What is it called when members have a good understanding of the improvement process and want to accomplish the project goals

A

Forming

47
Q

What is it called when members are highly effective problem solvers

A

Performing

48
Q

An organization’s governing body and senior management must be what three things?

A
  • Committed to quality of healthcare services
  • Create a framework for accomplishing quality activities
  • Foster an environment that supports continuous improvement
49
Q

Active and personal board involvement in quality and patient safety oversight contributes to a _________ healthcare organization.

A

High-performing

50
Q

What defines and guides all measurement, assessment, and improvement activities

A

Quality Management System

51
Q

The quality management system is documented in a ___________

A

Quality management plan

52
Q

What are some variables that affect the quality framework of a management

A
  • Type of organization
  • Size of organization
  • Available resources
  • Number and type of externally imposed quality requirements
  • Internal quality improvement priorities
53
Q

The Governance and Management Structure is made up of what 6 elements?

A

The Board, Administration, Coordinating Committee, Medical Staff, Departments, Quality Support Services

54
Q

Who is the legal authority and responsible for the operation of the healthcare organization and its quality management activities?

A

The Board

55
Q

Who is responsible for implementing and ensuring the fulfillment of day-to-day quality management activities?

A

Administration

56
Q

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?

A

Coordinating Committee

57
Q

Who evaluates quality of patient care provided by physicians and other medical professionals?

A

Medical Staff

58
Q

T/F
The Medical Staff advises the board of the results of the patient care and gets legal authority to make financial decisions

A

False: The legal authority stays with the board, not medical staff

59
Q

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

A

Departments

60
Q

What serves as a blueprint for quality and patient safety in the organization

A

The Quality Management Plan

61
Q

What are the elements of a quality management plan?

A
  • Quality statement
  • Description of the quality management infrastructure
  • Details of performance measurement, assessment, and improvement activities
  • Evaluation of the effectiveness of quality management activities
62
Q

Who all develops the quality statement in a management plan?

A

The board, administration, and medical staff

63
Q

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

A

Quality Statement

64
Q

What Quality Statment incorporates what things?

A

Mission, vision, and values

65
Q

What conveys an organization’s approach to quality management, describes each quality management stakeholder and its responsibilities (expectations), and defines the committee structure

A

Quality Management Infrastructure

66
Q

A committee structure includes what things?

A

Committees involved, committee chairpersons and members, meeting frequency, and methods of communicating quality management activities throughout the organization

67
Q

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

A

The Performance Measurement, Assessment, and Improvement Activities

68
Q

Name some of the elements that frequently changed and documented in the appendixes of the QM plan

A

QI goals and objectives, performance measures, performance data sources

69
Q

T/F

In some organizations, the QM plan does not change often and fundamentals remain the same

A

True

70
Q

T/F
The QM plan is reviewed quarterly and updated to reflect infrastructure changes and new regulatory or accreditation requirements.

A

False: it is reviewed annually

71
Q

Why does the coordinating committee periodically evaluate overall quality management performance?

A

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

HC Quality Management (3 decks)

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