Quality

Question 1

The Fundamentals of the Clinical Pyramid include:

Answer 1

Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,
PTH, etc.

Question 2

The Complex programs of the Clinical Pyramid include:

Answer 2

Fluid Management, Infection Management, Diabetes Management, Med Management, CVC
Management, Palliative / EOL Care, Infection Surveillance, Transition of Care, CKD
Education, Depression, Missed Treatments, etc.

Question 3

The Measures of Effectiveness of the Clinical Pyramid include:

Answer 3

Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care

Question 4

What matters most of the Clinical Pyramid means:

Answer 4

Our patient’s health-related Quality of Life

Question 5

What is the purpose of DQI?

Answer 5

To encourage continuous improvement across a broad range of disease management processes

Question 6

DQI success is achieved by:

Answer 6

Managing individual patients first and allowing scores to follow
Knowing each team member’s role in improving DQI scores
Using the CQI process to help identify trends and make improvements

Question 7

The patient care technician can execute all of the following quality measures :

Answer 7

Encourage placement of permanent access (AVF/AVG)
Explain to patient the benefit of attending all treatments
Respond to dialysis related complications
Encourage the patient to take medications as prescribed

Question 8

Name something you can do to prevent DQI ‘dips’ related to laboratory draws

Answer 8

a. Know your facility lab draw schedule
b. Anticipate the holidays and FedEx closures
c. Reschedule holiday laboratory draws proactively
d. Follow tube draw order
e. Confirm that all labels have printed clearly before adhering to laboratory container
f. Remind teammates of the importance of proper tube processing
g. Correct draw dates before shipping
h. Don’t borrow boxes for shipping
i. Freeze ice packs flat and solid
j. Record FedEx tracking numbers