Quality and Performance Management Flashcards
Agency for Healthcare Research and Quality
The health services research arm of the US Department of Health and Human Services; the lead federal agency for research on healthcare quality, costs, outcomes, and patient safety.
Balanced scorecard
A framework for displaying system-level performance measures; a component of a structured performance management system that aligns an organization’s vision and mission with operational objectives.
Benchmarking
Comparison of one’s own organization with other companies to learn about potential best practices.
Case managers
Experienced healthcare professionals (e.g., doctors, nurses, social workers) who work with patients, providers, and insurers to coordinate medically necessary and appropriate healthcare services.
Charter
A written declaration of an improvement team’s purpose.
Clinical paths
Descriptions of key patient care interventions for a condition, including diagnostic tests, medications, and consultations, which, if completed as described, are expected to produce desired outcomes.
Clinical practice guidelines
Systematically developed statements that help practitioners and patients make decisions about healthcare to be provided in specific clinical circumstances.
Continuous quality improvement
Analyzing performance of various processes and improving them repeatedly to achieve quality objectives.
Core measure project
A performance measurement project sponsored by The Joint Commission.
Data analytics
The science of examining raw data with the purpose of drawing conclusions about that information.
Discharge planning
Evaluation of patients’ medical and psychosocial needs for the purpose of determining the type of care they will need after discharge from a healthcare facility.
Eight types of waste (muda) eliminated during Lean projects
Movement, waiting, overprocessing, defects, inventories, transportation, design, overproduction.
Evidence-based measures
Data describing the extent to which current best evidence is used in making decisions about patient care.
Failure mode and effects analysis
Systematic assessment of a process to identify the location, cause, and consequences of potential failure for the purpose of eliminating or reducing the chance of failure; also called failure mode, effects, and criticality analysis and healthcare failure mode and effects analysis.
Fishbone diagram
Graphic representation of the relationship between outcomes and the factors that influence them; sometimes called an Ishikawa or cause-and-effect diagram.
Flowchart
Graphic representation of a process.
Hazard analysis
The process of collecting and evaluating information on hazards associated with a process.
High-reliability organization
An entity or business with systems in place that are exceptionally consistent in accomplishing goals and avoiding potentially catastrophic errors.
Lean
A performance improvement approach aimed at eliminating waste; also called Lean manufacturing or Lean thinking.
Malcom Baldrige National Quality Award
A recognition conferred by the Baldrige Performance Excellence Program to US organizations demonstrating performance excellence.
Medically necessary
Appropriate and consistent with diagnosis and, according to accepted standards of practice in the medical community, imperative to treatment to prevent the patient’s condition or the quality of the patient’s care from being adversely affected.
Pareto chart
A special type of bar graph that displays the most frequent problem as the first bar, the next most frequent as the next bar, and so on; also called Pareto diagram.
Peer review
Review of professional performance by professionals with similar training and experience.
Performance expectations
The minimum acceptable or desired level of quality.
