Quality Assurance Flashcards

0
Q

What is Continuous Quality Improvement?

A

Ongoing review and improvement of the processes of providing healthcare services to meet the needs of patient and staff.

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1
Q

What is the Quality Assurance (QA) office now referred to as?

A

Quality Improvement or Quality Improvement Coordinator

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2
Q

What is meant by Quality?

A

It is the degree of adherence to generally recognized standards of good practice and achievement of anticipated outcomes for a particular service, procedure, diagnosis, or clinical problem.

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3
Q

What is Quality Assurance?

A

A program of evaluation that is planned, systematic, and ongoing to identify problems, take opportunities to improve care or verify care, meeting standards.

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4
Q

Define Risk Management.

A

The process of identifying, and if possible, eliminating the risk of financial loss to the medical facility and its staff.

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5
Q

What is the key concept of Quality Improvement?

A

QI begins with education at all levels from top executives to hourly employees. Its principles seek to make improvements in the system, not to determine blame or responsibility.

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6
Q

(True or Flase) Some QI concepts include processes and systems, customers and suppliers, quality, team and teamwork, and scientific approach.

A

True

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7
Q

What is meant by processes and systems?

A
  • Grouping in sequence, of all the tasks directed at accomplishing one particular outcome.
  • Individual TASK/activities are merely PART of a PROCESS
  • A series of related TASKS is a PROCESS
  • A group of related PROCESSES is a SYSTEM
  • It is important to focus on the PROCESS within the SYSTEM, not the SYSTEM ITSELF
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8
Q

What is the difference between customers and suppliers?

A

CUSTOMERS - Individuals whom a service is provided

SUPPLIERS - Individuals or organizations that provide services to customers.

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9
Q

What are the 2 types of customers and who might be in what group?

A

INTERNAL CUSTOMER - Physicians, nurses, and ancillary staff.

EXTERNAL CUSTOMER - Patients, family members, or venders.

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10
Q

Pertaining to QI concepts, Quality is determined by how the customer defines the product or service provided. How might we create a satisfied customer?

A

Be able to identify their needs, wants, and expectations

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11
Q

Pertaining to QI concepts, how might you define “team and teamwork”?

A

A group of people involved in the process under examination, each contributing their own knowledge and skills in order to constructively review the process and recommend effective and permanent solutions.

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12
Q

How does scientific approach help establish QI?

A

It is the primary method of evaluating opportunities to improve quality by gathering statistics reflecting performance. It eliminates the introduction of subjectivity in the review process.

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13
Q

What are some objectives of QI?

A
  • Involve interrelated government, management, support, and clinical staff in improvement initiatives
  • Organize QI activities around flow of patient care
  • Focus on improvement of processes and away from individual providers
  • Integrate efforts to improve patient outcome
  • Focus on opportunities for improvement rather than problems.
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14
Q

(True or False) The difference between Quality Assurance and Quality Improvement is that QA pertains more to a department and QI pertains more to an entire organization.

A

True

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15
Q

What was the purpose of the Kasselbaum-Kennedy Bipartisan bill?

A

This law was constructed to ensure health insurance coverage to workers and their families when they changed jobs. It also prohibits cancellation of coverage for pre-existing medical conditions.

16
Q

Why was the “Administrative Simplification” law enacted and what was it intended for?

A

It established the requirement that medical record be computerized. It was intended to reduce the cost and administrative burden of healthcare.

17
Q

Patient privacy has achieved new heights. Who does patient confidentiality apply to and what does it protect?

A

Applies to health plans, healthcare clearinghouses, and other healthcare providers. It protects information in different formats including electronic files, paper records, and verbal information.