quality improvement

Question 1

safe (quality health care first 6 slides)

Answer 1

Avoiding injuries from care that is intended to help a patient

Question 2

effective

Answer 2

Providing services to the right patients who will benefit, based on evidence, and not providing services to patients who will not benefit

Question 3

patient centered

Answer 3

Providing care that is respectful of and responsive to patient preferences, needs and values

Question 4

timely

Answer 4

Providing care in a timely manner that avoids delays

Question 5

efficient

Answer 5

Providing care that avoids wasted resources

Question 6

equitable

Answer 6

Providing care that does not vary in quality because of personal characteristics

Question 7

national quality strategies

Answer 7

agency for healthcare research and quality

Question 8

national quality strategy goals

Answer 8

Patient safety, Person and family centered care, Effective communication and care coordination, Prevention and treatment of leading causes of morbidity and mortality, Health and well being of communities, Making quality care affordable

Question 9

Lever

Answer 9

business function, resource or action which can be used to meet a quality improvement goal

Question 10

Example of levers

Answer 10

measurement and feedback, public reporting, learning and technical assistance, certification, accreditation, regulation, consumer benefits and incentives, payment, health information technology, innovation and diffusion, workforces development

Question 11

financial incentives for quality care

Answer 11

fee for service, capitation, bundled payments, pay for performance, value-based purchasing, ACO

Question 12

national quality forum

Answer 12

is an organization which recommends standards for nursing quality improvement.

Question 13

nurse sensitive

Answer 13

patient or system outcomes that are within the nursing scope of practice and can be influenced by nurses.

Question 14

indicator

Answer 14

performance measure which is monitored in a quality improvement process.

Question 15

National database of nursing quality indcators (NDNQI)

Answer 15

a proprietary service which was developed by the American Nurses Association and is now owned by Press Ganey. provides services to support health systems in conducting quality improvement based on National Quality Forum standards.

Question 16

benchmarking

Answer 16

systematic approach for gathering information about a process or outcome, comparing the data to other similar organizations, and then analyzing how and why performance is different from the peer organizations.

Question 17

QI is

Answer 17

A philosophy of organizational functioning, A management model, a set of tools (statistical analysis) and change techniques

Question 18

QI emphasizes

Answer 18

Customer satisfaction, Teamwork, Continuous improvement of work processes

Question 19

step 1: assessment

Answer 19

data can be collected from EMR, interview, etc., about patients, professionals, processes, common performance measures (depends on indicator)

Question 20

step 2: analysis

Answer 20

root cause analysis may be conducted, fishbone diagram

Question 21

step 3: develop a plan

Answer 21

QI projects get reviewed under the IRB, change is intended for a specific environment of care, not intended to be generalizable

Question 22

step 4: test and implement

Answer 22

rapid test of change, considered a continuous cycle, plan-do-study-act

Question 23

what is used to critique QI articles

Answer 23

Standards for quality improvement reporting excellence (SQUIRE)