Quality Improvement (Chap 4) Flashcards
1
Q
Total Quality Management
A
The creation of an organizational culture that enables all employees to contribute to an environment of continuous improvement.
2
Q
Utilization Review
A
- A plan to review the use of resources within a facility to determine medical necessity and cost efficiency.
- Often a component of a continuous quality improvement (CQI) or performance assessment and improvement (PAI) system.
3
Q
Risk Management
A
A process that identifies, evaluates, and takes corrective action against risk; and plans, organizes, and controls the activities and resources of OT services to decrease actual or potential losses.
4
Q
Retrospective Review
A
Involves the auditing of medical records by third-party payers to ensure appropriate care was rendered.
5
Q
Peer Review
A
A system in which the quality of work by a group of health professionals is reviewed by their peers.
