Study Session Reviews Flashcards
What are the Level of Care and Care Settings? ie - Acute Care, Subacute Care
*Acute: most intensive following brief but severe episode
*Long-Term Acute Care (Hospital): focus on more than 25 days of care (rehab, pain management, head trauma)
*Subacute care: outside of hospital (IV therapy, wound care, OT/PT)
*Inpatient rehabilitation: in hospital (patient must be able to tolerate a minimum of 3hrs of therapy per day for 5-7 days per week (post stroke, motor vehicle crash)
*Skilled Nursing Facility: 24hr skilled nursing and personal care
*Intermediate care: Patient may need nursing supervision, but does not need skilled nursing care.
*Home health care: Intermittent care in the home, must be homebound by Medicare
*Hospice: end of life
*Palliative: comforting
*Custodial care: Medical insurance doesn’t cover, assists with home personal care
What is The Newest Vital Sign (NVS) as a health literacy assessment tool?
A valid and reliable screening tool available in English and Spanish that identifies patients at risk for low health literacy. Patients are given the label and then asked 6 questions about it. Patients can and should refer to the label while answering questions.
What is the difference between a Confused-Appropriate Response, a Localized Response, and a Purposeful-Appropriate Response?
Confused Appropriate: following simple commands consistently (brushing teeth, washing hands) but unable to retain learning for new tasks
Localized: responding to stimuli, but the response is different each time
Purposeful-Appropriate: independent functioning
What are SMART goals?
Specific
Measurable
Attainable/Achievable
Relative/Relevant
Time Bound
What is the difference between retrospective, concurrent, and prospective?
Concurrent: now
Prospective: future
Retrospective: past
What is the difference between hard savings and soft savings?
Hard savings= Savings directly, quickly, and easily measurable on your profit and loss statement.
Soft savings= Possibility for future indirect improvements to your bottom line, most often due to improved efficiencies.
What is benchmarking?
Comparing care between places. Assesses how an entity performs against its peers.
What is the difference between systemic and non-systemic quality indicators?
systemic: evidence-based
non-systemic: anecdotal/can be combined (evidence + opinion + experience)
What is the Delphi Technique?
Structured process that uses a series of questionnaires, known as rounds (round robin), to gather information to work toward a mutual agreement or consensus opinion. Benefit: large numbers of professionals from different professions can be included.
What are the two methods of Non-Systemic quality information collection?
Benchmarking
Delphi-Technique
What are The Big 3 quality improvement techniques?
PDSA
Six Sigma
LEAN
What does PDSA stand for? And what does it do?
Plan, Do, Study, Act
Quick and easiest option.
What is Six Sigma?
Focuses on patient safety by eliminating defects (gaps) in products, processes, or practice (rx errors, assignment errors).
What are the 5 steps in Six Sigma (DMAIC)?
D: Define - goal and scope
M: Measure - collect data (create baseline, figure out if it needs improvement)
A: Analyze - root cause of inefficiencies, discuss potential solutions
I: Improve - develop/implement solutions
C: Control - develop metrics for assessment of change success
What is LEAN?
Drive out waste.
Emphasizes reducing waste to increase value
Focuses on the stakeholders perspective of what is valuable.