In: Nursing
The Institute of Medicine has found the quality of healthcare in the United States to be fairly uniform, the same in all settings.
5 Points
The major focus for CQI decision making is the collection of data.
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Optimizing the delivery of health care and improving outcomes are reasons for using CQI in the US health system.
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Hospitals using CQI adopt methods first pioneered by Deming's business model.
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The Triple Aim became the Quadruple Aim which was a focus on improving the lives of vendors of healthcare equipment.
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One goal of successful CQI is to empower employees so that are motivated to assist in the process.
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Recent increased use of CQI in US health care results, in part, from the Affordable Care Act.
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PDSA and PDCA are the only acceptable tools to use in the CQI process.
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CQI is simultaneously two things: a management philosophy and a management method.
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Healthcare Element of CQI includes use of epidemiological and clinical studies (evidence based medicine).
10 Points
The PDSA cycle is continuous and involves the following steps Blank 1.
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If you want to innovate in the hospital which you manage, you should
A) lead by dictate.
B) increase staff pay.
C) institute extensive patient surveys.
D) lead by example.
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The culture of excellence which CQI aims to foster resembles a
A) culture of achievement.
B) safety culture.
C) culture of enrichment.
D) quality culture.
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The _______________ definition of quality of care is “the extent to which health care services provided to individuals and patient populations improve desired health outcomes.
WHO
IHI
AHRQ
IOM
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The Structural Elements of CQI include
a. Use of process improvement teams
b. Use of CQI tools
c.Creation of parallel organization (Quality Council) to monitor CQI
d.Gain commitment from top management
all of the above
only a and b
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Philosophical Elements of CQI include
Involves a Strategic Focus
Customer Focus
Systems View
Data-driven
(evidence-based) Analysis
all of the above
none of the above
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_________________________focuses on conformance quality, which is defined as “conforming to specifications; having a product or service that meets predefined standards”
Total Quality Management
Quality Assurance(QA)
Continuous Quality Improvement
None of above
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_______________is defined as a structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality health care that meets or exceeds expectations.
CQI(Continuous Quality Improvement)
Total Quality Management
Quality Assurance(QA)
Non of above
5 Points
Poor quality care has an impact on
a. patients
b. services which provide care
c. society at large
d. all of above
e. only a
1. False. The US has a relatively weak foundation for basic care and they suffer a crisis of family physicians (Sandy et al., 2009). Also, Institute of Medicine's report in 2007 shows that many Americans rely on emergency care departments for chronic or acute care or even for preventive measures.
2. False. CQI identifies the desired administrative or clinical outcome and the evaluation strategies that enable experts to determine if the outcome is achieved. CQI monitors progress through an adaptive, real-tine feedback loop.
3. True. Because Continuous Quality Improvemnt (CQI) strategies exist to help various healthcare organizations to improve their healthcare quality, efficiency and patient outcones.
4. True. Deming's business model is made for constant and forever improvement. It focuses on emphasizing training and education so everyone could do their jobs better.
5. False. The quadruple aim focuses on the---- improved patient experience, improved clinical experience, reducing costs and better outcome.
6. True.
7. True. Beacuse SEC 2717 of this law is about ensuring the quality of care.
8. False. There are more tools for CQI.
9. True.
10. False.
11. The PDSA cycle is continuous and involves the following steps-------
a. Plan- Planning of the test or observation, also includes the plan of collecting the data.
b. Do- Trying out the test on a small scale qith problems and unexpected observations.
c. Study- Analysing the data and study of results.
d. Act- To determine the modifications to be made and to refine the change.
12. d. Lead by example
13. D. Quality culture
14. WHO
15. All of the above
16. Involves a strategic focus
17. Continuous Quality Improvement
18. Total Quality Management
19. d. All of above.