CPHQ Exam 1, Questions and answers, 100% Accurate, graded A+

Document Content and Description Below

CPHQ Exam 1, Questions and answers, 100% Accurate, graded A+ Six Sigma Improvement Model - ✔✔-Define, Measure, Analyze, Improve, Control Six Sigma - ✔✔-A business process for improving qua... lity, reducing costs, and increasing customer satisfaction and a process whereby firms work to limit product defects to 3.4 per million or fewer LEAN approach (quality improvement technique) - ✔✔-Focused on what's valuable to customers, pt, payers, providers, regulatory bodies with an emphasis on investigating new ways to get things done and making changes in a short period of time. Reengineering - ✔✔-Redesigning a company's processes to make them more efficient. A focus on crossfunctional capabilities led to the dissolution of departmental silos. Often became associated with downsizing and layoffs and employee morale declined and productivity suffered. Rapid cycle improvement (RCI) - ✔✔-An improvement model that makes repeated incremental improvements to optimize performance Breakthrough Series - ✔✔-A collaborative approach to QPI developed by the IHI to bring about rapid cycle improvements. Collaborations allow organizations to learn from each other's successes and failures. Incorporates the PDSA cycles and the concept of spread. Patient safety approach six key areas - ✔✔-structure, environment, equipment/technologies, processes, people, and leadership/culture Patient-centered care - ✔✔-"Nothing about me without me" best describes the concept of patientcentered care. Care that is respectful of and responsive to individual patient preferences, needs, and values. TeamSTEPPS stands for - ✔✔-Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS (an AHRQ strategy to promote patient safety) - ✔✔-A teamwork system designed to increase patient safety developed by the DoD and AHRQ TeamSTEPPS - ✔✔-Designed to improve communication and teamwork skills among healthcare professionals. IOM Imperatives, Priorities and Competencies - ✔✔-Patient safety and harm, changing the healthcare delivery system, and policy and healthcare quality Underuse - ✔✔-Not providing a health service that might have been medically beneficial Overuse - ✔✔-The potential for harm from the provision of a service that exceeds the possible benefit Misuse - ✔✔-Incorrect diagnoses, medical errors, and other sources of avoidable complications IOM 6 characteristics 2c2 - ✔✔-Safe, effective, patient-centered, timely, efficient, equitable SEPTEE Safe - ✔✔-Avoid injuries to patients resulting from care that is intended to help them Effective - ✔✔-Care based on scientific knowledge demonstrating who will likely benefit and restrain from providing care when it is not likely to benefit patients Patient-centered - ✔✔-Care should be respectful and responsive to patient preferences, needs and values; further, patient values should guide all clinical decisions Timely - ✔✔-Elimination of wait times and harmful delays Efficient - ✔✔-Care provided in ways that avoid waste of equipment, supplies, ideas and energy Equitable - ✔✔-Care should not vary in quality because of patients' personal characteristics such as gender, ethnicity, geographic location and socioeconomic status Standards of Practice - ✔✔-Descriptions of the responsibilities for which healthcare providers are accountable National Quality Forum (NQF) - ✔✔-Organization that's set standards are used to measure publicly reported Healthcare quality Leapfrog Group standards - ✔✔-CPOE system, evidence-based hospital referral, ICU physician staffing, Leapfrog safe practices Personal health information - ✔✔-The patient's own information that pertains to his or her health. HIPAA - ✔✔-Health Insurance Portability and Accountability Act of 1996 Release of information - ✔✔-A written consent is required for an organization to release patient information to anyone outside the organization. Utilization management - ✔✔-QI tool of an MCO & a method to control cost through prospective & retrospective review of services Utilization management includes (4) - ✔✔-1) Preadmission certification; 2) Preauthorization; 3) Concurrent review; 4) DC planning Evidence-based practice (EBP) - ✔✔-The practice of medicine that utilizes guidance-based information gleaned from research studies. The "conscientious and judicious use of current best evidence in making decisions about the care of individual patients". Decision support system - ✔✔-Type of business intelligence system that helps managers develop solutions to specific problems Risk adjustment - ✔✔-A technique used to take into account or to control the fact that different patients with the same diagnosis may have additional conditions or characteristics that can affect how well they respond tot treatment. High risk processes - ✔✔-Core processes (admission, transfer, discharge), high-risk processes (medication delivery/administration, surgery), high-risk patients (reduced renal function, immunocompromised, neonates, ICU), high-risk medications (heparin, insulin, chemotherapy), high-risk actions (blood transfusions, use of restraints, extracorporeal circulation) categorical data - ✔✔-Data that consists of names, labels, or other nonnumerical values Nominal data - ✔✔-Data of categories only. Data cannot be arranged in an ordering scheme. (Gender, Race, Religion). Count, discrete, or qualitative data; also known as attributes data. Binary data - ✔✔-The value of the data has only two options e.g. yes/no. Numerical values can be assigned to category to facilitate data analysis but is purely arbitrary and has no quantitative value. Ordinal data - ✔✔-Data values that indicate a rank or ordering system Continuous Data Set - ✔✔-Numerical data values that can be MEASURED. Also called variables data. Two subtypes of continuous data are interval and ratio. Interval data - ✔✔-Differences between values can be found, but there is no absolute 0. (Temp. and Time). The distance between each point is equal. Ratio data - ✔✔-Data with an absolute 0. Ratios are meaningful. (Length, Width, Weight, Distance). The distance between each point is equal. Categorical data - ✔✔-Type of data with the least statistical power. Continuous data - ✔✔-Type of data with the most statistical power. Population (n) - ✔✔-The total aggregate or group (i.e. all cases that meet a designated set of criteria for practitioners) Sampling - ✔✔-The process of selecting representative units from a total population Probability sampling - ✔✔-Everyone in the population being surveyed has an equal chance to be sampled Simple Random Sample (SRS) - ✔✔-Sample in which each set of elements in the population has an equal chance of selection Systematic sampling - ✔✔-Select some starting point and then select every nth element in the population Stratified random sampling - ✔✔-Population divided into subgroups (strata) and random samples taken from each strata. Cluster sampling - ✔✔-A sampling technique in which clusters of participants that represent the population are used. Participants are randomly selected from a pool of people easily accessible. Nonprobability sampling - ✔✔-Any technique in which samples are selected in some way not suggested by probability theory. Results are representative of the sample only and cannot be generalized to the available population. Convenience sampling - ✔✔-Using a sample of people who are readily available to participate. Snowball sampling - ✔✔-Selection of participants through referrals from earlier participants; also called network sampling Purposive or Judgmental Sampling - ✔✔-Sampling based on specific criteria the researcher may have Expert Sampling - ✔✔-Researcher identifies experts on a topic and recruits them to complete their survey. Quota sampling - ✔✔-Freely choosing any participant as long as they meet an already established quota Sample size - ✔✔-The number of subjects used in an experiment or study. Generally, the larger the better. Outcomes measured on a _______________ scale or using repeated measures require _____________ subjects than do ___________________ outcomes. - ✔✔-Continuous, fewer, catagorical Common cause variation - ✔✔-The source of varaition in a process that is inherent within the process Special Cause Variation - ✔✔-Refers to variation in a process which is sporadic and non-random. Root Cause Analysis (RCA) - ✔✔-Determines underlying cause of adverse events; used after incident to uncover primary caus [Show More]

Last updated: 2 years ago

Preview 1 out of 20 pages