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What is the most important message from W. Edwards Deming's work?
- There are 14 points needed for a high-quality system.
- Special variation in a process must be identified and corrected.
- Psychology is as important as engineering in process improvement.
- Improving quality will reduce expenses while increasing productivity and market share.
- Answer-Improving quality will reduce expenses while increasing productivity and
market share.
The term "Six Sigma" is derived from which of the following?
- Dr. Sigma, who developed the system
- 3.4 defects per million opportunities
- A Greek fraternity
- Six standard deviations - Answer-3.4 defects per million opportunities
Which of the following is not a quality certification or award?
- ISO 9000
- Baldrige Award
- ISO 9001
- Coventry Award - Answer-Coventry Award
The just-in-time inventory system and the Toyota Production System were the
foundation for which of the following?
- Total quality management
- Lean production
- Activity-based costing
- Six Sigma - Answer-Lean production
Supply chain management encompasses the planning and management of all activities
involved in sourcing and procurement, conversion, and all logistics management
activities.
- True
- False - Answer-True
Which is not a characteristic of big data?
- Variety
,- Velocity
- Volume
- Very searchable - Answer-Very searchable
The clinical delivery of healthcare is standardized throughout the United States of
America.
- True
- False - Answer-False
Which of the following is not a part of evidence-based medicine?
- Medical research
- Clinical protocols
- Total quality management groups
- Effective dissemination and implementation - Answer-Total quality management
groups
Which of the following is a reason that evidence-based medicine (EBM) has not been
widely used in the past?
- Disagreement on the science underlying a guideline
- Belief that all patients are unique and EBM is "cookbook medicine"
- Resistance to change and reliance on habits
- All of these answers are correct - Answer-All of these answers are correct
Which of the following is the best example of standard care?
- Minute clinic
- Follow-up after cardiac surgery
- Reconstructive surgery
- Type II diabetes care - Answer-Minute clinic
Which of the following is the best example of custom care?
- Minute clinic
- Follow-up after cardiac surgery
- Laser eye surgery
- Type II diabetes care - Answer-Type II diabetes care
Prevention quality indicators are used for
- identifying patients in need of additional care.
- identifying hospital admissions that could be prevented with effective outpatient care.
- inclusion in hospital quality scorecards.
- calculating quality bonuses in Medicare. - Answer-identifying hospital admissions that
could be prevented with effective outpatient care.
Which of the following is not an element of Wagner's chronic care model?
- Population-based research
- Custom treatment plans
- Use of evidence-based medicine
, - Use of generic medications - Answer-Use of generic medications
One of the most expensive aspects of all healthcare systems is the care of patients with
chronic disease.
- True
- False - Answer-True
What of the following was not a key strategy for successful healthcare organizations in
the past?
- Attract talented clinicians
- Reduce costs
- Add new technology
- Find new methods to increase revenue - Answer-Reduce costs
Approximately what portion of the US GDP will be consumed by healthcare in 2025?
- 7 percent
- 11 percent
- 15 percent
- 20 percent - Answer-20 percent
Which of the following healthcare aims is included in the Institute of Medicine's Crossing
the Quality Chasm?
- Safe
- Timely
- Equitable
- All of the above - Answer-All of the above
Which strategy is not considered part of "evidence-based medicine"?
- Correct coding of procedures and diagnoses
- Using patient care guidelines
- Using computerized medical records to identify optimal approaches to care
- Using shared decision making tools for both patients and providers - Answer-Correct
coding of procedures and diagnoses
Which of the following is not a trend that provides opportunity for improvement in the US
health system?
- More powerful data and analytics tools
- Adoption of precision medicine tools such as pharmacogenetics
- Individual providers avoiding mergers, partnerships, and acquisitions
- Automation, robots, and the internet replacing human labor - Answer-Individual
providers avoiding mergers, partnerships, and acquisitions
Elements of the clinical microsystem include which of the following?
- The team of health professionals who provide clinical care
- The tools the team has at its disposal to treat the patient