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1. Triple Aim - ANSWER 1. Ensure quality of care for individual
2 Improve health of the population
Control costs
2. Critical components of a leadership team - ANSWER Understand the
concepts of organizations as complex systems, culture, strategic planning,
change, innovation and creativity
3. IOM definition of healthcare quality - ANSWER The degree to which
health services for individuals and populations increase the likelihood of
desired health outcomes and are consistent with current professional
knowledge
4. True or False
The HCQP assists organization leaders and employees in understanding the
principles and common frameworks for healthcare quality strategies. -
ANSWER True
5. Which evidence based framework model for studying systems is best? -
ANSWER Donabedian
Baldrige Performance Excellence
,Any, as long as the manager uses it to properly recognize, understand and
anticipate how the parts of the system interact as a whole
6. Who is the founder of the quality assurance field and the first to describe an
approach to assessing quality through a systems framework? - ANSWER
Avedis Donabedian
7. Donabedian's framework - ANSWER Focus on structures (resources
available for care delivery) processes (involves the care, how diagnoses and
treated) and outcomes (results of the care, increased satisfaction, decreased
morbidity, improved QOL) for patient care evaluation
8. Limitations of the Donabedian framework - ANSWER Very basic and does
not sufficiently describe interrelationships
9. What is a required component of quality performance? - ANSWER
Interrelationships
10.Baldrige Performance Excellence Framework - ANSWER Displays
principles of quality management and shows interrelationships among
factors relating to structure, process and outcome
11.6 elements of Baldrige Performance Excellence Framework - ANSWER
Important connection between Leadership and Results
Leadership triad: leadership, strategic planning and customer focus
Results triad: results, workforce focus and operations focus
, 12.What are key components of a foundation for effective organizational
management? (Baldrige) - ANSWER Measurement, analysis and
knowledge management
13.Quality Management definition - ANSWER A strategic, integrated
management system, which involves all managers and employees and uses
quantitative methods to continuously improve an organization's processes to
meet and exceed customer needs, wants and expectations
14.IOMs 6 aims for healthcare improvement - ANSWER Safety
Effectiveness (avoid overuse and underuse)
Patient-centeredness - ensure patient values guide all clinical decisions
Timeliness - reduce waits and sometimes harmful delays
Efficiency - avoiding waste
Equity - providing care that does not vary in quality with respect to personal
characteristics, ethnicity, geographic location or socioeconomic status
system definition - ANSWER A regularly interacting or independent group of
items forming a unified whole
Benefits of system thinking - ANSWER Aiding in identifying and understanding
the big picture
Facilitating the identification of major components
Identifying important relationships and providing proper perspective
Avoiding excessive attention to a single part
, Allowing for a broad-scope solution
Fostering integration
Providing a basis for redesign
Healthcare organizations are ... - ANSWER Complex Adaptive Systems (CASs)
Making change in one process or dept naturally requires changes in other
processes, functions and depts. Effectiveness is dependent on alignment of parts of
the system.
InterRelationships (between individuals is a critical component of the model)
Not linear
Characteristics of leaders in CASs - ANSWER Value persons and relationships
Use loose coupling
Complicate or link
Diversify
Make sense
Think about the future
Are collaborative
Listen and learn
Are adaptable