Quality of care and patient safety quiz
100% Answered
what is quality of care
the degree to which health services for individuals and populations increase the likelihood of desired
health outcomes and are consistent with current professional knowledge
what is quality of healthcare
1. doing the right thing, at the right time, for the right person, and having the best possible result
2. Quality improvement initiatives focus on ensuring patients get what they need, when they need it, in
an appropriate way
evolution of quality improvement
1. AMA established (1847)
2. Hospital standardization program (1917)
3. Joint commission on Accreditation of hospitals (JCAH) of American Hospital Association (1952)
4. National committee for quality assurance (NCQA) most MCO: health care employer data and
information set (HEDIS) and standards for PCMH and ACO (1990)
5. Institute for Healthcare Improvement (IHI) started by Berwick (1991): independent, not-for-profit;
cambridge, MA
6. National quality forum (1999): contracted with the HHS to develop quality and efficiency measures
7. Patient Protection ACA health reform (2010): requires the development of national quality
improvement strategy
-triple aim: improve health, improve (quality of ) care, reduce costs
Expansion of the JCAH
1. expanded to include long term care, community mental health, ambulatory, and hospice
2. The Joint Commission: accredits 19000 sites
Avedis Donabedian
1. Measure and monitor quality in three broad categories
-structure
-process
-outcome
Status of US healthcare system
1. "To err is human" but errors can be prevented"
2. 44000-98000 people die in US hospitals each year as a result of medical error (IOM)
3. most common are medication-related errors estimated to cause 7000 deaths a year
4. need to improve patient safety
5. Institute of health care improvement estimates ~15 million instances of medical harm each year
100% Answered
what is quality of care
the degree to which health services for individuals and populations increase the likelihood of desired
health outcomes and are consistent with current professional knowledge
what is quality of healthcare
1. doing the right thing, at the right time, for the right person, and having the best possible result
2. Quality improvement initiatives focus on ensuring patients get what they need, when they need it, in
an appropriate way
evolution of quality improvement
1. AMA established (1847)
2. Hospital standardization program (1917)
3. Joint commission on Accreditation of hospitals (JCAH) of American Hospital Association (1952)
4. National committee for quality assurance (NCQA) most MCO: health care employer data and
information set (HEDIS) and standards for PCMH and ACO (1990)
5. Institute for Healthcare Improvement (IHI) started by Berwick (1991): independent, not-for-profit;
cambridge, MA
6. National quality forum (1999): contracted with the HHS to develop quality and efficiency measures
7. Patient Protection ACA health reform (2010): requires the development of national quality
improvement strategy
-triple aim: improve health, improve (quality of ) care, reduce costs
Expansion of the JCAH
1. expanded to include long term care, community mental health, ambulatory, and hospice
2. The Joint Commission: accredits 19000 sites
Avedis Donabedian
1. Measure and monitor quality in three broad categories
-structure
-process
-outcome
Status of US healthcare system
1. "To err is human" but errors can be prevented"
2. 44000-98000 people die in US hospitals each year as a result of medical error (IOM)
3. most common are medication-related errors estimated to cause 7000 deaths a year
4. need to improve patient safety
5. Institute of health care improvement estimates ~15 million instances of medical harm each year
