CPHQ Exam 1 (Answered) Verified Solution
Six Sigma Improvement Model
Define, Measure, Analyze, Improve, Control
Six Sigma
A business process for improving quality, 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 cross-
functional 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 patient-centered 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".
Six Sigma Improvement Model
Define, Measure, Analyze, Improve, Control
Six Sigma
A business process for improving quality, 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 cross-
functional 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 patient-centered 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".
