MHA 708 MEDICAL QUALITY MANAGEMENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
Quality of Care:
"the degree to which health services increase the likelihood of desired health outcomes
and are consistent with current professional knowledge ". (IOM)
Basics of Medical Quality
---Hx of Quality Management
---Purpose and Philosophy of Quality Management
-------Accountability for use of clinical, financial and physical resources
------Continuously develop and improve the services provided
------Improve clinical outcomes
Improvement projects are often prompted by an adverse event or a complaint
-When planned for:
---High impact preferred and high priority more so
---Evidence-based and linked to clinical outcomes/efficiency/satisfaction
7 Step Model for Process Mapping
1. Identify the potential target
2. What is Optimal Practice?
3.What is our Current Practice?
4. Identify discrepancies between Current and Optimal. Speculate why?
, 5. Develop a strategy for Practice Improvement
6. Assess the likely effectiveness and cost of the Improvement Strategy
7.Determine if the Improvement Strategy should be implemented
Flow Charts
---Identify as the actual flow or sequence of events in a process
---Clearly identifies the boundaries of the process with a distinct beginning and end
---May show unexpected complexity, problem areas, redundancy and unnecessary
loops where are simplification and standardization may be possible
---Highlights areas where additional data can be collected and researched
---Helps train new personnel
Storyboarding - Affinity Diagrams
-Brainstorming
-Ideas are grouped by subject
---Causes, symptoms, impacts, side-effects
~Allows open thinking and encourages all to participate
~No idea is "bad"
~Allows participants to build on each other's ideas
~Ideas can then be collated and grouped
Basics of Medical Quality - Pareto Diagram
-Graphically shows the relative contribution of each cause to the problem (L > R)
-Allows group to develop a hierarchy of causes and attack largest cause first
~~~Pareto principle: "20% of the cause is 80% of the problem"
Basics of Medical Quality - Other "Graphs"
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
Quality of Care:
"the degree to which health services increase the likelihood of desired health outcomes
and are consistent with current professional knowledge ". (IOM)
Basics of Medical Quality
---Hx of Quality Management
---Purpose and Philosophy of Quality Management
-------Accountability for use of clinical, financial and physical resources
------Continuously develop and improve the services provided
------Improve clinical outcomes
Improvement projects are often prompted by an adverse event or a complaint
-When planned for:
---High impact preferred and high priority more so
---Evidence-based and linked to clinical outcomes/efficiency/satisfaction
7 Step Model for Process Mapping
1. Identify the potential target
2. What is Optimal Practice?
3.What is our Current Practice?
4. Identify discrepancies between Current and Optimal. Speculate why?
, 5. Develop a strategy for Practice Improvement
6. Assess the likely effectiveness and cost of the Improvement Strategy
7.Determine if the Improvement Strategy should be implemented
Flow Charts
---Identify as the actual flow or sequence of events in a process
---Clearly identifies the boundaries of the process with a distinct beginning and end
---May show unexpected complexity, problem areas, redundancy and unnecessary
loops where are simplification and standardization may be possible
---Highlights areas where additional data can be collected and researched
---Helps train new personnel
Storyboarding - Affinity Diagrams
-Brainstorming
-Ideas are grouped by subject
---Causes, symptoms, impacts, side-effects
~Allows open thinking and encourages all to participate
~No idea is "bad"
~Allows participants to build on each other's ideas
~Ideas can then be collated and grouped
Basics of Medical Quality - Pareto Diagram
-Graphically shows the relative contribution of each cause to the problem (L > R)
-Allows group to develop a hierarchy of causes and attack largest cause first
~~~Pareto principle: "20% of the cause is 80% of the problem"
Basics of Medical Quality - Other "Graphs"
