Summary NR 506NP Week 3 Assignment 1 Quality
Healthcare Measuring NP Performance (BMI
Assessment from HEIDIS Effectiveness of Care) 2024
LATEST CITED AND REFERENCED
What three categories do quality defects fall in to? - ANSWER: Underuse, overuse
and misuse.
What are the 6 dimensions of quality, that provide healthcare professionals and
policymakers with simple rules for redesigning healthcare? - ANSWER: Safe
Effective
Efficient
Timely
Patient centered
Equitable
What are the attributes that can characterize the quality of healthcare services? -
ANSWER: Technical performance
Patient centeredness
Amenities
Access
Equity
Efficiency
Cost-effectiveness
What types of stakeholders attach different levels of importance to individual
attributes of care and define quality of care differently as a result? - ANSWER:
Clinicians
Patients
Payers
Managers
Society
What did Donabedian say that all evaluations of quality of care can be classified in
terms of? - ANSWER: Structure, process, or outcome.
What does structure refer to? - ANSWER: Characteristics of the individuals who
provide care and of the settings where the care is delivered. These characteristics
include the education, training, and certification of professionals who provide care
and the adequacy of the facility's staffing, equipment, and overall organization.
The quality of the process can vary on what three aspects? - ANSWER:
Appropriateness- whether the right actions were taken.
Skill- the proficiency with which actions were carried out, and
The timeliness of care
, What do outcome measures include? - ANSWER: Whether healthcare goals were
achieved. The costs of care, as well as patients' satisfaction with their care, health
status indicators.
When is a clinical intervention efficacious? - ANSWER: If it has been shown to
produce a given outcome reliably when other potentially confounding factors are
held constant.
What must measurement of variation begin with? - ANSWER: The ID and articulation
of what is to be measured and the standard against which it is to be compared. A
process based on extensive research, trial and error, and collaborative discussion.
Random variation - ANSWER: A physical attribute of an event or process, adheres to
the laws of probability, and cannot be traced to a root cause. Traditionally it is
considered background noise, expected, or common cause variation, and it is usually
not worth studying in detail.
Assignable variation - ANSWER: Also known as special cause variation. Arises from a
single or small set of causes that are not part of the event or process and can be
traced and identified and then implemented or eliminated.
Process variation - ANSWER: Refers to different usage of a therapeutic or diagnostic
procedure in an organization, geographic area, or other grouping of healthcare
providers.
Outcome variation - ANSWER: When different results follow from a single process.
Performance variation - ANSWER: The difference between any given result and the
optimal result, arguably the most important category of variation applicable to
healthcare quality improvement.
Warranted variation - ANSWER: Based on differences in patient preferences, disease
prevalence, or other patient-related factors.
Unwarranted variation - ANSWER: Cannot be explained by patient preference or
condition or evidence based medicine.
What are the effects of unwarranted variation? - ANSWER: Inefficient care, and
related cost implications as well as disparities in care between geographic regions or
healthcare providers.
What are three categories of care in which unwarranted variation indicates different
possible problems? - ANSWER: Effective care
Preference-sensitive care
Supply sensitive care
Healthcare Measuring NP Performance (BMI
Assessment from HEIDIS Effectiveness of Care) 2024
LATEST CITED AND REFERENCED
What three categories do quality defects fall in to? - ANSWER: Underuse, overuse
and misuse.
What are the 6 dimensions of quality, that provide healthcare professionals and
policymakers with simple rules for redesigning healthcare? - ANSWER: Safe
Effective
Efficient
Timely
Patient centered
Equitable
What are the attributes that can characterize the quality of healthcare services? -
ANSWER: Technical performance
Patient centeredness
Amenities
Access
Equity
Efficiency
Cost-effectiveness
What types of stakeholders attach different levels of importance to individual
attributes of care and define quality of care differently as a result? - ANSWER:
Clinicians
Patients
Payers
Managers
Society
What did Donabedian say that all evaluations of quality of care can be classified in
terms of? - ANSWER: Structure, process, or outcome.
What does structure refer to? - ANSWER: Characteristics of the individuals who
provide care and of the settings where the care is delivered. These characteristics
include the education, training, and certification of professionals who provide care
and the adequacy of the facility's staffing, equipment, and overall organization.
The quality of the process can vary on what three aspects? - ANSWER:
Appropriateness- whether the right actions were taken.
Skill- the proficiency with which actions were carried out, and
The timeliness of care
, What do outcome measures include? - ANSWER: Whether healthcare goals were
achieved. The costs of care, as well as patients' satisfaction with their care, health
status indicators.
When is a clinical intervention efficacious? - ANSWER: If it has been shown to
produce a given outcome reliably when other potentially confounding factors are
held constant.
What must measurement of variation begin with? - ANSWER: The ID and articulation
of what is to be measured and the standard against which it is to be compared. A
process based on extensive research, trial and error, and collaborative discussion.
Random variation - ANSWER: A physical attribute of an event or process, adheres to
the laws of probability, and cannot be traced to a root cause. Traditionally it is
considered background noise, expected, or common cause variation, and it is usually
not worth studying in detail.
Assignable variation - ANSWER: Also known as special cause variation. Arises from a
single or small set of causes that are not part of the event or process and can be
traced and identified and then implemented or eliminated.
Process variation - ANSWER: Refers to different usage of a therapeutic or diagnostic
procedure in an organization, geographic area, or other grouping of healthcare
providers.
Outcome variation - ANSWER: When different results follow from a single process.
Performance variation - ANSWER: The difference between any given result and the
optimal result, arguably the most important category of variation applicable to
healthcare quality improvement.
Warranted variation - ANSWER: Based on differences in patient preferences, disease
prevalence, or other patient-related factors.
Unwarranted variation - ANSWER: Cannot be explained by patient preference or
condition or evidence based medicine.
What are the effects of unwarranted variation? - ANSWER: Inefficient care, and
related cost implications as well as disparities in care between geographic regions or
healthcare providers.
What are three categories of care in which unwarranted variation indicates different
possible problems? - ANSWER: Effective care
Preference-sensitive care
Supply sensitive care
