Nursing 1130 Exam 2 Questions With
Complete Solutions
Why has the US health care system failed to provide consistent high quality care?
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-The increase in science and technology over the past
| | | | | | | | | | | |
half-century has made the health care system too complex; more to know, more
| | | | | | | | | | | | |
to do, more to manage, more to watch, and more people involved than ever
| | | | | | | | | | | | | |
before
Americans are living longer - increase in incidence and prevalence of chronic
| | | | | | | | | | | |
conditions, but todays health care system is too focuses on dealing with acute,
| | | | | | | | | | | | |
episodic care needs | |
- Health care delivery system is also poorly organized and overly complex:
| | | | | | | | | | | |
cumbersome processes waste resources; leave unaccountable voids in coverage;
| | | | | | | | |
lead to loss of information and a failure to build on the strengths of all health
| | | | | | | | | | | | | | | |
professionals involved to ensure that care is appropriate, timely and safe.
| | | | | | | | | | |
--- This is causing the quality chasm
| | | | | |
Health care highest aims: - CORRECT ANSWER✔✔-Care that increases optimal
| | | | | | | | | |
health outcomes for patients | | |
Care supported by most current science
| | | | |
To Err is Human - CORRECT ANSWER✔✔-IOM challenged the healthcare system
| | | | | | | | | | |
to focus on medical errors
| | | | |
found that majority of medical errors not due to recklessness of individuals- it
| | | | | | | | | | | | |
was an end result of flawed systems and flawed processes and conditions
| | | | | | | | | | | |
4 tier approach
| |
,Institute of Medicine Report Crossing the Quality Chasm - CORRECT
| | | | | | | | | |
ANSWER✔✔-- Crossing the Quality Chasm focuses more broadly on how the | | | | | | | | | | |
health sys tem can be reinvented to foster innovation and improve the delivery of
| | | | | | | | | | | | |
|care. To- ward this goal, the committee presents a comprehensive strategy and
| | | | | | | | | | | |
action plan for the coming decade.
| | | | |
- Six aims for improvement
| | | | |
- ten rules for redesign
| | | |
Crossing the quality chasm 6 aims outcomes - CORRECT ANSWER✔✔--Safe (avoid
| | | | | | | | | |
injuries)
|
-Effective (scientific based care) | | |
-Patient centered : patient values guide all clinical decisions
| | | | | | | |
-Timely : reducing waits and sometimes harmful delays for both those who
| | | | | | | | | | | |
receive and those who give care | | | | |
-Efficient ( avoid waste of equipment, supplies, ideas and energy
| | | | | | | | |
-Equitable ( care should be available to all people equally)
| | | | | | | | |
Crossing the Quality Chasm steps to outcomes - CORRECT ANSWER✔✔-
| | | | | | | | |
Supportive payment and regulatory environment --> organizations that facilitate
| | | | | | | | |
the work of patient-centered teams ---> high performing patient-centered teams
| | | | | | | | |
--> outcomes:
| |
10 rules to redesign- what we want to achieve - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Reengineered care |
electronics
, Knowledge and skills management
| | |
Development of effective teams | | |
Coordination of care across patient-conditions, services, sites of care over time
| | | | | | | | | |
Institute of Medicine 10 rules of redesign - CORRECT ANSWER✔✔-- 24/7 care
| | | | | | | | | | | |
- customized
| |
- transparency
| |
- coordination
| |
- patient in control
| | | |
- reduction of waste
| | | |
-anticipation |
- evidence based
| |
- free flow of knowledge
| | | |
- safety
|
The first steps to closing the health gap - CORRECT ANSWER✔✔-- congress
| | | | | | | | | | | |
should establish a health care quality innovation fund
| | | | | | | |
- immediate attention on developing care processes for the common health
| | | | | | | | | | |
conditions, most of them chronic
| | | |
- changing the environment surrounding health care delivery
| | | | | | |
Changing the environment around health care delivery - CORRECT ANSWER✔✔-
| | | | | | | | |
redesigning the health care delivery system also will require changing the
| | | | | | | | | | |
structure and processes of the environment in which health professionals and
| | | | | | | | | | |
organizations function (4 main areas) | | | |
Complete Solutions
Why has the US health care system failed to provide consistent high quality care?
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-The increase in science and technology over the past
| | | | | | | | | | | |
half-century has made the health care system too complex; more to know, more
| | | | | | | | | | | | |
to do, more to manage, more to watch, and more people involved than ever
| | | | | | | | | | | | | |
before
Americans are living longer - increase in incidence and prevalence of chronic
| | | | | | | | | | | |
conditions, but todays health care system is too focuses on dealing with acute,
| | | | | | | | | | | | |
episodic care needs | |
- Health care delivery system is also poorly organized and overly complex:
| | | | | | | | | | | |
cumbersome processes waste resources; leave unaccountable voids in coverage;
| | | | | | | | |
lead to loss of information and a failure to build on the strengths of all health
| | | | | | | | | | | | | | | |
professionals involved to ensure that care is appropriate, timely and safe.
| | | | | | | | | | |
--- This is causing the quality chasm
| | | | | |
Health care highest aims: - CORRECT ANSWER✔✔-Care that increases optimal
| | | | | | | | | |
health outcomes for patients | | |
Care supported by most current science
| | | | |
To Err is Human - CORRECT ANSWER✔✔-IOM challenged the healthcare system
| | | | | | | | | | |
to focus on medical errors
| | | | |
found that majority of medical errors not due to recklessness of individuals- it
| | | | | | | | | | | | |
was an end result of flawed systems and flawed processes and conditions
| | | | | | | | | | | |
4 tier approach
| |
,Institute of Medicine Report Crossing the Quality Chasm - CORRECT
| | | | | | | | | |
ANSWER✔✔-- Crossing the Quality Chasm focuses more broadly on how the | | | | | | | | | | |
health sys tem can be reinvented to foster innovation and improve the delivery of
| | | | | | | | | | | | |
|care. To- ward this goal, the committee presents a comprehensive strategy and
| | | | | | | | | | | |
action plan for the coming decade.
| | | | |
- Six aims for improvement
| | | | |
- ten rules for redesign
| | | |
Crossing the quality chasm 6 aims outcomes - CORRECT ANSWER✔✔--Safe (avoid
| | | | | | | | | |
injuries)
|
-Effective (scientific based care) | | |
-Patient centered : patient values guide all clinical decisions
| | | | | | | |
-Timely : reducing waits and sometimes harmful delays for both those who
| | | | | | | | | | | |
receive and those who give care | | | | |
-Efficient ( avoid waste of equipment, supplies, ideas and energy
| | | | | | | | |
-Equitable ( care should be available to all people equally)
| | | | | | | | |
Crossing the Quality Chasm steps to outcomes - CORRECT ANSWER✔✔-
| | | | | | | | |
Supportive payment and regulatory environment --> organizations that facilitate
| | | | | | | | |
the work of patient-centered teams ---> high performing patient-centered teams
| | | | | | | | |
--> outcomes:
| |
10 rules to redesign- what we want to achieve - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Reengineered care |
electronics
, Knowledge and skills management
| | |
Development of effective teams | | |
Coordination of care across patient-conditions, services, sites of care over time
| | | | | | | | | |
Institute of Medicine 10 rules of redesign - CORRECT ANSWER✔✔-- 24/7 care
| | | | | | | | | | | |
- customized
| |
- transparency
| |
- coordination
| |
- patient in control
| | | |
- reduction of waste
| | | |
-anticipation |
- evidence based
| |
- free flow of knowledge
| | | |
- safety
|
The first steps to closing the health gap - CORRECT ANSWER✔✔-- congress
| | | | | | | | | | | |
should establish a health care quality innovation fund
| | | | | | | |
- immediate attention on developing care processes for the common health
| | | | | | | | | | |
conditions, most of them chronic
| | | |
- changing the environment surrounding health care delivery
| | | | | | |
Changing the environment around health care delivery - CORRECT ANSWER✔✔-
| | | | | | | | |
redesigning the health care delivery system also will require changing the
| | | | | | | | | | |
structure and processes of the environment in which health professionals and
| | | | | | | | | | |
organizations function (4 main areas) | | | |
