Reliability and Cost-quality connection in relation to Quality: - Answers the more you pay for
something, you expect it to be better--value, the product will be consistent and perform properly,
customers come back
safe - Answers reducing the risk of incidents harming patients
effective - Answers providing services and treatment based on research
patient-centered or resident-centered - Answers putting the patient in the center--needs and
values
timely - Answers how quickly patients receive the care they need
efficient - Answers getting the most out of available resources for valued healthcare
equitable - Answers delivering care that is high quality no matter an individual's characteristics
Which of the following is NOT one of the six (6) components of the Institute of Medicine (IOM)
quality of care criteria? - Answers a. equitable care/distribution of resources
b. care for residents/patients is both safe and effective
c. all actions are done in a patient-centered manner
d. concerns of efficiency in delivering care are not considered relevant
d. concerns of efficiency in delivering care are not considered relevant
Who are the Stakeholders in Quality Care? - Answers consumers (residents, family members)
providers (staff members, vendors)
purchasers
others (regulators)
Donald Berwick (IHI)--He wrote about his upcoming knee replacement and what he expected
from his providers. What did he include? - Answers Don't kill me
Do help me and don't hurt me
Don't make me feel helpless
Don't keep me waiting
, Don't waste resources--mine or anyone elses
overuse - Answers healthcare service that is provided even though there is no evidence that it
would help—related to defensive medicine
underuse - Answers a healthcare service that would have been beneficial, but is not
misuse/errors - Answers healthcare service that is not carried out properly
Shewhart - Answers was an American physicist, engineer, and statistician, sometimes known as
the father of statistical quality control (no variation) and also related to the Shewhart cycle
Deming - Answers learned Shewhart's methods and applied them, specialized in mathematical
physics, he helped develop the sampling techniques still used by the U.S. Department of the
Census and the Bureau of Labor Statistics—helped Japan manufacturing process
Juran - Answers he was an evangelist for quality and quality management, having written
several books on those subjects—more looking at the practical applications
quality planning - Answers identity who are the customers, determine the needs of those
customers, and develop a product that can respond to those needs
quality control - Answers Develop a process that is able to produce the product, keep that
process working well
quality improvement - Answers Prove that the process can produce the product under operating
conditions with minimal inspection---learn, optimize, refine, and adapt, transfer the process to
Operations
PDSA cycle - Answers Plan, Do, Study, Act
What are quality circles and how can they benefit healthcare? - Answers Small groups of similar
employees that meet regularly to plan and carry out process changes to improve quality,
productivity, and the work environment—meet on a regular basis
How can the implementation of quality circles be used to assist with healthcare improvement?
What members of staff do you think should be included? - Answers Front-line workers, (3-12
people) Input from those dealing with the individuals every day—more likely to go about the
process steps if you are part of those discussions as well
Accreditation - Answers Usually, a voluntary program in which trained external peer reviewers
evaluate a healthcare organization's compliance and compare it with pre-established
performance
licensure - Answers getting the legal right to practice or serve in a specific role—involuntary
certification - Answers a voluntary process by which a nongovernmental agency grants a time-