HCAD 4351 APPLYING QUALITY
MANAGEMENT IN HEALTHCARE: A
SYSTEMS APPROACH. EXAM
QUESTIONS AND CORRECT ANSWERS.
VERIFIED 2025/2026.
Management decisions
shape how patients view the care they received. When can the quality of care a patient received
be more impactful than the actual medical care?
Evidence based medicine
has brought more clinical guidelines•
The additional guidelines mean that the patient may not receive the benefits of the best clinical
practices
Evidence based medicine benefits
This benefits the organization in terms of insurance reimbursements, clear validation for
medical decisions, and standardization of practice•
Focus on Managing Systems
Providing the medical service is a function of the employees• The type of service changes with
the health service organization, but the purpose is the same•
Managing System' purpose
Purpose, focus, and operating values can change the managerial choices made• Different levels
of management may change the perspective
Quality
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the degree to which health services for individuals and populations increase the likelihood of
desired health outcomes and are consistent with current professional knowledge
Institute of Medicine in 2001
Key components of quality care were identified by the Institute of Medicine in 2001
Quality of care
Safe, effective, patient centered, timely, efficient, and equitable
Related to quality
patient safety, the freedom from accidental or preventable injuries produced by medical care• A
bigger influence for health service managers can be their background and experiences• A nurse
manager may have seen where failed communication brought down a department, so she
chooses to focus on interpersonal skills, teamwork, and follow through
Shared Responsibilities forQuality•
Clinical and technical professionals—provide the medical care and produce the services•
Management
create and manage the structured system in which clinical and technical professionals work
What are Quality and Safety?
Donabedian (1970s) has changed the outlook forthe medical organization, how we measure
anddefine quality
measure and define quality
Technical components• & Interpersonal components•
Outcome-a change in a patient's current and future health status that can be attributed to
antecedent healthcare
3 ways to measure quality
Process of care -a set of activities that go on within and between practitioners and patients.
Structure- the relatively stable characteristics of the providers of care, of the tools and
resources, and of the physical and organizational settings
Outcome-a change in a patient's current and future health status that can be attributed to
antecedent healthcare
Measure of Quality " Childhood Immunizations
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
MANAGEMENT IN HEALTHCARE: A
SYSTEMS APPROACH. EXAM
QUESTIONS AND CORRECT ANSWERS.
VERIFIED 2025/2026.
Management decisions
shape how patients view the care they received. When can the quality of care a patient received
be more impactful than the actual medical care?
Evidence based medicine
has brought more clinical guidelines•
The additional guidelines mean that the patient may not receive the benefits of the best clinical
practices
Evidence based medicine benefits
This benefits the organization in terms of insurance reimbursements, clear validation for
medical decisions, and standardization of practice•
Focus on Managing Systems
Providing the medical service is a function of the employees• The type of service changes with
the health service organization, but the purpose is the same•
Managing System' purpose
Purpose, focus, and operating values can change the managerial choices made• Different levels
of management may change the perspective
Quality
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the degree to which health services for individuals and populations increase the likelihood of
desired health outcomes and are consistent with current professional knowledge
Institute of Medicine in 2001
Key components of quality care were identified by the Institute of Medicine in 2001
Quality of care
Safe, effective, patient centered, timely, efficient, and equitable
Related to quality
patient safety, the freedom from accidental or preventable injuries produced by medical care• A
bigger influence for health service managers can be their background and experiences• A nurse
manager may have seen where failed communication brought down a department, so she
chooses to focus on interpersonal skills, teamwork, and follow through
Shared Responsibilities forQuality•
Clinical and technical professionals—provide the medical care and produce the services•
Management
create and manage the structured system in which clinical and technical professionals work
What are Quality and Safety?
Donabedian (1970s) has changed the outlook forthe medical organization, how we measure
anddefine quality
measure and define quality
Technical components• & Interpersonal components•
Outcome-a change in a patient's current and future health status that can be attributed to
antecedent healthcare
3 ways to measure quality
Process of care -a set of activities that go on within and between practitioners and patients.
Structure- the relatively stable characteristics of the providers of care, of the tools and
resources, and of the physical and organizational settings
Outcome-a change in a patient's current and future health status that can be attributed to
antecedent healthcare
Measure of Quality " Childhood Immunizations
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
