SCRIPT PRACTICE TEST WITH
PRACTICE QUESTION
SOLUTIONS
◉ Philip Crosby. Answer: He added financial consequences to
quality performance
Savings are generated by "doing things right the first time"
◉ Quality Mangt. QM. Answer: approaches to imporving
quality
emphasis on preventing errors, empowerment of employees,
improve performance, focus on supplier relationships
◉ Quality Assurance. Answer: addresses negative outcomes
( sentinel events). Hx punishment of peers
◉ Quality Improvement. Answer: improving on outcomes that
are consider satisfactory, get better.
Typically focus on process and systems, no individuals
◉ Continuous Quality Improvement. Answer: uses a systematic
process, enhance performance. Looks at processes, not
individual. ( ex laparoscopy, less hospt stay)
◉ Total quality management. Answer: uses QA, QI, CQM and
focuses on customer desire
◉ Sentinel Event. Answer: unexpected death, unrelated loss of
function, IP suicide, infant abduction, transfusion rxn, wrong
site surgery
◉ What is quality mgmt.? Answer: examine the process to
delivery of care, the outcomes measured
,◉ plan-do-check-act. Answer: Walter Shewhart
◉ Edward Deming. Answer: introduced statistical process to
improve quality
He recognized importance of having accurate and meaningful
infor to improve quality
◉ Demings 7 deadly diseases. Answer: lack of consistency,
emphasis on short term profits, eval of performanmce,job
hopping, excessive medical cost, excessive liability
◉ Joseph Juran. Answer: introduced Total Quality Control
◉ Root Cause Analysis. Answer: Analyzing a sentinel event,
must assess the culture.
◉ Credentialing. Answer: Key part of QM.Make sure the right
person , right knowledge in the right position
◉ Risk Mgt.. Answer: Focus on monetary loss by eliminating
negative outcomes. Includes insurance, pt satisfaction and legal
issues.. Improve documentation. Medical records analysis is
very helpful
Ultimate responsibility is the governing body of the hospital.
◉ UR. Answer: formal review of the consumption of all
resources in the delivery of care., Can be prospective,
concurrent or retrospective .Reduce resources to achieve the
same result.
◉ Infection Control. Answer: Focus on Outcomes, looks at
transmission of illness to providers, staff and visitors. Reduce
risk of future infection
, ◉ Outcome studies. Answer: important to analyze effectiveness.
Computer generated outcomes best. self report survey are
vulnerable to inaccuracy, single review least reliable.
◉ Peer review. Answer: An individual c similar training and the
one being reviewed.
1-chart rev
2-patterns
3- peer intervention
◉ PRO- peer review organization. Answer: 1972-82 was
physician controlled, nonprofit org that looked at Medicare IP,
Utilization and quality. Changed to PSRO in 1982 via the Tax
Equity and Fiscal Responsibility act
◉ QARI- quality assurance reform initiative. Answer: 1993- to
assist states develop QI systems, focus on clinical studies
◉ QISMC- quality improvement for system of Managed Care.
Answer: 1996-Federal govt formed as a guide for quality mgt,
esp for Medicare and Medicaid
-Designed to strengthen the efforts to protect and improve health
and satisfaction to Medicare and Medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
◉ BBA-balanced budget Act. Answer: 1997-comprehensive
revision of federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
◉ QIO-quality improvement Org. Answer: 2002-defined how
quality measurement and performance improvement should be
applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund