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Exam (elaborations)

HCQM – Quality Improvement, Management, & Assurance — HCQM, Graded A+ exam material

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This document covers HCQM exam material on quality improvement, quality management, and quality assurance in healthcare. It is designed as a study and assessment-preparation resource and is described as having received a graded A+ result.

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HCQM




HCQM - QUALITY IMPROVEMENT, MANAGEMENT, &
ASSURANCE EXAM GRADED A+




Basic common threads of Quality Management. - correct answer Examine
the processes leading to the delivery of care, the outcomes expected
from the care, and the degree to which the expected outcomes are
reached.


Abraham Flexner - correct answer Quality should be measured.


E.A. Codman, MD - correct answer Boston surgeon from the early 1900's
was a public health pioneer studying hospital outcomes to determine
how they could be improved.


Founded by E.A. Codman - correct answer American College of Surgeons
and its Hospital Standardization Program

,HCQM


The American College of Surgeons eventually became this organization -
correct answer The Joint Commission



E.A. Codman Award - correct answer Given out by the Joint Commission
for the use of outcomes measures to advance the quality and safety of
patient care.


In 1918 the American College of Surgeons began to address the fact
that patients did not feel comfortable with this concept. - correct answer
The operation was a success but the patient died.


John Williamson, MD - correct answer Recipient of the EA Codman Award
in 2000 and is a leader in the field of health care outcomes research and
its implementation.


Outcomes Measures - correct answer Help identify (prioritize) areas for
which measuring and analyzing the process are likely to lead to
improved outcomes.


When outcomes do not meet expectations it is appropriate to do this. -
correct answer Measure the process producing the outcomes to improve
possibly substandard performance.


Avendis Donabedian, MD - correct answer Brought modern quality
assurance techniques to modern medicine by emphasizing structure,
process, and outcome.

, HCQM




Walter Shewhart - correct answer American physicist, engineer, and
statistician working in quality control. Developed the Shewhart cycle.


Renamed the Shewhart Cycle the PDCA Cycle. - correct answer W.
Edwards Deming, MD


Shewhart Cycle consists of the following four phases. - correct answer
Plan, Do, Check, Act


PDCA approach is heavily emphasized in medicine because it embodies
the principles of this method. - correct answer Scientific method.


W. Edwards Deming - correct answer Introduced statistical processes to
the industrial quality process because he recognized the importance of
having accurate and meaningful information.


Deming's 14 Points for Management - correct answer 1. Create
consistency of purpose toward improvement of product and service,
with the aim to become competitive, stay in business and provide jobs.
2. Adopt the new philosophy. Management must take on leadership for
change. 3. Cease dependence on inspection to achieve quality. Build
quality into the product in the first place. 4. Move toward a single
supplier for any one item, creating a long-term relationship of loyalty
and trust. 5. Improve constantly and forever the system of production
and service. 6. Institute training on the job. 7. Institute leadership.

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