ABQAURP 2024 MOST RECENT UPDATE QUESTIONS
AND VERIFIED CORRECT ANSWERS GRADE A+ GET
100% IT RIGHT
Quality Mangt. QM
approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance,
focus on supplier relationships
Quality Assurance
addresses negative outcomes ( sentinel events). Hx punishment of peers
Quality Improvement
improving on outcomes that are consider satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement
uses a systematic process, enhance performance. Looks at processes, not individual. (
ex laparoscopy, less hospt stay)
how is quality defined?
no errors, degree of excellence, do the right thing and do it well. Meeting customers
expectations, exceed expectations.
What is quality mgmt.?
examine the process to delivery of care, the outcomes measured
plan-do-check-act
Walter Shewhart
Edward Deming
introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases
lack of consistency, emphasis on short term profits, eval of performanmce,job hopping,
excessive medical cost, excessive liability
Joseph Juran
introduced Total Quality Control
Philip Crosby
He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Total quality management
uses QA, QI, CQM and focuses on customer desire
Sentinel Event
unexpected death, unrelated loss of function, IP suicide, infant abduction, transfusion
rxn, wrong site surgery
Root Cause Analysis
Analyzing a sentinel event, must assess the culture.
Credentialing
Key part of QM.Make sure the right person , right knowledge in the right position
Risk Mgt.
,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
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
Focus on Outcomes, looks at transmission of illness to providers, staff and visitors.
Reduce risk of future infection
Outcome studies
important to analyze effectiveness. Computer generated outcomes best. self report
survey are vulnerable to inaccuracy, single review least reliable.
Peer review
An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization
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
1993- to assist states develop QI systems, focus on clinical studies
QISMC- quality improvement for system of Managed Care
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
1997-comprehensive revision of federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
QIO-quality improvement Org
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
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
PQRI-physician quality reporting Initiative
2006-The Tax Relief and health Care Act 2006 authorized implementation of a
physician reporting system, Financial incentive.
APSF- anesthesia patient safety foundation
, First org to develop just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
IHI- institute for Healthcare improvement
1988- founded by Berwick and Batalden
-focus on all aspects of quality, esp safety
Adverse Events- stats:
1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Dr, Lucian Leape
"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
JC-joint commision
1990- only accrediting body for hosp and other health care org in US
NPSF-national pt safety foundation
1997-indep nonprofit org to support change in pt safety
modeled after APSF
IOM-Institute of Medicine
1998-effforts to assess and improve the quality of medicine
"to Err is Human: Building a safer health system" consider to be required reading
anyone interested in pt safety.
-claimed 44k-98K Americans die each year d/t error
Active Error
whose effects are felt immediately
-sharp end
Latent error
-lie dormant within the system, combines c other factors to breach systems defenses.
-blunt end
-to discover and neutralize a latent error will have greater impact on pt safety
Swiss Cheese Model
Certain risk that will fall through multiple defenses to reach the pt cause harm
-minimize error, make multiple defenses make the harm potential low
John Williamson
best means to assess quality of care is through measuarable outcomes
Avedis Donabedian MD
Brought modern quality assurance techniques to modern medicine.
Medicare Prescription Drug and Improvement and Modernization Act 2003
Projected focused on DM and CHF, target 5% savings
Failure, no savings. Noted lack of care coordination.
Demand Mgt
24 h hotlines and triage service
Provider Profiling
AND VERIFIED CORRECT ANSWERS GRADE A+ GET
100% IT RIGHT
Quality Mangt. QM
approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance,
focus on supplier relationships
Quality Assurance
addresses negative outcomes ( sentinel events). Hx punishment of peers
Quality Improvement
improving on outcomes that are consider satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement
uses a systematic process, enhance performance. Looks at processes, not individual. (
ex laparoscopy, less hospt stay)
how is quality defined?
no errors, degree of excellence, do the right thing and do it well. Meeting customers
expectations, exceed expectations.
What is quality mgmt.?
examine the process to delivery of care, the outcomes measured
plan-do-check-act
Walter Shewhart
Edward Deming
introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases
lack of consistency, emphasis on short term profits, eval of performanmce,job hopping,
excessive medical cost, excessive liability
Joseph Juran
introduced Total Quality Control
Philip Crosby
He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Total quality management
uses QA, QI, CQM and focuses on customer desire
Sentinel Event
unexpected death, unrelated loss of function, IP suicide, infant abduction, transfusion
rxn, wrong site surgery
Root Cause Analysis
Analyzing a sentinel event, must assess the culture.
Credentialing
Key part of QM.Make sure the right person , right knowledge in the right position
Risk Mgt.
,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
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
Focus on Outcomes, looks at transmission of illness to providers, staff and visitors.
Reduce risk of future infection
Outcome studies
important to analyze effectiveness. Computer generated outcomes best. self report
survey are vulnerable to inaccuracy, single review least reliable.
Peer review
An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization
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
1993- to assist states develop QI systems, focus on clinical studies
QISMC- quality improvement for system of Managed Care
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
1997-comprehensive revision of federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
QIO-quality improvement Org
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
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
PQRI-physician quality reporting Initiative
2006-The Tax Relief and health Care Act 2006 authorized implementation of a
physician reporting system, Financial incentive.
APSF- anesthesia patient safety foundation
, First org to develop just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
IHI- institute for Healthcare improvement
1988- founded by Berwick and Batalden
-focus on all aspects of quality, esp safety
Adverse Events- stats:
1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Dr, Lucian Leape
"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
JC-joint commision
1990- only accrediting body for hosp and other health care org in US
NPSF-national pt safety foundation
1997-indep nonprofit org to support change in pt safety
modeled after APSF
IOM-Institute of Medicine
1998-effforts to assess and improve the quality of medicine
"to Err is Human: Building a safer health system" consider to be required reading
anyone interested in pt safety.
-claimed 44k-98K Americans die each year d/t error
Active Error
whose effects are felt immediately
-sharp end
Latent error
-lie dormant within the system, combines c other factors to breach systems defenses.
-blunt end
-to discover and neutralize a latent error will have greater impact on pt safety
Swiss Cheese Model
Certain risk that will fall through multiple defenses to reach the pt cause harm
-minimize error, make multiple defenses make the harm potential low
John Williamson
best means to assess quality of care is through measuarable outcomes
Avedis Donabedian MD
Brought modern quality assurance techniques to modern medicine.
Medicare Prescription Drug and Improvement and Modernization Act 2003
Projected focused on DM and CHF, target 5% savings
Failure, no savings. Noted lack of care coordination.
Demand Mgt
24 h hotlines and triage service
Provider Profiling
