ABQAURP EXAM QUESTIONS AND ANSWERS
Who initially decided quality should be measured - Answers -Abraham Flexner
Lead the founding of the Joint Commission - Answers -E.A. Codman
Brought modern quality assurance techniques to moder medicine - Answers -Avedis
Donabedian
Named the PDCA cycle - Answers -W. Edwards Deming
Developed the PDCA cycle - Answers -Walter Shewhart
Deming's seven diseases - Answers -1.) Lack of consistency of purpose
2.) Emphasis on short-term profits
3.) Evaluation of performance, merit rating or annual review
4.) Mobility of management (job hopping)
5.) management by use of "visible figures", with no consideration of unknowns or
unknowables
6.) Excessive medical costs
7.) Excessive liability costs
Deming's 14 points for management - Answers -1.) Create constancy 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. Supervision should aim to help people do a better job.
8.) Drive out fear so that everyone may work effectively.
9.) Break down barriers between departments.
10.) Eliminate slogans, exhortations and targets for the work force.
11.) Recognize that the cause of low quality and low productivity belongs to the system,
and thus lies beyond the power of the work force.
a. Eliminate quotas and substitute leadership.
b. Eliminate management by objective. Substitute leadership.
12.) Remove barriers to pride-of-workmanship.
13.) Institute a vigorous program of education and self-improvement.
14.) Put everyone to work to accomplish transformation.
, Deming's "Special Cause" - Answers -Unpredicted action on a system such as an
increased length of patient stay due to injuries sustained when hospital's roof collapses.
"Blips" on a control chart characterize these special causes
Deming's "Common Causes" - Answers -Day-to-day variations in a system
SPC charts are used to .... - Answers --Display data over time
-Picture trends over time
-Display upper and lower statistical limits
They help differentiate between special cause and common cause. Common cause
usually stay within the standard deviation lines. Special causes usually fall outside
Called either PI or QI: Quality Improvement role in Quality Management - Answers -
Seeks opportunities to improve care by improving outcomes that are currently
considered satisfactory: getting better at what's already being done
CQI - continuous quality improvement role in Quality Management - Answers -Builds on
previous improvements and uses a systematic process, including data analysis to
continuously enhance performance. E.g. repeatedly reducing turnaround times
TQM (Total Quality Management) role in Quality Management - Answers -
Encompasses the first three approaches (QA, QI, CQI) and adds the dimension of
organizational improvement and a focus on customer desires
Credentialing role in Quality Management - Answers -Assured the correct individual is
put in correct position. When only qualified competent individuals are involved;
variances in outcome may be reasonable investigated with the primary focus being on
the environment and systems in which qualified people work
Risk Management role in Quality Management - Answers -Focus on preventing
monetary loss by eliminating negative outcomes
Utilization Review role in Quality Management - Answers -Maine focus is on improving
already successful care by reducing the resources used to achieve the same results
Medical Records role in Quality Management - Answers -They are a primary source of
information. Must be understood to be either good records of good care, bad records of
good care, good records of bad care, or bad records of bad care.
Infection Control role in Quality Management - Answers -Focus on reducing risk of
Future infections
What is LEAN? - Answers -Approach developed in Japan focused on analysis of
processes that produce outcomes and eliminating steps that do not "add value"
Who initially decided quality should be measured - Answers -Abraham Flexner
Lead the founding of the Joint Commission - Answers -E.A. Codman
Brought modern quality assurance techniques to moder medicine - Answers -Avedis
Donabedian
Named the PDCA cycle - Answers -W. Edwards Deming
Developed the PDCA cycle - Answers -Walter Shewhart
Deming's seven diseases - Answers -1.) Lack of consistency of purpose
2.) Emphasis on short-term profits
3.) Evaluation of performance, merit rating or annual review
4.) Mobility of management (job hopping)
5.) management by use of "visible figures", with no consideration of unknowns or
unknowables
6.) Excessive medical costs
7.) Excessive liability costs
Deming's 14 points for management - Answers -1.) Create constancy 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. Supervision should aim to help people do a better job.
8.) Drive out fear so that everyone may work effectively.
9.) Break down barriers between departments.
10.) Eliminate slogans, exhortations and targets for the work force.
11.) Recognize that the cause of low quality and low productivity belongs to the system,
and thus lies beyond the power of the work force.
a. Eliminate quotas and substitute leadership.
b. Eliminate management by objective. Substitute leadership.
12.) Remove barriers to pride-of-workmanship.
13.) Institute a vigorous program of education and self-improvement.
14.) Put everyone to work to accomplish transformation.
, Deming's "Special Cause" - Answers -Unpredicted action on a system such as an
increased length of patient stay due to injuries sustained when hospital's roof collapses.
"Blips" on a control chart characterize these special causes
Deming's "Common Causes" - Answers -Day-to-day variations in a system
SPC charts are used to .... - Answers --Display data over time
-Picture trends over time
-Display upper and lower statistical limits
They help differentiate between special cause and common cause. Common cause
usually stay within the standard deviation lines. Special causes usually fall outside
Called either PI or QI: Quality Improvement role in Quality Management - Answers -
Seeks opportunities to improve care by improving outcomes that are currently
considered satisfactory: getting better at what's already being done
CQI - continuous quality improvement role in Quality Management - Answers -Builds on
previous improvements and uses a systematic process, including data analysis to
continuously enhance performance. E.g. repeatedly reducing turnaround times
TQM (Total Quality Management) role in Quality Management - Answers -
Encompasses the first three approaches (QA, QI, CQI) and adds the dimension of
organizational improvement and a focus on customer desires
Credentialing role in Quality Management - Answers -Assured the correct individual is
put in correct position. When only qualified competent individuals are involved;
variances in outcome may be reasonable investigated with the primary focus being on
the environment and systems in which qualified people work
Risk Management role in Quality Management - Answers -Focus on preventing
monetary loss by eliminating negative outcomes
Utilization Review role in Quality Management - Answers -Maine focus is on improving
already successful care by reducing the resources used to achieve the same results
Medical Records role in Quality Management - Answers -They are a primary source of
information. Must be understood to be either good records of good care, bad records of
good care, good records of bad care, or bad records of bad care.
Infection Control role in Quality Management - Answers -Focus on reducing risk of
Future infections
What is LEAN? - Answers -Approach developed in Japan focused on analysis of
processes that produce outcomes and eliminating steps that do not "add value"
