Chapter 18 Performance Management Health
Information Management Technology
Performance Management - answer-Process of comparing outcomes of an
organization, work unit, or employee against pre-established performance
plans&standards
Quality Indictators - answer-3 types- Standards in which patient is measured
to identify a level of performance for that standard
Structure Indicators - answer-Measures the attributes of healthcare setting #
of quals the staff has, adequacy of equipment & facilities, organizational
policies & procedures
Process Indicators - answer-Measures steps in a process & tasks people or
devices do, from conducting appropriate tests, to making a diagnosis, to
carrying out tx
Outcome Indicators - answer-Measure the actual results of care for patients
and populations including patient & family satisfaction
Internal customers - answer-Example employees
External customers - answer-Example people outside the organization for
whom it provides services 3rd party payers, department of health
Customers - answer-The focus of PI should be on
Dashboard - answer-Provides a real time process measure metrics in
consolidated format
Data - answer-Drives performance monitoring
An outcome indicator measures results of care provided to the patient -
answer-True
Outputs - answer-AKA outcomes of inputs into a system ie- output of the
admitting process is patients admission to the hospital
Systems thinking - answer-An objective of assessing work-related ideas &
processes with the goal of allowing people to uncover ineffective patterns of
behavior and thinking and then finding ways to make lasting improvement
, Common-cause variation - answer-The source of variation in a process that is
inherent within the process ie- nurse taking blood pressure varies in location
of BP cuff
Special-cause variation - answer-An unusual source of variation that occurs
OUTSIDE a process but affects it ie-patient dx with HTN & dr rx BP meds
change in BP measurement
Checksheet - answer-Data collection tool that records and compiles
observations or occurrences- list of categories & checkmarks are used
Data abstracts - answer-A defined and standardized set of data points or
elements common to a patient population that can be regularly identified in
the EHR of the population & coded for use & analysis in a database mgmnt
system
Time ladder - answer-Support the collection of data that must be oriented by
time; they specify intervals of time necessary to address the problem under
consideration listed down the right side of 1, 2, 3 columns
Statistics based modeling - answer-Use of analytical & graphical techniques
to assist in the display and interpretation of raw data ie- RUN CHART &
PROCESS & CONTROL CHART
Run chart - answer-Displays data points for a specific time frame to provide
info about performance measurement vs time line graph
Statistical process control chart - answer-Similar to a run chart but has
reference lines indicating UCL LCL
Benchmarking - answer-Compares an organization performance against that
of external standards
Flow chart - answer-Graphic tool that uses standard symbols to visually
display detailed information including time & distance of the sequential flow
of work of an individual or a product as it progresses through a process
Brainstorming - answer-Technique used to generate a large number of ideas
from a group encourages PI to think outside the box
Unstructured brainstorming - answer-Results in a free flow of ideas facilitator
writes the ideas on a chart or board
Structured brainstorming - answer-Team leader asks members to create
their own lists of ideas- can work individually or in groups
Information Management Technology
Performance Management - answer-Process of comparing outcomes of an
organization, work unit, or employee against pre-established performance
plans&standards
Quality Indictators - answer-3 types- Standards in which patient is measured
to identify a level of performance for that standard
Structure Indicators - answer-Measures the attributes of healthcare setting #
of quals the staff has, adequacy of equipment & facilities, organizational
policies & procedures
Process Indicators - answer-Measures steps in a process & tasks people or
devices do, from conducting appropriate tests, to making a diagnosis, to
carrying out tx
Outcome Indicators - answer-Measure the actual results of care for patients
and populations including patient & family satisfaction
Internal customers - answer-Example employees
External customers - answer-Example people outside the organization for
whom it provides services 3rd party payers, department of health
Customers - answer-The focus of PI should be on
Dashboard - answer-Provides a real time process measure metrics in
consolidated format
Data - answer-Drives performance monitoring
An outcome indicator measures results of care provided to the patient -
answer-True
Outputs - answer-AKA outcomes of inputs into a system ie- output of the
admitting process is patients admission to the hospital
Systems thinking - answer-An objective of assessing work-related ideas &
processes with the goal of allowing people to uncover ineffective patterns of
behavior and thinking and then finding ways to make lasting improvement
, Common-cause variation - answer-The source of variation in a process that is
inherent within the process ie- nurse taking blood pressure varies in location
of BP cuff
Special-cause variation - answer-An unusual source of variation that occurs
OUTSIDE a process but affects it ie-patient dx with HTN & dr rx BP meds
change in BP measurement
Checksheet - answer-Data collection tool that records and compiles
observations or occurrences- list of categories & checkmarks are used
Data abstracts - answer-A defined and standardized set of data points or
elements common to a patient population that can be regularly identified in
the EHR of the population & coded for use & analysis in a database mgmnt
system
Time ladder - answer-Support the collection of data that must be oriented by
time; they specify intervals of time necessary to address the problem under
consideration listed down the right side of 1, 2, 3 columns
Statistics based modeling - answer-Use of analytical & graphical techniques
to assist in the display and interpretation of raw data ie- RUN CHART &
PROCESS & CONTROL CHART
Run chart - answer-Displays data points for a specific time frame to provide
info about performance measurement vs time line graph
Statistical process control chart - answer-Similar to a run chart but has
reference lines indicating UCL LCL
Benchmarking - answer-Compares an organization performance against that
of external standards
Flow chart - answer-Graphic tool that uses standard symbols to visually
display detailed information including time & distance of the sequential flow
of work of an individual or a product as it progresses through a process
Brainstorming - answer-Technique used to generate a large number of ideas
from a group encourages PI to think outside the box
Unstructured brainstorming - answer-Results in a free flow of ideas facilitator
writes the ideas on a chart or board
Structured brainstorming - answer-Team leader asks members to create
their own lists of ideas- can work individually or in groups
