Management & Assurance Exam Tested
Questions With Revised Correct Detailed
Answers
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1. Basic common threads of Quality Management. - 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.
2. Abraham Flexner - ANSWER Quality should be measured.
3. E.A. Codman, MD - ANSWER Boston surgeon from the early 1900's was
a public health pioneer studying hospital outcomes to determine how they
could be improved.
4. Founded by E.A. Codman - ANSWER American College of Surgeons and
its Hospital Standardization Program
5. The American College of Surgeons eventually became this organization -
ANSWER The Joint Commission
6. E.A. Codman Award - ANSWER Given out by the Joint Commission for
the use of outcomes measures to advance the quality and safety of patient
care.
,7. In 1918 the American College of Surgeons began to address the fact that
patients did not feel comfortable with this concept. - ANSWER The
operation was a success but the patient died.
8. John Williamson, MD - ANSWER Recipient of the EA Codman Award in
2000 and is a leader in the field of health care outcomes research and its
implementation.
9. Outcomes Measures - ANSWER Help identify (prioritize) areas for
which measuring and analyzing the process are likely to lead to improved
outcomes.
10. When outcomes do not meet expectations it is appropriate to do this. -
ANSWER Measure the process producing the outcomes to improve
possibly substandard performance.
11. Avendis Donabedian, MD - ANSWER Brought modern quality
assurance techniques to modern medicine by emphasizing structure,
process, and outcome.
12. Walter Shewhart - ANSWER American physicist, engineer, and
statistician working in quality control. Developed the Shewhart cycle.
13. Renamed the Shewhart Cycle the PDCA Cycle. - ANSWER W. Edwards
Deming, MD
,14. Shewhart Cycle consists of the following four phases. - ANSWER Plan,
Do, Check, Act
15. PDCA approach is heavily emphasized in medicine because it embodies the
principles of this method. - ANSWER Scientific method.
16. W. Edwards Deming - ANSWER Introduced statistical processes to the
industrial quality process because he recognized the importance of having
accurate and meaningful information.
17.Deming's 14 Points for Management - 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. 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 workforce. 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 - eliminate quotas and substitute leadership/ eliminate
management by objective and 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 the
transformation.
18. Deming's Seven Deadly Diseases that interfere with achievement of
continuous improvement. - ANSWER 1. Lack of constancy 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.
19. Deming believed this had more impact on quality than the individuals
operating within this. - ANSWER The system.
20.Major proponent of statistical quality control. - ANSWER W. Edwards
Deming
Deming's two reasons for undesirable performance. - ANSWER Special Cause
and Common Cause
Special Cause - ANSWER Results from an unpredicted action on a system.
"Blips" on a control chart characterize these special causes to a system.
Common Cause - ANSWER Account for the majority of variations in
outcomes from a system - day-to-day variations within a system.
Helps keep the quality process focused on actual opportunities rather than
apparent opportunities for improvement. - ANSWER Statistical analysis
Selecting the proper statistical tool is key to allowing an organization to do this. -
ANSWER Meaningfully interpret data.