STUDY GUIDE FEATURING MOST TESTED QUESTIONS & EXPERT ANSWERS
What are Clinical pathways?
Structured multidisciplinary plans of care designed to support the implementation
of clinical guidelines and protocols. They can be viewed as algorithms in as much
as they offer a flowchart format of the decisions to be made and the care to be
provided for a given patient for a given condition in stepwise sequence
QA - Quality Assurance vs PI - Performance Improvement
QA is reactive and retrospective effort to examine why a facility failed to meet
certain standards. QA activities often end once the standard is met
PI is also called QI and is pro-active continuous study of processes with the intent
of preventing problems by identifying areas of opportunity and testing new
approaches to fix underlying causes of persistent problems. PI can make good
quality even better
,Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule
Hospital Acquired Conditions (HAC):
· Foreign Object Retained After Surgery
· Air Embolism
· Blood Incompatibility
· Stage III and IV Pressure Ulcers
· Falls and
Trauma o
Fractures o
Dislocations o
Intracranial
Injuries o
Crushing Injuries
o Burn o Other
Injuries
· Manifestations of Poor
Glycemic Control o Diabetic
Ketoacidosis o Nonketotic
, Hyperosmolar Coma o
Hypoglycemic Coma
o Secondary Diabetes with
Ketoacidosis o Secondary
Diabetes with Hyperosmolarity
· Catheter-Associated Urinary Tract Infection (UTI)
· Vascular Catheter-Associated Infection
· Surgical Site Infection, Mediastinitis, Following Coronary Artery Bypass Graft
(CABG):
· Surgical Site Infection Following Bariatric Surgery for Obesity
o Laparoscopic Gastric Bypass o
Gastroenterostomy
o Laparoscopic Gastric Restrictive
Surgery
· Surgical Site Infection Following Certain
Orthopedic Procedures o Spine o Neck o Shoulder
o Elbow
· Surgical Site Infection Following Cardiac Implantable Electronic Device (CIED)