In regard to health disparities around the world, which of the following statements is most true? -
AnswersThe best answer is B and C.
Where a child is born and raised can significantly change the life expectancy. The root causes of this and
other health differences we see around the world are deeply complex and by no means begin or end in
the clinical setting.
Which of the following is a trend in modern health care across industrialized nations? - AnswersThe best
answer is A and C.
As medical information and technology increases, demand for complicated procedures is increasing, and
providers are becoming more and more specialized (and fragmented). The burden of disease is shifting
toward chronic conditions.
Which of the following countries has had a relatively inexpensive universal health insurance system for
more than 50 years? - Answersjapan
T or F: During the past 15 years, the cost of care has been a growing problem for many developed
nations. - AnswersTRUE
Which of the following statements is a reason for improving the US health care system? - Answersthe US
gov't and citizens alike are stuggling to afford the cost of health care
Why was it important for the institute of medicine (IOM) to develop its 6 aims for health care -
AnswersSo that health care organizations would have a better idea of what they needed to improve
Which of the IOM aims has this hospital FAILED to meet? - Answerstimely
The hospital where Michael is recovering reviews its patient satisfaction survey results in order to
improve its care and patient outcomes. Leaders poring over the data note that 90 to 100 percent of
patients rate staff as "excellent" in the following categories: listening, answering questions, being
friendly and courteous, and giving good advice based on specific needs and preferences. Which aim is
the hospital generally achieving? - Answerspatient-centered
Which of the following improvement efforts is the best example of increasing the effectiveness of care? -
AnswersImproving the percent of clinic patients achieving their goal blood pressure by instituting a
series of reminders for providers about evidence-based processes
Which of the following improvement efforts is the best example of increasing the equity of care? -
AnswersThrough staff development and weekly feedback, equalizing the likelihood that a patient will
receive pain medication regardless of race, ethnicity, or education
, When you are applying Deming's System of Profound Knowledge, which of the following statements is
true? - AnswersYou can't think about any one component of the System of Profound Knowledge
completely in isolation.
Which of the following is an essential component of systems thinking included in Deming's System of
Profound Knowledge? - AnswersPsychology
Which component of Deming's System of Profound Knowledge did the improvement team just harness?
- Answerstheory of knowledge
After three months of testing its improvement idea, the Transcendental team notices that infection
rates on one unit are much higher than any other unit. Frustrated, leadership decides to replace all the
providers on that unit except the three with the highest seniority. What is the likely outcome, and why?
- AnswersInfection rates will not change because the leaders have not changed the system of care.
Which of these questions is most strongly related to the "appreciation of a system" component of
Deming's System of Profound Knowledge? - AnswersWhat is the whole system that you're trying to
manage?
The Model for Improvement begins with three questions designed to clarify the following concepts: -
AnswersAims, measures, changes
Applying the Model for Improvement to the clinic's improvement goal, which of the following is the
most reasonable aim statement? - AnswersIncrease the number of patients reporting they are "very
satisfied" with the clinic's scheduling by 50 percent within six months.
What is the team's next step? - AnswersTest their change plan using the PDSA cycle.
The orthopedic clinic plans the change to improve scheduling, and then it carries out a small test of
change with three patients on Tuesday morning. What's the next thing the clinic's improvement team
should do? - Answersmeasure to see if the change left to improvement
When trying to improve a process, one reason to use PDSA cycles rather than a more traditional version
of the scientific method (such as a randomized, controlled trial) is that: - Answersboth B and C
PDSA cycles allow for rapid and frequent review of data and then adjusting the test of change based
upon those findings. For example, if a new guideline that's meant to improve pneumonia care isn't
working, PDSA cycles allow you to change the guideline quickly and test its efficacy, rather than waiting
until the end of a long study period.
Having a clear aim statement is important in quality improvement work because: - AnswersAim
statements provide a clear and specific goal for the organization to reach.