Reports of process measures to help leaders follow progress to assist with strategic planning -
Answers dashboard
Reports of outcomes measures to help leaders know what they have accomplished. - Answers
scorecards
Indicators that measure the attributes of the setting, such as number and qualifications of the
staff, adequacy of equipment and facilities, and adequacy of organizational policies and
procedures - Answers Structure indicators
Measure the actions by which services are provided, the things people or devices do, from
conducting appropriate tests, to making a diagnosis, to actually carrying out a treatment. -
Answers Process indicators
measure the actual results of care for patients and populations, including patient and family
satisfaction - Answers outcome indicators
process for involving personnel in planning and executing a continuous flow of improvements to
provide quality health care that meets or exceeds expectations. - Answers Performance
Improvement (PI)
Performance monitoring is outcomes driven. - Answers False
Performance improvement is something that is done periodically. - Answers False
An outcome indicator measures results of care provided to the patient. - Answers True
variation that is inherent within the system
(when a nurse takes a patients blood pressure) - Answers Common Cause Variation
variations caused by factors outside the system
(patient taking blood pressure medication and there is a substantial drop in the measurement.) -
Answers special cause variation
continuous search for opportunities for all processes to get better - Answers kaizen
Staff members adapt to change more readily when ____________. - Answers They have been part
of the decision.
In order to expedite basic performance improvement team functioning, the team should
_____________. - Answers Establish ground rules.
An agreement concerning attendance, time management, participation, communication,
decision making, documentation, room arrangements and cleanup, and so forth, that has been
, developed by PI team members at the initiation of the team's work - Answers ground rules
The _________ is ultimately responsible for quality improvement activities in an organization. -
Answers governing body
Which is the most important to guide the performance improvement teams' process? - Answers
Organizational Mission Statement
the process of reviewing and validating qualifications, granting professional or medical staff
membership and awarding delineated privileges - Answers Credentialing
A shared vision puts everyone, including the governing board, upper management, and
employees, on the same path to success. - Answers True
The board of directors has ultimate responsibility for ensuring the quality of the medical care
provided in the organization - Answers True
written description of the expected features or outcomes of a healthcare-related service. -
Answers standard
detailed step-by-step guides used by healthcare practitioners to make knowledge-based
decisions - Answers accreditation standards
detailed descriptions of the criteria healthcare organizations must fulfill in order to obtain and
maintain state licenses - Answers Licensure Requirements
systematically developed statements used to assist provider and patient decisions about
appropriate healthcare for specific clinical circumstances - Answers clinical guidelines
a federal agency established to improve the quality, safety, efficiency, and effectiveness of
health care for Americans
(most prominent organization involved in the development of patient care standards) - Answers
Agency for Healthcare Research and Quality (AHRQ)
ongoing review of clinical care to ensure the necessity and effectiveness of he services being
provided to the patient - Answers case management
integrating decision support systems and best practices in medicine rather than relying on
subjective information - Answers evidence-based medicine
an independent, not-for-profit organization that evaluates and accredits healthcare
organizations - Answers Joint Commission
unexpected occurrence involving death or serious injury
(medical errors, explosions or fires, and acts of violence) - Answers sentinel event