Nursing 1130 Exam 2 Test Questions
and All Correct/Verified Answers
2026/2027 Updated.
Why has the US health care system failed to provide consistent high-quality care? - Answer
The increase in science and technology over the past half-century has made the health care
system too complex; more to know, more to do, more to manage, more to watch, and more
people involved than ever before
Americans are living longer - increase in incidence and prevalence of chronic conditions, but
todays health care system is too focuses on dealing with acute, episodic care needs
- Health care delivery system is also poorly organized and overly complex: cumbersome
processes waste resources; leave unaccountable voids in coverage; lead to loss of information
and a failure to build on the strengths of all health professionals involved to ensure that care is
appropriate, timely and safe.
--- This is causing the quality chasm
Health care highest aims: - Answer Care that increases optimal health outcomes for patients
Care supported by most current science
To Err is Human - Answer IOM challenged the healthcare system to focus on medical errors
found that majority of medical errors not due to recklessness of individuals- it was an end result
of flawed systems and flawed processes and conditions
4 tier approach
Institute of Medicine Report Crossing the Quality Chasm - Answer - Crossing the Quality
Chasm focuses more broadly on how the health sys tem can be reinvented to foster innovation
and improve the delivery of care. To- ward this goal, the committee presents a comprehensive
strategy and action plan for the coming decade.
- Six aims for improvement
- ten rules for redesign
Crossing the quality chasm 6 aims outcomes - Answer -Safe (avoid injuries)
-Effective (scientific based care)
-Patient centered : patient values guide all clinical decisions
-Timely : reducing waits and sometimes harmful delays for both those who receive and those
who give care
-Efficient ( avoid waste of equipment, supplies, ideas and energy
-Equitable ( care should be available to all people equally)
, Crossing the Quality Chasm steps to outcomes - Answer Supportive payment and regulatory
environment --> organizations that facilitate the work of patient-centered teams ---> high
performing patient-centered teams --> outcomes:
10 rules to redesign- what we want to achieve - Answer Reengineered care
electronics
Knowledge and skills management
Development of effective teams
Coordination of care across patient-conditions, services, sites of care over time
Institute of Medicine 10 rules of redesign - Answer - 24/7 care
- customized
- transparency
- coordination
- patient in control
- reduction of waste
-anticipation
- evidence based
- free flow of knowledge
- safety
The first steps to closing the health gap - Answer - congress should establish a health care
quality innovation fund
- immediate attention on developing care processes for the common health conditions, most of
them chronic
- changing the environment surrounding health care delivery
Changing the environment around health care delivery - Answer redesigning the health care
delivery system also will require changing the structure and processes of the environment in
which health professionals and organizations function (4 main areas)
- applying evidence to health delivery
-using information technology (internet, apps, etc)
- aligning payment policies with quality improvement ( handle money better that would
increase patient health, not make people rich)
- preparing the workforce
and All Correct/Verified Answers
2026/2027 Updated.
Why has the US health care system failed to provide consistent high-quality care? - Answer
The increase in science and technology over the past half-century has made the health care
system too complex; more to know, more to do, more to manage, more to watch, and more
people involved than ever before
Americans are living longer - increase in incidence and prevalence of chronic conditions, but
todays health care system is too focuses on dealing with acute, episodic care needs
- Health care delivery system is also poorly organized and overly complex: cumbersome
processes waste resources; leave unaccountable voids in coverage; lead to loss of information
and a failure to build on the strengths of all health professionals involved to ensure that care is
appropriate, timely and safe.
--- This is causing the quality chasm
Health care highest aims: - Answer Care that increases optimal health outcomes for patients
Care supported by most current science
To Err is Human - Answer IOM challenged the healthcare system to focus on medical errors
found that majority of medical errors not due to recklessness of individuals- it was an end result
of flawed systems and flawed processes and conditions
4 tier approach
Institute of Medicine Report Crossing the Quality Chasm - Answer - Crossing the Quality
Chasm focuses more broadly on how the health sys tem can be reinvented to foster innovation
and improve the delivery of care. To- ward this goal, the committee presents a comprehensive
strategy and action plan for the coming decade.
- Six aims for improvement
- ten rules for redesign
Crossing the quality chasm 6 aims outcomes - Answer -Safe (avoid injuries)
-Effective (scientific based care)
-Patient centered : patient values guide all clinical decisions
-Timely : reducing waits and sometimes harmful delays for both those who receive and those
who give care
-Efficient ( avoid waste of equipment, supplies, ideas and energy
-Equitable ( care should be available to all people equally)
, Crossing the Quality Chasm steps to outcomes - Answer Supportive payment and regulatory
environment --> organizations that facilitate the work of patient-centered teams ---> high
performing patient-centered teams --> outcomes:
10 rules to redesign- what we want to achieve - Answer Reengineered care
electronics
Knowledge and skills management
Development of effective teams
Coordination of care across patient-conditions, services, sites of care over time
Institute of Medicine 10 rules of redesign - Answer - 24/7 care
- customized
- transparency
- coordination
- patient in control
- reduction of waste
-anticipation
- evidence based
- free flow of knowledge
- safety
The first steps to closing the health gap - Answer - congress should establish a health care
quality innovation fund
- immediate attention on developing care processes for the common health conditions, most of
them chronic
- changing the environment surrounding health care delivery
Changing the environment around health care delivery - Answer redesigning the health care
delivery system also will require changing the structure and processes of the environment in
which health professionals and organizations function (4 main areas)
- applying evidence to health delivery
-using information technology (internet, apps, etc)
- aligning payment policies with quality improvement ( handle money better that would
increase patient health, not make people rich)
- preparing the workforce
