D026 QUALITY OUTCOMES IN A CULTURE OF
VALUE BASED NURSING CARE
COMPREHENSIVE STUDY GUIDE
◉ Types of quality indicators are:
Answer: *clinical- pain management, level of function, re-
hospitilizations, morbidity rates, complications, etc
*financial- cost per case, cost per day, length of stay, etc
*productivity- wait times, length of stay, etc
* utilization- csection rate, incidental appendectomy in elderly,
appropriate level of care, etc
*quality- decub ulcer, foreign body left during procedure, hospital
acquired infection
*client experience- satisfaction and comfort.
◉ Delphi Technique
Answer: obtaining professional opinion for quality indicators. uses
series of questionnaires known as rounds to gather info. Rounds are
held until group consensus is reached. Many professionals in various
locations with diverse scopes of practice can be included.
◉ Quality Improvement Techniques (3)
, Answer: 1 Plan-Do-Study-Act (PDSA)- Plan stage identifies a process
with less than ideal outcomes. Do stage measures key performance
attributes. Study devises new approach, and Act stage integrates the
redesigned approach into process.
2. Six Sigma Approach- 5 step approach known by acronym DMAIC.
Define- define the step and goal. Measure- collect data for baseline.
Analyze- find root cause of inefficiencies and determine solutions to
overcome and group discussions used. Improve- develops and
implements methods to address deficiencies. During this stage a test
run is completed and feedback is analyzed. Control- metrics
developed to measure success of changes.
3. Lean approach- reducing waste to increase value. Non-value work
is identified and eliminated. Elimination of waste can increase value,
decrease cost, and create better experience.
◉ *Accredidation Standards and Requirements
Answer: Accreditation is voluntary and not required but it is
required to be eligible to receive reimbursement from Medicare,
Medicaid and 3rd party insurers. Accreditation measures the quality
of organizations. Examples are: URAC, joint commission,
commission on accreditation of rehab facilities (CARF), national
committee for quality assurance (NCQA), national quality forum
(NQF), and agency for healthcare research and quality (AHRQ)
◉ *Sources of Quality Indicators
Answer: below are the accrediting bodies and sources of quality
indicators case managers use.
VALUE BASED NURSING CARE
COMPREHENSIVE STUDY GUIDE
◉ Types of quality indicators are:
Answer: *clinical- pain management, level of function, re-
hospitilizations, morbidity rates, complications, etc
*financial- cost per case, cost per day, length of stay, etc
*productivity- wait times, length of stay, etc
* utilization- csection rate, incidental appendectomy in elderly,
appropriate level of care, etc
*quality- decub ulcer, foreign body left during procedure, hospital
acquired infection
*client experience- satisfaction and comfort.
◉ Delphi Technique
Answer: obtaining professional opinion for quality indicators. uses
series of questionnaires known as rounds to gather info. Rounds are
held until group consensus is reached. Many professionals in various
locations with diverse scopes of practice can be included.
◉ Quality Improvement Techniques (3)
, Answer: 1 Plan-Do-Study-Act (PDSA)- Plan stage identifies a process
with less than ideal outcomes. Do stage measures key performance
attributes. Study devises new approach, and Act stage integrates the
redesigned approach into process.
2. Six Sigma Approach- 5 step approach known by acronym DMAIC.
Define- define the step and goal. Measure- collect data for baseline.
Analyze- find root cause of inefficiencies and determine solutions to
overcome and group discussions used. Improve- develops and
implements methods to address deficiencies. During this stage a test
run is completed and feedback is analyzed. Control- metrics
developed to measure success of changes.
3. Lean approach- reducing waste to increase value. Non-value work
is identified and eliminated. Elimination of waste can increase value,
decrease cost, and create better experience.
◉ *Accredidation Standards and Requirements
Answer: Accreditation is voluntary and not required but it is
required to be eligible to receive reimbursement from Medicare,
Medicaid and 3rd party insurers. Accreditation measures the quality
of organizations. Examples are: URAC, joint commission,
commission on accreditation of rehab facilities (CARF), national
committee for quality assurance (NCQA), national quality forum
(NQF), and agency for healthcare research and quality (AHRQ)
◉ *Sources of Quality Indicators
Answer: below are the accrediting bodies and sources of quality
indicators case managers use.
