c157 Complete Questions and Answers(Latest Update 2024)

c157 Complete Questions and Answers(Latest Update 2024) Quality Improvement assumes that... - ANSWER Problems with service delivery results from process difficulties, not individuals. Quality in QI refers to - ANSWER Characteristics of a product or service that bear on its ability to satisfy stated or implied needs The major difference between traditional "quality assurance" activities (e.g., keeping track of the total number of different procedures conducted in your practice, rates of adverse outcomes) and "quality improvement" activities is that quality improvement also focuses on: - ANSWER Systems and processes Effective quality improvement does not require - ANSWER An increased emphasis on inspection of individuals work. A leadership style that is said to motivate employees, and that optimizes the introduction of change is: - ANSWER Participatory - An approach where leaders interact with other participants as peers, engaging them in the decision-making process and playing an equal role in the process as others and jointly carrying out the problem solving activities. Which representatives of a CV practice should be included on a quality improvement team to implement a new practice - ANSWER All staff directly affected by the quality improvement practice to be implemented. When is it appropriate to collect and use data - ANSWER 1. Before the QI project, to prove a problem exists. 2. During the QI project, to answer questions about the cause and help prioritize the implementation of improvements. 3. After the implementation of the improvement to maintain the gain Which of the following concerns would be best solved by a QI team? a. A computer systems issue with linking the clinical database to the hospital ADT system. b. A discipline issue with a problem employee. c. An individual customer complaint regarding lengthy wait time. d. A financial variance in cost per left heart cath procedure over the past 6 months. - ANSWER d. A financial variance in cost per left heart cath procedure over the past 6 months. The first step in problem solving is to - ANSWER Define the problem issue After assessing current work flow and processes, a clinical team presumes that a delay can occur anywhere along the process of their tasks. Data is inadequate at this point to identify a particular time of day, day of week, type of patient, and/or step in the process that is largely responsible for the delays. Further data collection is necessary. What should the team "product" be for the next meeting? a. A prioritization matrix. b. A finalized data collection tool and instruction sheet for implementation. c. A list of questions to be answered and a draft data collection tool. d. A listing of possible solutions. - ANSWER C. A list of questions to be answered and a draft data collection tool. As a building block for determining whether or not quality has been improved, the use of basic descriptive statistics in applying QI is critical. Which of the following is not a strictly quantitative description of the basic features of a study? a. Mean data values. b. Frequency counts. c. Hospital ratings. d. Standard deviations. - ANSWER C. Hospital ratings Of the following, two statistics are essential for identifying opportunities for performance improvement. These are: a. Frequency counts and modes. b. Variance and distributions. c. Mean and median values. d. Data ranges and standard deviations - ANSWER B. Variance and distributions Comparisons of your data against the top performers in your region/industry describe the process(es) of: - ANSWER External benchmarking Benchmarking creates objective measures of performance that are based on - ANSWER a. Past performance targets within an organization. b. Performance of a competing external organization. c. Some external universal performance target established by the industry Most helpful in identifying a problem in a process that could benefit from a quality improvement strategy. - ANSWER Flow Charts A patient has a terminal illness. Against the family's wishes, the patient requests a "do not resuscitate" order. Which ethical principle supports the patient's decision - ANSWER Autonomy Which ethical conflict places the equitable access to health care against actions that produce the greatest good - ANSWER Justice vs. Utilitarianism Four strategies that promote staff empowerment - ANSWER 1. adopting a shared vision