Quality Improvement EXAM with 100% correct answers already graded A+ 2024

What is quality? Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge Nurses can provide high-quality care by participating in _____ and _____. quality improvement and quality management What is quality improvement? systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups What are some examples of quality improvement? using advance directives following privacy laws striving to reduce errors What is quality management? evaluates medical and nursing processes for quality and effectiveness compared to accepted standards in order to correct problems before they are clients and to prevent errors in treatment aims to provide cost-effective care by preventing overuse, misuse, and underuse of medical resources Quality improvement affects what? physiological outcomes legal and ethical issues - clinical trials require legal consent and researchers must confirm that new treatment is ethical informatics system - to accurately record a client's medical history and results of diagnostic tests How can healthcare quality be improved? properly using advance directives following privacy laws striving to reduce errors What are the six aims for improving the healthcare system? safe effective patient-centered timely efficient equitable What are federal initiatives aimed at quality improvement in healthcare? US department of health and human services (USDHHS) American Medical Association American Nurses Association What are some programs and documents that aim to collect and provide data that identify areas for improvement? national database of nursing quality indicators Patient safety and quality (an evidence-based handbook for nurses) National patient safety goals (by the joint commission) What is the patient protection and affordable care act (PPACA or ACA)? changes implemented between 2010 and 2020 to make healthcare affordable for all Americans What is the national strategy for quality improvement in health care? - better care: improve the overall quality by making healthcare more client-centered, reliable, accessible, and safe - Healthy people/healthy communities: improve the health of the US population by supporting proven interventions to address behavioral, social, and environmental determinants of health in addition to delivering higher-quality care - Affordable Care: reduce the cost of quality health care What are the six priorities the National Quality Strategy focuses on? 1) make care safer by reducing harm caused in the delivery of care 2) ensure that each individual and family is engaged in their care 3) promote effective communication and coordination of care 4) promote the most effective prevention and treatment practices for the leading causes of mortality 5) work with communities to promote wide use of best practices to enable healthy living 6) make high-quality care more affordable for individuals, families, employers, and governments by developing and spreading new healthcare delivery models What does the ACA offer to states to help with affordable care? States can implement basic health programs, such as community health centers, for low-income adults and legal immigrants to provide at least the minimum essential benefits under the ACA Where does funding for state and local health programs come from? federal and state taxes What are the four regulations of community health centers (CHCs)? 1) serve a medically underserved area or population 2) provide comprehensive primary care (medical, dental, eye care, preventative and diagnostic services, education, translation services) 3) adjust fees and changes based on the client's ability to pay 4) governed by a board on which over half of the members are clients at the CHC Why must the CHC board consist of clients at the CHC? to keep the health center accountable to the population What do community health centers provide? high-quality care to uninsured and underinsured services (regular checkups, preventive services, as needed care) at a reduced cost Quality improvement is a _____, ____, ______ process. continuous, multistep, multilevel Quality improvement analyzes current ______ and their associated _______. protocols; outcomes How does benchmarking work? Compares outcomes to leaders in high-quality care by: - identifying areas for improvement - researching factors that contribute to better outcomes - implementing changes to improve outcomes - analyzing client outcomes to determine effectiveness of change What is performance improvement? when quality improvement is directly linked to the performance of an individual, team, unit, or organization What is an intradisciplinary assessment? an assessment within a group of individuals who have similar positions within a healthcare system What is an intradisciplinary assessment important for? identifying areas of improvement at each level of care What are some things used for intradisciplinary and interdisciplinary assessments? peer reviews audit outcomes management What are peer reviews? professional critique a colleague's work based on predetermined standards How do peer reviews relate to nursing? nurses assess other nurses in a safe environment and can analyze complicated cases What is an audit? an examination of financial or medical records to verify accuracy and proper use by focusing on one (interdisciplinary) or multiple (interdisciplinary) disciplines What is a retrospective audit? performed after a client's discharge and evaluates the care provided to the one client with care provided to clients with similar conditions, and recommendations made to change procedures What is a concurrent audit? Performed while the client is still undergoing care and is used to evaluate adequacy of the nursing care and to determine if desired outcomes are being met What is outcomes management? it uses client experiences to