NRSG 444 (CM) Quality & Outcomes
Management Review Questions and
Correct Answers
What is care management? ✅Content of the NCLEX is organized into 4 major client
needs categories.
1. Safe and Effective Care Environment.
2. Health Promotion and Maintenance.
3. Psychosocial Integrity.
4. Physiological Integrity.
Safe and Effective Care Environment ✅Two subcategories:
Management of Care
Safety and Infection Control
What care management is ✅Advanced directives/self-determination
Life planning
Assignment, delegation, and supervision
Established priorities
Advocacy
Ethical practice
Case management
Informed consent
Client rights
Information technology
Collaboration with interdisciplinary team
Legal rights and responsibilities
Concepts of management
Organ donation
Confidentiality/information security
Performance improvement (quality improvement)
Quality ✅Quality is never an accident; it is always the result of high intention, sincere
effort, intelligent direction and skillful execution; it represents the wise choice of many
alternatives.
References ✅Review The Essence of Nursing
Found on D2L
5 recommended practices for quality ✅1. Create a focus on accountability for quality
and safety as part of a strong and just culture.
, 2. Ensure that protective structures are in place to encourage reporting of quality and
safety concerns.
3. Ensure comprehensive, transparent, accurate data collection and reporting to internal
and external oversight bodies.
4. Ensure effective responses to quality and safety concerns.
5. Faster teamwork and open communication and ensure effective oversight.
Just culture ✅Fair. Treating each patient as an individual with individualized care. Not
withholding any care.
Outcomes management ✅Managed care has changed health care perspective from
process oriented to outcomes oriented.
Driving forces of outcomes management ✅Accountable care organizations
Need for quality improvement
Financial incentives
Demand for information -> By consumers and accrediting agencies.
Outcomes ✅- Results obtained from interventions that are accomplished toward
patient care goals.
- Outcomes measures are indicators of effectiveness of healthcare providers (nursing
and medical).
- Quantifiable indicators that are assessed to ensure health care is provided safely, in a
timely manner, and by competent and compassionate providers, using the best
available evidence.
Outcomes cont. ✅- Results and consequences from the care received or resulting
from care that was not received.
- Adverse patient outcomes (APOs): any adverse patient occurrence that is not a
natural consequence of patient's disease process or the end-result of a procedure. ->
Severity ratings of outcomes separate acceptable and unacceptable ranges.
Effectiveness/Quality ✅Effectiveness cannot exist without quality. Likewise, quality
cannot exist without positive outcomes.
Donabedian's Quality Framework ✅Structure, Process, Outcomes.
Structure ✅Characteristics of institutions & providers
Process ✅What is done to the patient
Outcomes ✅What happens to the patient
Types of outcomes indicators measurements ✅-Staff satisfaction.
-Patient satisfaction. -> Usually measured after discharge.
Management Review Questions and
Correct Answers
What is care management? ✅Content of the NCLEX is organized into 4 major client
needs categories.
1. Safe and Effective Care Environment.
2. Health Promotion and Maintenance.
3. Psychosocial Integrity.
4. Physiological Integrity.
Safe and Effective Care Environment ✅Two subcategories:
Management of Care
Safety and Infection Control
What care management is ✅Advanced directives/self-determination
Life planning
Assignment, delegation, and supervision
Established priorities
Advocacy
Ethical practice
Case management
Informed consent
Client rights
Information technology
Collaboration with interdisciplinary team
Legal rights and responsibilities
Concepts of management
Organ donation
Confidentiality/information security
Performance improvement (quality improvement)
Quality ✅Quality is never an accident; it is always the result of high intention, sincere
effort, intelligent direction and skillful execution; it represents the wise choice of many
alternatives.
References ✅Review The Essence of Nursing
Found on D2L
5 recommended practices for quality ✅1. Create a focus on accountability for quality
and safety as part of a strong and just culture.
, 2. Ensure that protective structures are in place to encourage reporting of quality and
safety concerns.
3. Ensure comprehensive, transparent, accurate data collection and reporting to internal
and external oversight bodies.
4. Ensure effective responses to quality and safety concerns.
5. Faster teamwork and open communication and ensure effective oversight.
Just culture ✅Fair. Treating each patient as an individual with individualized care. Not
withholding any care.
Outcomes management ✅Managed care has changed health care perspective from
process oriented to outcomes oriented.
Driving forces of outcomes management ✅Accountable care organizations
Need for quality improvement
Financial incentives
Demand for information -> By consumers and accrediting agencies.
Outcomes ✅- Results obtained from interventions that are accomplished toward
patient care goals.
- Outcomes measures are indicators of effectiveness of healthcare providers (nursing
and medical).
- Quantifiable indicators that are assessed to ensure health care is provided safely, in a
timely manner, and by competent and compassionate providers, using the best
available evidence.
Outcomes cont. ✅- Results and consequences from the care received or resulting
from care that was not received.
- Adverse patient outcomes (APOs): any adverse patient occurrence that is not a
natural consequence of patient's disease process or the end-result of a procedure. ->
Severity ratings of outcomes separate acceptable and unacceptable ranges.
Effectiveness/Quality ✅Effectiveness cannot exist without quality. Likewise, quality
cannot exist without positive outcomes.
Donabedian's Quality Framework ✅Structure, Process, Outcomes.
Structure ✅Characteristics of institutions & providers
Process ✅What is done to the patient
Outcomes ✅What happens to the patient
Types of outcomes indicators measurements ✅-Staff satisfaction.
-Patient satisfaction. -> Usually measured after discharge.
