BCPS Healthcare Systems and
Population Health Exam 100% Correct!!
Quality assurance vs quality improvement - ANSWERQA - punishes individuals for errors, quality
control, perfection of HCPs
QI - focuses on risk of medical errors
What caused the shift to QI - ANSWERTo Err is Human, Crossing the Quality Chasm
5 principles of QI - ANSWER1. focus on system and team as contributors to medical errors
2. recognize fallibility of humans
3. evaluates errors as learning opportunities
4. checks and balances to support individuals to prevent errors
5. errors reviewed by piers to prevent future errors
Demiings 14 points for QI - ANSWER1. constancy of purpose towards improvement - long term
planning vs short term reaction
2. adopt new philosophy
3. cease dependence on inspection (reduce variation)
4. single supplier (reduce variation)
, 5. improve constantly and forever
6. on the job training
7. institute leadership (not supervision)
8. drive out fear
9. break down barriers b/w departments
10. eliminate slogans
11. eliminate mgmt by objectives
12. remove barriers to pride of workmanship
13. eduction and self improvement
14. transformation is everyones job
What is the model for improvement - ANSWERtest changes through plan - do - study - act cycle
where improvement changes evaluated for effectiveness prior to adoption by entire org
(others 6 stigma and lean)
10 essential tools for QI - ANSWER1. cause and effect diagram
2. driver diagram
3. failure mode and effects analysis (FMEA)
4. flowchart
5. histogram
Population Health Exam 100% Correct!!
Quality assurance vs quality improvement - ANSWERQA - punishes individuals for errors, quality
control, perfection of HCPs
QI - focuses on risk of medical errors
What caused the shift to QI - ANSWERTo Err is Human, Crossing the Quality Chasm
5 principles of QI - ANSWER1. focus on system and team as contributors to medical errors
2. recognize fallibility of humans
3. evaluates errors as learning opportunities
4. checks and balances to support individuals to prevent errors
5. errors reviewed by piers to prevent future errors
Demiings 14 points for QI - ANSWER1. constancy of purpose towards improvement - long term
planning vs short term reaction
2. adopt new philosophy
3. cease dependence on inspection (reduce variation)
4. single supplier (reduce variation)
, 5. improve constantly and forever
6. on the job training
7. institute leadership (not supervision)
8. drive out fear
9. break down barriers b/w departments
10. eliminate slogans
11. eliminate mgmt by objectives
12. remove barriers to pride of workmanship
13. eduction and self improvement
14. transformation is everyones job
What is the model for improvement - ANSWERtest changes through plan - do - study - act cycle
where improvement changes evaluated for effectiveness prior to adoption by entire org
(others 6 stigma and lean)
10 essential tools for QI - ANSWER1. cause and effect diagram
2. driver diagram
3. failure mode and effects analysis (FMEA)
4. flowchart
5. histogram
