True/False: Quality in the healthcare system is what it should be. - Answers False
Which of the five important reports establishes the classification scheme of "overuse, underuse, and
misuse" to categorize quality defects? - Answers The National Roundtable on Health Care Quality's "The
Urgent Need to Improve Health Care Quality" (1998)
Which of the five important reports captured the attention of key stakeholders for the first time, framed
the problem in a way everyone could understand, and led to the identification of patient safety as a
solidifying force for policymakers, regulators, providers, and consumers? - Answers The Institute of
Medicine's (IOM) To Err Is Human (2000)
Which of the five important reports offers a new framework for a redesigned US healthcare system and
identifies six aims for improvement? - Answers IOM's Crossing the Quality Chasm (2001)
Which of the five important reports identifies areas and opportunities for improvement, highlights
progress that has been made, and aims to answer three questions:
(1) What is the status of healthcare quality and disparities in the United States? (2) How have healthcare
quality and disparities changed over time? (3) Where is the need to improve healthcare quality and
reduce disparities greatest? - Answers The Agency for Healthcare Research and Quality's (AHRQ)
National Healthcare Quality and Disparities Report
Which of the five important reports claims most people will experience at least one diagnostic error in
their lifetime and recommends that healthcare organizations involve patients and families in the
diagnosis process, develop health information technology to support the diagnostic process, and
establish a culture the embraces change? - Answers National Academies of Sciences, Engineering, and
Medicine's report on Improving Diagnosis in Health Care (2015)
Which of the following aims is not part of IOM's STEEP framework? - Answers Provider centered
Which aim was added to the triple aim to create the quadruple aim? - Answers Improving the work life
for clinicians and staff - Joy at Work
When evaluating care quality, which type of measure is defined by the focus on whether the goals of
care were achieved? - Answers Outcome
When evaluating care quality, which type of measure is defined by the focus on whether the goals of
care were achieved? - Answers Outcome
The phrases "quality improvement models" and "quality improvement tools refer to the same concepts.
- Answers False
What are the stages of the PDSA cycle? - Answers Plan, Do, Study, Act
Setting measurable aims is essential for any quality improvement effort. - Answers True
, Which two acronyms are used in the Six Sigma improvement framework models? - Answers DMAIC and
DMADV
Which framework for excellence uses the following criteria when evaluating applicants: leadership,
strategy, customers, measurement, analysis and knowledge management, workforce, operations, and
results. - Answers Baldrige
Which quality tool helps one understand why actual performance is lagging behind optimal performance
or benchmarks? - Answers All the above
Scatter diagrams and Pareto charts allow users to collect, review, and visualize data to help identify
correlations and patterns to help guide - Answers decisions
Process analysis allows a full understanding of an existing or proposed process but is not a vital step in
improvement. - Answers False
Which of the following is the heart of quality improvement? - Answers All of the above
key aspect of any quality improvement effort is the ability to _____ successes in other areas of the
organization. - Answers replicate
What are two important characteristics of an effective spread model? - Answers Both a and b
Variation that arises from a single or small set of causes that are not part of the event or process and can
be traced and identified and then implemented or eliminated is - Answers Assignable variation
In screening for colorectal cancer, clinicians may choose to use fecal occult blood testing,
sigmoidoscopy, colonoscopy, or some combination of these options. This is an example of - Answers
process variation
Important procedure characteristics that contribute to variation include - Answers All of the above
Wennberg's three categories of care are - Answers effective care, preference-sensitive care, and supply-
sensitive care.
The effects of unwarranted variation include which of the following? - Answers Both b and c
Researchers are comparing two regions: a large urban area with many hospitals and a rural area with
only one critical access hospital. They find that, in the urban area, which has many hospitals and many
MRI machines, MRIs are provided much more often for children with head injuries. What is the most
likely cause of this variation? - Answers Supply-sensitive care
Sources of unwarranted variation include which of the following? - Answers All of the above
Using patient-level data on clinical and demographic characteristics, as well as historical healthcare
resource utilization, to assign patients in a population to varying intensities of care coordination creates
which of the following? - Answers Warranted variation