IHI QI 102 Exam Questions And Answers
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Which of the following statements is true? - Answer✔All of the above
The Model for Improvement is appropriate for all types of improvement efforts and has been
used successfully by thousands of health care organizations in many countries to improve a
variety of health care processes and outcomes. However, there are other useful models to guide
improvement out there. Studies have shown that it is more important for an organization to have
a standard road map to conduct improvement projects rather than have any specific framework.
Lean focuses on improving value from the customer's point of view, by reducing waste of time
and resources.
An orthopedic clinic in a busy metropolitan area would like to improve its patient scheduling
process. More specifically, the clinic wants to improve its efficiency and the satisfaction of its
patients.The orthopedic clinic plans the change to improve scheduling, and then it carries out a
small test of change with three patients on Tuesday morning.
What's the next thing the clinic's improvement team should do? - Answer✔Measure to see if the
change led to improvement.
The team has planned a test of change and now they've done the test. The team must now study
how the test went (the "S" part of the PDSA cycle). They can look at a mix of process measures
(such as how often appointments started on time) and outcome measures (such as how satisfied
the patients were with the new process).
An orthopedic clinic in a busy metropolitan area would like to improve its patient scheduling
process. More specifically, the clinic wants to improve its efficiency and the satisfaction of its
patients.
Applying the Model for Improvement to the clinic's improvement goal, which of the following is
the most reasonable aim statement? - Answer✔Increase the number of patients reporting they are
"very satisfied" with the clinic's scheduling by 50 percent within six months.
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An aim statement must specify "how good, by when." Improving patient satisfaction with
scheduling is a reasonable goal. Answer D is best described as an opportunity statement, as it
contains no specifics about how much the clinic must improve, nor by when. Answer C is more
of a "change" statement than an aim statement.
The Model for Improvement begins with three questions designed to clarify the following
concepts: - Answer✔Aims, measures, changes
The Model for Improvement begins with three fundamental questions about any given
improvement, designed to address the aim (what are we trying to accomplish?), the measures to
be used (how will we know a change is an improvement?) and the changes to be used (what
changes can we make that will result in an improvement?).
When trying to improve a process, one reason to use PDSA cycles rather than a more traditional
version of the scientific method (such as a randomized, controlled trial) is that: - Answer✔PDSA
cycles provide a mechanism to adjust improvement ideas as the project progresses.
PDSA cycles allow for rapid and frequent review of data and then adjusting the test of change
based upon those findings. For example, if a new guideline that's meant to improve pneumonia
care isn't working, PDSA cycles allow you to change the guideline quickly and test its efficacy,
rather than waiting until the end of a long study period.
An orthopedic clinic in a busy metropolitan area would like to improve its patient scheduling
process. More specifically, the clinic wants to improve its efficiency and the satisfaction of its
patients.After assembling a team and working through the three questions of the Model for
Improvement, the orthopedic clinic decides to implement an automated reminder phone call 24
hours prior to each clinical appointment. The clinic's improvement team hopes that this small
change will improve scheduling.
What is the team's next step? - Answer✔Test their change plan using the PDSA cycle.
Once you have worked through the first three questions of the Model for Improvement — the
questions about aims, measures, and changes — it's time to do a small test of change using the
PDSA cycle. The clinic should have already developed their measures, and now is not the time
for a break — because the hard work of improvement is just beginning!
Having a clear aim statement is important in quality improvement work because: - Answer✔Aim
statements provide a clear and specific goal for the team or organization to reach.
An aim statement should include the following: - Answer✔Numeric goals, specific time frame,
and the patient population or system affected
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