Quality and Performance Improvement| Verified Answers 100%
The Joint Commission has a standard stating that a hospital must plan and
design information management processes to meet _____________ information
needs. - ✔✔both internal and external
Referring to Case Study #2, which of the following ratios would you recommend?
Case Study #2
You are helping the nursing department to write indicators to determine
appropriate formulas for ratios and to determine data collection time frames. One
important aspect of care is the documentation of education of patients. More
specifically, the nursing department would like to assess its documentation of
education on colostomy care for patients with new colostomies. - ✔✔Number of
records with documentation of colostomy-care teaching
Total number of patients with new colostomy
The following legislation requires that patient-identifiable health information
remains confidential and protected against unauthorized disclosure, alteration, or
destruction. - ✔✔HIPAA Security Rule
What quality indicator would identify improvement needs in hospital electronic
transmission of health care claims and remittances to allow interoperability with
ICD-10 codes? - ✔✔an increase in 5010 rejections
The responsibility for performing quality monitoring and evaluation activities in a
departmentalized hospital is delegated to the - ✔✔clinical chairpersons of
medical staff committees or ancillary department directors.
A plaintiff must establish which burden of proof to recover damages for medical
negligence or malpractice?
1. A breach of the duty to care by the defendant.
2. Damages or injury resulted from the defendant's negligence.
3. A duty of care relationship between the defendant and patient.
4. Causation existed for harm to the plaintiff from the defendant's conduct. -
✔✔1, 2, 3, and 4
Which quality management theorist focused on the use of the PDCA cycle in
continuous clinical quality management improvement efforts? - ✔✔Deming
1
, The Institute of Medicine (IOM) published report titled To Err Is Human: Building
a Safer Health System, heightened concern by the U.S. government and
accrediting agencies. This led the Joint Commission to place emphasis on
improving patient safety and sentinel event occurrences through its safety
program, known as - ✔✔National Patient Safety Goals (NPSG).
The Joint Commission recently surveyed an acute care hospital. The hospital just
received the survey report and the accreditation decision. Which of the following
categories should the hospital leaders address first? - ✔✔Requirements for
Improvement
In quality review activities, departments are directed to focus on clinical
processes that are - ✔✔high risk.
According to current theory in the quality management field, should concurrent
data collection or retrospective data collection be utilized? - ✔✔Concurrent and
retrospective data collection methods are both necessary in order to effect
meaningful interventions and contain costs.
You sit on the quality improvement team for the Nursing department that meets
to generate ideas to address verbal order documentation problems about the
"Read Back Verbal Order" policy. What QI tool would prove useful in sharing
input and various recommendations for solving this problem? - ✔✔brainstorming
When the policy and procedures manual no longer reflect current practices, it
creates a situation that becomes a risk management issue because - ✔✔policy
and procedures should represent the normal course of business
Which quality management theorist believed in the contrasting views of Theory X
(presumed that workers disliked work) and Theory Y (assumed that under the
right conditions, people would seek responsibility and be creative)? - ✔✔Douglas
McGregor
A histogram is a valuable tool for representing - ✔✔a frequency distribution with
continuous-interval data.
Referring to Case Study #2, what would be the most cost-effective and
appropriate data collection time frame?
Case Study #2
You are helping the nursing department to write indicators to determine
appropriate formulas for ratios and to determine data collection time frames. One
important aspect of care is the documentation of education of patients. More
2
The Joint Commission has a standard stating that a hospital must plan and
design information management processes to meet _____________ information
needs. - ✔✔both internal and external
Referring to Case Study #2, which of the following ratios would you recommend?
Case Study #2
You are helping the nursing department to write indicators to determine
appropriate formulas for ratios and to determine data collection time frames. One
important aspect of care is the documentation of education of patients. More
specifically, the nursing department would like to assess its documentation of
education on colostomy care for patients with new colostomies. - ✔✔Number of
records with documentation of colostomy-care teaching
Total number of patients with new colostomy
The following legislation requires that patient-identifiable health information
remains confidential and protected against unauthorized disclosure, alteration, or
destruction. - ✔✔HIPAA Security Rule
What quality indicator would identify improvement needs in hospital electronic
transmission of health care claims and remittances to allow interoperability with
ICD-10 codes? - ✔✔an increase in 5010 rejections
The responsibility for performing quality monitoring and evaluation activities in a
departmentalized hospital is delegated to the - ✔✔clinical chairpersons of
medical staff committees or ancillary department directors.
A plaintiff must establish which burden of proof to recover damages for medical
negligence or malpractice?
1. A breach of the duty to care by the defendant.
2. Damages or injury resulted from the defendant's negligence.
3. A duty of care relationship between the defendant and patient.
4. Causation existed for harm to the plaintiff from the defendant's conduct. -
✔✔1, 2, 3, and 4
Which quality management theorist focused on the use of the PDCA cycle in
continuous clinical quality management improvement efforts? - ✔✔Deming
1
, The Institute of Medicine (IOM) published report titled To Err Is Human: Building
a Safer Health System, heightened concern by the U.S. government and
accrediting agencies. This led the Joint Commission to place emphasis on
improving patient safety and sentinel event occurrences through its safety
program, known as - ✔✔National Patient Safety Goals (NPSG).
The Joint Commission recently surveyed an acute care hospital. The hospital just
received the survey report and the accreditation decision. Which of the following
categories should the hospital leaders address first? - ✔✔Requirements for
Improvement
In quality review activities, departments are directed to focus on clinical
processes that are - ✔✔high risk.
According to current theory in the quality management field, should concurrent
data collection or retrospective data collection be utilized? - ✔✔Concurrent and
retrospective data collection methods are both necessary in order to effect
meaningful interventions and contain costs.
You sit on the quality improvement team for the Nursing department that meets
to generate ideas to address verbal order documentation problems about the
"Read Back Verbal Order" policy. What QI tool would prove useful in sharing
input and various recommendations for solving this problem? - ✔✔brainstorming
When the policy and procedures manual no longer reflect current practices, it
creates a situation that becomes a risk management issue because - ✔✔policy
and procedures should represent the normal course of business
Which quality management theorist believed in the contrasting views of Theory X
(presumed that workers disliked work) and Theory Y (assumed that under the
right conditions, people would seek responsibility and be creative)? - ✔✔Douglas
McGregor
A histogram is a valuable tool for representing - ✔✔a frequency distribution with
continuous-interval data.
Referring to Case Study #2, what would be the most cost-effective and
appropriate data collection time frame?
Case Study #2
You are helping the nursing department to write indicators to determine
appropriate formulas for ratios and to determine data collection time frames. One
important aspect of care is the documentation of education of patients. More
2
