ABQUARP UPDATED ACTUAL Exam
Questions and CORRECT Answers
how is quality defined? - CORRECT ANSWER -no errors, degree of excellence, do the
right thing and do it well. Meeting customers expectations, exceed expectations.
What is quality mgmt.? - CORRECT ANSWER -examine the process to delivery of care,
the outcomes measured
plan-do-check-act - CORRECT ANSWER -Walter Shewhart
Edward Deming - CORRECT ANSWER -introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - CORRECT ANSWER -lack of consistency, emphasis on
short term profits, eval of performanmce,job hopping, excessive medical cost, excessive liability
Joseph Juran - CORRECT ANSWER -introduced Total Quality Control
Philip Crosby - CORRECT ANSWER -He added financial consequences to quality
performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - CORRECT ANSWER -approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on
supplier relationships
Quality Assurance - CORRECT ANSWER -addresses negative outcomes ( sentinel
events). Hx punishment of peers
,Quality Improvement - CORRECT ANSWER -improving on outcomes that are consider
satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement - CORRECT ANSWER -uses a systematic process,
enhance performance. Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - CORRECT ANSWER -uses QA, QI, CQM and focuses on
customer desire
Sentinel Event - CORRECT ANSWER -unexpected death, unrelated loss of function, IP
suicide, infant abduction, transfusion rxn, wrong site surgery
Root Cause Analysis - CORRECT ANSWER -Analyzing a sentinel event, must assess the
culture.
Credentialing - CORRECT ANSWER -Key part of QM.Make sure the right person , right
knowledge in the right position
Risk Mgt. - CORRECT ANSWER -Focus on monetary loss by eliminating negative
outcomes. Includes insurance, pt satisfaction and legal issues.. Improve documentation. Medical
records analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
UR - CORRECT ANSWER -formal review of the consumption of all resources in the
delivery of care., Can be prospective, concurrent or retrospective .Reduce resources to achieve
the same result.
Infection Control - CORRECT ANSWER -Focus on Outcomes, looks at transmission of
illness to providers, staff and visitors. Reduce risk of future infection
, Outcome studies - CORRECT ANSWER -important to analyze effectiveness. Computer
generated outcomes best. self report survey are vulnerable to inaccuracy, single review least
reliable.
Peer review - CORRECT ANSWER -An individual c similar training and the one being
reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization - CORRECT ANSWER -1972-82 was physician
controlled, nonprofit org that looked at Medicare IP, Utilization and quality. Changed to PSRO
in 1982 via the Tax Equity and Fiscal Responsibility act
QARI- quality assurance reform initiative - CORRECT ANSWER -1993- to assist states
develop QI systems, focus on clinical studies
QISMC- quality improvement for system of Managed Care - CORRECT ANSWER -
1996-Federal govt formed as a guide for quality mgt, esp for Medicare and Medicaid
-Designed to strengthen the efforts to protect and improve health and satisfaction to Medicare
and Medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
BBA-balanced budget Act - CORRECT ANSWER -1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
Questions and CORRECT Answers
how is quality defined? - CORRECT ANSWER -no errors, degree of excellence, do the
right thing and do it well. Meeting customers expectations, exceed expectations.
What is quality mgmt.? - CORRECT ANSWER -examine the process to delivery of care,
the outcomes measured
plan-do-check-act - CORRECT ANSWER -Walter Shewhart
Edward Deming - CORRECT ANSWER -introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - CORRECT ANSWER -lack of consistency, emphasis on
short term profits, eval of performanmce,job hopping, excessive medical cost, excessive liability
Joseph Juran - CORRECT ANSWER -introduced Total Quality Control
Philip Crosby - CORRECT ANSWER -He added financial consequences to quality
performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - CORRECT ANSWER -approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on
supplier relationships
Quality Assurance - CORRECT ANSWER -addresses negative outcomes ( sentinel
events). Hx punishment of peers
,Quality Improvement - CORRECT ANSWER -improving on outcomes that are consider
satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement - CORRECT ANSWER -uses a systematic process,
enhance performance. Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - CORRECT ANSWER -uses QA, QI, CQM and focuses on
customer desire
Sentinel Event - CORRECT ANSWER -unexpected death, unrelated loss of function, IP
suicide, infant abduction, transfusion rxn, wrong site surgery
Root Cause Analysis - CORRECT ANSWER -Analyzing a sentinel event, must assess the
culture.
Credentialing - CORRECT ANSWER -Key part of QM.Make sure the right person , right
knowledge in the right position
Risk Mgt. - CORRECT ANSWER -Focus on monetary loss by eliminating negative
outcomes. Includes insurance, pt satisfaction and legal issues.. Improve documentation. Medical
records analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
UR - CORRECT ANSWER -formal review of the consumption of all resources in the
delivery of care., Can be prospective, concurrent or retrospective .Reduce resources to achieve
the same result.
Infection Control - CORRECT ANSWER -Focus on Outcomes, looks at transmission of
illness to providers, staff and visitors. Reduce risk of future infection
, Outcome studies - CORRECT ANSWER -important to analyze effectiveness. Computer
generated outcomes best. self report survey are vulnerable to inaccuracy, single review least
reliable.
Peer review - CORRECT ANSWER -An individual c similar training and the one being
reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization - CORRECT ANSWER -1972-82 was physician
controlled, nonprofit org that looked at Medicare IP, Utilization and quality. Changed to PSRO
in 1982 via the Tax Equity and Fiscal Responsibility act
QARI- quality assurance reform initiative - CORRECT ANSWER -1993- to assist states
develop QI systems, focus on clinical studies
QISMC- quality improvement for system of Managed Care - CORRECT ANSWER -
1996-Federal govt formed as a guide for quality mgt, esp for Medicare and Medicaid
-Designed to strengthen the efforts to protect and improve health and satisfaction to Medicare
and Medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
BBA-balanced budget Act - CORRECT ANSWER -1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
