CPHQ - Performance and Process Improvement || 100%
Accurate Solutions.
Structure correct answers Includes all the factors which affect the context in which healthcare is
delivered; examples include physical facility, equipment, Human Resources, staff training, and
payment methods; it controls how providers and patients in healthcare systems act.
Process correct answers The term used for the sum of all actions making up healthcare
(diagnosis, treatment, preventive care, patient education, actions taken by patients/families). Also
includes how care is delivered (technical actions), manner in which care is delivered
(interpersonal actions).
Outcome correct answers Effects of healthcare on patients or populations (changes to health
status, behavior, knowledge, patient satisfaction, health related quality of life); sometimes is seen
as most important indicators of quality because improving patient health status is the primary
goal of healthcare.
Structures correct answers Donabedian's Framework classifies Professionals, Facilities,
Technologies, Resources, and Organizations as ___________
Processes correct answers Donabedian's Framework classifies Leadership, Management,
Interaction, Diagnosis, and Therapy as _____________
Outcomes correct answers Donabedian's Framework classifies _______________ as Clinical,
Functional, Experience, and Engagement
Value correct answers __________ = (quality of service + outcome)/Cost
Process correct answers Using outcome information without monitoring the ___________ of
care is inefficient; cost and quality are inseparable issues, you cannot address one without the
other
Indicators correct answers Most quality ________ are useful to identify potential problems, but
not as a definitive measure of quality. Multiple measures of quality need to be integrated to
provide a clear picture of the quality of care.
Prioritization Matrix correct answers Assessment Tool used based on criteria considering
service, patient safety and cost to identify which improvement activities to focus on or prioritize;
should include weighted values assigned to each quality function in hierarchy of importance to
compare all issues identified; should document results in minutes or other written documents.
Performance and process improvement plans correct answers ___________ and
______________ should include Goals, Objectives, Structure, Design, Roles, Responsibilities,
Methodology and Evaluation
,Assessment Surveys and continue our readiness activities correct answers ____________ and
__________ should include deficiencies or requirements for improvements and action plans
developed and monitored.
Evidence Based Medicine correct answers A conscientious, explicit, and judicious use of current
best evidence to make patient care decisions
Evidence Based Practice correct answers The Integration of clinical expertise, patient values, and
the best research evidence into the decision making process for patient care; Promotes patient
safety through provision of effective and efficient healthcare and results in less variation in care
and fewer unnecessary procedures
Performance and Process Improvement correct answers EBP (evidence Based practices)
complements principles of _________ and _________.
Patient experiences and outcomes correct answers EBP is based on improving ________ and
_________
Collaboratives correct answers _________ are formed when one organization or group works
with another to make changes and improvements; examples include two healthcare systems
working together; can be developed through other like facilities within a healthcare system, other
facilities outside the system, or even regional and national groups.
Natural Work Teams correct answers ___________ are teams of people who work regularly
together
Cross Functional Teams correct answers employees from about the same hierarchical level, but
from different work areas, who come together to accomplish a task
Departmental Teams correct answers teams that consist of employees who have similar or
complementary skills and are located in the same unit of a functional structure
Steering Committee/Quality Council correct answers Responsible for
Recommending an approach to leadership
Determining how to reward employees
Determining the policy of safety programs
Develop and approve quality program
Lend legitimacy to efforts
Maintain focus
Foster teamwrok
Provide resources
Team Charters correct answers ___________ ensure the team is focused and organized by
including
, Clearly defined scope, Description of team tasks: why and who; people or departments
represented on the team; Timeline for meetings and resources; structure of leadership; expected
communication of progress and results; ground rules
Sponsor correct answers Formal leader of a performance and process improvement project;
responsible for overall project; aligns resources and monitors progress; holds others accountable
for change; inspires team members; serves as a coach or consultant.
Facilitator correct answers Moves team along; not vested in outcome; promotes effective group
team dynamics; is concerned with how decisions are made. Not a team member; serves as a
coach or consultant; focuses on meeting and improvement processes. Keeps team on track. Has
expertise regarding use of performance and process improvement tools
Team Leader correct answers Vested in outcome of improvement efforts; guides team to achieve
successful outcomes and reach established goals. Specific responsibility for guiding team
through meeting process to achieve objectives; involved in meeting content and process;
provides direction and support for the team.
Champion correct answers Opinion leaders who provide project credibility and are integral to the
social structure. Respected clinicians or staff with influence through reputation or leadership
qualities; support the change and work for its implementation
Member correct answers Vested in outcome; shares knowledge and expertise of process or issues
addressed by team; responsible for both content and process of team meetings; shares
responsibilities for focusing on objective, contributing information, analyzing data, staying on
track and making decisions that continually impact and improve the team
W. Edwards Deming correct answers Created the PDSA cycle
IHI correct answers Set aims, established measures, and selected changes for the PDSA Model
for Improvement
Six Sigma correct answers ______ uses statistical analysis to measure and improve performance;
Focuses on elimination of errors (defects) in processes; based on normal distribution of data (bell
shaped curve); six standard deviations from the mean (only 3.4 defects per million opportunities;
uses DMAIC model (define, measure, analyze, improve, control); philosophy is customer
focused and data driven.
Lean correct answers ________ emphasizes reducing waste and focusing on activities that add
value for the customer; applies value stream analysis and root cause analysis. Eliminates waste in
areas such as production, wait time, transporting and processing; makes changes in a short period
of time; uses cross functional teams. Poke-yoke (mistake proof or error proof processes)
Rapid Cycle Improvement correct answers ______ identifies and prioritizes aims for
improvement; gains access to methods, tools, and materials for evidence based quality
Accurate Solutions.
Structure correct answers Includes all the factors which affect the context in which healthcare is
delivered; examples include physical facility, equipment, Human Resources, staff training, and
payment methods; it controls how providers and patients in healthcare systems act.
Process correct answers The term used for the sum of all actions making up healthcare
(diagnosis, treatment, preventive care, patient education, actions taken by patients/families). Also
includes how care is delivered (technical actions), manner in which care is delivered
(interpersonal actions).
Outcome correct answers Effects of healthcare on patients or populations (changes to health
status, behavior, knowledge, patient satisfaction, health related quality of life); sometimes is seen
as most important indicators of quality because improving patient health status is the primary
goal of healthcare.
Structures correct answers Donabedian's Framework classifies Professionals, Facilities,
Technologies, Resources, and Organizations as ___________
Processes correct answers Donabedian's Framework classifies Leadership, Management,
Interaction, Diagnosis, and Therapy as _____________
Outcomes correct answers Donabedian's Framework classifies _______________ as Clinical,
Functional, Experience, and Engagement
Value correct answers __________ = (quality of service + outcome)/Cost
Process correct answers Using outcome information without monitoring the ___________ of
care is inefficient; cost and quality are inseparable issues, you cannot address one without the
other
Indicators correct answers Most quality ________ are useful to identify potential problems, but
not as a definitive measure of quality. Multiple measures of quality need to be integrated to
provide a clear picture of the quality of care.
Prioritization Matrix correct answers Assessment Tool used based on criteria considering
service, patient safety and cost to identify which improvement activities to focus on or prioritize;
should include weighted values assigned to each quality function in hierarchy of importance to
compare all issues identified; should document results in minutes or other written documents.
Performance and process improvement plans correct answers ___________ and
______________ should include Goals, Objectives, Structure, Design, Roles, Responsibilities,
Methodology and Evaluation
,Assessment Surveys and continue our readiness activities correct answers ____________ and
__________ should include deficiencies or requirements for improvements and action plans
developed and monitored.
Evidence Based Medicine correct answers A conscientious, explicit, and judicious use of current
best evidence to make patient care decisions
Evidence Based Practice correct answers The Integration of clinical expertise, patient values, and
the best research evidence into the decision making process for patient care; Promotes patient
safety through provision of effective and efficient healthcare and results in less variation in care
and fewer unnecessary procedures
Performance and Process Improvement correct answers EBP (evidence Based practices)
complements principles of _________ and _________.
Patient experiences and outcomes correct answers EBP is based on improving ________ and
_________
Collaboratives correct answers _________ are formed when one organization or group works
with another to make changes and improvements; examples include two healthcare systems
working together; can be developed through other like facilities within a healthcare system, other
facilities outside the system, or even regional and national groups.
Natural Work Teams correct answers ___________ are teams of people who work regularly
together
Cross Functional Teams correct answers employees from about the same hierarchical level, but
from different work areas, who come together to accomplish a task
Departmental Teams correct answers teams that consist of employees who have similar or
complementary skills and are located in the same unit of a functional structure
Steering Committee/Quality Council correct answers Responsible for
Recommending an approach to leadership
Determining how to reward employees
Determining the policy of safety programs
Develop and approve quality program
Lend legitimacy to efforts
Maintain focus
Foster teamwrok
Provide resources
Team Charters correct answers ___________ ensure the team is focused and organized by
including
, Clearly defined scope, Description of team tasks: why and who; people or departments
represented on the team; Timeline for meetings and resources; structure of leadership; expected
communication of progress and results; ground rules
Sponsor correct answers Formal leader of a performance and process improvement project;
responsible for overall project; aligns resources and monitors progress; holds others accountable
for change; inspires team members; serves as a coach or consultant.
Facilitator correct answers Moves team along; not vested in outcome; promotes effective group
team dynamics; is concerned with how decisions are made. Not a team member; serves as a
coach or consultant; focuses on meeting and improvement processes. Keeps team on track. Has
expertise regarding use of performance and process improvement tools
Team Leader correct answers Vested in outcome of improvement efforts; guides team to achieve
successful outcomes and reach established goals. Specific responsibility for guiding team
through meeting process to achieve objectives; involved in meeting content and process;
provides direction and support for the team.
Champion correct answers Opinion leaders who provide project credibility and are integral to the
social structure. Respected clinicians or staff with influence through reputation or leadership
qualities; support the change and work for its implementation
Member correct answers Vested in outcome; shares knowledge and expertise of process or issues
addressed by team; responsible for both content and process of team meetings; shares
responsibilities for focusing on objective, contributing information, analyzing data, staying on
track and making decisions that continually impact and improve the team
W. Edwards Deming correct answers Created the PDSA cycle
IHI correct answers Set aims, established measures, and selected changes for the PDSA Model
for Improvement
Six Sigma correct answers ______ uses statistical analysis to measure and improve performance;
Focuses on elimination of errors (defects) in processes; based on normal distribution of data (bell
shaped curve); six standard deviations from the mean (only 3.4 defects per million opportunities;
uses DMAIC model (define, measure, analyze, improve, control); philosophy is customer
focused and data driven.
Lean correct answers ________ emphasizes reducing waste and focusing on activities that add
value for the customer; applies value stream analysis and root cause analysis. Eliminates waste in
areas such as production, wait time, transporting and processing; makes changes in a short period
of time; uses cross functional teams. Poke-yoke (mistake proof or error proof processes)
Rapid Cycle Improvement correct answers ______ identifies and prioritizes aims for
improvement; gains access to methods, tools, and materials for evidence based quality
