OT 511 Final Exam Study Guide
Total Quality Management (TQM) - ANSWER TQM focuses on the efficiency and
reliability
Quality: accessible services provided in an efficient, reliable cost-effective , acceptable
manner
Quality, Cost, Access
Total Quality Management (TQM) AKA - ANSWER CQI - Continuous Quality Improvement
QA - Quality Assurance (meeting the expectations)
QI - Quality Improvement (going beyond to understand what people really want)
OQI - Organizational Quality Improvement
- Lean Healthcare or Six Sigma
Healthcare has turned to business to improve quality of care, customer orientation and
product delivery.
famous people of TQM - ANSWER 1800's- Florence Nightingale- nursing and patient
outcomes
1914- Codman and surgical outcomes (Codman's Pendulum Exercises)
1980's- Deming****
Manufacturing efficiency
Considered to be the grandfather of TQM
trends in healthcare TQM - ANSWER Quality has been associated with:
1900'S Structure (JCAHO - company did audit of hospitals and rehab centers (business);
JCAHO certified, MD licensure)
1940's Process (protocols, procedures)
1970'S Correcting deviation consistency in all processes. Minimize variation
1980's Functional outcomes (results of care)"Excellence
IS quality management THE SAME in healthcare AS in Industry - ANSWER Yes, improve
efficiency
,No, variations in processes exist WILL exist
Quality improvement in healthcare - ANSWER Quality is directly linked to an
organization's service delivery approach or systems of care.
Quality Management Involves:
- Measurement
- Assessment
- Improvement
Assessing Quality in OT:Processes And Outcomes We Use - ANSWER Outcome
Evaluation (client)
Program Evaluation (program)
Total Quality Management
(overall process)
outcome evaluation - ANSWER "A systematic procedure for monitoring the
effectiveness and efficiency with which results are achieved by persons served and
customer satisfaction following termination of services."
*client-oriented
purposes of outcome evaluations - ANSWER Improve client treatment (effectiveness)
Improve efficiency of services (resource mgmt)
Justify need for funding
Perform research
Gather data for marketing
outcome evaluation must be functional outcomes - ANSWER Examples of Measures
used:
- FIM
- COPM
- DASH: example
ROM is not directly a Functional measure
ADL assessments are
**What measures are Functional?
,program evaluation - ANSWER "A systematic procedure for monitoring the
effectiveness and efficiency with which results are achieved by persons served during
service delivery and following program completion as well as customer satisfaction
following termination of services.
Entire Program or Service delivery outcomes
Program Evaluation Overall Process - ANSWER **planning -> gathering data -> reporting
results
Formative
Analyze ongoing process
Summative
Final program outcomes at the end
types of program evaluation - ANSWER Formative: how is it going? Preliminary
feedback, Satisfactions with content understanding
Summative: how many reached goals? What was level of independence? How to we
compare to national norms? What was coverage for insurance?...Benchmarking
Process Evaluation- formative, determine fidelity to the process or intervention
program evaluation steps - ANSWER
total quality management - ANSWER General term that broadly focuses on both
client-focused and organizationally focused dimensions of quality:
- Accreditation guidelines
- Clinical benchmarking
- May use customer focus groups
gantt chart - ANSWER A time and activity bar chart that is used for planning, managing,
and controlling major programs that have a distinct beginning and end.
flow chart - ANSWER what happens next
benchmarking - ANSWER a process by which a company compares its performance
with that of high-performing organizations
logic model - ANSWER Evaluates the overall effectiveness of a program (or program
component) at making an impact
Quality Assurance (QA) - ANSWER Quality Assurance: Identify areas of improvement as
compared to a standard
, Organizations visit to review organization's adherence to Policies/Procedures
- Meet standards
- Correct deviations
- Clinic focused
- Judgement-oriented
Examples: CARF - goes to business that check if met standards
Quality improvement (QI) - ANSWER Process of continuous improvement that leads to
measureable improvement in health services and health status for clients
- System focused
- Everyone participates
- User feedback used to improve system
- Eliminate errors
Example: peer reviews and client surveys
comparison of QA/QI - ANSWER QA
-Study those providing care
-Correct deviations
-Meet standards
-Judgmental
-QA dept
-Clinically focused
-Practitioner improve
QI
- Study process producing the care
- Improve/surpass
- Analysis with stats
- Everyone participates
- System-focused
Total Quality Management (TQM) - ANSWER TQM focuses on the efficiency and
reliability
Quality: accessible services provided in an efficient, reliable cost-effective , acceptable
manner
Quality, Cost, Access
Total Quality Management (TQM) AKA - ANSWER CQI - Continuous Quality Improvement
QA - Quality Assurance (meeting the expectations)
QI - Quality Improvement (going beyond to understand what people really want)
OQI - Organizational Quality Improvement
- Lean Healthcare or Six Sigma
Healthcare has turned to business to improve quality of care, customer orientation and
product delivery.
famous people of TQM - ANSWER 1800's- Florence Nightingale- nursing and patient
outcomes
1914- Codman and surgical outcomes (Codman's Pendulum Exercises)
1980's- Deming****
Manufacturing efficiency
Considered to be the grandfather of TQM
trends in healthcare TQM - ANSWER Quality has been associated with:
1900'S Structure (JCAHO - company did audit of hospitals and rehab centers (business);
JCAHO certified, MD licensure)
1940's Process (protocols, procedures)
1970'S Correcting deviation consistency in all processes. Minimize variation
1980's Functional outcomes (results of care)"Excellence
IS quality management THE SAME in healthcare AS in Industry - ANSWER Yes, improve
efficiency
,No, variations in processes exist WILL exist
Quality improvement in healthcare - ANSWER Quality is directly linked to an
organization's service delivery approach or systems of care.
Quality Management Involves:
- Measurement
- Assessment
- Improvement
Assessing Quality in OT:Processes And Outcomes We Use - ANSWER Outcome
Evaluation (client)
Program Evaluation (program)
Total Quality Management
(overall process)
outcome evaluation - ANSWER "A systematic procedure for monitoring the
effectiveness and efficiency with which results are achieved by persons served and
customer satisfaction following termination of services."
*client-oriented
purposes of outcome evaluations - ANSWER Improve client treatment (effectiveness)
Improve efficiency of services (resource mgmt)
Justify need for funding
Perform research
Gather data for marketing
outcome evaluation must be functional outcomes - ANSWER Examples of Measures
used:
- FIM
- COPM
- DASH: example
ROM is not directly a Functional measure
ADL assessments are
**What measures are Functional?
,program evaluation - ANSWER "A systematic procedure for monitoring the
effectiveness and efficiency with which results are achieved by persons served during
service delivery and following program completion as well as customer satisfaction
following termination of services.
Entire Program or Service delivery outcomes
Program Evaluation Overall Process - ANSWER **planning -> gathering data -> reporting
results
Formative
Analyze ongoing process
Summative
Final program outcomes at the end
types of program evaluation - ANSWER Formative: how is it going? Preliminary
feedback, Satisfactions with content understanding
Summative: how many reached goals? What was level of independence? How to we
compare to national norms? What was coverage for insurance?...Benchmarking
Process Evaluation- formative, determine fidelity to the process or intervention
program evaluation steps - ANSWER
total quality management - ANSWER General term that broadly focuses on both
client-focused and organizationally focused dimensions of quality:
- Accreditation guidelines
- Clinical benchmarking
- May use customer focus groups
gantt chart - ANSWER A time and activity bar chart that is used for planning, managing,
and controlling major programs that have a distinct beginning and end.
flow chart - ANSWER what happens next
benchmarking - ANSWER a process by which a company compares its performance
with that of high-performing organizations
logic model - ANSWER Evaluates the overall effectiveness of a program (or program
component) at making an impact
Quality Assurance (QA) - ANSWER Quality Assurance: Identify areas of improvement as
compared to a standard
, Organizations visit to review organization's adherence to Policies/Procedures
- Meet standards
- Correct deviations
- Clinic focused
- Judgement-oriented
Examples: CARF - goes to business that check if met standards
Quality improvement (QI) - ANSWER Process of continuous improvement that leads to
measureable improvement in health services and health status for clients
- System focused
- Everyone participates
- User feedback used to improve system
- Eliminate errors
Example: peer reviews and client surveys
comparison of QA/QI - ANSWER QA
-Study those providing care
-Correct deviations
-Meet standards
-Judgmental
-QA dept
-Clinically focused
-Practitioner improve
QI
- Study process producing the care
- Improve/surpass
- Analysis with stats
- Everyone participates
- System-focused
