2024/2025 LATEST UPDATE
Triple Aim -
Answer-1. Ensure quality of care for individual 2 Improve
health of the population
3. Control costs
Critical components of a leadership team -
Answer-Understand the concepts of organizations as complex systems, culture, strategic
planning, change, innovation and creativity
IOM definition of healthcare quality -
Answer-The degree to which health services for individuals and populations increase
the likelihood of desired health outcomes and are consistent with current professional
knowledge
Quality Management definition -
Answer-A strategic, integrated management system, which involves all managers and
employees and uses quantitative methods to continuously improve an organization's
processes to meet and exceed customer needs, wants and expectations
IOMs 6 aims for healthcare improvement -
Answer-Safety Effectiveness (avoid overuse and underuse)
Patient-centeredness - ensure patient values guide all clinical decisions
Timeliness - reduce waits and sometimes harmful delays
Efficiency - avoiding waste
Equity - providing care that does not vary in quality with respect to personal
characterisitics, ethnicity, geographic location or socioeconomic status
system definition -
Answer-A regularly interacting or independent group of items forming a unified whole
Benefits of system thinking -
Answer-Aiding in identifying and understanding the big picture
Facilitating the identification of major components
Identifying important relationships and providing proper perspective
Avoiding excessive attention to a single part
Allowing for a broad-scope solution
Fostering integration
Providing a basis for redesign
,Healthcare organizations are ... -
Answer-Complex Adaptive Systems (CASs)
Making change in one process or dept naturally requires changes in other processes,
functions and depts. Effectiveness is dependent on alignment of parts of the system.
InterRelationships (between individuals is a critical component of the model)
Not linear
Characteristics of leaders in CASs -
Answer-Value persons and relationships Use loose coupling
Complicate or link
Diversify
Make sense
Think about the future
Are collaborative
Listen and learn
Are adaptable
Offer alternatives
Characteristics of Leaders in CASs -
Answer-Value persons and relationships Use loose coupling
Complicate or link
Diversify
Make sense
Think about the future
Are collaborative
Listen and learn
Are adaptable
Offer alternatives
Characteristics of Leaders in traditional systems -
Answer-Value positions Use tight structuring
Simplify
Socialize
Make decisions
Do planning based on forecasting
Are controlling, in charge
Know
Are self-preserving
Repeat the past
True or False
,The HCQP assists organization leaders and employees in understanding the
principles and common frameworks for healthcare quality strategies. -
Answer-True
Which evidence based framework model for studying systems is best? -
Answer-Donabedian
Baldrige Performance Excellence
Any, as long as the manager uses it to properly recognize, understand and anticipate
how the parts of the system interact as a whole
Who is the founder of the quality assurance field and the first to describe an
approach to assessing quality through a systems framework? -
Answer-Avedis Donabedian
Donabedian's framework -
Answer-Focus on structures (resources available for care delivery) processes (involves
the care, how diagnoses and treated) and outcomes (results of the care, increased
satisfaction, decreased morbidity, improved QOL) for patient care evaluation
Limitations of the Donabedian framework -
Answer-Very basic and does not sufficiently describe interrelationships
What is a required component of quality performance? -
Answer-Interrelationships
Baldrige Performance Excellence Framework -
Answer-Displays principles of quality management and shows interrelationships among
factors relating to structure, process and outcome
6 elements of Baldrige Performance Excellence Framework -
Answer-Important connection between Leadership and Results
Leadership triad: leadership, strategic planning and customer focus
Results triad: results, workforce focus and operations focus
What are key components of a foundation for effective organizational
management? (Baldrige) -
Answer-Measurement, analysis and knowledge management
Rules for the 21st-Century Healthcare system (from IOM's report Crossing the
Quality Chasm) -
Answer-Preference is given to professional roles over the system
Care is customized according to patient needs and values
The patient is the source of control
Knowledge is shared and information flows freely
Decision making is evidence based
, Safety is a system priority
Transparency is necessary
The system anticipated needs
Waste is continuously decreased