Management, & Assurance Exam 2025
Questions and Answers
Basic common threads of Quality Management. - ANSWER-Examine the
processes leading to the delivery of care, the outcomes expected from the care, and
the degree to which the expected outcomes are reached.
Abraham Flexner - ANSWER-Quality should be measured.
E.A. Codman, MD - ANSWER-Boston surgeon from the early 1900's was a public
health pioneer studying hospital outcomes to determine how they could be
improved.
Founded by E.A. Codman - ANSWER-American College of Surgeons and its
Hospital Standardization Program
The American College of Surgeons eventually became this organization -
ANSWER-The Joint Commission
E.A. Codman Award - ANSWER-Given out by the Joint Commission for the use
of outcomes measures to advance the quality and safety of patient care.
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,In 1918 the American College of Surgeons began to address the fact that patients
did not feel comfortable with this concept. - ANSWER-The operation was a
success but the patient died.
John Williamson, MD - ANSWER-Recipient of the EA Codman Award in 2000
and is a leader in the field of health care outcomes research and its implementation.
Outcomes Measures - ANSWER-Help identify (prioritize) areas for which
measuring and analyzing the process are likely to lead to improved outcomes.
When outcomes do not meet expectations it is appropriate to do this. - ANSWER-
Measure the process producing the outcomes to improve possibly substandard
performance.
Avendis Donabedian, MD - ANSWER-Brought modern quality assurance
techniques to modern medicine by emphasizing structure, process, and outcome.
Walter Shewhart - ANSWER-American physicist, engineer, and statistician
working in quality control. Developed the Shewhart cycle.
Renamed the Shewhart Cycle the PDCA Cycle. - ANSWER-W. Edwards Deming,
MD
Shewhart Cycle consists of the following four phases. - ANSWER-Plan, Do,
Check, Act
PDCA approach is heavily emphasized in medicine because it embodies the
principles of this method. - ANSWER-Scientific method.
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, W. Edwards Deming - ANSWER-Introduced statistical processes to the industrial
quality process because he recognized the importance of having accurate and
meaningful information.
Deming's 14 Points for Management - ANSWER-1. Create consistency of purpose
toward improvement of product and service, with the aim to become competitive,
stay in business and provide jobs. 2. Adopt the new philosophy. Management must
take on leadership for change. 3. Cease dependence on inspection to achieve
quality. Build quality into the product in the first place. 4. Move toward a single
supplier for any one item, creating a long-term relationship of loyalty and trust. 5.
Improve constantly and forever the system of production and service. 6. Institute
training on the job. 7. Institute leadership. Supervision should aim to help people
do a better job. 8. Drive out fear so that everyone may work effectively. 9. Break
down barriers between departments. 10. Eliminate slogans, exhortations, and
targets for the workforce. 11. Recognize that the cause of low quality and low
productivity belongs to the system, and thus lies beyond the power of the work
force - eliminate quotas and substitute leadership/ eliminate management by
objective and substitute leadership. 12. Remove barriers to pride of workmanship.
13. Institute a vigorous program of education and self-improvement. 14. Put
everyone to work to accomplish the transformation.
Deming's Seven Deadly Diseases that interfere with achievement of continuous
improvement. - ANSWER-1. Lack of constancy of purpose. 2. Emphasis on short
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