Chapter 1-5 Quality Exam Flashcards
(22 cards)
Donabedian is known for:
His seven pillars of quality and it’s close relationship to healthcare
Donald Berwick is known for:
Most respected practicing healthcare guru; President of Institute of Healthcare Improvement(IHI); in 2010 became in charge of CMS.
100,000 Lives Campaign =
Initiated by IHI in 2004; has 3000 hospitals enrolled committed to implementing some or all of the six quality improvement changes
What are the 6 pillars of QUALITY ( 100,000 lives)
1.Activate a Rapid Response Team 2.Prevent heart attacks 3.Prevent Medication Errors 4. Preventing Central Line infections 5. Prevent Post-surgical infections 6. Prevent Infections on Vent Assisted patients
Which Master of Quality uses Objective data? You manage what you measure?
Dr Brent James
The focus of performance improvement should be on:
Customers
What does the The National Committee on Quality Assurance (NCQA) do?1965, Darling vs.
It is an external review organization for managed care organizations (MCOs). NCQA’s increasingly rigorous standards for accreditation has become increasingly important to managed care organizations as a means to provide more objective proof that a health care delivery system delivers high quality care that is accessible and affordable
What did the court decision find in this case?
In 1973, Gonzales vs. Nork and Mercy Hospital
Found the hospital negligent if it knew or had reason to know or should have known of the surgeon’s incompetence. The peer review system at Mercy Hospital was infrequently performed, random and not critical.
In 1981, Sayleson vs. Misericordia Hospital
Found that the hospital had written requirements for checking the credentials of the medical staff members but they did not verify the information on the applicants. The court found that the hospital owes a duty to its patients in selecting medical staff members and granting privileges
The adoption of minimum standards marked the beginning of what modern practice in healthcare organization?
Accreditation
The adoption of minimum standards marked the beginning of what modern practice in healthcare organization?
Accreditation
Which piece of legislation explains why Medicare remiburses thru PPS?
Tax Equity and Fiscal Responsibility Act of 1982
What are COP’s?
The Conditions of Participation (COPs) are federal regulations that health care facilities must follow to receive Medicare reimbursement
What are three types of Quality Indicators?
- Structure 2. Process 3. Outcome
All systems demonstrate variation? T/F
True
What is an Element of Performance?
According to the Joint Commission an action or activity than an organization must do to meet a specific standard.
What are Quality Indicators?
Specific measures that are believed to reflect the quality of care.
What is a Quality Assessment?
Measuring the level at which the system currently performs.
According to Medicare COP’s, verbal orders must be authenticated within 24 hrs. T/F
True
What is AHRQ?
A major source of funding and technical assistance for health services research” and “a science partner, working with the public and private sectors to build the knowledge base for what works—and does not work—in health and health care and to translate this knowledge into everyday practice and policymaking.”
Quality Improvement Organizations
Contract with the CMS to carry out the HCQIP
To determine an FTE– you need
–Know how many discharges are expected
–Know the performance standard
–Figure in PF&D
