Program Management and Process Improvement

Question 1

What is a performance measurement?

Answer 1

Regular collection of data to assess whether the correct processes are being performed and desired results are being achieved

Question 2

Process improvement and Quality improvement

Answer 2

Systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups

Question 3

Quality indicators

Answer 3

measures of health quality that make use of readily available hospital inpatient administrative data

Question 4

What are the six measures of quality?

Answer 4

1. safe
2. timely
3. effective
4. efficient
5. equitable
6. patient- centered

Question 5

Quality improvement skills

Answer 5

using systematic processes and tools to define problems, recognizing potential causes of problem, using tools to measure quality, select appropriate methods for testing possible solutions, evaluating effects of change to improve care and practice.

Question 6

PDCA or PDSA

Answer 6

Plan-Do-Check-Act or Plan-Do-Study-Act

Question 7

Lean thinking

Answer 7

the goal is to provide perfect value and eliminate waste

Question 8

Rapid cycle improvement

Answer 8

focus on small, concrete changes that can be implemented quickly

Question 9

Rapid cycle improvement steps

Answer 9

1. set the aim
2. define the measures
3. make changes
4. test changes
5. repeat if changes did not work

Question 10

Flowchart

Answer 10

shows the flow of work, steps in a process

Question 11

Pareto chart

Answer 11

shows frequency of measures in descending order

Question 12

control chart

Answer 12

analyze and sustain current levels of process, stability, and identify key issues for problem solving or root cause. Looks for variation over time

Question 13

Histogram

Answer 13

bar graph showing frequency and pattern of distribution

Question 14

Fishbone diagram

Answer 14

problem statement and brainstorm to identify potential issues related to specific categories

Question 15

What is QSEN?

Answer 15

six quality and safety competencies for nurses

Question 16

What are the six QSEN competencies?

Answer 16

1. patient-centered care
2. teamwork and collaboration
3. evidenced based practice
4. quality improvement
5. informatics
6. safety

Question 17

What are organizational performance indicators?

Answer 17

core measures, staff retention/turn over, nurse satisfaction engagement, patient satisfaction, dashboards, infection control surveillance, report cards, nurse sensitive indicators

Question 18

What is the NPDs role in practice/quality improvement?

Answer 18

know organizational key indicators, use quality data to identify professional practice gaps, support or facilitate quality initiatives, educate employees on quality concepts, engage in quality improvement

Question 19

Program

Answer 19

multifacted, remain in place for a long time, produce outcomes or changesp

Question 20

Project

Answer 20

in place for a limited time, produce outputs or measurable outcomes

Question 21

Program Manager

Answer 21

responsible for complex coordination of multiple projects to create a specific outcome

Question 22

Project Manager

Answer 22

have a task oriented focus for defining projects, establishing plans and implementing a control process to monitor progress

Question 23

Environmental scanning in project management

Answer 23

systematic examination of the organizations internal and external environments to identify issues, influences, and resources

Question 24

SWOT analysis

Answer 24

Strengths, weaknesses, opportunities and threats

strengths and weaknesses are internal

opportunities and threats are external

Question 25

Gap analysis

Answer 25

determines actions to close the gap between the current state and desired state to meet project goals and objectives

Question 26

RACI diagram

Answer 26

a grid used to identify Responsible Accountable Consulted Informed

Question 27

PERT chart

Answer 27

Program Evaluation and Review Technique

Question 28

What does the PERT chart do?

Answer 28

prioritizes, organizes, coordinates and manages individual components of the work needed in project.

Question 29

LOGIC model

Answer 29

visual tool used in planning, implementation, and evaluation of programs to identify project goals, desired outcomes, products, services, resources, planned work and expected results

Question 30

Components of the LOGIC model

Answer 30

Inputs Activities Outputs Outcomes Impact

Question 31

Gantt Chart

Answer 31

graphic representation of task and time to plan schedule and monitor progresses

Question 32

Project Management

Answer 32

the application of knowledge, skills, tools and human resources to plan, control and deliver a project on time

Question 33

Projects three key objectives

Answer 33

1. Meet the budget 2. Complete on schedule 3. Produce deliverables that meet client needs

Question 34

Fishbone

Answer 34

cause and effect diagram

Question 35

RACI Diagram

Answer 35

Responsible Accountable Consulted Informed

Question 36

Dashboard

Answer 36

offer quick picture of data outcomes

Question 37

ROI Calculation

Answer 37

benefits minus costs divided by costs multiplied by 100 = % (benefits- cost) ---------------------- x 100 costs

Question 38

ROI

Answer 38

Return on investement

Question 39

Sensitive information

Answer 39

gender, health, financial information, that can cause embarrassment or harm

Question 40

External performance measures/ quality indicators

Answer 40

core measures, nursing sensitive care performance measures, national database of nursing quality indicators, hospital acquired conditions

Question 41

Internal performance measures/ quality indicators

Answer 41

Dashboards, report cards, employee satisfaction, infection control surveillance results, core measure reports.