HCMT3003: Healthcare Quality Management

Flashcards about Healthcare Quality Management, covering definitions, standards, and the roles of different stakeholders.

What does healthcare quality refer to?

The degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowledge

What are quality standards in healthcare?

Defined criteria or benchmarks that healthcare organizations must meet to ensure the delivery of high-quality care, set by regulatory bodies, accrediting organizations, or professional associations

What is Joint Commission International (JCI)?

An independent, not-for-profit organization that identifies, measures, and shares best practices in quality and patient safety

What does service excellence in healthcare refer to?

The consistent delivery of high-quality services that exceed the expectations of patients and other stakeholders

What does the definition of quality of care: health services include?

Services for physical and mental illnesses; prevention of disease and promotion of health; acute, long-term, rehabilitative, and palliative care.

What does quality of care emphasize regarding health services?

High-quality care increases the likelihood of beneficial outcomes, but quality is not identical to positive outcomes.

Name 2 perspectives about quality of care:

Quality of care delivered to individual patients and provision of quality of care across an entire health system

What do desired health outcomes refer to?

Health outcomes that patients desire, linking care provision to its effects on health

What does the Quality of Care: Current Professional Knowledge emphasize?

Healthcare professionals must stay abreast of the dynamic knowledge base in their professions and use that knowledge appropriately.

What are the consumers' quality expectations?

Don’t kill me, Do help me and don’t hurt me, Don’t make me feel helpless, Don’t keep me waiting, Don’t waste resources—mine or anyone else’s

What are the three aims of the Institute for Healthcare Improvement Triple Aim?

Better Care, Healthy People/Healthy Communities, Affordable Care

What does the Quadruple Aim add to the Triple Aim?

Provider experience, including improving work life, satisfaction, and workflow optimization

What is the goal of Quality Management?

To achieve maximum customer satisfaction at the lowest overall cost while continuously improving the process.

What are the 3 primary quality management activities?

Measurement, Assessment, Improvement

What did the IOM's 'The Urgent Need to Improve Health Care Quality' establish?

The classification scheme of overuse, underuse, and misuse to categorize quality defects.

Define Overuse (In healthcare)

When patients are prescribed medicine or treatment without a logical reason.

Define Underuse (In healthcare)

When medical professionals fail to provide patients with the appropriate medicine or treatments or neglect to follow general healthcare practices.

Define Misuse (In healthcare)

When a patient doesn't receive the full effect of a treatment or is harmed by a treatment due to preventable errors.

What were the impacts of IOM's To Err Is Human report?

It captured the attention of key stakeholders, framed patient safety understandably, and solidified patient safety as a focus for policymakers, regulators, providers, and consumers

What are the aims of AHRQ’s National Healthcare Quality Report?

To identify areas and opportunities for improvement and highlight progress made in healthcare quality and disparities.

What does the National Academies of Sciences, Engineering, and Medicine’s Improving Diagnosis in Health Care report claim?

Most people will experience at least one diagnostic error in their lifetime and recommends involving patients/families, developing health IT, and establishing a culture that embraces change.

What are the domains of the IOM's STEEEP framework?

Safe, Effective, Efficient, Equitable, Timely, Patient-centered

How do clinicians tend to perceive the quality of care?

In terms of technical performance

What do patients care deeply about?

Technical performance, however, patients often see technical performance strictly in terms of the outcomes of care

How do payers assess the quality of care?

On the basis of cost, cost-effectiveness and efficiency

What is the administrators' chief concern?

The quality of the non-clinical aspects of care over which they have the most control— primarily, amenities and access to care.

What is important to societal-level concepts of quality?

Equity and access to care

Name 4 standards of health service excellence in healthcare

Patient-Centered Care, Safety, Effective Communication, Timeliness, Efficiency, Equitability, Access to Care, Integrated Care, Staff Competency and Development, Technological Advancement, Transparency, Feedback and Continuous Improvement, Ethical Considerations, Cleanliness and Infection Control, Privacy and Confidentiality, Cultural Competency

Name 4 roles of Healthcare Managers in Service Excellence

Establishing a Quality Management Framework, Monitoring and Measuring Performance, Engaging Healthcare Staff, Implementing Evidence-Based Practices, Patient Engagement and Feedback, Compliance with Regulatory Standards, Risk Management