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Flashcards based on lecture notes about healthcare quality measurements and hospital readmission prevention.
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What is the Institute of Medicine's definition of Quality in healthcare?
The degree to which health care services increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
What are the IOM Domains of Quality?
Effectiveness, Efficiency, Equity, Patient Centeredness, Safety, and Timeliness.
Give an example of a process measurement.
Rates of immunization and DVT prophylaxis.
Give an example of a outcome measurement.
Rates of infection, rates of DVT, and mortality.
What are common hospital metrics for quality measurement?
Readmissions, pressure ulcers, surgical-site infections, central-line infections, ventilator-acquired pneumonia, and deep vein thrombosis.
What are potential reasons for a high hospital readmission rate?
Patient discharged too early, patient not educated prior to discharge, and follow-up not scheduled.
Name some strategies to prevent hospital readmissions.
Clear instructions, post-discharge services, follow-up appointments, medication reconciliation, and a discharge checklist.
What is the role of a case manager in preventing hospital readmissions?
Working with insurance companies and home nursing agencies.
What is the focus of physical therapy?
Movement and strength.
What is the focus of occupational therapy?
Activities of daily living.
What is the role of a social worker in preventing hospital readmissions?
Education and coordination to help patients and families with psychosocial issues.
What is the 'Teach Back' method?
Asking the patient to repeat instructions in their own words.
What are preventative measures for pressure ulcers?
Daily skin checks and special mattresses.
What is a common cause of surgical site and central line infections?
Poor sterile technique.
What can cause central line infections?
Poor sterile technique.
What are some factors that can lead to ventilator-acquired pneumonia?
Failure to elevate the head of the bed and poor oral care.
What are preventative measures for deep vein thrombosis (DVT) in hospitals?
Early ambulation, intermittent pneumatic compression, subcutaneous heparin, and low-molecular-weight heparin.
What kind of exams should diabetic patients undergo?
Foot exams and eye exams.
What should patients with systolic heart failure receive?
ACE inhibitors