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(T/F) An outcome indicator measures results of care provided to the patient
True
When physicians or other licensed independent practitioners want to be able to admit patients to a healthcare organization they must apply for privileges. This process is called
Credentialing
The term performance improvement (PI) is a "process for involving personnel in planning and executing a continuous flow of improvements to provide __________ that meets or exceeds expectations"
Quality Healthcare
(T/F) 1 External customers are those people outside the organization for whom it provides services. For example, the external customers of a hospital would include patients, physicians, and third-party payers
True
(T/F) The mission of AHRQ is to improve quality, safety, efficiency, and effectiveness of healthcare for all Americans
True
Shared leadership means
Employees are participants in the performance improvement program
Staff members adapt to change more readily when
They have been a part of the decision
In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the AHRQ?
All answers are correct
Which of the following is not a component of patient care review?
Unbilled discharges review
As part of the Affordable Care Act, health care organizations are increasingly expected to meet federal care standards in order to receive reimbursement for care provided. These organizations are termed
Accountable Care organizations
Which of the following provide process measure metrics in a precise format?
Dashboard
When it comes to healthcare Customer Focus, External customers are those
people outside the organization for whom it provides services
Which of the following is the most important to guide the performance improvement team's process?
Customer process requirements
Ongoing review of clinical care to ensure the necessity an affectedness of the services being provided to the patient is known as
Case Management
Organization-wide performance improvement process in order starts at
Identify performance measures, then Measure performance, Analyze and compare internal/external data, Identify improvement opportunity, Perform ongoing Monitoring
A woman dies in labor and delivery. The Joint Commission would call this type of outcome a(n)
Sentinel event
(T/F) Accreditation standards were developed to standardize clinical decision making
False
(T/F) Performance improvement is something that is done periodically
False
Quality improvement teams assembled to quickly solve problems that are not excessively complex or interdepartmental can be
Virtuoso teams
Alternatives to Joint Commission accreditation services can now be sought from
All answers are correct
Within Quality Dimensions, the Process indicators
measure the actions by which services are provided, that is, the things people or devices do, from conducting appropriate tests to making a diagnosis to actually carrying out a treatment
(T/F) In Quality Dimensions, Structure indicators measure the attributes of the setting, such as number and qualifications of the staff, adequacy of equipment and facilities, and adequacy of organizational policies and procedures
True
(T/F) A performance measure is a qualitative tool that provides an indication of an organization's performance in relation to a specified process or outcome
True
In Customer Focus and PI, the terms dashboard technically
are reports of process measures that help leaders know what is currently going on so that they can plan strategically where they want to go next
The NPSGs score organizations on areas that
Commonly lead to patient injury
(T/F) The organizational structures and processes that constitute a Quality Management program must be integrated across the entire healthcare organization
True
Fifty percent of our HIM staff have a nationally recognized credential. This is an example of what type of indicator.
Structure
In order to expedite basic performance improvement team functioning, the team should
Establish ground rules
The focus of performance improvement should be on
Customers
When an organization compares its current performance to its own Internet historical data, or user data from similar external organizations across the country, it helps establish a ________, also known as a standard of performance or best practice, for a particular process or outcome
Benchmark
QIOs use peer review, data analysis, and other tools to
Identify areas that need improvement
Performance monitoring is outcomes driven
False
The __________ is ultimately responsible for quality improvement activities in an organization
Governing body
(T/F) The Conditions of Participation are used to monitor hospitals and other healthcare organizations in becoming licensed by the state
False
The most prominent organization involved in the development of patient care standards is
Agency for Healthcare Research and Quality