Chapter 18 - Performance Improvement

HITT, Ch18 Performance Improvement

The process improvement methodology that is focused on eliminating waste while also improving the flow of work processes is called which of the following?

Lean

The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective?

Flowchart

Problems in patient care and other areas of the healthcare organizations are usually symptoms inherent in which of the following?

System

An organization that is recognized by CMS as meeting the Medicare Conditions of Participation has attained which of the following?

Deemed status

The medical transcription improvement team wants to identify the cause of poor transcription quality. Which of the following tools would best aid the team in identifying the root cause of the problem?

Fishbone diagram

Which of the following is the process of managing the legal and administrative aspects of the healthcare organization's response to injury claims?

Claims management

Which of the following statements represents a fundamental principle of performance improvement?

Communication must be open and honest

Which of the following is a data collection tool that records and compiles observations and occurrences?

Checklist

In order to participate in the Medicare program, healthcare providers must comply with federal regulations known as which of the following?

Conditions of participation

Which of the following statements best defines utilization management?

It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care

The continuous study and adaptation of a healthcare organization’s functions and processes to increase the likelihood of achieving desired outcome is called which of the following?

Performance improvement

Which of the following is the goal of clinical practice guidelines?

Standardize clinical decision making

____ measure the steps in a process and tasks people or devices do, from conducting appropriate tests, to making a diagnosis, to carrying out treatment.

Process indicators

What are three important functions utilization management?

Utilization review, case management, and discharge planning

Which of the following is an occurrence with an undesirable outcome that resulted, or could have resulted, in life-threatening injury to a patient, medical staff, or employees?

Sentinel event

Which of the following are predefined statements of criteria against which the performance of a healthcare organisation will be assessed during a voluntary review process?

Accreditation standards

Which of the following are detailed step-by-step guides used by healthcare practitioners to make clinical decisions related directly to patient care?

Clinical practice guidelines

Which of the following is an important part of quality patient care as it helps to ensure necessary and appropriate care, effectiveness of services provided to the patient, and timely and safe discharge patients?

Utilization management

Which of the following organizations focuses its accreditation activities on health plans and outpatient provider organizations?

National Committee on Quality Assurance

Which of the following is used in healthcare organizations to handle minor complaints and to seek remedies on behalf of patients?

Patient representative

Which of the following is a technique used to generate a large number of creative ideas from a group?

Brainstorming

Which of the following documents the results of care for individual patients as well as for specific types of patients grouped by diagnostic category?

Outcomes measure

Which of the following elements of team success compares an organization’s performance against that of external standards?

Collecting and gathering data

The responsibilities of the PI department include which of the following?

Participating in regular meetings across the organization and providing training on quality and PI

A hospital’s c-section rate is an example of which of the following?

Clinical performance review

The process of comparing the outcomes of an organization, work unit, or employee against pre-established performance plans and standards is referred to as which of the following?

Performance measurement

Initiatives and programs that reward organisations and providers for quality outcomes are called which of the following?

Pay for performance

Many organizations and quality experts define quality as meeting or exceeding _____

Customer expectations