EBP Chapter 2

What is the micro level of impact?

patient-centered care by providers - staff nurses here

What is the meso level of impact?

Hospital strategies and processes

What is the macro level of impact?

political and economic drivers

What are the 7 domains of healthcare quality STEEEEP?

Safe - avoid harm

Timely - reducing wait times

Effective - avoid underuse and misuse

Efficient - avoiding waste

Equitable - care does not vary

Eco-friendly - environment

Person-centered - respectful

What is DHHS?

Department of Health and Human Services

- oversees 12 federal operating divisions

- goal to provide highest quality of care to patients

What is NAM?

National Academy of Medicine

- provides unbiased information on health

- for policymakers and leaders across government

What is AHRQ?

Agency for Healthcare Research and Quality

- the lead federal agency charged with improving the safety and quality of healthcare

- developed teamSTEPPS

What is TJC?

The Joint Commission

- quality control

- Accreditation is required to receive reimbursement

- if accredited, facilities must keep track of sentinel events

What is NPSG (part of TJC)?

National Patient Safety Goals from TJC

What is CDC?

Center for Disease Control - protects public health

What is HRSA?

Health Resources and Services Administration

- provides equitable healthcare to people who are isolated and vulnerable

What is NCQA?

National Committee for Quality Assurance - develops and enforces quality standards

What is a way that we measure patient satisfaction?

HCAHPS (hospital consumer assessment of healthcare providers and systems) - questionnaire used to survey patients

Why is patient satisfaction important?

The healthcare facilities care because reimbursement from CMS is connected to it

What is a sentinel event?

unexpected occurrence involving death or serious injury

What is Just Culture?

the promotion of open discussion whenever mistakes occur, or nearly occur, without fear of recrimination - mistakes are not just one person's fault

How does climate change affect health?

affects food we eat, air we breath, water we drink and weather we experience