PUBH 155 Exam 1
_____________________________ is a level of value provided by any health
care resources, as determined by some measurement.
Healthcare quality
What is the goal of healthcare quality?
Understand the nature of variation and reduce unwarranted variation.
What were the five major reports that drove the imperative for quality control?
- The Urgent Need to Improve Healthcare Quality by Institution of Medicine (IOM)
- To Err is Human: Building a Safer Health System by IOM
- Crossing the Quality Chasm: A New Health System for the 21st Century by IOM
- The National Healthcare Quality Report by the Agency for Healthcare Research
and Quality (AHRQ)
- Improving Diagnosis in Health Care by The National Academics of Sciences,
Engineering, and Medicine
The major contributions of "The Urgent Need to Improve Health Care Quality"
were an ____________________ of the current state of quality and the
categorization of ________________________________________.
assessment, quality defects
What were the categories of quality defects?
- underuse: when scientifically sound practices are not used as often as they
should be
- overuse: when treatments and practices are used to a greater extent than
evidence deems appropriate
- misuse: when clinical care processes are not executed properly
What did "To Err is Human: Building a Safer Health System" report do?
, it exposed the severity and prevalence of these problems in a way that captured
the attention of a large variety of key stakeholders for the first time
The major contribution of "Crossing the Quality Chasm: A New Health System for
the 21st Century" is providing a __________________ for the future that
classifies and unifies the components of quality through
__________________________ for improvements.
blueprint, six aims
The six dimensions of quality acronym is _________________.
STEEP
The six dimensions of quality, provides healthcare professionals and policy
makers with simple rules for _____________________ healthcare.
redesigning
What are the six dimensions of quality?
safe, timely, effective, efficiency, equitable, and patient-centered
What are the four levels of the healthcare system?
A: patient's experience
B: microsystem, where care is delivered
C: organization level, or healthcare "system"
D: environment, including payment mechanisms, policy, and regulation
What are the three questions the National Healthcare Quality and Disparities
Report addresses?
1. What is the status of healthcare quality and disparities in the US?
2. How have healthcare quality and disparities changed over time?
3. Where do we need to improve healthcare quality and reduce the greatest
disparities?
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