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CPHQ WITH 100- SURE

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EUNICE NAHQ Practice CPHQ WITH QUESTIONS AND 100% SURE ANSWERS Terms in this set (105) 2011 MOQ 1- In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing A. a...

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  • October 1, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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mbitheeunice2015
10/1/24, 9:30 PM



EUNICE




CPH WITH QUESTIONS AND 100% sure answers
H Appointment Selection for membership in a medical professional staff or to a practitioner panel.

Initial evaluation by peers of a practitioner's competency to provide care and
H Appraisal services to patients in or for a healthcare origination. Appraisal may include
credentialing, privileging, proctoring and appointment.

H Benchmark A comparative "best" as baseline for improvement.

A prospective, detailed, strategic treatment regimen, or daily/intermittent protocol
for patient care, designed to identify and integrate key activities, interventions, and
services for certain patient conditions. Clinical paths are applicable across the
continuum of care, e.g., in acute care form pre-admission and pre-operative
H Clinical Path treatment through the hospital stay to discharge and post-discharge phases of care,
including home care. Clinical/critical paths are designed to include clinical
performance criteria for specified time periods of intervals, organized by categories
of care needs, e.g., diagnostics, treatments, activity, medications, psychosocial, etc.
They are useful tools for measuring actual performance.

1) Forecasting potential crisis and planning how to deal with them (proactive) and 2)
H Crisis Management When a crisis occurs, identifying its full nature, intervening to minimize damage, and
recovering (reactive).

A structured communication technique, a systematic, interactive forecasting method
which relies on a panel of experts. The experts answer questionnaires in two or more
rounds. After each round, a facilitator provides an anonymous summary of the
experts' forecasts from the previous round as well as the reasons they provided for
their judgments. Thus, experts are encouraged to revise their earlier answers in light
H Dephi Technique
of the replies of other members of their panel. It is believed that during this process
the range of the answers will decrease and the group will converge towards the
"correct" answer. Finally, the process is stopped after a pre-defined stop criterion
(e.g. number of rounds, achievement of consensus, stability of results) and the mean
or median scores of the final rounds determine the results.

Term from economics; in project management it refers to meeting customer
H Demand Management
expectations; in managed care it refers to influencing access to medical care.

Disease management is a system of coordinated healthcare interventions and
H Disease Management communications for populations with conditions in which patient self-care efforts are
significant.

H Ethic A set of principles of right conduct.

H Ethics Rules or standards governing conduct.




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, 10/1/24, 9:30 PM
An occurrence that is either deemed to be, or results in a significant problem. e.g.,
H Event
sentinel event, adverse event, near miss event.

Events and Causal Factors: Used to find root causes. Combines a flowchart and
H E&CF Chart affinity diagram to identify both the sequence of events and relevant conditions
affecting each event.

The way a process can fail to function or fail to provide the desired result; an
H Failure Mode
undesirable variation in a process.

Failure Mode and Effects Analysis: A team-based quality improvement tool hat
prospectively assesses, identifies, and improves steps in a process to reasonably
H FMEA
ensure a safe and clinically desirable outcome [NCPS]: A systematic mechanism to
identify and prevent product and process failures before they occur.

A pictorial representation displaying the actual-sequence of steps and their inter-
relationships in a specific process in order to identify hand-offs, inefficiencies,
H Flowchart
redundancies, inspections, and waiting steps and/or the ideal-sequence of steps,
once the actual process is known.

A change management tool. Looks at forces for and against a change; 1) to decide if
H Force Field Analysis the change should be attempted or 2) used to create strategies to increase support
and decrease opposition.

Project planning tool for developing schedules; a graphic display of individual parts
H Gantt Chart
of a quality improvement process as bars on a horizontal time scale.

Healthcare-Associated Infection: Replaces "nosocomial infection" (hospital-
H HAI acquired) because it implies all health care and is not limited to hospitals. {More
general Healthcare-Acquired Conditions {HAC}}

An infection or other complication of treatment induced in a patient by a physician's
H Iatrogenic
or other licensed independent practitioner's activity, manner, or therapy.

"Performance Measure": Includes data definitions, as well as numerator and
H Indicator
denominator statements, to accurately specify what is being measured.

Multi-institutional entity with coordinated functions, activities, or operating units that
H Integrated Delivery System - Horizontal
are at the same stage or segment of the continuum of care, e.g., hospital system.

A network of entities that provide and coordinate healthcare to a defined population
H Integrated Delivery System - Vertical across the entire continuum of care: prevention, ambulatory, subacute, acute, and
long term.

A tool that allows a team to analyze all the interrelated cause-and-effect
H Interrelationship Diagram relationships and factors involved in a complex problem; distinguish between issues
that serve as drivers and those that are outcomes; and describe desired outcomes.

"Individuals in senior positions with clearly defined, unique responsibilities." Possible
H Leadership Group groups include governance, management, medical staff, nursing, other clinical staff.
An individual may be a member of more than one group.

Licensed Independent Practitioner: Any individual who is professionally licensed by
H LIP the state (US) and permitted by the organization to provide patient care services
without direction or supervision, within the scope of that license.

The sum of the activities of: planning, organizing, staffing, directing, coordinating,
H Management and working to improve human and material resources toward the achievement of
stated goals.

H Medicare Age 65+, permanent kidney failure, and disabled. Managed by CMS.

H Medicaid Low-income, managed by each state.




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