Quality IHI Exam 1 UPDATED ACTUAL Questions and CORRECT Answers
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Quality IHI
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Quality IHI
Quality IHI Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
In regard to health disparities around the world, which of the following statements is most
true? *** - CORRECT ANSWER- B and C
The best answer is B and C. Where a child is born and raised can significantly change the life
expe...
Quality IHI Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
In regard to health disparities around the world, which of the following statements is most
true? *** - CORRECT ANSWER✔✔- B and C
The best answer is B and C. Where a child is born and raised can significantly change the life
expectancy. The root causes of this and other health differences we see around the world are
deeply complex and by no means begin or end in the clinical setting.
Which of the following is a trend in modern health care across industrialized nations? -
CORRECT ANSWER✔✔- A and C
The best answer is A and C. As medical information and technology increases, demand for
complicated procedures is increasing, and providers are becoming more and more specialized
(and fragmented). The burden of disease is shifting toward chronic conditions.
Which of the following countries has had a relatively inexpensive universal health insurance
system for more than 50 years? - CORRECT ANSWER✔✔- Japan
Japan has had a relatively inexpensive universal health insurance system for more than 50
years. Germany made health insurance mandatory for its entire population in 2009. Chile has
given all Chileans access to a basic health care package since 2005.
Which of the following statements is true: *** - CORRECT ANSWER✔✔- During the past
15 years, the cost of care has been a growing problem for many developed nations.
The cost of care has been a growing problem throughout developed nations during the last 15
years. For example, across 34 nations that make up the Organization for Economic
Cooperation and Development (OECD), the average per capita health care expenditure
increased by more than 70 percent between 2000 and 2010. However, the biggest spenders —
such as the US — don't necessarily have the highest quality in many areas. Today, countries
around the world with vastly different political, economic, and cultural makeups are working
toward the goals of improving quality and access in different ways.
,Which of the following statements is a reason for improving the US health care system? -
CORRECT ANSWER✔✔- The US government and citizens alike are struggling to afford
the cost of care.
The US government and citizens alike are struggling to afford the cost of care. We've seen in
this lesson the US has the means to measure health care quality — the results just often are
not what one would hope! Although the US remains a leader in biomedical innovation, even
the most advanced biomedical science and technology can't guarantee high-quality care.
Why was it important for the Institute of Medicine (IOM) to develop its six aims for health
care? - CORRECT ANSWER✔✔- So that health care organizations would have a better idea
of what they needed to improve
Just as defining dimensions of good performance helps employees, defining the aims (or
dimensions of quality) of health care helped hospitals and other organizations understand
what to focus on when improving their care.
Which of the IOM aims has this hospital FAILED to meet? - CORRECT ANSWER✔✔-
Timely
Michael's care was not timely. He did not receive care when it was needed, without delays.
The hospital where Michael is recovering reviews its patient satisfaction survey results in
order to improve its care and patient outcomes. Leaders poring over the data note that 90 to
100 percent of patients rate staff as "excellent" in the following categories: listening,
answering questions, being friendly and courteous, and giving good advice based on specific
needs and preferences. Which aim is the hospital generally achieving? - CORRECT
ANSWER✔✔- Patient-centered
Patient-centered care is defined by the IOM as "care that is respectful of and responsive to
individual patient preferences, needs, and values" and that ensures "patient values guide all
clinical decisions." These high satisfaction rates are consistent with being patient-centered.
Which of the following improvement efforts is the best example of increasing the
effectiveness of care? - CORRECT ANSWER✔✔- Improving the percent of clinic patients
achieving their goal blood pressure by instituting a series of reminders for providers about
evidence-based processes
, Effective care is based on scientific evidence and avoids underuse and overuse. A reminder
system allowing providers to more easily use evidence in a busy practice environment would
best improve the effectiveness of care.
Which of the following improvement efforts is the best example of increasing the equity of
care? *** - CORRECT ANSWER✔✔- Through staff development and weekly feedback,
equalizing the likelihood that a patient will receive pain medication regardless of race,
ethnicity, or education
The best answer is equalizing the likelihood that a patient will receive pain medication
regardless of race, ethnicity, or education. Equity is about making sure that care does not vary
based upon gender, race, ethnicity, socioeconomic status, geographic location, sexual
orientation, and other individual characteristics.
Which of the following is a basic principle of improvement? - CORRECT ANSWER✔✔-
Every system is perfectly designed to get the results it gets.
A basic principle of improvement is that every system is perfectly designed to get the results
it gets. When an error occurs in a complex system — and health care is a complex system —
one can reasonably conclude that the system is still perfectly designed for that error, or one
like it, to occur again. To avoid that outcome, a conscious effort must be made to improve the
system.
Using Deming's System of Profound Knowledge is helpful in quality improvement because: -
CORRECT ANSWER✔✔- It can help break down complex quality issues into smaller, more
understandable parts.
By breaking down a problem into its component parts, as in Deming's System of Profound
Knowledge, you can better analyze it and design ways to improve it.
Which component of Deming's System of Profound Knowledge is the team about to harness?
- CORRECT ANSWER✔✔- Understanding variation
They are working at understanding variation. By noting a unit that outperforms the others —
a significant variation — the nursing home can now study that unit and attempt to spread its
practices throughout the organization.
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