Exam (elaborations)
QUALITY IMPROVEMENT PART 1 EXAM
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QUALITY IMPROVEMENT PART 1 EXAM...
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DEFINITION OF QUALITY - ANSWER "A distinctive inherent feature ordegree of excellence" [Webster]
"Quality health care means doing the right thing at the right time, in the
right way, for the right person and having the best possible results"
[www.consumer.gov/qualityhealth/]
"Quality of care is the degree to which health care services for
individuals and populations increase the likelihood of desired health
outcomes and are consistent with current professional knowledge" [IOM
2001]
Quality improvement consists of "defining and doing the right thing and
then doing the right thing well" [Nosse 2005]
MEASURING QUALITY: who measures quality? - ANSWER Institute of
Medicine [IOM]
Agency for Healthcare Research and Quality [AHRQ]
Medicare Quality Improvement Organization [QIO]
National Committees for Quality Assurance [NCOA]
ACCREDITATION AGENCIES: these are also interested in quality -
ANSWER Joint Commission on Accreditation of Healthcare
Organizations [JCAHO]
Accreditation Association for Ambulatory Health Care [AAAHC]
National Council on Quality Assurance [NCOA]
JCAHO's perpectives on quality: - ANSWER An organization's
performance of important functions significantly affects its patient
, outcomes, the cost to achieve those outcomes, and the perception of its
patients and their families about the quality and value of its services
This linking of processes and outcomes evolved into quality
improvement (QI), continuous quality improvement (CQI) or total quality
management (TQM)
what is value? - ANSWER Value has been defined as "the real
expectation that a visit will achieve a quality encounter based on a safe,
service-based, cost-effective outcome"
what is our professional responsibility according to APTA? - ANSWER
APTA: QUALITY ASSURANCE AND PERFORMANCE IMPROVEMENT
HOD P06-98-13-13
--APTA advocates voluntary member participation in quality assurance
and performance improvement activities which are incorporated into
daily practice. The commitment to quality assurance and performance
improvement is primarily a professional responsibility and is to be
promoted and fostered by Association members through individual and
collective efforts.
An IOM report in 2001, Crossing the quality chasm: a new health system
for the 21st century, states that the majority of medical errors result from:
- ANSWER faulty processes and systems, not individuals.
--Inefficient processes, differences in provider experience, complex
patient case mix and other factors contribute to the complexity of health
care
--Health care should be effective, safe, patient-centered, timely, efficient
and equitable
who is William Edward Deming - ANSWER Was an American
statistician, author, professor and consultant who, from 1950 onwards,
developed many of the quality control processes to improve design,
service, product quality, testing and sales that facilitated a strong
economy for post WWII Japan
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