Exam Prep Ch9 Improving Quality In Health Care Organizations

CHAPTER 9: Improving Quality in Health Care Organizations (HCOs)

MULTIPLE CHOICE

1. ____ focuses on how care is provided, delivered, and managed.

PTS: 1

2. Interventions can be described by the (1) levels of ____ and the (2) scale of the intervention.

PTS: 1

3. AIDET is an acronym that stands for ____.

PTS: 1

4. ____ practice guidelines synthesize evidence from the literature and make recommendations regarding treatment for specific clinical conditions.

PTS: 1

5. ____ are workforce or human resource practices that have been shown to improve an organization’s capacity to effectively attract, select, hire, develop, and retain high-performing employees.

PTS: 1

6. Burgeoning medical knowledge and the complexity of health care delivery have resulted in increasing ____ in the health care workforce.

PTS: 1

7. ____ identification has effectively limited organizational identification (i.e., individuals’ sense of alignment with the organization).

PTS: 1

8. ____ comprises the fundamental values, assumptions, and beliefs held in common by members of an organization.

PTS: 1

9. ____ is the process of providing a lens through which to interpret a situation.

PTS: 1

10. ____ leadership is defined as influencing followers by “broadening and elevating followers’ goals and providing them with confidence to perform beyond the expectations specified in the implicit or explicit exchange agreement.”

PTS: 1

COMPLETION

1. ____________________ pertains to having the necessary resources to provide adequate health care.

PTS: 1

2. ____________________ is an organized approach to planning and implementing continuous improvement in performance.

PTS: 1

3. ____________________ is the process of comparing an organization’s performance metrics to those of other “best practice” or peer organizations.

PTS: 1

4. ____________________ is a technique that addresses “potential errors created by communication and decision making in dynamic environments,” such as teams, to improve patient safety.

PTS: 1

5. ____ is the critical gateway between the decision to adopt the QI innovation and the routine use of the QI innovation, or integration of a new idea or practice into the operating system of the organization.

PTS: 1

6. Although many QI innovations are designed to improve quality in the long run, their implementation often increases the risk of ____ in the short run while staff become familiar with the new practice.

PTS: 1

7. Collaboration problems in the health care workforce result largely from the ____, individualistic culture of medicine, which is deeply rooted in the socialization process for health professionals.

PTS: 1

8. A(n) organization’s ____ refers to the shared summary perceptions of targeted employees concerning the degree to which their use of a particular innovation is rewarded, supported, and expected within the organization.

PTS: 1

9. ____ boards have an important role to play in overseeing QI efforts and patient safety initiatives because they are the organizational entity legally accountable for quality of care.

PTS: 1

10. Important avenues for promoting QI implementation may be missed when ____ and control systems are not used to appropriately reward implementation efforts.

PTS: 1

MATCHING

Match each item with a statement below.

1. Incorporates a culture and processes to “radically reduce system failures and effectively respond when failures occur”

2. Reimbursement for health care services that is designed to link payment incentives to quality and performance outcomes

3. Describes efforts to radically review and reorganize existing, or adopt new and innovative, work processes designed to improve customer value, organizational efficiency, and market competitiveness

4. Developed a model of care that is a “patient-centered, holistic approach to health care, promoting mental, emotional, spiritual, social, and physical healing”

5. Based on aspects of an organization or an individual’s actions that could impact overall quality or organizational performance

6. Designed to decrease medical errors and enhance patient safety

7. Metrics based on the results of work performed

8. Initiative through the Center for Health Design, which is working with partners to develop facilities that incorporate “evidence-based design” features demonstrated to reduce errors, improve quality and efficiency, and improve work experience

9. Indicators of the activities involved in carrying out work in an organization

10. A participative, systematic approach to planning and implementing QI in quality