List the five things that trust, empowerment, and accountability all share together
shared goals
clear expectations
open feedback
future orientation
Learning focus
List the three reasons why we measure quality
It drives improvement
Inform consumers
Influence payment: pay for performance
What are the three kinds of audits?
Outcome: pain management - tolerance met?
Process: looks at how the procedure was done (related to quality of care)
Structure audit: how environment influences on care (structures within)
List deming principles of management principles (bolded)
1. Adopt philosophy of continual improvement
2. Improve processes: cease dependence on inspection only
3. Minimize total cost by working with a single supplier
4. Drive out fear = just culture
5. Foster inter-department cooperation
6. Promote team work: eliminate annual rating or merit system
List cyclical processes of CQI model (3)
After the 3 processes are over, what do you do last?
1. Identify area for improvement
2. Outline sequence of activities to solve problem
3. Implement them
After: Evaluate by determining if problem is solved.
- If not, repeat cycle
What TCAB?
What is its goal?
Transforming Care at the Bedside (TCAB):
- engages leaders, empowers staff and enlists patient/family in decisions to improve care
What is DMAIC?
Define: problem
Measure: current state
Analyze: root causes
Improve: Implement the solution
Control: measure the impact and establish control plan
What is TPS model?
Toyota Production system: complete elimination of waste = LEAN
- uses most efficient production model
- root cause analysis at event
- requires commitment of leadership time/resources and extensive prep with training staff
What is six sigma model?
Another Lean approach for safety
- grounded in measurement and statistical rigor to develop plans of action backed by data to improve a process
List collaborative process of case management
assessment
planning
facilitation
advocacy
What cost effective things do case managers look for in patients?
cost effective tx, providers, and care setting
What is required of a case manager in their roles?
Depends on organization and defined population served (dz management)
Requires ability to work across disciplines
Manage LOS, reimbursement
What does it mean when a patient is a variance?
Anything that takes the patient away from the critical path MAP (multidisciplinary action plan).
Which cyclic model is this:
- Identify area for improvement
- Outline sequence of activities to solve problem
- Impliment them
- Evaluate, and repeat if problem continues
A.
List case manager qualitications
How do you become nationally certified?
Usually a RN or social worker
Historically hospital trained
ANCC: RN license w/ 2 years CM exp. and 2000 hours in CM work and 30 hours/units of CM CE in the past 3 years
Which cyclic model is this?
- Plan the change or test
- Do carry out the plan
- Study summarize what was learned
- Act on the recommendations
B.
What is this term:
Identifies organization's constituency and position regarding ethics, principles and standards of practice.
Mission statement
Match the standard to the example
1. ANA - scope and standards of nursing practice ___
2. Benchmarking ____
3. Patient safety and harm reduction ____
4. Contemporary research leading to best practice (EBP and best equal care) ____
a. Industry standards
b. Clinical practice guidelines
c. Professional practice standards
d. Regulatory Standards
1. ANA - scope and standards of nursing practice __c. Professional practice standards__
2. Benchmarking __a. Industry standards
__
3. Patient safety and harm reduction __d. Regulatory Standards__
4. Contemporary research leading to best practice (EBP and best equal care) __b. Clinical practice guidelines
__
What does this 2002 initiate from the Joint Commission stand for: "SPEAKUP"
Speak up if you have questions or concerns
Pay attention to the care you get
Educate yourself about your illness
Ask a trusted family member or friend to be your advocate
Know what meds you take and why you take them
Use a health care organization that has been carefully checked out
Participate in all decisions about your tx
What are the 5 quality drivers that all lead to quality initiatives?
1. reimbursement
2. Mission/vision
3. regulatory
4. outcomes
5. Professional Organizations
List the 6 TJC core measures (bolded)
1. Tobacco tx
2. PNA prevention
3. Immunization
4. HF
5. CVA
6. Hospital-based inpatient psych services
What are the 2017 TJC patient safety goals (bolded) (7)
1. 2 patient identifiers
2. Med safety (labeling, med reconciliation, etc.)
