Questions bank (Quality of health care) Essay Questions: 1- Compare between Quality Improvement and quality assurance? 2- List the Pillars of Quality? 3- Explain why you need to form a team in improvement process? 4- Compare between measurement for Research and measurement for improvement? 5- List the types of measures for quality improvement? 6- Define the techniques that are used in determining what change to implement? 7- Diagram the information cycle? 8- Mention the requirements for data collection? 9-Define the data elements should be collected? 10- List the Common collation problems? 11- Discuss why test changes (even if they are already proven elsewhere)? 12-Define a good aim? 13- List the Risk Management & Performance Improvement Criteria? 14- List the Information Management Criteria? 15- Draw the quality management model for decision-making (Databased)? 16- Describe the approaches used in conducting an Accreditation survey? 17- Define the importance of standards? 18- How CBAHI Supports Hospitals? 19- Mention the disadvantages of Electronic Medical Record System? 20- Define The scale of evaluation preparation tools ? 21- Show highlights of hospital management information system? 22- List five of the characteristics of good standards? 23- Write five benefits of accreditation for patients? 24- How easily is change adopted? 25- Define the change Concepts? Matching Questions: Choose from column B what suits it from column A ....... 1- A To improve a system 1- B Usually comes after a series of successful tests ....... 2- To understand a system and identify what is wrong with it 2- You to visualize the system you are trying to change ....... 3- A flow chart allows 3- You need a good understanding of the system ....... 4- Implement changes 4- You need to Map it out ....... 5 Health Management Information System 5- Tries to find who was at fault ....... 6 CIS 6- Hospitals is required to be resurveyed within 90 days of the result for chapters that score less than 50% ....... 7 Health records 7 A system that provides information support to the decision-making process at each level of an organization. ....... 8 Information System 8 Clincal Information System ....... 9 Nurses 9 An information system specially designed to assist in the management and planning of health programmes, as opposed to delivery of care. Is considered to be any cost that the company would not have incurred if the quality of the product or service were perfect 10 Archival records or diaries of diagnostic discoveries ....... 11 Quality costs increase over time by 11 The largest single group of health professionals who directly influence the quality of most health services provided and their outcomes ....... 12 Hidden Costs of Poor Quality 12 can produce ....... 13 Example for Financial Measure 13 A part of a health care information system that deals with nursing aspects, particularly the maintenance of the nursing record Field service expense ....... 14 Are the sum of prevention costs, appraisal costs, and internal and external failure costs Hospitals scoring from 70 to 79% The hospital will be denied accreditation 14 Loss of goodwill 15 Quality cost 16 Prevention costs Evidence of communication 17 Total quality costs 10 ....... 15 ....... 16 ....... 17 between the head of department and medical director ....... 18 Pharmacy mission, vision, and 18 values are posted Failure Costs ....... 19 Total quality management 19 ....... 20 Importance of standards 20 Number of customer complaints By observation ....... 21 The JCIA standards 21 By document Review ....... 22 Benefit of accreditation for the 22 staff Benefit of accreditation for the 23 hospital Used in Conducting 24 an Accreditation Survey The overall score is less 70 % Quality Assurance Hospitals is required to be resurveyed within 90 days of the result for chapters that score less than 50% It is a broad management philosophy, espousing quality and leadership commitment Encapsulation of best practiceavoids repetition of past mistakes ....... 23 ....... 24 ....... 25 25 26 27 28 29 30 31 By Interview The overall compliance score equals to or more than 80 % organized according to either Patient care functions or Management functions Provides education on consensus standards Raises community confidence Patient and family interviews Fill the spaces using the following words ( Information, System, ISQua, Accreditation, Preparation tools, Guidance, Quality Improvement, Data. Standards, Quality, Information System, Health records, CIS, Document Review , Interview, Observation , High-level flowchart, Detailed flowchart, satisfactory compliance, partial compliance) 1-....................provides accreditation of healthcare external evaluation organisations. 2- ..................is provided to help interpret the criteria in the Standards and is not intended to specify requirements that must be complied with. 3- A collection of components that work together to achieve a common objective is called ................ 4- An organization is assessed by an external body to determine its performance compliance with agreed standards and the impact of its services on the patients is called .................. 5- ...................... are statements that detail the specific performance expectations and/or structure or process that must be in place. 6- …………………. A formal approach to the analysis of performance and systematic efforts to improve it. 7- ………………….. Observations and measurements about the world. 8-………………….... Facts extracted from a set of data (interpreted data), Meaningful and useful. 9- ……………………. are the key to effective quality management. 10- Having high degree of excellence is called……………….. 11- ………………………..is a system that provides information support to the decision-making process at each level of an organization. 12- .................................... are archival records or diaries of diagnostic discoveries. 13- .................................. is an information system designed to be used specifically in the critical care environment. 14- .................................is evidence of staff awareness of standards and isolation precautions. 15- ……………………..is evidence of written Policies and procedures on standard and isolation precautions. 16- ………………………is evidence of compliance with standard and isolation precautions. 17- ..................................... showing six to 12 steps, gives a panoramic view of a process 18- ………………………. is a close-up view of the process, typically showing dozens of steps. These make it easy to identify rework loops and complexity in a process. 19-………………….. is scored when ≥ 50 to < 75 % compliance with the standards elements. 20- ………………….. is scored when 75 % compliance with the standards elements. True (T) or (F) for false Questions: 1- ISQua provides Accreditation of training programs for training surveyors/assessors /auditors. 2- The standards have been grouped into functions are Leadership, Support Services, and Guidance. 3- Health information management professionals plan information systems, develop health policy, and identify current and future information needs. 4- The hospital must meet all the applicable standards elements at a minimal level to become accredited. 5- The Validity of accreditation is renewed every 4 years 6- All improvement will require change, but not all change will result in improvement. 7- Definition of quality depends on stakeholders. 8- FADE is a model of Quality Improvement. 9- The Model for Improvement begins with two fundamental questions. 10- PDSA Cycle Enables rapid testing and learning. 11- Measurement is critical for testing and implementing changes. 12- The surveyors are permitted to provide hints to the hospital regarding the accreditation status. 13- The hospital must meet all the applicable standards elements at a satisfactory level to become accredited. 14- Quality can be defined as Freedom from deficiency. 15- Quality improvement projects tend to focus on zero defects. 16- one of the Benefit of accreditation for the community is Disaster preparedness. 17- Quality Assurance focuses on the specific incident. 18- Document Review is an evidence of communication between the head of department and medical director 19- Interview evidence that the department head shares his/her findings with the Medical Director 20- Observation is an evidence of Pharmacy mission, vision, and values are posted 21- Hospital accreditation Result has to be approved by the Central Board before it is given to the hospital. 22- The surveyors are not permitted to provide hints to the hospital regarding the accreditation status . 23- Hospitals are requested to complete a Hospital Survey Feedback form after the survey visit has been completed 24- PDSA Cycle Can aid in Implementing a change. 25- Insufficient compliance is scored when > 25 % compliance with the standards elements.