regulation, continuous quality improvement, marketplace competition, payment incentives
What are the 4 strategies for healthcare quality?
product quality, technical aspects of care, inter-personal aspects of care
What are the 3 aspects of pharmacy quality?
structure, process, outcome
What is Donabedian's framework for quality of health care?
structure
•refers to the characteristics that are inherent in a health care facility or the environment itself.
process
-refers to the actual clinical practice, or the ''how'' of care delivery
presence
Structure refers to the _________ of something associated with quality.
action
Process refers to the _________ associated with quality.
value-driven health care
-healthcare that is selected based upon relative value to other alternatives, not just on quality
c
Patient counseling refers to what aspect of pharmacy care?
a) product quality
b) technical aspect
c) inter-personal aspect
b
Patients receiving the correct product at the right time.
a) product quality
b) technical aspect
c) inter-personal aspect
a
Patients receiving quality medication.
a) product quality
b) technical aspect
c) inter-personal aspect
reporting, reaching out, review, resolution
What are the 4 R's of Medical Error Disclosure?
c
Which aspect of medical error disclosure deals with having a policy and including critical information?
a)reaching out
b) review
c) report
d) resolution
a
Which aspect of medical error disclosure deals with having an appointed spokesperson and meeting with the patient & their family?
a)reaching out
b) review
c) report
d) resolution
b
Which aspect of medical error disclosure entails figuring out the root cause of the problem or how it occurred?
a)reaching out
b) review
c) report
d) resolution
d
Which aspect involves providing all pertinent findings to the patient & their family?
a)reaching out
b) review
c) report
d) resolution
a
Possession of electronic medical record, percentage of board certified falls under what kind of measure?
a) structure
b) healthcare processes
c) outcomes
b
Percentage of patients status post ACS who receive a beta blocker, percentage of individuals with polypharmacy falls under what kind of measure?
a) structure
b) healthcare processes
c) outcomes
c
Assessing the 30-day mortality rate falls under what kind of measure?
a) structure
b) healthcare processes
c) outcomes
a,e
What are the most important characteristics of a good quality measure? ( must-pass)
a) scientific acceptability of measure properties
b) feasibility
c) usability and use
d) comparison to related or competing measures
e) important to measure & report
e
Which characteristic of a good quality measures goal is to measure the aspects with greatest potential of driving improvements?
a) scientific acceptability of measure properties
b) feasibility
c) usability and use
d) comparison to related or competing measures
e) important to measure & report
a
Which characteristic of a good quality measures goal is to make valid conclusions about quality & reliability?
a) scientific acceptability of measure properties
b) feasibility
c) usability and use
d) comparison to related or competing measures
e) important to measure & report
b
Which characteristic of a good quality measures goal is to cause as little burden as possible?
a) scientific acceptability of measure properties
b) feasibility
c) usability and use
d) comparison to related or competing measures
e) important to measure & report
c
Which characteristic of a good quality measures goal is to utilize this for decisions related to accountability and improvement?
a) scientific acceptability of measure properties
b) feasibility
c) usability and use
d) comparison to related or competing measures
e) important to measure & report
measures, measure sets, measurement systems
Quality measurement infrastructure comprises of 3 levels, what are they?