1) Planning and making changes to current practices to achieve better performance

2) ………… can lead to lower health care costs?

3) …. What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI)?

4) Participants …… on the Results (Reviewing the results and deciding what tests of change to try next)

5) …………..negatively impact the company’s image when reported to the public?

6) According to the Institute of Medicine, quality of care is: desired health outcomes are consistent with current professional knowledge current professional knowledge

7) Participants …… the change (Implementing potential solutions in a small subset)

8) A key focus of quality improvement is to ………of the system and clinical processes

9) Which of the following best describes movement as waste?

10) An analysis that delves into problem causes by successively asking what and why until all aspects of the situation, process, or service are reviewed and contributing factors are considered

11) Minimum acceptable levels of quality

12) Which statement below best describes quality assessment? low-performing health care providers, organizations, or communities. implementation of quality measurement activities, and monitoring of quality information over time

13) …… results from the most efficient expenditure of resources to achieve an established high level of clinical quality?

14) Performance expectations established by individuals or groups

15) Which statement best describes quality improvement?

16) A measure expressed as a ………. is generally more useful than a measure expressed as an absolute number

17) Treatment results are found in patient records

18) …… Identify an opportunity and plan for change

19) Evaluation activities aimed at ensuring compliance with minimum quality standards

20) ……are process of care

21) Which of the following is not a basic component of descriptive statistics?

22) Provision of a health service that is more likely to harm than benefit the patient

23) They provide care that does not vary in quality because of a person’s characteristics?

24) It is important to allow enough time to design an improvement intervention and plan its delivery?

25) In any organization, the technique of quality improvement that is used the most is……

26) An ………, sometimes called an arithmetic mean, is the sum of a set of quantities divided by the number of quantities in the set

27) The organization’s billing database is an administrative file often used to gather performance data

28) The number written above the line in a common fraction to indicate the number of parts of the whole is…

29) Quality management involves three things people do almost every day

30) Hundreds of measures can be used to evaluate healthcare performance. These measures are grouped into three categories:

31) A performance improvement approach aimed at eliminating waste; also called …

32) Use the when you want to compare means for two data sets that are independent from each other?

33) When a manager monitors the work performance of workers in his department to determine if the quality of their work is ‘up to standard’, this manager is engaging in which function?

34) Data describing the delivery of healthcare services

35) To realize the benefits of quality health care, health services must be

36) ……is the combination of the quality of a product and the cost at which that level of quality is achieved?

37) Several systematic performance improvement models have been created for use in healthcare as well as other industries. All these models incorporate similar steps: improvements, and measure success improvements

38) A bakery is supposed to produce cookies whose average weight after baking is 31 grams. To meet quality requirements, it has been decided that USL=35.0 grams and LSL=28.0 grams. The process standard deviation is 0.8grams and the process centerline is set at 31 grams. The company requires a capability index of at least 1.33

39) Independently gathering evidence in a systematic and transparent way to provide confidence that a system is meeting internal or external standards?

40) ….. are Aspects of patient outcome

41) ……is defined as a formalized system that documents processes, procedures, and responsibilities for achieving quality policies and objectives. Standard deviation

42) Quality Improvement had its beginnings in what area?

43) Health care systems across the UK are also looking at the environmental impact of the services they provide as part of their efforts to ……..

44) Creating governance arrangements and processes to identify ………that require investigation and improvement

45) …. It is important to know about

46) Groups that contract with the centers for Medicare & Medicaid Services to monitor the appropriateness, effectiveness, and quality of care provided to Medicare and Medicaid beneficiaries?

47) .….. define customers and how to meet their needs

48) …….is its ability to satisfy the needs and expectations of the customer

49) ………. tool helps an improvement team dig deeper into the causes of problems by successively asking what and why until all aspects of the situation are reviewed and the underlying contributing factors are considered.

50) …… are the people responsible for supervising the use of an organization’s resources to meet the goals?

51) Which of the following is not the dimension of quality of care defined by the Institute of Medicine?

52) The process of identifying the scope for process improvement is associated with …

53) Which of the following is not considered a performance measure? a home health care patient

54) Graphs in which each unit of data is represented as a pie-shaped piece of a circle

55) …….is developing a theory of change?

56) Gathering data to assess the changes affect on the process is part of which stage of QI cycle?

57) …. The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership?

58) Which of the following objectives is not time-bound? health facilities will have reached 5000. increase by 25%

59) …is one that meets or exceeds expectations. Expectations can change, so quality must be continuously improved.

60) Implementing quality improvement to reduce complications from surgery can be done in

61) A self-assessment and external assessment process used by healthcare organizations to assess their level of performance in relation to established standards and implement ways to continuously improve

62) Quality management is a method for?

63) The Model for Improvement focuses on what three areas?

64) Events, actions, or things that can cause harm

65) ………is achieved by continual improvement in terms of customers’ expectations. The aim of continuous quality improvement is to meet the customer, not just the competition?

66) Quantitative tools used to evaluate an element of patient care

67) Writing down details related to objectives of QI cycle, process of changes and plans for implementation is part of which of the following in QI cycle?

68) ………is one that meets a personal need or provides some benefit?

69) Care should be provided promptly when the patient needs it

70) The Deming performance improvement model

71) Graphs used to show the correlation between two characteristics or variables

72) …. Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic??

73) The Shewhart performance improvement model

74) Outcomes are …… (Measuring and evaluating results before and after intervention)

75) A long-term, integrated whole-system approach is needed to ensure sustained improvements in …………….

76) Doing something that doesn’t add value (e.g., performing unnecessary tests to prevent a lawsuit for malpractice)

77) They use their resources responsibly and efficiently, providing fair access to all, and according to need of their populations?

78) The patient cost-to-charge ratio…..

79) ………is about giving the people closest to issues affecting care quality the time, permission, skills and resources.

80) vital elements of any attempt to improve performance or quality and are needed to assess the impact against set objectives?

81) A measure of how well resources are used to achieve a goal.

82) The patient wait time in the emergency department is….

83) ……. are organizational assets and include people and raw material.

84) Using a systematic approach involving specific methods and tools to continuously improve the quality of care and outcomes for patients and service users?

85) The ability to influence a group toward the achievement of goals

86) Data describing the extent to which current best evidence is used in making decisions about patient care?

87) Collection of information for the purpose of understanding current performance and seeing how performance changes or improves over time

88) Continuous quality improvement (CQI) is a philosophy assumes that:

89) Management is………………………?

90) Charts used by improvement teams to organize ideas and issues, gain a better understanding of a problem, and brainstorm potential solutions

91) Formal discussions between two parties in which information is exchanged?

92) .…………are used to plot five to ten performance measures for an interval of time, along with performance expectations

93) …. Research, Quality Assessment and Quality Improvement?

94) Quality improvement can deliver sustained improvements not only in…….., but also in the lives of the people working in health

95) Which of the following should not be included in the planning stage of Quality Improvement cycle?

96) Data describing the results of healthcare services?

97) Choose a problem, and write a statement to describe it?

98) ….. is about making organizations perform for their stakeholders from improving products, services, systems and processes, to making sure that the whole organisation is fit and effective?

99) Performance improvement projects should be …….

100) Which of the activities below does not fall under quality assessment? communities

101) Care intended to help patients should not harm them.

102) The process of checking the actual performance with the standard performance is associated with….?

103) The objectives of the improvement project?

104) Learn more about the problem by gathering performance data

105) …. is about making healthcare safe, effective, patient-centred, timely, efficient and equitable.

106) A …… is used to compare two things. For instance, the nurse-to-patient ratio reports the number of hospital patients cared for by each nurse

107) It is important to know about ……….. for quality planning?

108) Identifying and describing data that need to be collected to determine whether changes produced desired results is part of which stage of QI cycle?

109) Where was Total Quality Management first developed?

110) The best possible care should be provided to everyone, regardless of age, sex, race, financial status, or any other demographic variable

111) Improvement teams can use a ………… (sometimes called a selection or prioritization matrix) to systematically identify, analyze, and rate the strength of relationships between sets of information.

112) Which statement by a healthcare professional shows the best understanding of QI? others involved in health care that leads to better health outcomes, better system performance and better professional development.”

113) Quality improvement program focuses on?

114) The first step in problem solving is to

115) Avoiding harm to people for whom the care is intended

116) When is it appropriate to collect and use data? questions questions questions research questions

117) Visible and focused leadership, for example, in an NHS trust, at board level, accompanied by effective governance and management processes that ensure all improvement activities are aligned with the organisation’s vision

118) a …… for change in identified (forming the team, agreeing on the problem, selecting valid measures, and making ideas for improvement)

119) Graphic representations of a process

120) Implement the changes on a small scale?

121) Analyzing data to determine whether the changes were effective is part of which stage of QI cycle?

122) One crucial elements of or steps in a quality improvement system is Staff, doctors, nurse

123) A subgroup of respondents derived from the target population Defects

124) The goal of performance improvement is to ……from recurring, not just clean up the mess after something undesirable happens.

125) Individuals and organizations that pay for healthcare services directly or indirectly

126) Data describing organizational facilities, environment, equipment, policies, and procedures

127) ……. must provide a good or service desired by its customers?

128) The total patient time in the clinic from walk-in to walkout

129) …… Implement the change on a small scale

130) Measures used to determine an organization’s performance over time; also called performance measures

131) ………… is a systems thinking multimethod ology that seeks to combine methods and practices from various systems thinking schools?

132) Action designed to lower the risk of failure

133) Avoiding harm to people from care that is intended to help them?

134) Providing services based on evidence that produce a clear benefit?

135) …… shows how often each different value in a set of data occurs

136) Who is responsible for quality improvement in healthcare?

137) Use of authority inherent in designated formal rank to obtain compliance from organizational members

138) Which of the following does not constitute patient-centered care? family planning

139) Process Control and Regulatory is a part of…

140) Incorrect diagnoses, medical errors, and other sources of avoidable complications

141) Products and services that process customers view as unnecessary (e.g., making a copy of the patient’s insurance card at each clinic visit)

142) The benefit of available resources and avoiding waste

143) Products, services, or information flowing into a process?

144) ………conducted using step by-step proceed.

145) Comparing results of QI with expectations is part of which stage of the QI cycle?

146) …….. ensuring that health and care services are appropriately resourced to deliver an agreed standard of quality.

147) A way of doing business that continuously improves products and services to achieve better performance

148) .……is “a philosophy or an approach to management that can be characterized by its principles, practices, and techniques

149) Analysing performance of various processes and improving them repeatedly to achieve quality objectives?

150) Which is less relevant in the formulation of monitoring framework?

151) Use of performance information to determine whether an acceptable level of quality has been achieved

152) A dichotomous response scale

153) Data describing the results of healthcare services

154) Two concepts of descriptive statistics that are essential for identifying opportunities for performance improvement are?

155) Analysing performance of various processes and improving them repeatedly to achieve quality objectives

156) ……………. are used to identify all possible causes of an effect (a problem or an objective).

157) ………..supporting efforts to develop whole-system approaches to improvement.

158) …. Published articles information in scientific journals is set in the following sequence?

159) The relationship between cost and quality is

160) According to the Institute of Medicine, how many dimension of quality of care are there?

161) Meaningful quality process measures must be?

162) Which of the following best describes the nature of quality measurement?

163) Which of the following is associated with defining of product or service features and specifications?

164) Quality assurance is related to ……

165) A measure of the middle or expected value of a data set

166) Caring. Staff involve and treat people with compassion, dignity and respect?

167) ……is the number written below the line in a common fraction that indicates the number of parts into, which one whole is divided

168) …… Use data to analyze the results of the change and determine whether it made a difference

169) Levels of performance excellence that organizations must attain to become credentialed by a competent authority

170) ………is a broad philosophy to reduce cost, eliminate variability, and improve customer satisfaction through improved design and better management strategy

171) Your community hospital has coordinated with local municipality authority to convert a busy intersection to a roundabout (i.e., traffic circle) to alleviate long standing condestion, but after completion it was realized that large fire trucks cannot fit through the new configuration. This is an example of?

172) A methodical procedure used to identify factors that cause errors and then reduce or minimize them?

173) ……….is the most prominent approach to quality management systems.

174) Care should be based on scientific knowledge and provided to patients who could benefit.

175) In health care, systematic quality improvement approaches such as Lean (see Section 4) have been used to…….

176) Of a quality improvement perspective, the most desirable state is when?

177) Which of the following is not suitable data for quality measurement?

178) Which of the following is considered as waste?

179) A leadership style that is said to motivate employees, and that optimizes the introduction of change

180) Developing …….to identify and implement new evidence-based interventions, innovations and technologies, with the ability to adapt these to local context

181) To ensure………, the steps perpetually cycle and repeat

182) What statistics you can compare patient stay cost for two .

183) Which one piece of information is the most usefull to describe the gender of population that is served in an anticoagulation monitoring service clinic??

184) Graphs used to show the relative size of different categories of a variable, on which each category or value of the variable is represented by a bar, usually with a gap between the bars; also called bar charts

185) Not providing a health service that might have been medically beneficial

186) A radiologist waiting for a patient to be brought into the exam room

187) Which of the following scenarios does not represent timeliness of care?

188) Which phrase is not related to quality improvement?

189) …. Incorrect diagnoses, medical errors, and other sources of avoidable complications?

190) Establishing effective leadership for ……

191) Application of statistical methods to identify and control performance

192) Analyze data to determine whether the changes were effective?

193) Care should be based on scientific knowledge and provided to patients who could benefit. Care should not be provided to patients unlikely to benefit from it. In other words, underuse and overuse should be avoided

194) What is the first step in a control process?

195) Products, services, or information produced by a process?

196) Graphs used to show the center, dispersion, and shape of the distribution of a collection of performance data

197) Building ………at every level, from the top tiers of organisations, such as the boards of acute trusts or primary care networks, through to front-line staff.

198) ……are structure of care provision

199) Which of the following are key components of a Total Quality Management system?

200) Develop a solution for the problem and a plan for implementing the solution