MRT 211 Chapter 18 quiz

One of the fundamental principles of performance improvement is that the problem is usually the system, which means

a system is a set or related and highly interdependent components

Executive leadership has limited influence on the culture of their organization

false

The National Patient Safety Goals (NPSGs) are accountability measures that require organizations to use practices that can prevent negative outcomes

true

Which of the following organizations focuses its accreditation activities on health plans and outpatient provider organizations

National Committee on Quality Assurance

The basic functions of healthcare risk management programs are similar for most organizations and should include which of the following

Risk identification and analysis, loss prevention and reduction, and claims management

Which of the following are predefined statements of the criteria against which the performance of a healthcare organization will be assessed during a voluntary review process

accreditation standards

Wildcat Hospital is comparing its performance data with the performance data of the other hospitals of similar size within their region. What is this process called

benchmarking

Which of the following tools is used to record and compile observations and occurrences

checksheets

Which of the following is the process of managing the legal and administrative aspects of the healthcare organization's response to injury claims

claims management

Which of the following are detailed step-by-step guides used by healthcare practitioners to make clinical decisions related directly to patient care

clinical practice guidelines

Variation that is inherent within the system is which of the following

common-cause variation

Which of the following statements represents a fundamental principle of performance improvement

communication must be open and honest

In order to participate in the Medicare program, healthcare providers must comply with federal regulations known as which of the following

conditions of participation

Performance monitoring is data driven and organizations need access to data in order to make important decisions. One way to provide real-time data and important information that can be monitored at a glance is to use which of the following

dashboards

Which of the following is a tool used to display data generated through brainstorming and identifies specific drivers and barriers to an organizational change?

force-field analysis

Which of the following documents the results of care for individual patients as well as for specific types of patients grouped by diagnostic category

outcome measures

The responsibilities of the PI department include which of the following

participating in regular meetings across the organization and providing training on quality and PI

The process of comparing the outcomes of an organization, work unit, or employee against pre-established performance plans and standards is referred to as which of the following

performance measurement

________ measure the steps in a process and tasks people or devices do, from conducting appropriate tests, to making a diagnosis, to carrying out a treatment.

process indicators

Which of the following is an occurrence with an undesirable outcome that resulted, or could have resulted, in a life-threatening injury to a patient, medical staff, or employees

sentinel event

Run charts and process control charts are two common _____ techniques

statistics-based modeling

An example of an internal customer would be a nurse in the intensive care unit

true