Health Workflow Process Analysis and Redesign Study
Guide Questions With Complete Solutions
. Identifying processes that are ripe for improvement can be
facilitated by Correct Answer Reviewing "Best Practices" in
other health care facilities
Some health care providers can show how much a change can
improve services in specific areas and integration
Focusing on processes that can increase satisfaction,
compliance, and meaningful use of health IT
"Bullet" shaped symbol is used for.... Correct Answer The
symbol used to represent a delay in a process
"creative tension" Peter Senge Correct Answer motivates
forward progress
Make and keep the gap between "as is" and "to be" visible and
talk about it at every opportunity.
1980s - Focus-PDCA model Correct Answer Find an
opportunity for improvement
Organize an effort
Clarify current understanding
Understand the process variations and capability
Select a strategy
PDCA cycle test the strategy
,2 publications that documented major quality gaps that existed
in health care Correct Answer The two landmark Institute of
Medicine reports
To Err is Human
Crossing the Quality Chasm published in 1999 and 2001
respectively
3 process diagram flaws Correct Answer 1. Black holes as
Yourdon calls them, are processes that have inputs but no
outputs.
2. Miracles are processes that have outputs but no inputs.
3. Mysteries are unlabeled flows and unlabeled processes.
3 quality improvement concepts Correct Answer 1. Quality is a
Measurable Phenomenon
2. Safety- Errors are definable and measurable
3. Accountability - Measurable performance with consequences
3 steps to diagram a process Correct Answer 1. Identify the
purpose for which the diagram will be used
2. Get clear about which process aspects need to be visualized;
choose diagram type
Decide the required level of detail
3.Pick appropriate notation
,3 types of tasks Correct Answer Physical
Mental
Computational
4 characteristics of processes Correct Answer 1) have steps,
activities, actions, operations, or tasks
2) the steps have sequence or order
3) processes have inputs and outputs
4) processes happen over and over, i.e., are ongoing.
A control chart has several important visual features. Correct
Answer 3 horizontal and parallel lines
1. Center line (CL) - shows the average
2. Upper Control Limit (UCL)
3. Lower Control Limit (LCL)
A Dashed Line is used for Correct Answer used to denote an
alternate path. Arrows represent the direction of the flow.
A jagged line is used for Correct Answer used to denote data
transfer by a telecommunications link. Arrows represent the
direction of the flow.
A mistake in transition and implementation is Correct Answer
Failing to learn and plan for sustaining
A physician leader in a small practice has chosen and purchased
an EMR without telling anyone in the practice. He has arranged
for the vendor to install the system and explain it to the staff in
two weeks. What key change concept could have improved this
situation? Correct Answer Engagement gap
, A process analysis report should include: Correct Answer
Information about the analysis, for example, the analyst's name
and organization, dates of time on site, individuals from whom
information was received,
Process inventory,
Process variations and exceptions,
Process diagrams, and
List of EHR functionality needed for the practice.
According to J Ovretveit, failing to learn and plan for sustaining
the improvement is which category of mistake in Quality
Improvement? Correct Answer A mistake in transition and
implementation is Error #8: Failing to learn and plan for
sustaining.
AFFINITY DIAGRAM Correct Answer can encourage people
to develop creative solutions to problems. A list of ideas is
created, then individual ideas are written on small note cards.
Team members study the cards and group the ideas into
common categories.
a way to help achieve order out of a brainstorming session
An analyst needs to show detailed process steps. What notation
would be appropriate? Correct Answer ISO data flow diagram
can be used to represent process steps and their sequence and
control, as well as information transformation and roles involved
in the process
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