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ABQUARP EXAM QUESTIONS AND ANSWERS
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ABQUARP EXAM QUESTIONS AND ANSWERS
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ABQUARP EXAM QUESTIONS AND ANSWERSHow is quality defined? - answers -no errors, degree of excellence, do the right thing
and do it well. Meeting customers expectations, exceed expectations.
What is quality mgmt.? - answers -examine the process to delivery of care, the
outcomes measured
Plan-do-check-act - answers -walter shewhart
Edward deming - answers -introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - answers -lack of consistency, emphasis on short term
profits, eval of performanmce,job hopping, excessive medical cost, excessive liability
Joseph juran - answers -introduced total quality control
Philip crosby - answers -he added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Quality mangt. Qm - answers -approaches to imporving quality
Emphasis on preventing errors, empowerment of employees, improve performance,
focus on supplier relationships
Quality assurance - answers -addresses negative outcomes ( sentinel events). Hx
punishment of peers
Quality improvement - answers -improving on outcomes that are consider satisfactory,
get better.
Typically focus on process and systems, no individuals
Continuous quality improvement - answers -uses a systematic process, enhance
performance. Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - answers -uses qa, qi, cqm and focuses on customer desire
Sentinel event - answers -unexpected death, unrelated loss of function, ip suicide, infant
abduction, transfusion rxn, wrong site surgery
Root cause analysis - answers -analyzing a sentinel event, must assess the culture.
Credentialing - answers -key part of qm.make sure the right person , right knowledge in
the right position
, Risk mgt. - answers -focus on monetary loss by eliminating negative outcomes.
Includes insurance, pt satisfaction and legal issues.. Improve documentation. Medical
records analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
Ur - answers -formal review of the consumption of all resources in the delivery of care.,
can be prospective, concurrent or retrospective .reduce resources to achieve the same
result.
Infection control - answers -focus on outcomes, looks at transmission of illness to
providers, staff and visitors. Reduce risk of future infection
Outcome studies - answers -important to analyze effectiveness. Computer generated
outcomes best. Self report survey are vulnerable to inaccuracy, single review least
reliable.
Peer review - answers -an individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
Pro- peer review organization - answers -1972-82 was physician controlled, nonprofit
org that looked at medicare ip, utilization and quality. Changed to psro in 1982 via the
tax equity and fiscal responsibility act
Qari- quality assurance reform initiative - answers -1993- to assist states develop qi
systems, focus on clinical studies
Qismc- quality improvement for system of managed care - answers -1996-federal govt
formed as a guide for quality mgt, esp for medicare and medicaid
-designed to strengthen the efforts to protect and improve health and satisfaction to
medicare and medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
Bba-balanced budget act - answers -1997-comprehensive revision of federal statutes
governing medicaid
Revised 1999. Uses qismc to set quality assurance provisions.
Qio-quality improvement org - answers -2002-defined how quality measurement and
performance improvement should be applied to m/m
-improve quality of care to beneficiary
-protect integrity of medicare trust fund
Medicare contracts c 1 qio in each state
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