CQI Continuous Quality Improvement Exam
Questions And 100% Correct Answers
What is CQI - Answer A structured organizational process for involving personnel in
planning and executing a continuous flow of improvement to provide quality health care
that meets or exceeds expectations
CQI tools and what do they measure - Answer Flowcharts, regression analysis, cause
and effect diagram, pareto chart, histogram, run charts, control charts
Flow Chart - Answer pictorial representations of how a process works. Defines,
describes and communicates clinical, administrative and operational processes. Traces
steps that the object of a process go through from start to finish. Explains a series of
steps or actions that are required to be performed in order to accomplish a specific
activity.
Pareto Chart A vertical bar chart with the bars arranged from the longest first on the left
and moving successively toward the shortest. Vertical bars give visual indication of the
relatively frequency of the contributing causes of the problem with each bar
representing one cause. CONCENTRATING ON THE VITAL FEW CAUSES ARE LIKELY
TO CONSTITUTE THE AREAS OF HIGHEST PAY BACK. The strategy should be focused
on the high-volume useful many causes because this is where the most potential is for
reducing variation in the process.
Regression analysis - Answer Used to test what may turn out to be erroneous
impressions about the causes of poor performance. tests the hypothesis that one event
is temporally or causally related with another through some form of correlation
modeling. Reduce complexity of the cause and effect hypotheses to be studied by
reducing the number of possible causes. Negative findings not a bad outcome in CQI
Cause-and-effect diagram. Also known as ishikawa or fishbone diagrams. Identify
variation once the process has already been described, schematic means of relating the
causes of variation to the effect of variation on the process. Help to organize the
contributing causes to a problem in order to prioritize, select and improve the source of
, the problem.
histogram - Vertical bar chart representing the frequency distribution of a set of data
which visualizes the nature of statistical distribution.
run chart - A process is under control if most of the observations are near the
center-line. Examine how we are doing at a given point in time. How are we doing and
what are we doing better since implementation of process?
FOCUS-PDSA- the answer F ind a process to improve
O rganize an effort to work on improvement
C larify current knowledge of the process
U nderstand process variation and capability
S elect a strategy for continued improvement
Plan, Do, Check and Act.
Industry -Answer Ignores complexities patient practitioner relationship
downplays competencies and motivation of the practitioner
ignores quality-cost trade offs
gives less attention to clinical activities
limited perspective on mechanisms for influencing professional behavior such as
education, retraining, supervision, encouragement and censure
healthcare - Answer importance of health care quality traditions
more interest by consumers
more interest in system designs and processes
self-monitoring, self governing tradition extended to all staff
more significant management role in CQI. more emphasis on developing applications
appropriate for health care monitoring
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