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HCA 375 Entire Course
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HCA 375 Week 1 DQ 1 Management versus Leadership
HCA 375 Week 1 DQ 2 Implementation and Barriers
HCA 375 Week 2 DQ 1 Measurement
HCA 375 Week 2 DQ 2 Quality and Outcomes
HCA 375 Week 2 Assignment Customer Satisfaction and Quality
Care
HCA 375 Week 3 DQ 1 Teamwork in Health Care
HCA 375 Week 3 DQ 2 The Impact of Nursing
HCA 375 Week 3 Assignment High-Performance Teams
HCA 375 Week 4 DQ 1 Medical Errors
HCA 375 Week 4 DQ 2 Disclosure and Litigation
HCA 375 Week 5 DQ 1 Quality Improvement Organizations
HCA 375 Week 5 DQ 2 Accreditation
HCA 375 Week 5 Assignment Research Paper (Value-Based
Purchasing)
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HCA 375 Final Exam (100 Question)
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100-question multiple-choice exam
HCA 375 Final Exam (100 Question)
1. Federal regulations require that states who contract
with Medicaid managed care organizations (MCO) or Prepaid
Inpatient Health Plans (PIHP) do which of the following?
Question 2. The organization that is best known for
evaluating hospitals and physicians based on clinical outcomes and
patient surveys is
Question 3. The Network for Regional Health Improvement
(NRHI) created a network of regional health improvement
collaborative made up of four groups. What are the four groups?
Question 4. Quality improvement is the responsibility of
Question 5. The two Institute of Medicine reports that
increased awareness on the health care industry quality related issues
are
Question 6. The organization that assists poverty stricken
countries to find solutions to their health and development problems
is
Question 7. If an organization is analyzing information to
determine the success or failure of different interventions, then the
organization is likely in which phase of the PDSA cycle?
Question 8. Health care organizations began working more
intensely on quality improvement projects due to issues with the
health care system. What spurred health care organizationsto
change?
Question 9. What year was the Network for Regional
Health Improvement (NRHI) formed?
Question 10. Organizations interested in global quality
improvement include all of the following EXCEPT
Question 11. During the pre-industrial era, what would we
mostly likely see?
Question 12. Significant improvements occurred during the
post-industrial behavior. Which of the following is considered the
most significant?
Question 13. Which is an example of what occurred during
the pre-industrial era of health care?
Question 14. CAHPS assesses consumersā€™ experience with
health care. Which organization developed CAHPS?
Question 15. National Committee for Quality Assurance
monitors the quality of care delivered by
Question 16. Hospital spending increased in the 1960S due
to
Question 17. The reimbursement method under Accountable
Care Organizations is based on the premise that providers
Question 18. The agency that is responsible for the nationā€™s
health by educating citizens to prevent and control health threats is
called
Question 19. An integrated delivery system
Question 20. Which receives the largest share of monies in
health care spending?
Question 21. The Kefauver-Harris Drug Amendmentā€™s
purpose was to
Question 22. NCQAā€™s consist of the following categories
EXCEPT
Question 23. Which of the following is an Accreditation
Organization?
Question 24. Rules and Regulations are
Question 25. The U.S. Department of Health and Human
Services monitors quality on all EXCEPT
Question 26. The Joint Commission accreditation process is
every
Question 27. The largest accrediting agency of health care
organizations in the United States is
Question 28. This act limited the use of pre-existing medical
conditions to prevent an employee from obtaining health insurance
coverage and mandated health care providers to protect electronic
personal health information. What is it called?
Question 29. National Quality Improvement Goals are
specific to
Question 30. Operational decisions and guidelines
Question 31. An example of a new quality measure is
Question 32. Some of the advantages of using existing
internal data resources over new data to be collected are all EXCEPT
Question 33. The law of large numbers is referring to what?
Question 34. The principal model for assessing the quality of
health care is called
Question 35. Socioeconomic data includes all EXCEPT
Question 36. ___________ coined the phrase ā€œthe vital few
and the trivial manyā€
Question 37. Which statement is true about probability-
based schemes?
Question 38. The approach of following a patientā€™s health
into the future is called
Question 39. The act of measuring a process, which results
in improvement because it is being measured, is known as the
Question 40. Data is essential in measuring quality. Data is
all of the following EXCEPT
Question 41. Evaluating the metrics to be used in QI against
the clinical quality guidelines, should be done in which phase of the
QI process?
Question 42. ___________ is the most frequently used data
because of its ability to generate actionable information for quality
improvement purposes.
Question 43. The reasons to collect new data instead of
existing data includes all EXCEPT
Question 44. Which of the following methods for collecting
new data is more resource intensive?
Question 45. NCQAā€™s HEDIS consists of several measures
that include all EXCEPT
Question 46. Donabedianā€™s model of care is categorized into
3 groups. What are the three groups?
Question 47. ___________ is the process of determining
how an organizationā€™soutcomes compare with a regional or national
standard.
Question 48. An example of a Structure metric is all
EXCEPT
Question 49. PDCA was changed to PDSA by Deming to
Question 50. Operational considerations should be able to
Question 51. Which is an example of a Six Sigma member
who completed training at the black belt level?
Question 52. The idea of quality improvement originated in
what industry?
Question 53. An example of a customer-oriented metrics is
Question 54. Customer-oriented metrics can be referred to
Question 55. Healthcare leadership needs to create a
culture that is receptive to change. Which of the following is the best
example of an organization that looks at problems as opportunities
for improvement?
Question 56. All of the following would be an example that
would align with the major goal of the United States health care
system EXCEPT
Question 57. The Lean Theory was derived from what well-
known company and adapted to health care?
Question 58. In what decade did the health care industry
start to adopt quality improvement methodologies?
Question 59. Gemba is a Lean Theory term, which can be
defined as
Question 60. The five Sā€™s of Lean (Seiri, Seiton, Seiso,
Seiketsu, Shitsuke) describe the importance of a neat, clean,
organized, and clutter free work environment. Which would be an
example of clean off your desk at the end of the day?
Question 61. Which is an example of a parallel-meso
structure?
Question 62. The acronym DMAIC is related to which CQI
methodology
Question 63. Two popular methodologies to improve health
care are
Question 64. An example of Leanā€™s poka-yoke is all
EXCEPT
Question 65. What is meant by the Lean Theory term
jikoda?
Question 66. Kaizen is referred to as
Question 67. Which is a true statement about any quality
improvement process?
Question 68. One of the purposes that a hospital may want
to consider the financial metric in a CQI process is
Question 69. What is meant by the empirical rule used in Six
Sigma?
Question 70. What is meant by parallel-meso structures?
Question 71. One of the first organizations established to
monitor quality assurance was
Question 72. The best example of the six aims created by the
Institute of Medicineā€™s timely care is
Question 73. The premise of Patient-centered care is
Question 74. The most comprehensive revision of Medicare
is
Question 75. An example of the six aims created by the
Institute of Medicineā€™s efficient care is
Question 76. Which expanded health insurance coverage to
a large number of uninsured in the United States?
Question 77. HEDIS stands for
Question 78. An example of the six aims created by the
Institute of Medicineā€™s safe care is
Question 79. Which is an example of Process?
Question 80. An example of Donabedianā€™s ā€œthe ability to
obtain the greatest health improvement at the lowest costā€ would be
all EXCEPT
Question 81. In order to effect change for a quality
improvement project, _____________ and ___________ are critical
to its success.
Question 82. The quality improvement team must consider
many elements prior to starting a quality improvement project.
Which of the following should be considered first before starting a
quality improvement project?
Question 83. Which stage of a team is considered the
honeymoon phase?
Question 84. Which of the following is a true statement
about the CQI strategy, PDSA?
Question 85. All of the following are examples of a quality
improvement interdisciplinary team EXCEPT
Question 86. Ethical issues need to be considered as well in
any quality improvement project. All of the following are considered
ethical issues EXCEPT
Question 87. The stages of teamwork are all EXCEPT
Question 88. Which of the following is an example of a cost
effective quality improvement initiative for a hospital?
Question 89. What is required, according to Maslow (2010),
in order for a person to move to higher-level needs?
Question 90. Quality improvement is usually accomplished
by using a Continuous Quality Improvement (CQI) model. There are
steps in each. Which of the following falls under ā€˜identify
alternativesā€™ in the 10-step process?
Question 91. Which of the following is an example of a
sociological impact when considering a quality improvement
initiative for a hospital?
Question 92. Patient-centered care can be defined as
Question 93. Cost of quality improvement projects must be
considered based on what two elements?
Question 94. What is considered the foundation of patient-
centered care?
Question 95. Which of the following is a true statement
about the Continuous Quality Improvement?
Question 96. Which stage of a team would you typically see
control issues occur?
Question 97. Which of the following would NOT be an
example of Continuous Quality Improvement project?
Question 98. Which of the following interdisciplinary teams
would be best suited to work on a quality improvement initiative
related to patients who are admitted for broken bones due to falls,
and subsequent follow-up treatment plan in order to reduce future
admissions for the same diagnosis?
Question 99. In the post-stage of a quality improvement
project, evaluating the effect is important because
Question 100. Important factors to consider in
communicating effectively with a patient should include all EXCEPT
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HCA 375 Week 1 DQ 1 CQI Process
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CQI Process. Review the illustration of the Plan-Do-Study-Act
(PDSA) model on the Institute for Health Care Improvement website.
Identify an issue at your work, home, or community that could use
improvement. After reviewing the information about the Plan-Do-
Study-Act (PDSA) model, list your answers to the top three questions
and list the personnel to include on a team that would develop the
action plan for improvement.
Ā· What are we trying to accomplish?
Ā· How will we know that a change is an improvement?
Ā· What changes can we make that will result in improvement?
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HCA 375 Week 1 DQ 2 Promoting CQI
Efforts
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Promoting CQI Efforts. The Institute of Medicine (IOM) developed
six specific aims to ensure the delivery and improvement of health
care. Choose two from the six aims: Safe, effective, patient- centered,
timely, efficient and equitable (Institute of Medicine, 2001). Of the
two aims you chose, discuss the effects on the delivery of quality care.
Give an example of how a hospital or physician practice can meet
these aims.
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HCA 375 Week 1 Quiz (2 Set)
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HCA 375 Week 1 Quiz (2 Set)
Grade Details - All Questions
Question 1. Which expanded health insurance coverage to
a large number of uninsured in the United States?
Question 2. If an organization is analyzing information to
determine the success or failure of different interventions, then the
organization is likely in which phase of the PDSA cycle?
Question 3. Quality improvement did not begin in the
health care industry. It came to the forefront as a way to
Question 4. Quality improvement is the responsibility of
Question 5. A third-party organization contracted by
Medicare to review care received by Medicare beneficiaries and to
investigate complaints is called
Question 6. Dr. William Edwards Deming is considered the
father of quality improvement. Which CQI model did he create?
Question 7. National Institute for Health and Care
Excellence (NICE) wrote guidelines called ā€œred-flag,ā€ which were
prompted by what event(s)?
Question 8. The most common quality improvement
methodologies are all EXCEPT
Question 9. HEDIS stands for
Question 10. Which is not one of the three-measure
framework of assessing quality care?
Question 11. The Department of Health and Human Services
created
Question 12. An example of quantitative methods is
Question 13. One category HEDIS measures is
Question 14. One of the first organizations established to
monitor quality assurance was
Question 15. The Joint Commission is
Grade Details - All Questions
Question 1. The National Committee of Quality Assurance
is
Question 2. The premise of the IOM report To Err Is
Human: Building a Safer Health System is
Question 3. The Leapfrog Group
Question 4. Consumers can find information on a
physicianā€™s delivery of care through health plans. These reports are
called
Question 5. One category HEDIS measures is
Question 6. The Department of Health and Human Services
created
Question 7. Healthgrades.com and Vitals.com are
Question 8. The organization that assists poverty stricken
countries to find solutions to their health and development problems
is
Question 9. Which industry was the first to implement
Continuous Quality Improvement?
Question 10. Which is not one of the three-measure
framework of assessing quality care?
Question 11. The six aims of quality care created by the
Institute of Medicine are safe, effective, patient-centered, timely,
efficient, and equitable, which are similar to what?
Question 12. The most common quality improvement
methodologies are all EXCEPT
Question 13. Which is an example of Process?
Question 14. An example of the six aims created by the
Institute of Medicineā€™s efficient care is
Question 15. The characteristics of quality are all EXCEPT
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HCA 375 Week 2 Assignment Customer
Satisfaction Improvement Plan (2 Papers)
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This Tutorial contains 2 Papers
Paper 1: Emergency Department
Paper 2: Car Repairs
Customer Satisfaction Improvement Plan. Most people have
experienced frustration when talking with customer service at least
once. Often, organizations provide satisfaction surveys to customers
in order to evaluate their experience. In the health care field,
accrediting agencies require providers to measure patient satisfaction
through surveys. You will be using the Customer Satisfaction
Improvement Plan templatedocument to enter all of your information.
Note: If you have responded substantively to each of the content items
within the template of the assignment, the template document should
be between three and four pages.
1. Choose one of the customer experience scenario options below:
Ā· Customer contacted a Health Plan Customer Service
department but could not understand the representative.
Ā· Customer scheduled an appointment with a primary care
physician for an acute illness and there were no appointments
available.
Ā· Customer had an appointment for lab testing or a diagnostic
test (MRI, CT scan, etc.) and the facility environment was disorderly
and unclean.
Ā· Customer visited the Emergency Department (ED), also known
as Emergency Room, but the wait time was extensive (over three
hours).
Ā· Customerā€™s car repairs estimate was $200.00, however, the
actual bill was $900.00 when repairs were completed.
Ā· Customer contacted a cable company to have an installation of
internet and cable for their home. Installer arrived and did not know
how to do internet installations.
2. Respond to the questions listed in the Customer Satisfaction
Improvement Plan template document. Once you have responded to
all of the questions in the template, your document should be between
three and four pages.
3. Describe the patient satisfaction scenario chosen. Include
enough detail on what occurred to ensure the reader has a full
understanding of what occurred.
4. Describe a minimum of three data elements you would gather to
fully assess the situation and assist you with improving the customer
satisfaction scenario you chose.
5. Outline the CQI methods you would utilize to develop your
improvement plan. Then, explain your plan for improvement. Provide
a statement from a scholarly source that supports your plan.
6. Identify three stakeholders on your team and discuss how the
communication method differs for each (e.g., physician,
administration/management, and health care staff). Include
information on the barriers that may be encountered in
communicating effectively within the team and when implementing the
plan.
7. Analyze how cost and quality are linked based on your chosen
scenario. Include information on the potential impact to the
organization if the issue is not resolved.
8. Describe how you will be evaluating the success or failure of the
plan. Discuss the process. Provide a minimum of one statement from
a scholarly source that supports your evaluation plan.
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HCA 375 Week 2 DQ 1 Comparative
Performance
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Comparative Performance. Visit the Quality Check page of The Joint
Commission website, enter the name and state of a health care
organization within 100 miles of your home, and select search. Take
the following steps to find two health care organizations:
Ā· Under the column organization name or number, type the
healthcare organization name and state (e.g., Hospital ā€“ Hurley
Medical Center, Michigan).
Ā· Once the chosen organization appears, click the View
Accreditation Quality Report link. Once the summary of the report
appears, click on the Accreditation National Safety goals link in the
left navigation bar. You will be able to view the patient safety goals
that were measured for the organization as it is compared to the
nationalaverage. You will be able to view information that is more
specific by clicking the See Detail link for each patient safety goal
measured.
Identify two health care organizationsthat show a need for
improvement in one specific area. After reviewing your findings, state
the National Safety Goals and National Quality Improvement Goals
where the facilities needed to improve. Compare and contrast the
differences between the two facilities. In addition, list two
recommendations that you feel would improve that particular area.
Note that you may find a hospital that has achieved a high score.
However, there is always room for improvement.
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HCA 375 Week 2 DQ 2 Managed Care
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Managed Care. After reading Chapters 3 and 4, you should be
familiar with the many stakeholders involved in the health care
system. In the early 70ā€™s legislation was created for the establishment
of Health Maintenance Organizations (HMOs) in an attempt to
reduce health care costs due to the excessive spending of the fee-for-
service health plans. Considering the reason for their creation,
discuss your opinion regarding why managed care organizations did
or did not have the intended effect. List two examples that prove your
point.
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HCA 375 Week 2 Quiz (2 Set)
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HCA 375 Week 2 Quiz (2 Set)
Grade Details - All Questions
Question 1. An integrated delivery system
Question 2. The largest accrediting agency of health care
organizations in the United States is
Question 3. Which of the following is an Accreditation
Organization?
Question 4. This act promises the delivery of quality care
through incentive programs and changes in reimbursement methods.
What is it called?
Question 5. Two types of health maintenance organizations
are
Question 6. The difference between HMOs and PPOs is
that PPOs plans
Question 7. Capitation is a reimbursement method utilized
my health maintenance organizations. Which describes capitation?
Question 8. Which is the name of the accrediting body for
medical colleges during the post-industrial era?
Question 9. What is meant by globalization in health care?
Question 10. One of the reasons why the U.S. health care
system is considered fragmented is because
Question 11. Operational decisions and guidelines
Question 12. The act that made it possible for organizations
to put pressure on health care providers to decrease costs is called
Question 13. Significant improvements occurred during the
post-industrial behavior. Which of the following is considered the
most significant?
Question 14. The country that spends more on health care
per capita than any other is
Question 15. Three organizationsbesides The Joint
Commission can offer accreditation to health care organizations.
Which is NOT one of the three?
Grade Details - All Questions
Question 1. This act limited the use of pre-existing medical
conditions to prevent an employee from obtaining health insurance
coverage and mandated health care providers to protect electronic
personal health information. What is it called?
Question 2. National Committee for Quality Assurance
monitors the quality of care delivered by
Question 3. Department of Health and Human Services
chose this organization to be an accrediting entity for qualified health
plans participating in the Health Insurance Exchange Marketplaces.
Question 4. Three organizationsbesides The Joint
Commission can offer accreditation to health care organizations.
Which is NOT one of the three?
Question 5. The agency that is responsible for the nationā€™s
health by educating citizens to prevent and control health threats is
called
Question 6. Certification is awarded
Question 7. An integrated delivery system
Question 8. Health policies is synonymous with
Question 9. CAHPS assesses consumersā€™ experience with
health care. Which organization developed CAHPS?
Question 10. What is the name of the facilities that were
utilized to quarantine contagious patients?
Question 11. Which is the name of the accrediting body for
medical colleges during the post-industrial era?
Question 12. Best practice refers to
Question 13. CMS requires states to obtain the services of
these entities if the state contracts with an MCO for their Medicaid
population.What are the entities called?
Question 14. The name of the reimbursement method where
the physician is paid more when they provide more services is
Question 15. The largest group of health care providers is
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HCA 375 Week 3 DQ 1 CQI Models
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CQI Models. After reading Chapter 1 through 4, you should be
familiar with quality improvement initiatives including NCQAā€™s
HEDISĀ® measures. Health plans and physicians must ensure they are
meeting standards set by the accreditation agencies, such as NCQA.
As a physician practice manager for Dr. Jones, you have just
conducted a mock survey of the patient chart data. The data shows
that your physician practice is not meeting standards for two
HEDISĀ® measures.
Ā· Choose two HEDISĀ® measures (from the list below either a, b,
c, d, e or f) that must be implemented in a physician practice to
improve patient outcomes.
Ā· Describe the sources of data needed to conduct the two
measures.
Ā· Using one of the quality improvement models (Lean, PDSA, or
Six Sigma), explain how you would use the model to implement the
two chosen HEDISĀ® Measures.
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HCA 375 Week 3 DQ 2 Mandates and
Cost
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Mandates and Cost. The Department of Health and Human Services
has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH,
CMS) that regulate health care in the United States. Regulation
encompasses insurance plans, cost, research, safety, all in the name
of delivering quality care in a cost effective manner. These agencies
are responsible for monitoring compliance and enforcing legislative
mandates. However, the debate continues on government regulation
and its effect on ensuring quality care. After completing this weekā€™s
reading, review the following articles listed below, which were
published 11 years apart. Analyze the cost- quality paradigm noted in
the articles. Considering the many governmental mandates and
regulations to reduce costs and ensure the delivery of quality care
that have been implemented over the years, discuss your opinion
regarding why costs have continued to rise without improving quality.
List two examples that illustrate your point.
Ā· DHHS Article related to Cost and Quality (2002)
Ā· Institute of Medicine article (2013)
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HCA 375 Week 3 Quiz (2 Set)
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HCA 375 Week 3 Quiz (2 Set)
Grade Details - All Questions
Question 1. Donabedianā€™s model of care is categorized into
3 groups. What are the three groups?
Question 2. The approach of following a patientā€™s health
into the future is called
Question 3. One method used to extract new data is
Question 4. In what stage of PDSA do we identify the
problem?
Question 5. Demographic data includes all EXCEPT
Question 6. Which statement about new quality measures is
true?
Question 7. ___________ is the most frequently used data
because of its ability to generate actionable information for quality
improvement purposes.
Question 8. The independent Kaiser Family Foundation
Question 9. FOCUS is
Question 10. What is the first step to ensure success in any
quality improvement initiative?
Question 11. Data is essential in measuring quality. Data is
all of the following EXCEPT
Question 12. ____________ show performance indicators in
a health care system.
Question 13. The law of large numbers is referring to what?
Question 14. The principal model for assessing the quality of
health care is called
Question 15. Process measures are used most often in
quality improvement because
Grade Details - All Questions
Question 1. When a care process is being evaluated during
an improvement project, it can
Question 2. Some of the advantages of using existing
internal data resources over new data to be collected are all EXCEPT
Question 3. ___________ requires that information that
can identify patients must be carefully safeguarded by entities that
provide health care.
Question 4. An example of a new quality measure is
Question 5. The definition of ___________ isdata
collected specifically to detect unanticipated consequences of
modifications to the process of care.
Question 6. Which of the following methods for collecting
new data is more time consuming?
Question 7. Existing measures can include all EXCEPT
Question 8. NCQAā€™s HEDIS consists of several measures
that include all EXCEPT
Question 9. The reasons to collect new data instead of
existing data includes all EXCEPT
Question 10. An example of a Process metric is all EXCEPT
Question 11. ____________ show performance indicators in
a health care system.
Question 12. Which statement about new quality measures is
true?
Question 13. Which of the following methods for collecting
new data is more cost effective?
Question 14. The approach of following a patientā€™s health
into the future is called
Question 15. ___________ coined the phrase ā€œthe vital few
and the trivial manyā€
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HCA 375 Week 4 Assignment Adverse
Event Reporting (2 Papers)
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This Tutorial contains 2 Papers
Adverse Event Reporting. Read Chapters 5, 6, and 7 in our textbook.
After reviewing this weekā€™s required reading, consider the following
scenario: You are the lead of the risk management team that has been
assigned to evaluate an incident that has occurred. You will be
preparing a report for the CEO of the hospital that includes all
system failures that contributed to the adverse event as well as
utilizing a CQI tool (pareto, fishbone, flowchart). You will be using
the Adverse Event template document to complete the three parts to
the assignment. Note: If you have responded substantively to each of
the content items within the three parts of the assignment, the
template document should be between six and seven pages.
Part One: Description of Adverse Event (Complete Part One of
the Adverse Event template) ā€¢ Choose an adverse event from the
following list:
Ā· o Medicationerror
Ā· o Patientfalls
Ā· o Post-operativehemorrhage
o The number of Discharges indicates the total number of patients
who have been admitted and discharge in the hospital.
o Using the data listed below for your selected adverse event only,
analyze, and describe what the data is telling you. Make sure to
include the graph in your template document.
o Data-Patient Safety Event for XYZ Hospital for the year 20XX
through 20YY.
Ā· List the advent chosen and include background such as
prevalence of the incident.
Ā· Describe the adverse event in detail. You can make-up the
scenario on the event topic chosen from the list or you can research
an actual story on one of the events and utilize it for this assignment.
Ā· List who was involved in the event and their role in the event.
Ā· List the stakeholders on your CQI team. Discuss the differences
among the stakeholders that might cause issues when working as a
CQI team. Include barriers to their communicating effectively as a
team and the communication techniques/methods utilized to inform
the organizationā€™s staff of the adverse event improvement plan.
Ā· Describe at least two operationalor safety processes that might
not have been followed that contributed or caused this event to take
place. For instance, describe any regulations or procedures that one
of the professional organizations and/or accrediting agencies would
utilize to measure compliance with the standard.
Ā· Summarize the historical and contemporary issues and legal
implications related to patient safety in your chosen adverse event.
Ā· Describe how processes of continuous quality monitoring could
impact the adverse event you chose.
Part Two: Graph & CQI Tool (Complete Part Two of the Adverse
Event template)
Graph the data
Ā· For your selected adverse event, graph the data for the two
years. Include the graph in your template document. Include an
analysis of the data. Determine if the frequency is increasing
or decreasing. What is the data telling you? What factors could be
attributed to the change?
Choose a CQI Tool that best suits your chosen Adverse Event from
the following list:
Ā· Flowchart
Ā· Fishbone Diagram (Cause&Effect)
Ā· Pareto
Use the CQI Tool to illustrate the use of the tool with your chosen
adverse event. You will be responsible for creating the CQI Tool,
completing the tool, taking a screenshot, and copying/pasting the
screenshot under the instructions in Part Two CQI Tool in the
Adverse Event template.
Part Three: Future Prevention (Complete Part Three of the Adverse
Event template)
After describing the event in Part One, using a Graph and CQI tool in
Part Two, apply the PDCA model to summarize the process and steps
that your team would recommend to the CEO to prevent this adverse
event from reoccurring. Make sure to include who (health care
personnel) would be accountable at each step of the process.
Complete the Explanation column in Part 3 of the Adverse Event
template.
It is important to keep in mind that some processes require a checks
and balance system. You will need to determine if one of the steps you
are recommending would require a checks and balance step and why
it is necessary.
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HCA 375 Week 4 DQ 1 CQI
Methodologies
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CQI Methodologies. Choose two of the CQI methodologies (PDSA,
Lean or SixSigma). How do these methodologies utilize data? Discuss
the significance of the collection and analysis of data in CQI
processes.
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HCA 375 Week 4 DQ 2 Joint Commission
Standards and Processes
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Joint Commission Standards and Processes. Health care Providers
may volunteer to be accredited by an external body. The Centers of
Medicare and Medicaid provide an updated list of approved
accrediting organizations. For this discussion, we are focusing on the
acute care hospital. Below are fourteen of the categories in The Joint
Commission Standards Manual and accreditation process topics. The
topics for this discussion are assigned by studentsā€™ last names. See the
chart below for your assigned topic.
For your assigned topic, you will need to access The Joint
Commission Standards Manual and The Joint Commissionā€™s
publication The Source. To access this information follow the steps
below:
From the homepage of the Ashford University library, click on Find
Articles & More in the purple bar near the top of the page. Next, take
the following steps:
Ā· Click on Databases by Subject
Ā· Click on Health & Medicine
Ā· Click on Joint Commission E-dition for the Standards manual.
Review the standard assigned to you.
Ā· Next, go back to Health & Medicine in the AU Library. Then
click on Joint Commission The Source link located just below the
Joint Commission E-dition link. Do not access The Source via the
Joint Commission E-dition link or it will ask you to pay a fee.
Ā· Select two journal articles from The Source that were published
within the past 5-8 years pertaining to your assigned topic. For each
article, you will need to download the article. Select the blue box with
an arrow.
Ā· Identify and summarize the two articles chosen. Your response
should reflect the standard, how it is utilized and why it is important
in health care, any best practice mentioned, summary of any forms or
template shared and any other information that surprised you.
****************************************************
HCA 375 Week 4 Quiz (2 Set)
For more classes visit
www.snaptutorial.com
HCA 375 Week 4 Quiz (2 Set)
Grade Details - All Questions
Question 1. Kaizen event would be characterized by all of
the following EXCEPT
Question 2. Which of the following statements is TRUE
about the difference between Six Sigma and Lean Theory quality
improvement methodologies?
Question 3. Two popular methodologies to improve health
care are
Question 4. In using the steps of the DMAIC process, which
would be an example of Analyze?
Question 5. Lean consists of five basic steps. Which one is
NOT one of the steps of Lean?
Question 6. An example of Leanā€™s poka-yoke is all
EXCEPT
Question 7. What is meant by the Lean Theory term
jikoda?
Question 8. What is meant by the empirical rule used in Six
Sigma?
Question 9. The Lean Theory was derived from what well-
known company and adapted to health care?
Question 10. The idea of quality improvement originated in
what industry?
Question 11. In what decade did the health care industry
start to adopt quality improvement methodologies?
Question 12. One of the purposes that a hospital may want
to consider the financial metric in a CQI process is
Question 13. Under which step in DMAIC would you
understand the process and its performance?
Question 14. Gemba is a Lean Theory term, which can be
defined as
Question 15. Kaizen is referred to as
Grade Details - All Questions
Question 1. What is meant by the empirical rule used in Six
Sigma?
Question 2. All of the following would be an example that
would align with the major goal of the United States health care
system EXCEPT
Question 3. One of the purposes that a hospital may want
to consider the financial metric in a CQI process is
Question 4. The five Sā€™s of Lean (Seiri, Seiton, Seiso,
Seiketsu, Shitsuke) describe the importance of a neat, clean,
organized, and clutter free work environment. Which would be an
example of clean off your desk at the end of the day?
Question 5. One of the earliest documented uses of Six
Sigma was to
Question 6. An example of Leanā€™s poka-yoke is all
EXCEPT
Question 7. Which is considered the hybrid model for
improvement methodologies?
Question 8. An example of a customer-oriented metrics is
Question 9. What is meant by parallel-meso structures?
Question 10. In what decade did the health care industry
start to adopt quality improvement methodologies?
Question 11. Which is a true statement about any quality
improvement process?
Question 12. Which of the following is a true statement
about health care in the United States?
Question 13. The Six Sigma improvement methodology has 5
key features. Which of the following is NOT one of them?
Question 14. Under which step in DMAIC would you
understand the process and its performance?
Question 15. The acronym DMAIC is related to which CQI
methodology
****************************************************
HCA 375 Week 5 DQ 1 Communication
and Teamwork
For more classes visit
www.snaptutorial.com
Communication and Teamwork. After completing this weekā€™s reading,
you have learned that teamwork is an essential part of Continuous
Quality Improvement (CQI) and healthcare delivery. Healthcare
professional roles include physicians, nurses, diagnostics (laboratory
) and radiology staff, hospital administrators, patient registration,
pharmacists, and triage staff, etc. Each role has its own contribution
to ensuring the delivery of quality care.
In your opinion,discuss two of the roles listed above and their role in
the delivery of quality care. Identify two professional responsibilities
of the chosen roles, and link them to the quality improvement process
of improving patient wait times in the Emergency Room. Include
communication techniques this role would utilize to assist in
improving patient wait times to the CQI team or staff.
**********************************************************************************

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HCA 375 Effective Communication - snaptutorial.com

  • 1. HCA 375 Entire Course For more classes visit www.snaptutorial.com HCA 375 Week 1 DQ 1 Management versus Leadership HCA 375 Week 1 DQ 2 Implementation and Barriers HCA 375 Week 2 DQ 1 Measurement HCA 375 Week 2 DQ 2 Quality and Outcomes HCA 375 Week 2 Assignment Customer Satisfaction and Quality Care HCA 375 Week 3 DQ 1 Teamwork in Health Care HCA 375 Week 3 DQ 2 The Impact of Nursing HCA 375 Week 3 Assignment High-Performance Teams HCA 375 Week 4 DQ 1 Medical Errors HCA 375 Week 4 DQ 2 Disclosure and Litigation HCA 375 Week 5 DQ 1 Quality Improvement Organizations HCA 375 Week 5 DQ 2 Accreditation HCA 375 Week 5 Assignment Research Paper (Value-Based Purchasing) **************************************************** HCA 375 Final Exam (100 Question)
  • 2. For more classes visit www.snaptutorial.com 100-question multiple-choice exam HCA 375 Final Exam (100 Question) 1. Federal regulations require that states who contract with Medicaid managed care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which of the following? Question 2. The organization that is best known for evaluating hospitals and physicians based on clinical outcomes and patient surveys is Question 3. The Network for Regional Health Improvement (NRHI) created a network of regional health improvement collaborative made up of four groups. What are the four groups? Question 4. Quality improvement is the responsibility of Question 5. The two Institute of Medicine reports that increased awareness on the health care industry quality related issues are Question 6. The organization that assists poverty stricken countries to find solutions to their health and development problems is Question 7. If an organization is analyzing information to determine the success or failure of different interventions, then the organization is likely in which phase of the PDSA cycle?
  • 3. Question 8. Health care organizations began working more intensely on quality improvement projects due to issues with the health care system. What spurred health care organizationsto change? Question 9. What year was the Network for Regional Health Improvement (NRHI) formed? Question 10. Organizations interested in global quality improvement include all of the following EXCEPT Question 11. During the pre-industrial era, what would we mostly likely see? Question 12. Significant improvements occurred during the post-industrial behavior. Which of the following is considered the most significant? Question 13. Which is an example of what occurred during the pre-industrial era of health care? Question 14. CAHPS assesses consumersā€™ experience with health care. Which organization developed CAHPS? Question 15. National Committee for Quality Assurance monitors the quality of care delivered by Question 16. Hospital spending increased in the 1960S due to Question 17. The reimbursement method under Accountable Care Organizations is based on the premise that providers Question 18. The agency that is responsible for the nationā€™s health by educating citizens to prevent and control health threats is called
  • 4. Question 19. An integrated delivery system Question 20. Which receives the largest share of monies in health care spending? Question 21. The Kefauver-Harris Drug Amendmentā€™s purpose was to Question 22. NCQAā€™s consist of the following categories EXCEPT Question 23. Which of the following is an Accreditation Organization? Question 24. Rules and Regulations are Question 25. The U.S. Department of Health and Human Services monitors quality on all EXCEPT Question 26. The Joint Commission accreditation process is every Question 27. The largest accrediting agency of health care organizations in the United States is Question 28. This act limited the use of pre-existing medical conditions to prevent an employee from obtaining health insurance coverage and mandated health care providers to protect electronic personal health information. What is it called? Question 29. National Quality Improvement Goals are specific to Question 30. Operational decisions and guidelines Question 31. An example of a new quality measure is
  • 5. Question 32. Some of the advantages of using existing internal data resources over new data to be collected are all EXCEPT Question 33. The law of large numbers is referring to what? Question 34. The principal model for assessing the quality of health care is called Question 35. Socioeconomic data includes all EXCEPT Question 36. ___________ coined the phrase ā€œthe vital few and the trivial manyā€ Question 37. Which statement is true about probability- based schemes? Question 38. The approach of following a patientā€™s health into the future is called Question 39. The act of measuring a process, which results in improvement because it is being measured, is known as the Question 40. Data is essential in measuring quality. Data is all of the following EXCEPT Question 41. Evaluating the metrics to be used in QI against the clinical quality guidelines, should be done in which phase of the QI process? Question 42. ___________ is the most frequently used data because of its ability to generate actionable information for quality improvement purposes. Question 43. The reasons to collect new data instead of existing data includes all EXCEPT
  • 6. Question 44. Which of the following methods for collecting new data is more resource intensive? Question 45. NCQAā€™s HEDIS consists of several measures that include all EXCEPT Question 46. Donabedianā€™s model of care is categorized into 3 groups. What are the three groups? Question 47. ___________ is the process of determining how an organizationā€™soutcomes compare with a regional or national standard. Question 48. An example of a Structure metric is all EXCEPT Question 49. PDCA was changed to PDSA by Deming to Question 50. Operational considerations should be able to Question 51. Which is an example of a Six Sigma member who completed training at the black belt level? Question 52. The idea of quality improvement originated in what industry? Question 53. An example of a customer-oriented metrics is Question 54. Customer-oriented metrics can be referred to Question 55. Healthcare leadership needs to create a culture that is receptive to change. Which of the following is the best example of an organization that looks at problems as opportunities for improvement?
  • 7. Question 56. All of the following would be an example that would align with the major goal of the United States health care system EXCEPT Question 57. The Lean Theory was derived from what well- known company and adapted to health care? Question 58. In what decade did the health care industry start to adopt quality improvement methodologies? Question 59. Gemba is a Lean Theory term, which can be defined as Question 60. The five Sā€™s of Lean (Seiri, Seiton, Seiso, Seiketsu, Shitsuke) describe the importance of a neat, clean, organized, and clutter free work environment. Which would be an example of clean off your desk at the end of the day? Question 61. Which is an example of a parallel-meso structure? Question 62. The acronym DMAIC is related to which CQI methodology Question 63. Two popular methodologies to improve health care are Question 64. An example of Leanā€™s poka-yoke is all EXCEPT Question 65. What is meant by the Lean Theory term jikoda? Question 66. Kaizen is referred to as Question 67. Which is a true statement about any quality improvement process?
  • 8. Question 68. One of the purposes that a hospital may want to consider the financial metric in a CQI process is Question 69. What is meant by the empirical rule used in Six Sigma? Question 70. What is meant by parallel-meso structures? Question 71. One of the first organizations established to monitor quality assurance was Question 72. The best example of the six aims created by the Institute of Medicineā€™s timely care is Question 73. The premise of Patient-centered care is Question 74. The most comprehensive revision of Medicare is Question 75. An example of the six aims created by the Institute of Medicineā€™s efficient care is Question 76. Which expanded health insurance coverage to a large number of uninsured in the United States? Question 77. HEDIS stands for Question 78. An example of the six aims created by the Institute of Medicineā€™s safe care is Question 79. Which is an example of Process? Question 80. An example of Donabedianā€™s ā€œthe ability to obtain the greatest health improvement at the lowest costā€ would be all EXCEPT
  • 9. Question 81. In order to effect change for a quality improvement project, _____________ and ___________ are critical to its success. Question 82. The quality improvement team must consider many elements prior to starting a quality improvement project. Which of the following should be considered first before starting a quality improvement project? Question 83. Which stage of a team is considered the honeymoon phase? Question 84. Which of the following is a true statement about the CQI strategy, PDSA? Question 85. All of the following are examples of a quality improvement interdisciplinary team EXCEPT Question 86. Ethical issues need to be considered as well in any quality improvement project. All of the following are considered ethical issues EXCEPT Question 87. The stages of teamwork are all EXCEPT Question 88. Which of the following is an example of a cost effective quality improvement initiative for a hospital? Question 89. What is required, according to Maslow (2010), in order for a person to move to higher-level needs? Question 90. Quality improvement is usually accomplished by using a Continuous Quality Improvement (CQI) model. There are steps in each. Which of the following falls under ā€˜identify alternativesā€™ in the 10-step process?
  • 10. Question 91. Which of the following is an example of a sociological impact when considering a quality improvement initiative for a hospital? Question 92. Patient-centered care can be defined as Question 93. Cost of quality improvement projects must be considered based on what two elements? Question 94. What is considered the foundation of patient- centered care? Question 95. Which of the following is a true statement about the Continuous Quality Improvement? Question 96. Which stage of a team would you typically see control issues occur? Question 97. Which of the following would NOT be an example of Continuous Quality Improvement project? Question 98. Which of the following interdisciplinary teams would be best suited to work on a quality improvement initiative related to patients who are admitted for broken bones due to falls, and subsequent follow-up treatment plan in order to reduce future admissions for the same diagnosis? Question 99. In the post-stage of a quality improvement project, evaluating the effect is important because
  • 11. Question 100. Important factors to consider in communicating effectively with a patient should include all EXCEPT **************************************************** HCA 375 Week 1 DQ 1 CQI Process For more classes visit www.snaptutorial.com CQI Process. Review the illustration of the Plan-Do-Study-Act (PDSA) model on the Institute for Health Care Improvement website. Identify an issue at your work, home, or community that could use improvement. After reviewing the information about the Plan-Do- Study-Act (PDSA) model, list your answers to the top three questions and list the personnel to include on a team that would develop the action plan for improvement. Ā· What are we trying to accomplish? Ā· How will we know that a change is an improvement? Ā· What changes can we make that will result in improvement? **************************************************** HCA 375 Week 1 DQ 2 Promoting CQI Efforts For more classes visit
  • 12. www.snaptutorial.com Promoting CQI Efforts. The Institute of Medicine (IOM) developed six specific aims to ensure the delivery and improvement of health care. Choose two from the six aims: Safe, effective, patient- centered, timely, efficient and equitable (Institute of Medicine, 2001). Of the two aims you chose, discuss the effects on the delivery of quality care. Give an example of how a hospital or physician practice can meet these aims. **************************************************** HCA 375 Week 1 Quiz (2 Set) For more classes visit www.snaptutorial.com HCA 375 Week 1 Quiz (2 Set) Grade Details - All Questions Question 1. Which expanded health insurance coverage to a large number of uninsured in the United States?
  • 13. Question 2. If an organization is analyzing information to determine the success or failure of different interventions, then the organization is likely in which phase of the PDSA cycle? Question 3. Quality improvement did not begin in the health care industry. It came to the forefront as a way to Question 4. Quality improvement is the responsibility of Question 5. A third-party organization contracted by Medicare to review care received by Medicare beneficiaries and to investigate complaints is called Question 6. Dr. William Edwards Deming is considered the father of quality improvement. Which CQI model did he create? Question 7. National Institute for Health and Care Excellence (NICE) wrote guidelines called ā€œred-flag,ā€ which were prompted by what event(s)? Question 8. The most common quality improvement methodologies are all EXCEPT Question 9. HEDIS stands for Question 10. Which is not one of the three-measure framework of assessing quality care? Question 11. The Department of Health and Human Services created Question 12. An example of quantitative methods is Question 13. One category HEDIS measures is
  • 14. Question 14. One of the first organizations established to monitor quality assurance was Question 15. The Joint Commission is Grade Details - All Questions Question 1. The National Committee of Quality Assurance is Question 2. The premise of the IOM report To Err Is Human: Building a Safer Health System is Question 3. The Leapfrog Group Question 4. Consumers can find information on a physicianā€™s delivery of care through health plans. These reports are called Question 5. One category HEDIS measures is Question 6. The Department of Health and Human Services created Question 7. Healthgrades.com and Vitals.com are Question 8. The organization that assists poverty stricken countries to find solutions to their health and development problems is Question 9. Which industry was the first to implement Continuous Quality Improvement?
  • 15. Question 10. Which is not one of the three-measure framework of assessing quality care? Question 11. The six aims of quality care created by the Institute of Medicine are safe, effective, patient-centered, timely, efficient, and equitable, which are similar to what? Question 12. The most common quality improvement methodologies are all EXCEPT Question 13. Which is an example of Process? Question 14. An example of the six aims created by the Institute of Medicineā€™s efficient care is Question 15. The characteristics of quality are all EXCEPT **************************************************** HCA 375 Week 2 Assignment Customer Satisfaction Improvement Plan (2 Papers) For more classes visit www.snaptutorial.com This Tutorial contains 2 Papers Paper 1: Emergency Department Paper 2: Car Repairs
  • 16. Customer Satisfaction Improvement Plan. Most people have experienced frustration when talking with customer service at least once. Often, organizations provide satisfaction surveys to customers in order to evaluate their experience. In the health care field, accrediting agencies require providers to measure patient satisfaction through surveys. You will be using the Customer Satisfaction Improvement Plan templatedocument to enter all of your information. Note: If you have responded substantively to each of the content items within the template of the assignment, the template document should be between three and four pages. 1. Choose one of the customer experience scenario options below: Ā· Customer contacted a Health Plan Customer Service department but could not understand the representative. Ā· Customer scheduled an appointment with a primary care physician for an acute illness and there were no appointments available. Ā· Customer had an appointment for lab testing or a diagnostic test (MRI, CT scan, etc.) and the facility environment was disorderly and unclean. Ā· Customer visited the Emergency Department (ED), also known as Emergency Room, but the wait time was extensive (over three hours). Ā· Customerā€™s car repairs estimate was $200.00, however, the actual bill was $900.00 when repairs were completed. Ā· Customer contacted a cable company to have an installation of internet and cable for their home. Installer arrived and did not know how to do internet installations. 2. Respond to the questions listed in the Customer Satisfaction Improvement Plan template document. Once you have responded to all of the questions in the template, your document should be between three and four pages. 3. Describe the patient satisfaction scenario chosen. Include enough detail on what occurred to ensure the reader has a full understanding of what occurred.
  • 17. 4. Describe a minimum of three data elements you would gather to fully assess the situation and assist you with improving the customer satisfaction scenario you chose. 5. Outline the CQI methods you would utilize to develop your improvement plan. Then, explain your plan for improvement. Provide a statement from a scholarly source that supports your plan. 6. Identify three stakeholders on your team and discuss how the communication method differs for each (e.g., physician, administration/management, and health care staff). Include information on the barriers that may be encountered in communicating effectively within the team and when implementing the plan. 7. Analyze how cost and quality are linked based on your chosen scenario. Include information on the potential impact to the organization if the issue is not resolved. 8. Describe how you will be evaluating the success or failure of the plan. Discuss the process. Provide a minimum of one statement from a scholarly source that supports your evaluation plan. **************************************************** HCA 375 Week 2 DQ 1 Comparative Performance For more classes visit www.snaptutorial.com Comparative Performance. Visit the Quality Check page of The Joint Commission website, enter the name and state of a health care
  • 18. organization within 100 miles of your home, and select search. Take the following steps to find two health care organizations: Ā· Under the column organization name or number, type the healthcare organization name and state (e.g., Hospital ā€“ Hurley Medical Center, Michigan). Ā· Once the chosen organization appears, click the View Accreditation Quality Report link. Once the summary of the report appears, click on the Accreditation National Safety goals link in the left navigation bar. You will be able to view the patient safety goals that were measured for the organization as it is compared to the nationalaverage. You will be able to view information that is more specific by clicking the See Detail link for each patient safety goal measured. Identify two health care organizationsthat show a need for improvement in one specific area. After reviewing your findings, state the National Safety Goals and National Quality Improvement Goals where the facilities needed to improve. Compare and contrast the differences between the two facilities. In addition, list two recommendations that you feel would improve that particular area. Note that you may find a hospital that has achieved a high score. However, there is always room for improvement. **************************************************** HCA 375 Week 2 DQ 2 Managed Care For more classes visit www.snaptutorial.com
  • 19. Managed Care. After reading Chapters 3 and 4, you should be familiar with the many stakeholders involved in the health care system. In the early 70ā€™s legislation was created for the establishment of Health Maintenance Organizations (HMOs) in an attempt to reduce health care costs due to the excessive spending of the fee-for- service health plans. Considering the reason for their creation, discuss your opinion regarding why managed care organizations did or did not have the intended effect. List two examples that prove your point. **************************************************** HCA 375 Week 2 Quiz (2 Set) For more classes visit www.snaptutorial.com HCA 375 Week 2 Quiz (2 Set) Grade Details - All Questions Question 1. An integrated delivery system Question 2. The largest accrediting agency of health care organizations in the United States is Question 3. Which of the following is an Accreditation Organization?
  • 20. Question 4. This act promises the delivery of quality care through incentive programs and changes in reimbursement methods. What is it called? Question 5. Two types of health maintenance organizations are Question 6. The difference between HMOs and PPOs is that PPOs plans Question 7. Capitation is a reimbursement method utilized my health maintenance organizations. Which describes capitation? Question 8. Which is the name of the accrediting body for medical colleges during the post-industrial era? Question 9. What is meant by globalization in health care? Question 10. One of the reasons why the U.S. health care system is considered fragmented is because Question 11. Operational decisions and guidelines Question 12. The act that made it possible for organizations to put pressure on health care providers to decrease costs is called Question 13. Significant improvements occurred during the post-industrial behavior. Which of the following is considered the most significant? Question 14. The country that spends more on health care per capita than any other is
  • 21. Question 15. Three organizationsbesides The Joint Commission can offer accreditation to health care organizations. Which is NOT one of the three? Grade Details - All Questions Question 1. This act limited the use of pre-existing medical conditions to prevent an employee from obtaining health insurance coverage and mandated health care providers to protect electronic personal health information. What is it called? Question 2. National Committee for Quality Assurance monitors the quality of care delivered by Question 3. Department of Health and Human Services chose this organization to be an accrediting entity for qualified health plans participating in the Health Insurance Exchange Marketplaces. Question 4. Three organizationsbesides The Joint Commission can offer accreditation to health care organizations. Which is NOT one of the three? Question 5. The agency that is responsible for the nationā€™s health by educating citizens to prevent and control health threats is called Question 6. Certification is awarded Question 7. An integrated delivery system Question 8. Health policies is synonymous with Question 9. CAHPS assesses consumersā€™ experience with health care. Which organization developed CAHPS?
  • 22. Question 10. What is the name of the facilities that were utilized to quarantine contagious patients? Question 11. Which is the name of the accrediting body for medical colleges during the post-industrial era? Question 12. Best practice refers to Question 13. CMS requires states to obtain the services of these entities if the state contracts with an MCO for their Medicaid population.What are the entities called? Question 14. The name of the reimbursement method where the physician is paid more when they provide more services is Question 15. The largest group of health care providers is **************************************************** HCA 375 Week 3 DQ 1 CQI Models For more classes visit www.snaptutorial.com CQI Models. After reading Chapter 1 through 4, you should be familiar with quality improvement initiatives including NCQAā€™s HEDISĀ® measures. Health plans and physicians must ensure they are meeting standards set by the accreditation agencies, such as NCQA. As a physician practice manager for Dr. Jones, you have just conducted a mock survey of the patient chart data. The data shows
  • 23. that your physician practice is not meeting standards for two HEDISĀ® measures. Ā· Choose two HEDISĀ® measures (from the list below either a, b, c, d, e or f) that must be implemented in a physician practice to improve patient outcomes. Ā· Describe the sources of data needed to conduct the two measures. Ā· Using one of the quality improvement models (Lean, PDSA, or Six Sigma), explain how you would use the model to implement the two chosen HEDISĀ® Measures. **************************************************** HCA 375 Week 3 DQ 2 Mandates and Cost For more classes visit www.snaptutorial.com Mandates and Cost. The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this weekā€™s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost- quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care
  • 24. that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point. Ā· DHHS Article related to Cost and Quality (2002) Ā· Institute of Medicine article (2013) **************************************************** HCA 375 Week 3 Quiz (2 Set) For more classes visit www.snaptutorial.com HCA 375 Week 3 Quiz (2 Set) Grade Details - All Questions Question 1. Donabedianā€™s model of care is categorized into 3 groups. What are the three groups? Question 2. The approach of following a patientā€™s health into the future is called Question 3. One method used to extract new data is Question 4. In what stage of PDSA do we identify the problem?
  • 25. Question 5. Demographic data includes all EXCEPT Question 6. Which statement about new quality measures is true? Question 7. ___________ is the most frequently used data because of its ability to generate actionable information for quality improvement purposes. Question 8. The independent Kaiser Family Foundation Question 9. FOCUS is Question 10. What is the first step to ensure success in any quality improvement initiative? Question 11. Data is essential in measuring quality. Data is all of the following EXCEPT Question 12. ____________ show performance indicators in a health care system. Question 13. The law of large numbers is referring to what? Question 14. The principal model for assessing the quality of health care is called Question 15. Process measures are used most often in quality improvement because Grade Details - All Questions
  • 26. Question 1. When a care process is being evaluated during an improvement project, it can Question 2. Some of the advantages of using existing internal data resources over new data to be collected are all EXCEPT Question 3. ___________ requires that information that can identify patients must be carefully safeguarded by entities that provide health care. Question 4. An example of a new quality measure is Question 5. The definition of ___________ isdata collected specifically to detect unanticipated consequences of modifications to the process of care. Question 6. Which of the following methods for collecting new data is more time consuming? Question 7. Existing measures can include all EXCEPT Question 8. NCQAā€™s HEDIS consists of several measures that include all EXCEPT Question 9. The reasons to collect new data instead of existing data includes all EXCEPT Question 10. An example of a Process metric is all EXCEPT Question 11. ____________ show performance indicators in a health care system. Question 12. Which statement about new quality measures is true? Question 13. Which of the following methods for collecting new data is more cost effective?
  • 27. Question 14. The approach of following a patientā€™s health into the future is called Question 15. ___________ coined the phrase ā€œthe vital few and the trivial manyā€ **************************************************** HCA 375 Week 4 Assignment Adverse Event Reporting (2 Papers) For more classes visit www.snaptutorial.com This Tutorial contains 2 Papers Adverse Event Reporting. Read Chapters 5, 6, and 7 in our textbook. After reviewing this weekā€™s required reading, consider the following scenario: You are the lead of the risk management team that has been assigned to evaluate an incident that has occurred. You will be preparing a report for the CEO of the hospital that includes all system failures that contributed to the adverse event as well as utilizing a CQI tool (pareto, fishbone, flowchart). You will be using the Adverse Event template document to complete the three parts to the assignment. Note: If you have responded substantively to each of the content items within the three parts of the assignment, the template document should be between six and seven pages.
  • 28. Part One: Description of Adverse Event (Complete Part One of the Adverse Event template) ā€¢ Choose an adverse event from the following list: Ā· o Medicationerror Ā· o Patientfalls Ā· o Post-operativehemorrhage o The number of Discharges indicates the total number of patients who have been admitted and discharge in the hospital. o Using the data listed below for your selected adverse event only, analyze, and describe what the data is telling you. Make sure to include the graph in your template document. o Data-Patient Safety Event for XYZ Hospital for the year 20XX through 20YY. Ā· List the advent chosen and include background such as prevalence of the incident. Ā· Describe the adverse event in detail. You can make-up the scenario on the event topic chosen from the list or you can research an actual story on one of the events and utilize it for this assignment. Ā· List who was involved in the event and their role in the event. Ā· List the stakeholders on your CQI team. Discuss the differences among the stakeholders that might cause issues when working as a CQI team. Include barriers to their communicating effectively as a team and the communication techniques/methods utilized to inform the organizationā€™s staff of the adverse event improvement plan. Ā· Describe at least two operationalor safety processes that might not have been followed that contributed or caused this event to take place. For instance, describe any regulations or procedures that one of the professional organizations and/or accrediting agencies would utilize to measure compliance with the standard. Ā· Summarize the historical and contemporary issues and legal implications related to patient safety in your chosen adverse event. Ā· Describe how processes of continuous quality monitoring could impact the adverse event you chose. Part Two: Graph & CQI Tool (Complete Part Two of the Adverse Event template)
  • 29. Graph the data Ā· For your selected adverse event, graph the data for the two years. Include the graph in your template document. Include an analysis of the data. Determine if the frequency is increasing or decreasing. What is the data telling you? What factors could be attributed to the change? Choose a CQI Tool that best suits your chosen Adverse Event from the following list: Ā· Flowchart Ā· Fishbone Diagram (Cause&Effect) Ā· Pareto Use the CQI Tool to illustrate the use of the tool with your chosen adverse event. You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot under the instructions in Part Two CQI Tool in the Adverse Event template. Part Three: Future Prevention (Complete Part Three of the Adverse Event template) After describing the event in Part One, using a Graph and CQI tool in Part Two, apply the PDCA model to summarize the process and steps that your team would recommend to the CEO to prevent this adverse event from reoccurring. Make sure to include who (health care personnel) would be accountable at each step of the process. Complete the Explanation column in Part 3 of the Adverse Event template. It is important to keep in mind that some processes require a checks and balance system. You will need to determine if one of the steps you are recommending would require a checks and balance step and why it is necessary. **************************************************** HCA 375 Week 4 DQ 1 CQI Methodologies
  • 30. For more classes visit www.snaptutorial.com CQI Methodologies. Choose two of the CQI methodologies (PDSA, Lean or SixSigma). How do these methodologies utilize data? Discuss the significance of the collection and analysis of data in CQI processes. **************************************************** HCA 375 Week 4 DQ 2 Joint Commission Standards and Processes For more classes visit www.snaptutorial.com Joint Commission Standards and Processes. Health care Providers may volunteer to be accredited by an external body. The Centers of Medicare and Medicaid provide an updated list of approved accrediting organizations. For this discussion, we are focusing on the acute care hospital. Below are fourteen of the categories in The Joint Commission Standards Manual and accreditation process topics. The topics for this discussion are assigned by studentsā€™ last names. See the chart below for your assigned topic.
  • 31. For your assigned topic, you will need to access The Joint Commission Standards Manual and The Joint Commissionā€™s publication The Source. To access this information follow the steps below: From the homepage of the Ashford University library, click on Find Articles & More in the purple bar near the top of the page. Next, take the following steps: Ā· Click on Databases by Subject Ā· Click on Health & Medicine Ā· Click on Joint Commission E-dition for the Standards manual. Review the standard assigned to you. Ā· Next, go back to Health & Medicine in the AU Library. Then click on Joint Commission The Source link located just below the Joint Commission E-dition link. Do not access The Source via the Joint Commission E-dition link or it will ask you to pay a fee. Ā· Select two journal articles from The Source that were published within the past 5-8 years pertaining to your assigned topic. For each article, you will need to download the article. Select the blue box with an arrow. Ā· Identify and summarize the two articles chosen. Your response should reflect the standard, how it is utilized and why it is important in health care, any best practice mentioned, summary of any forms or template shared and any other information that surprised you. **************************************************** HCA 375 Week 4 Quiz (2 Set) For more classes visit www.snaptutorial.com
  • 32. HCA 375 Week 4 Quiz (2 Set) Grade Details - All Questions Question 1. Kaizen event would be characterized by all of the following EXCEPT Question 2. Which of the following statements is TRUE about the difference between Six Sigma and Lean Theory quality improvement methodologies? Question 3. Two popular methodologies to improve health care are Question 4. In using the steps of the DMAIC process, which would be an example of Analyze? Question 5. Lean consists of five basic steps. Which one is NOT one of the steps of Lean? Question 6. An example of Leanā€™s poka-yoke is all EXCEPT Question 7. What is meant by the Lean Theory term jikoda? Question 8. What is meant by the empirical rule used in Six Sigma? Question 9. The Lean Theory was derived from what well- known company and adapted to health care? Question 10. The idea of quality improvement originated in what industry?
  • 33. Question 11. In what decade did the health care industry start to adopt quality improvement methodologies? Question 12. One of the purposes that a hospital may want to consider the financial metric in a CQI process is Question 13. Under which step in DMAIC would you understand the process and its performance? Question 14. Gemba is a Lean Theory term, which can be defined as Question 15. Kaizen is referred to as Grade Details - All Questions Question 1. What is meant by the empirical rule used in Six Sigma? Question 2. All of the following would be an example that would align with the major goal of the United States health care system EXCEPT Question 3. One of the purposes that a hospital may want to consider the financial metric in a CQI process is Question 4. The five Sā€™s of Lean (Seiri, Seiton, Seiso, Seiketsu, Shitsuke) describe the importance of a neat, clean, organized, and clutter free work environment. Which would be an example of clean off your desk at the end of the day? Question 5. One of the earliest documented uses of Six Sigma was to Question 6. An example of Leanā€™s poka-yoke is all EXCEPT
  • 34. Question 7. Which is considered the hybrid model for improvement methodologies? Question 8. An example of a customer-oriented metrics is Question 9. What is meant by parallel-meso structures? Question 10. In what decade did the health care industry start to adopt quality improvement methodologies? Question 11. Which is a true statement about any quality improvement process? Question 12. Which of the following is a true statement about health care in the United States? Question 13. The Six Sigma improvement methodology has 5 key features. Which of the following is NOT one of them? Question 14. Under which step in DMAIC would you understand the process and its performance? Question 15. The acronym DMAIC is related to which CQI methodology **************************************************** HCA 375 Week 5 DQ 1 Communication and Teamwork For more classes visit www.snaptutorial.com
  • 35. Communication and Teamwork. After completing this weekā€™s reading, you have learned that teamwork is an essential part of Continuous Quality Improvement (CQI) and healthcare delivery. Healthcare professional roles include physicians, nurses, diagnostics (laboratory ) and radiology staff, hospital administrators, patient registration, pharmacists, and triage staff, etc. Each role has its own contribution to ensuring the delivery of quality care. In your opinion,discuss two of the roles listed above and their role in the delivery of quality care. Identify two professional responsibilities of the chosen roles, and link them to the quality improvement process of improving patient wait times in the Emergency Room. Include communication techniques this role would utilize to assist in improving patient wait times to the CQI team or staff. **********************************************************************************