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Questions and Answers
A hospital generally has a unique structure comprised of a "triangle." Which three entities make up the triangle?
A hospital generally has a unique structure comprised of a "triangle." Which three entities make up the triangle?
The leadership style that is said to motivate employees, and that optimizes the introduction of change, is
The leadership style that is said to motivate employees, and that optimizes the introduction of change, is
The key to creating sustained value in the organization is to
The key to creating sustained value in the organization is to
The person/group legally responsible for maintaining quality patient care is the
The person/group legally responsible for maintaining quality patient care is the
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Hospital medical/professional staff bylaws
Hospital medical/professional staff bylaws
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"Organization-wide functions" refer to
"Organization-wide functions" refer to
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The authority and responsibility of each level of the organization with respect to quality management mechanisms must be specified in the
The authority and responsibility of each level of the organization with respect to quality management mechanisms must be specified in the
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In participative management the manager
In participative management the manager
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Which of the following statements refers only to strategic planning and not to the former traditional "master planning"?
Which of the following statements refers only to strategic planning and not to the former traditional "master planning"?
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The best evidence of the incorporation of quality planning into the organizationwide strategic planning process might be
The best evidence of the incorporation of quality planning into the organizationwide strategic planning process might be
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Which of the following is the best way to determine if a quality improvement initiative is successful?
Which of the following is the best way to determine if a quality improvement initiative is successful?
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Strategic planning is best described as
Strategic planning is best described as
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Which of the following best describe vision statement?
Which of the following best describe vision statement?
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Which of the following is most important to the successful implementation of quality improvement activities?
Which of the following is most important to the successful implementation of quality improvement activities?
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The mission statement of the organization describes
The mission statement of the organization describes
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Which of the following statements and documents are most likely to reveal the organization's underlying or true value system?
Which of the following statements and documents are most likely to reveal the organization's underlying or true value system?
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In working with the hospitals and physician practice groups (medical groups and IPAs) on QM/QI redesign, one of the important tasks to accomplish first will be to
In working with the hospitals and physician practice groups (medical groups and IPAs) on QM/QI redesign, one of the important tasks to accomplish first will be to
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The best way to incorporate the concept of alignment into reengineering is to:
The best way to incorporate the concept of alignment into reengineering is to:
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Of the following, the measures most indicative of the IDS' ability to provide value to its stakeholders are
Of the following, the measures most indicative of the IDS' ability to provide value to its stakeholders are
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You are going to make major changes in the billing system in the organization. To increase the acceptance of the staff to change:
You are going to make major changes in the billing system in the organization. To increase the acceptance of the staff to change:
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A team has been selected from all linked services in several healthcare organizations in the WeCare Healthplan [MCO] network to address information management. The term that best describes such a team is
A team has been selected from all linked services in several healthcare organizations in the WeCare Healthplan [MCO] network to address information management. The term that best describes such a team is
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In an organizationwide QI model, the person or group usually accountable for continuously assessing and improving performance at the department level is the
In an organizationwide QI model, the person or group usually accountable for continuously assessing and improving performance at the department level is the
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Strategic leadership is linked to success in meeting
Strategic leadership is linked to success in meeting
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In a crisis situation, when a manager must make a rapid decision, the most effective leadership style is
In a crisis situation, when a manager must make a rapid decision, the most effective leadership style is
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In the "quality-based strategic planning" model
In the "quality-based strategic planning" model
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As a performance measurement system, the key value of the "balanced scorecard" concept is its ability to
As a performance measurement system, the key value of the "balanced scorecard" concept is its ability to
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Which of the following statements about the balanced scorecard is FALSE
Which of the following statements about the balanced scorecard is FALSE
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In the Balanced Scorecard, the Perspective that measures human, informational, and operational capital is
In the Balanced Scorecard, the Perspective that measures human, informational, and operational capital is
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Healthcare quality program had prepared a balanced score card that displayed patient satisfaction was 98%, financial target has been met, medication error had been increased by 30% and heart surgery rate decreased 3%, what additional information the governing body may ask for?
Healthcare quality program had prepared a balanced score card that displayed patient satisfaction was 98%, financial target has been met, medication error had been increased by 30% and heart surgery rate decreased 3%, what additional information the governing body may ask for?
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The best way to facilitate leadership education about the role of ethics in the organization is to understand that
The best way to facilitate leadership education about the role of ethics in the organization is to understand that
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Leadership during a lengthy period of crisis in the organization is
Leadership during a lengthy period of crisis in the organization is
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Having management pay attention to workers' activities results in
Having management pay attention to workers' activities results in
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You are new to your position as Director of Healthcare Quality. You know you need to identify the "quality champions" who can help lead the quality strategy you are asked to implement. Use this information to answer questions II-27 and II-28:
You understand that the most effective quality champions are
You are new to your position as Director of Healthcare Quality. You know you need to identify the "quality champions" who can help lead the quality strategy you are asked to implement. Use this information to answer questions II-27 and II-28: You understand that the most effective quality champions are
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In the clinical arena, which of the following criteria is most consistent with your understanding of a key quality champion?
In the clinical arena, which of the following criteria is most consistent with your understanding of a key quality champion?
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In the "language" of strategic planning, the "strategies" of the organization can also be called
In the "language" of strategic planning, the "strategies" of the organization can also be called
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The organization's governing body and CEO are being urged to make a commitment to a culture of quality. The ideal role of the healthcare quality professional is to serve as the:
The organization's governing body and CEO are being urged to make a commitment to a culture of quality. The ideal role of the healthcare quality professional is to serve as the:
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An acute care facility has found that the incidence rate of pressure ulcer cases, although low, is not as low as the incidence rate reported by comparable organizations. Because the incidence of pressure ulcers may detract from the organization's reputation for giving good care, management decides to take this matter seriously and assigns a project manager and analyst. On review of the records, the project team decides that the existing policy is the right one and something is going wrong in the implementation. Which of the following options is most appropriate?
An acute care facility has found that the incidence rate of pressure ulcer cases, although low, is not as low as the incidence rate reported by comparable organizations. Because the incidence of pressure ulcers may detract from the organization's reputation for giving good care, management decides to take this matter seriously and assigns a project manager and analyst. On review of the records, the project team decides that the existing policy is the right one and something is going wrong in the implementation. Which of the following options is most appropriate?
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Flashcards
Hospital Structure
Hospital Structure
A triangle comprised of the Governing Body, Administration/Management, and Medical Staff.
Autocratic Leadership
Autocratic Leadership
A leadership style characterized by the leader making decisions and announcing them to the staff.
Participatory Leadership
Participatory Leadership
A leadership style that encourages employee motivation and promotes change by involving employees in the decision-making process.
Creating Sustained Value
Creating Sustained Value
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Who's Responsible for Quality Care?
Who's Responsible for Quality Care?
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Medical Staff Bylaws
Medical Staff Bylaws
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Organization-Wide Functions
Organization-Wide Functions
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Defining Roles in Quality Management
Defining Roles in Quality Management
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Participative Management
Participative Management
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What is Strategic Planning?
What is Strategic Planning?
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Evidence of Quality Integration
Evidence of Quality Integration
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Measuring Initiative Success
Measuring Initiative Success
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Strategic Planning Definition
Strategic Planning Definition
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Vision Statement Definition
Vision Statement Definition
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Key to Quality Implementation
Key to Quality Implementation
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Mission Statement
Mission Statement
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Revealing True Values
Revealing True Values
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First Step in QM/QI Integration
First Step in QM/QI Integration
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Incorporating Alignment
Incorporating Alignment
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Measures of Value in IDS
Measures of Value in IDS
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Pilot Project for Change
Pilot Project for Change
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Cross-Functional Team
Cross-Functional Team
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Accountability for Department Quality
Accountability for Department Quality
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Strategic Leadership and Success
Strategic Leadership and Success
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Leadership in Crisis
Leadership in Crisis
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Quality-Based Strategic Planning
Quality-Based Strategic Planning
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Balanced Scorecard
Balanced Scorecard
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Balanced Scorecard Definition
Balanced Scorecard Definition
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Operations/Internal Perspective
Operations/Internal Perspective
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Interpreting the Balanced Scorecard
Interpreting the Balanced Scorecard
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Ethics in Leadership
Ethics in Leadership
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Leadership in a Crisis
Leadership in a Crisis
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Management Attention and Productivity
Management Attention and Productivity
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Effective Quality Champions
Effective Quality Champions
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Quality Champion in Clinical Setting
Quality Champion in Clinical Setting
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Strategies in Planning
Strategies in Planning
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Role of Quality Professional
Role of Quality Professional
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Addressing Policy Implementation Issues
Addressing Policy Implementation Issues
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Study Notes
Healthcare Leadership
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Hospital Structure: A hospital's structure is often described as a "triangle," comprised of the governing body, administration/management, and medical staff.
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Autocratic Leadership: In this style, leaders make decisions and announce them without input from others. There is limited or no employee input in the decision-making process.
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Participatory Leadership: This leadership style motivates employees and optimizes change by encouraging employee input and participation in the decision-making process.
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Sustained Value Creation: Sustained value in an organization is achieved by delegating policy-making and oversight to the quality council, developing a strategy linked to vision, strategic goals, and cost-benefit analyses, adopting a code of ethics aligned with mission, vision, and values, and acting on predictive performance data aligned with strategic goals and departmental objectives.
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Quality Patient Care Responsibility: The governing body is legally responsible for maintaining quality patient care.
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Hospital Bylaws: Hospital medical/professional staff bylaws are typically subject to governing body approval.
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Organization-Wide Functions: These refer to key governance, management, clinical, and support activities.
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Quality Management Mechanisms: Authority and responsibility for quality management mechanisms must be specified in the organizational plan for patient care.
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Participative Management: In this style, the manager relinquishes final decision-making to the staff. They still retain ultimate responsibility but allow participation by the staff.
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Strategic Planning vs. Master Planning: Strategic planning focuses on producing new services, begins with the statement of mission, and is an integral part of management, but explicitly considers the political environment of the organization. Strategic planning is an ongoing look into the future.
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Evidence of Quality Planning Integration: The best evidence of quality planning is an organisationwide plan for patient care, the organisationwide quality management/quality improvement plan, not the budget.
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Quality Improvement Success: Successful quality improvement initiatives are measured by comparing outcomes with pre-established goals.
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Vision Statement: Describes the organisation's strategic direction. A vision statement does not describe organisation structure or strategic plans or marketing strategy. It reflects the organisation culture.
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Successful Quality Improvement Implementation: Leadership commitment and organization-wide collaboration are crucial for successfully implementing quality improvement activities.
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Mission Statement: The mission statement describes the purpose and strategic direction of the organization, not its goals. It reflects the organisation's purpose.
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Underlying Value System: Mission, ethics policy, and strategic initiatives (or values, QM/QI Plan, utilization management plans) are among the documents which reflect the organization's underlying value system.
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Initial QM/QI Actions: The first step in a re-engineering of a QM/QI program is to review current data collection compliance.
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Value to Stakeholders: The most significant indications of a health organisation's value include improvements in patient care, outcomes, and reduction in costs, which are further evidenced through data that show patient satisfaction.
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Increasing Staff System Acceptance and Change: Strategies that increase employee acceptance when major organisational and procedure changes are implemented include medical staff education, a pilot project (testing changes), or a long-range plan(comprehensive implementation).
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Cross-Functional Teams: These teams address information management and include members from different departments.
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Department-Level QI Accountability: The quality council is the entity responsible for overseeing the continual assessment and improvement of performance for quality at the department level in the organisation.
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Strategic Leadership and Success: Strategic leadership translates into success in the context of meeting intended objectives and governing body policies.
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Crisis Leadership: Autocratic leadership, characterised by swift decision-making, is the most effective style in a crisis situation.
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Strategic Planning Model: In a "quality-based strategic planning" model, the steering council facilitates the planning efforts, whilst ongoing input from staff and management are important components of the assessment process.
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Balanced Scorecard Key Value: The balanced scorecard's central value is its capacity to align measurement with the organization's vision and strategy.
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Balanced Scorecard False Statement: The FALSE statement about Balanced scorecards is that the overall score summarizes the organisation's performance.
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Balanced Scorecard Perspective: The perspective that accounts for human, informational, and operational capital in the Balanced Scorecard model is Operations/Internal.
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Additional Information for Governing Body: Additional information governing bodies may require to better understand a healthcare quality program's performance includes the types of medication errors, case reviews for surgical issues, and deeper analysis of patient satisfaction results.
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Facilitating Ethics Training: Leaders' personal value systems guide decision-making; therefore, the most effective method for ethics training is to use the organization's written code of ethics to inform and improve decision-making processes for leaders.
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Leadership in Crisis: During a substantial organisational crisis, leadership needs to be dependent on a consistent set of personal characteristics (competence, empathy), in addition to strategic vision in the crisis context.
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Management's Impact on Worker Activities: Management's attention to worker activities impacts worker morale and outcomes and ultimately improves worker productivity by reducing anxiety.
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Effective Quality Champions: The most effective quality champions are participants in the quality improvement council, as their vision, missions, and values are demonstrably evident in their contribution as part of the quality council. Quality champions can be strategic decision-makers, involved in data analysis, and have long-term experience and understanding of the organisation.
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Strategic Language Components: In strategic planning, 'strategies' can be characterised as critical success factors.
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Healthcare Quality Professional's Role: The healthcare quality professional is best serving as a quality champion for their organisation.
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Pressure Ulcer Issue Troubleshooting: Analysis of failure modes and effects is the best initial approach to understand pressure ulcers, to establish the root cause and understand how to fix the failings. Reviewing the data on this issue would be the next step.
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Description
This quiz explores essential concepts of healthcare leadership, including hospital structure, leadership styles such as autocratic and participatory, and the importance of sustained value creation in healthcare organizations. Test your knowledge on the roles and responsibilities that contribute to quality patient care.