Healthcare Quality Management Introduction Chap 1

Acreditation Standards
statements of expectation set by a competent authority concerning a degree or level or requirement, excellence, or attainment in quality or performance
Assessment
Use of performance information to determine the degree to which an acceptable level of quality has been acheived
Continuous Improevement
System in which individuals in an organization loo for ways to do things better, usually based on understanding and control of performance variation
Governing Board
Individuals, group, or agency with ultimate legal authority and responsibility for overall operation of an organization: sometimes called the board of trustees
Healthcare quality
Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge
Improvement
Planning and making changes to current practices so performance will be better in the future
Measurement
Collection of information for the purpose of understanding current performance and seeing how performance changes over time
Medical staff executive committee
Leadership group of a hospital’s organized medical staff that exercises primary authority over activities of the medical staff and over performance of individuals with hospital clinical privileges
Misuse
Health services misuse includes incorrect diagnoses as well as medical errors and other sources of avoidable complications
Patient safety
Actions taken to reduce the risk of patients being unintentionally harmed by effects of healthcare serices
Processes
Collections of actions following prescribed procedures for bringing about a result
Quality management
Way of doing business which continuously improves products and services to achieve ever better levels of performance
Quality management plan
Written description of the organizational structure, responsibilities, procedures, processes and resources supporting and organization’s quality management system
Quality management system
Organizational structure, responsibilities, procedures, processes and resources supporting the design, measurement, assessment, and improvement of key functions and key processes: sometimes referred to as the quality program or performance improvement program
Staheholder
Person, group, organization, or amenity with a direct or indirect stake in an organization because it can affect or be affected by that organization’s actions, objectives, and performance
Underuse
Underuse occurs when a health service is not provided though it would have been medically beneficial