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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)

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 organizations to 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 consumers’ 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 nation’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 Amendment’s purpose
was to
Question 22. NCQA’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 “the vital few
and the trivial many”
Question 37. Which statement is true about probability-based
schemes?
Question 38. The approach of following a patient’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. NCQA’s HEDIS consists of several measures that
include all EXCEPT
Question 46. Donabedian’s model of care is categorized into 3
groups. What are the three groups?
Question 47. ___________ is the process of determining how
an organization’s outcomes 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 S’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 Lean’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 Medicine’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 Medicine’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

of Medicine’s safe care is
Question 79. Which is an example of Process?
Question 80. An example of Donabedian’s “the ability to
obtain the greatest health improvement at the lowest cost” 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 ContinuousQuality Improvement (CQI) model. There are steps
in each. Which of the following falls under ‘identify alternatives’ 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?
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

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.
· What are we trying to accomplish?
· How will we know that a change is an improvement?
· What changes can we make that will result in improvement?
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HCA 375 Week 1 DQ 2 Promoting CQI
Efforts
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)
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 “red-flag,” 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
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 physician’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?
of Medicine’s efficient care is
Question 15. The characteristics of quality are all EXCEPT
HCA 375 Week 2 Assignment Customer
Satisfaction Improvement Plan (2 Papers)
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:
· Customer contacted a Health Plan Customer Service department
but could not understand the representative.
· Customer scheduled an appointment with a primary care
physician for an acute illness and there were no appointments available.
· Customer had an appointment for lab testing or a diagnostic test
(MRI, CT scan, etc.) and the facility environment was disorderly and
unclean.
· Customer visited the Emergency Department (ED), also known as
Emergency Room, but the wait time was extensive (over three hours).
· Customer’s car repairs estimate was $200.00, however, the actual
bill was $900.00 when repairs were completed.
· 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
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:

· Under the column organization name or number, type the
healthcare organization name and state (e.g., Hospital – Hurley Medical
Center, Michigan).
· 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 national
average. 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

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 70’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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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?
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 nation’s
health by educating citizens to prevent and control health threats is
called
Question 6. Certification is awarded

Question 8. Health policies is synonymous with
Question 9. CAHPS assesses consumers’ 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

CQI Models. After reading Chapter 1 through 4, you should be familiar
with quality improvement initiatives including NCQA’s HEDIS®
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 HEDIS® measures.
· Choose two HEDIS® 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.
· Describe the sources of data needed to conduct the two measures.
· Using one of the quality improvement models (Lean, PDSA, or Six
Sigma), explain how you would use the model to implement the two
chosen HEDIS® Measures.
HCA 375 Week 3 DQ 2 Mandates and Cost
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 week’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.
· DHHS Article related to Cost and Quality (2002)
· Institute of Medicine article (2013)
Question 1. Donabedian’s model of care is categorized into 3
groups. What are the three groups?

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
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.
data is more time consuming?
Question 7. Existing measures can include all EXCEPT
Question 8. NCQA’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?
data is more cost effective?
Question 15. ___________ coined the phrase “the vital few
and the trivial many”
HCA 375 Week 4 Assignment Adverse
Event Reporting (2 Papers)

This Tutorial contains 2 Papers
Adverse Event Reporting. Read Chapters 5, 6, and 7 in our textbook.
After reviewing this week’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) • Choose an adverse event from the
following list:
· o Medicationerror
· o Patientfalls
· 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.
· List the advent chosen and include background such as prevalence
of the incident.
· 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.
· List who was involved in the event and their role in the event.

· 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
organization’s staff of the adverse event improvement plan.
· 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.
· Summarize the historical and contemporary issues and legal
implications related to patient safety in your chosen adverse event.
· 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
· 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:
· Flowchart
· Fishbone Diagram (Cause&Effect)
· 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
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

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 students’ 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 Commission’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:
· Click on Databases by Subject
· Click on Health & Medicine
· Click on Joint Commission E-dition for the Standards manual.
Review the standard assigned to you.
· 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.

· 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.
· 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.
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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 7. What is meant by the Lean Theory term
jikoda?
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 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
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 4. The five S’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 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 11. Which is a true statement about any quality
improvement process?
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

Communication and Teamwork. After completing this week’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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