Quality Improvement

Chapter 5 Quality Improvement




Clinical Case Problem 1 Quality Matters


An official from one of the insurance companies you participate with sets up an appointment to discuss quality improvement measures you are thinking about implementing in your office. In preparation for the meeting, you review the literature on quality improvement.



Select the best answer to the following questions




1. Among the many possible online Internet sources for information about quality improvement, you find which of the following to be most reliable?


a. the American Academy of Family Physicians (www.aafp.org)

b. the Agency for Healthcare Research and Quality (www.ahrq.gov)

c. the National Committee for Quality Assurance (www.ncqa.org)

d. all of the above

e. none of the above

2. One of the products of the National Committee for Quality Assurance that you run across online is HEDIS. Which of the following is true about HEDIS?


a. HEDIS stands for Health Employer Data and Information Services

b. HEDIS contains measures of health care effectiveness and patient safety

c. HEDIS measures are not concerned about cost, just quality

d. HEDIS measures are designed to be primarily applicable to patients with Medicare insurance

e. HEDIS measures are updated every 5 years

3. Examples of HEDIS effectiveness of care measures applicable to family medicine outpatient practice include which of the following?


a. measures of childhood immunization status

b. colorectal cancer screening rates

c. measures of influenza vaccination rates

d. measures of frequency of prenatal visits

e. all of the above


Clinical Case Problem 2 Improving Practice Quality


After reviewing the literature and reflecting on what you have found, you decide that good physicians should actively learn from their practices. This means taking the time to reflect on your patient care practices, to assimilate new and existing scientific evidence into your care of patients, and always to seek ways to improve patient care.



4. Among the following measures you consider taking in your office practice to improve quality, which has been shown to be most effective?


a. systematic collection and analysis of information about the clinical care provided in the context of evidence-based guidelines

b. systematic analysis of practice experience, including feedback from patients, families, and the community

c. regularly engaging staff in learning activities to advance competence and performance

d. only c has been shown to be effective

e. a, b, and c are effective

5. Which of the following is(are) the essential element(s) of high-performing family medicine practices?


a. an electronic patient clinical information system

b. open and direct communication among all members of the practice

c. a leader who tolerates little deviance of accepted thought from employees

d. a and b are correct

e. a and c are correct


Clinical Case Problem 3 Measuring Quality


You decide to implement performance measures in your practice based on evidence of effectiveness targeting several major diseases in your patient population. In this process, you rely on performance measures for ambulatory care derived from the National Quality Forum.



6. Which of the following is(are) a reasonable performance measure(s) to assess your practice’s preventive care delivery?


a. rates of fecal occult blood testing for the past year in eligible men and women aged 50 years or older

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Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Quality Improvement

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