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Patient Centered Care

Across
The first report of the IOM Committee on Quality of Health Care in America.
A private accreditation body for numerous types of healthcare delivery organizations.
Goals within the context of quality management in complex systems (Specific, Measurable, Achievable, Relevant, Time-Framed)
The system should seek to lose racial and ethnic gaps in health status (1 of the 6 "Aims for Improvement").
The reduction of waste and, thereby, the reduction of the total cost of care should be never-ending, including for example, waste of supplies, equipment, space, capital, ideas and human spirit (1 of the 6 "Aims for Improvement").
The Consumer Assessment of Health Providers and Systems (__) was first implemented in the hospital setting on a voluntary basis in 2006 and then required as part of CMS's (The Centers for Medicare and Medicaid Services) Reporting Hospital Quality Data for Annual Payment Update (HCAHPS) program in 2008.
Health care should honor the individual patient, respecting the patient's choices, culture, social context and specific needs (1 of the 6 "Aims for Improvement").
Evidence-Based Hospital Referral(__): Consumers and health care purchasers should choose hospitals with the best track record. By referring patients needing certain complex medical procedures to hospitals offering the best survival odds based on scientifically valid criteria, studies indicate that a patients risk of dying could be significantly reduced.
An event defined by the Joint Commission as an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.
Level C; the functioning of the __ that house or otherwise support microsystems.
Quality that refers to clinical expertise and __ aspects of healthcare (e.g., selecting the appropriate intervention for a patients symptoms or carrying out a clinical procedure properly).
Down
Level B; the functioning of small units of care delivery
ICU Physician Staffing (__): Staffing ICUs with intensivists- doctors who have special training in critical care medicine- has been shown to reduce the risk of patients dying in the ICU by 40%.
When a sentinel event happens the policy requires Joint Commission accredited hospitals to conduct a __ .
Level A; Experience of __ .
The health care system should match care to science avoiding both overuse of ineffective care and underuse of effective care. (1 of the 6 "Aims for Improvement")
Aims farther and higher than to Err is Human did. It makes clear that patient safety is part of a larger picture, harder to explain to the public but even more important because it deals with the entire terrain of concerns about health care quality.
Level D; __ of policy, payment, regulation, accreditation and other such factors.
Hospital staff enter medication orders via computers linked to software designed to prevent prescribing errors and has been shown to reduce serious prescribing errors by more than 50%.
A growing consortium of major companies and other large private and public healthcare purchasers that provide health benefits to more than 37 million Americans in all 50 states.
Care should continually reduce waiting times and delays for both patients and those who give care (1 of the 6 "Aims for Improvement").
Patients ought to be as safe in health care facilities as they are in their own homes (1 of the 6 "Aims for Improvement").
Purpose and goals go hand in hand when viewing quality management from a systems perspective. __ help managers understand the complete picture.
Quality that refers to the "myriad characteristics that shape the experience of care for patients", including interpersonal components of care(e.g., empathy and communication) and how well a patient's requirements and expectations are being met (e.g., access, timeliness).