Deck 19: Measuring and Managing Outcomes

Question 1

_____ involves accounting for patient factors, the intrinsic risks that a patient brings to the health care encounter in the form of clinical and/or demographic factors, before drawing conclusions about the meaning of different values for indicators.

Answer 1

Risk adjustment
Risk adjustment involves accounting for patient factors, the intrinsic risks that a patient brings to the health care encounter in the form of clinical and/or demographic factors, before drawing conclusions about the meaning of different values for indicators. Comparisons of outcomes across settings or time periods are meaningful only when potentially important differences in the characteristics of patients involved are taken into account.

Question 2

Implementation of the Transitional Care Model (TCM) has been associated with which of the following favorable outcomes? (Select all that apply.)

A) Decreased length of stay
B) Reductions in total health care costs
C) Reductions in preventable hospital readmissions
D) Increased overall satisfaction with the care experience
E) Long-term improvements in physical health, functional status, and quality of life

Answer 2

Reductions in total health care costs
Reductions in preventable hospital readmissions
Increased overall satisfaction with the care experience

Question 3

Outcomes measurement is complex because:

A) budgets are unable to allocate sufficient funds.
B) health care is multidimensional.
C) patients may not cooperate.
D) treatments are not always necessary.

Answer 3

health care is multidimensional.

Question 4

Key examples of patient-focused outcome indicators are: (Select all that apply.)

A) patient satisfaction.
B) birth rates.
C) health status.
D) quality of life.
E) ability to function.

Question 5

The specific tools used to make quality visible to stakeholders in health care are called:

A) indicators.
B) outcomes.
C) variable selections.
D) quality measures.

Question 6

Mary Lou is studying the 48-hour readmission rate of cardiac patients whose care was provided by nurses with associate degrees versus nurses with bachelor's degrees. The type of research Mary Lou is performing is called _____ research.

A) quality
B) patient outcomes
C) nursing outcomes
D) outcomes management

Question 7

The outcomes concept that emphasizes the multidisciplinary process of providing health care is known as outcomes:

A) maintenance.
B) management.
C) measurement.
D) monitoring.

Question 8

A(n) _____ is the result or results obtained from the efforts to accomplish a goal.

Question 9

To determine whether her patient has responded favorably to a nursing intervention, a staff nurse should observe the client for:

A) improved health.
B) increased complaints.
C) outcome indicators.
D) signs and symptoms.

Question 10

The results people care about most when seeking treatment is known as a(n):

A) achieved benefit.
B) benchmark.
C) expected response.
D) outcome.

Question 11

The process of managing outcomes includes five steps. List the five steps below in the correct order.

A) Variances are investigated.
B) Data are collected about outcomes.
C) Trends are identified from data analysis.
D) Changes are implemented and reevaluated.
E) Appropriate service delivery changes are determined.

Question 12

Areas of data evaluation on a balanced scorecard include: (Select all that apply.)

A) metrics.
B) key performance indicators.
C) environmental.
D) turnover rates
E) benchmarks

Question 13

The field in health care that aims at a better understanding of the end results of health care practices and interventions is called:

A) patient safety.
B) risk management.
C) outcomes research.
D) quality management.

Question 14

Donabedian's aspects of quality include: (Select all that apply.)

A) goals.
B) process.
C) policies.
D) structure.
E) outcomes.

Question 15

The Agency for Healthcare Research and Quality (AHRQ) developed a set of categories of desirable attributes of a quality indicator. The categories include: (Select all that apply.)

A) feasibility.
B) efficiency.
C) importance.
D) cost-effectiveness.
E) scientific soundness.

Question 16

Outcome indicators such as nurse burnout, turnover, and job satisfaction are examples of which type of indicator?

A) Patient-focused
B) Provider-focused
C) Organizational-focused
D) Nursing-focused