Deck 18: Measuring and Managing Outcomes

Question 1

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.

Answer 1

B, C, A, E, D

Question 2

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

Answer 2

outcome

Question 3

_____ 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 3

Risk adjustment

Question 4

The consequence of an intervention or treatment is known as a(n):

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

Question 5

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 6

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

Question 7

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.

Question 8

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

A) financial.
B) customer.
C) environmental.
D) learning and growth.
E) internal business processes.

Question 9

Key examples of health care practices and interventions outcomes are (select all that apply):

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

Question 10

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 11

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 12

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

Question 13

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

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

Question 14

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 15

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 16

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

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