Quality Improvement & Program Management Flashcards
7 cards from real ASC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Improvement & Program Management flashcards as text
Which metric is most directly used to evaluate the effectiveness of a Get With The Guidelines-Stroke program?
Answer: Door-to-needle time under 60 minutes
Door-to-needle time under 60 minutes for tPA administration is the primary performance metric in GWTG-Stroke certification programs.
A stroke coordinator notices that NIHSS documentation is missing for 20% of admitted stroke patients. The BEST first step in a QI approach is to:
Answer: Conduct a root cause analysis to identify why documentation is being missed
Root cause analysis identifies the underlying system or process failure before interventions are designed.
In the PDSA cycle used for stroke QI, what does the 'Study' phase primarily involve?
Answer: Analyzing data to determine if the change produced improvement
The Study phase involves reviewing data collected during the Do phase to evaluate whether the intervention worked.
Which of the following is a process measure rather than an outcome measure in stroke quality reporting?
Answer: Percentage of ischemic stroke patients receiving antithrombotic therapy at discharge
Antithrombotic therapy at discharge is a process measure reflecting adherence to a care step, not a patient outcome.
Which organization administers the Primary Stroke Center certification program in the United States?
Answer: The Joint Commission (TJC)
The Joint Commission administers PSC, TSC, and CSC certification programs for stroke centers.
A stroke program is preparing for its first Comprehensive Stroke Center (CSC) certification survey. Which capability distinguishes a CSC from a Primary Stroke Center?
Answer: 24/7 availability of neurosurgery and neurointerventional services
CSCs must provide 24/7 neurosurgical and neuroendovascular capabilities, which exceed PSC requirements.
When benchmarking a stroke program's DTN times against national data, what is the most appropriate data source for comparison?
Answer: AHA/ASA Get With The Guidelines-Stroke national registry
GWTG-Stroke provides validated national benchmark data for DTN times and other stroke quality metrics.