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CPXP. Domain III Questions with Complete
Solutions | 100% pass
5 change catalysts (readiness) - ✔✔1. burning platform/significant threats 2.external restructuring
- new facilities/technology 4.visionary leadership
- passion to be better examples of burning platform/significant threats (in relation to change catalysts) - ✔✔HCAHS introduced universal precautions (pandemic, change in wk force) low scores, poor community reputation, market research examples of external restructuring (in relation to change catalysts) - ✔✔mergers, acquisitions, system expansions examples of new facilities/technology (in relation to change catalysts) - ✔✔EMR new or remodeled facility redesign workflow & processes moving services to new location examples of visionary leadership (in relation to change catalysts) - ✔✔new CEO
passion to be better (in relation to change catalysts) - ✔✔adopted PFCC model & approach new PFAC implementation change agents vs change recipients - ✔✔before change can be made, leaders must address resistances to gain buy-in, try: - ✔✔encourage meaningful participation communication training emphasize benefits provide emotional support review negative consequences **key elements for successful/sustained change (apply them): - ✔✔DEFROST: establish urgency create leaders (guiding coalition) develop vision & strategy communicate vision INTRODUCE: empower broad-based action (introduce/get rid of obstacles) generate short-term win consolidate gains & produce more change GROUNDS: anchor new approaches (reward/recognize)
Purpose of PDSA/PDCA - ✔✔what are we trying to influence in real world, scientific method, see how it works on small scale Purpose of Lean - ✔✔remove waste 8 types of waste: (give examples) - ✔✔defects overproduction transportation waiting inventory motion processing human potential Purpose of 6 Sigma - ✔✔streamlining operations, improving quality, eliminating defects 6 Sigma contains DMAIC (associated with HRO) - ✔✔Define Measure Analyze Improve Control
TQM (total quality mngmt) focuses on - ✔✔long term quality improvement (managmement) customer satisfaction (process centered ~ not people blaming) Outcome Measures defined - ✔✔what happened (death, financial, readmissions, average BP of all pts in Oct) Process Measures defined - ✔✔specific steps that lead to an outcome (tracking throughout, % of pts) PFA (Pt & Fam Advisors) role - ✔✔received care, offer insights & input to help organizations role of a PFA - ✔✔consumer, feedback, partner, co-designer PFA benefits to organizations - ✔✔+ provides effective method of receiving/responding to patient needs
- offers insights to + & -
- helps prioritize improvement needs
- strengthens community relationships
- supports creation of patient centered care culture PFA benefits to patient/families - ✔✔better understand healthcare & system community advocate for pt centered care feels listened to & valued skill development relationship building
design thinking healthcare based on - ✔✔exploring & deeply understanding lived experience of end- user ethnography defined - ✔✔core elements: shadowing, interviews, focus groups EBD (experience based design) - ✔✔focuses on improving experience DOES require pt, families staff present when designing solutions experience mapping/journey mapping primary purpose: - ✔✔use emotional language when walking through experience ~ to understand flow, processes, communication or overall experience EBCD (experience based co-design) intention - ✔✔develop simple solutions that offer better experience (helps staff learn/understand emotional pain or touchpoints, why & how) SDM (shared decision making) defined - ✔✔ties together quality, experience & partnership (takes into account pt values & preferences) results of SDM (shared decision making) - ✔✔better outcomes (adherence to plan) better expereince (needs valued & feel heard) 5 phases of patient engagement framework: - ✔✔1. inform me (website. 1-directional)
- engage me (transactional. basic connection to staff)
- empower me (social media, portals)
- partner with me (geared toward self-managmnt. intended to educate, support, appts)
- support my eCommunity (interoperability, info exchange between partners, maximum corrdination across team) ** Benefits of technology solutions - ✔✔meets expectations parallels best practices in industries (hospitality) easy to use more opportunity to engage & partner improved adherence to plan of care ** Limitations of technology solutions - ✔✔resistance to change costs (infrastructure) privacy concerns training required access to technology required
