What approach should be followed by the healthcare improvement team for the best outcomes?

Data collection should be thorough. The team may need the data down the road
Stockpiling of data "just in case"
Collecting the critical few rather than collecting for a rainy day
Collection of a balanced amount of data in order to full-fill the current demands

Answer(s): C

To identify outpatient data sources, the team should consider the following questions EXCEPT:

Are the physician in organized medical groups that have outpatient electronic medical records, which could be a source of data? Will their financial or billing systems be able to identify all patients with diabetes in their practices? If not, can the health plans in the area supply the data by practice site or individual physician?
Some of the most important diabetes measures are based on laboratory testing. Do the physicians have their own labs? If so, do they achieve the laboratory data for12-24 month snapshot? If they do not do their own lab testing, do they use a common reference lab that would be able to supply the data?
Do the measures selected by team reflect the aspects of care that have the most influence on patient's outcome
Do the source outpatient data is the same as inpatient data

Answer(s): C,D

Which of following objectives is/are NOT essential for successful quality improvement project and data collection initiative?

Identify the purpose of the data measurement activity (for monitoring at regular intervals, investigation over a limited period, or one time study).
Identify the most appropriate data sources
Identify the most important measures for collection (the critical few).
Commonsense all the data collected that will provide the actual information

Answer(s): D

Some database projects rely on medical record review because many of the data are not available in administrative database, e.g.

Measurement that require time stamp, such as administration of antibiotics within one hour before surgical incision
Patient's entries and visits to the physician
Patient's of test and lab reports
Nursing record

Answer(s): A

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