2021 Quality Week

4. is the most effective way of removing germs and harmful bacteria and preventing the spread of infection.
6. wear at all times above the waist.
7. Meeting rules or standards.
11. UM helps ensure efficient use of hospital _____to improve Veteran access to care.
14. When surveyors walks in our facility, areas should be free from?
16. Demonstration through an onsite survey that an organization complies with a set of industry best practice standards ensuring that quality is maintained throughout all aspects of the organization.
18. Performed to determine compliance with documentation and quality care.
19. The consistent delivery of healthcare that is safe, effective, patient-centered, timely, efficient, and equitable.
20. A ______review is an evaluation of care provided by professionals at the same level in the same field.

1. The process of reporting incidents and/or close calls.
2. We are currently in the window for this survey.
3. Preferred outcome of providing every day care.
5. Facts and statistics collected to make performance evaluations, plan improvement efforts, and measure improvement.
8. Acronym used when extinguishing a fire.
9. A tool used daily or weekly to review process improvement within a department/clinic.
10. A quality process that focus on eliminating waste.
12. Acronym for the accreditation body that comes approximately every 3 years.
13. The ______ management program provides consultation services using EBP to ensure Veterans receive the right care, in the right setting, at the right time, for the right clinical reasons.
15. Consistent excellence in quality and safety across all services maintained over long periods of time.
17. QM staff perform these to determine compliance with standards.
21. Who is responsible for performance improvement in our organization?