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Program Eval/Quality
Program Evaluation and Qualty Improvement
Question | Answer |
---|---|
Continuous Quality Improvement CQI | System Orientated Approach. Uses limitations to increase change |
Total Quality Improvement TQM | Organised culture - enables employees to participate |
Performance Assessment and Improvement PAI | Systematic method to evaluate appropriateness of services |
Utilisation Review | Resources within facility |
Statistical Utilisation Review | Reimbursement claims data used to review |
Professional Review Organisation PRO | Peers who evaluate service/care under reimbursement or state |
Prospective Review | Used by 3rd party payers to approve OT intervention programs |
Concurrent Review | Evaluation of ongoing intervention |
Retrospective | Looks at past data |
Risk Management | Looks at level of risk in location/intervention |