Question 1

Which of the following is NOT a secondary data pattern that the QIO will use to determine health care facility patient care trends?

Accepted Answer

A)  Medically unnecessary care 
B)  Premature discharges 
C)  Incorrect DRG assignment 
D)  Total claim charges 
A)  Medically unnecessary care 
B)  Premature discharges 
C)  Incorrect DRG assignment 
D)  Total claim charges

Question 2

Ensuring the documentation in a health record is complete is part of:

Accepted Answer

A)  Quantitative analysis 
B)  Qualitative analysis 
C)  Utilization review 
D)  Case management 
A)  Quantitative analysis 
B)  Qualitative analysis 
C)  Utilization review 
D)  Case management

Question 3

Why did health care facilities need to establish quality standards in patient care? Which two organizations began to assist in establishing patient care standards in hospitals?

Accepted Answer

The concept of quality in health care ca

Question 4

Monitoring functions for compliance within set standards is called __________, which also requires action to correct noncompliance, and followup on the correction.

Accepted Answer

quality as

Question 5

Why is quality measurement important in health care? Who are some customers of health care quality? How are accreditation and quality linked?

Accepted Answer

Customers of any product or service judg

Question 6

____________ is a group of like elements compiled to provide information about the group.

Accepted Answer

A)  Meaningful use 
B)  Aggregate data 
C)  Electronic health record 
D)  Incidence 
A)  Meaningful use 
B)  Aggregate data 
C)  Electronic health record 
D)  Incidence

Question 7

Define and explain the three quality management theory methods.

Accepted Answer

Preventive controls: Procedures, process

Question 8

What is a decision matrix and how can this tool be useful in effective decision making?

Accepted Answer

A decision matrix can help a group organ

Question 9

TJC continued to promote quality by establishing _______ in 2002 for health care facilities. These goals recommended measures to reduce patient falls and health-care related infections.

Accepted Answer

National P

Question 10

Compare and contrast the Lean and Six Sigma performance improvement methods. How can health care facilities apply these theories?

Accepted Answer

Lean might be described as a less formal

Question 11

The assignment of deemed status grants Medicare COP certification when a facility is accredited by which organization?

Accepted Answer

A)  NCQA 
B)  TJC 
C)  NIAHO 
D)  Both b and c 
A)  NCQA 
B)  TJC 
C)  NIAHO 
D)  Both b and c

Question 12

Accreditation varies from certification by which of the following?

Accepted Answer

A)  Accreditation is voluntary. 
B)  Certification is voluntary. 
C)  Only accreditation is motivated by reimbursement. 
D)  Only certification is motivated by reimbursement. 
A)  Accreditation is voluntary. 
B)  Certification is voluntary. 
C)  Only accreditation is motivated by reimbursement. 
D)  Only certification is motivated by reimbursement.

Question 13

The predecessor of The Joint Commission was:

Accepted Answer

A)  Hospital standardization 
B)  AHIMA 
C)  NCQA 
D)  ACS 
A)  Hospital standardization 
B)  AHIMA 
C)  NCQA 
D)  ACS

Question 14

Match between columns
                        Premises: Bar chart
Line graph
Decision matrix
Pie chart
Survey

Accepted Answer

The Answer of 11ea3e32_c236_ce7a_bd86_397f48ca986b_TB3445_00 and 11ea3e32_c236_ce7d_bd86_09f09928ead5_TB3445_00 and 11ea3e32_c236_ce7e_bd86_57cba772a9c0_TB3445_00 and 11ea3e32_c236_ce7b_bd86_bfaa8a1005c4_TB3445_00 is...

Question 15

Historically, HIM professionals have used _______________ to review the documentation of patient health care after the patient is discharged to determine whether patients received appropriate care.

Accepted Answer

A)  Concurrent review 
B)  Performance improvement 
C)  Health information 
D)  Retrospective review 
A)  Concurrent review 
B)  Performance improvement 
C)  Health information 
D)  Retrospective review

Question 16

What is the difference between mortality and morbidity?

Accepted Answer

Mortality refers to death. Mor

Question 17

What is the NCQA and its mission?

Accepted Answer

Managed care organizations can also be a

Question 18

Compare and contrast Juran's and Crosby's quality management theories. How can health care facilities apply these theories?

Accepted Answer

"Quality trilogy." According to Juran, e

Question 19

According to CMS, a ____________ is designed to reimburse acute care hospitals with a value-based incentive, "based either on how well the hospitals perform on certain quality measures or how much the hospitals' performance improves on certain quality measures from their performance during a baseline period."

Accepted Answer

Hospital V

Question 20

How do the Quality Improvement Organizations determine the level of care provided by health care facilities?

Accepted Answer

QIOs review the aggregate and secondary

Which of the following is NOT a secondary data pattern that the QIO will use to determine health care facility patient care trends?

Ensuring the documentation in a health record is complete is part of:

Why did health care facilities need to establish quality standards in patient care? Which two organizations began to assist in establishing patient care standards in hospitals?

Monitoring functions for compliance within set standards is called __________, which also requires action to correct noncompliance, and followup on the correction.

Why is quality measurement important in health care? Who are some customers of health care quality? How are accreditation and quality linked?

____________ is a group of like elements compiled to provide information about the group.

Define and explain the three quality management theory methods.

What is a decision matrix and how can this tool be useful in effective decision making?

TJC continued to promote quality by establishing _______ in 2002 for health care facilities. These goals recommended measures to reduce patient falls and health-care related infections.

Compare and contrast the Lean and Six Sigma performance improvement methods. How can health care facilities apply these theories?

The assignment of deemed status grants Medicare COP certification when a facility is accredited by which organization?

Accreditation varies from certification by which of the following?

The predecessor of The Joint Commission was:

Historically, HIM professionals have used _______________ to review the documentation of patient health care after the patient is discharged to determine whether patients received appropriate care.

What is the difference between mortality and morbidity?

What is the NCQA and its mission?

Compare and contrast Juran's and Crosby's quality management theories. How can health care facilities apply these theories?

How do the Quality Improvement Organizations determine the level of care provided by health care facilities?

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Health Information Management Processing

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Confidentiality and Compliance

Him Department Management

Training and Development

Filters

Exam 11: Quality and Uses of Health Information

Which of the following is NOT a secondary data pattern that the QIO will use to determine health care facility patient care trends?

Ensuring the documentation in a health record is complete is part of:

Why did health care facilities need to establish quality standards in patient care? Which two organizations began to assist in establishing patient care standards in hospitals?

Monitoring functions for compliance within set standards is called __________, which also requires action to correct noncompliance, and followup on the correction.

Why is quality measurement important in health care? Who are some customers of health care quality? How are accreditation and quality linked?

____________ is a group of like elements compiled to provide information about the group.

Define and explain the three quality management theory methods.

What is a decision matrix and how can this tool be useful in effective decision making?

TJC continued to promote quality by establishing _______ in 2002 for health care facilities. These goals recommended measures to reduce patient falls and health-care related infections.

Compare and contrast the Lean and Six Sigma performance improvement methods. How can health care facilities apply these theories?

The assignment of deemed status grants Medicare COP certification when a facility is accredited by which organization?

Accreditation varies from certification by which of the following?

The predecessor of The Joint Commission was:

Historically, HIM professionals have used _______________ to review the documentation of patient health care after the patient is discharged to determine whether patients received appropriate care.

What is the difference between mortality and morbidity?

What is the NCQA and its mission?

Compare and contrast Juran's and Crosby's quality management theories. How can health care facilities apply these theories?

How do the Quality Improvement Organizations determine the level of care provided by health care facilities?

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Health Information Management Processing

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Confidentiality and Compliance

Him Department Management

Training and Development

Filters