Question 1

The National Practitioner Data Bank contains information about a physician's

Accepted Answer

A)  Current health status. 
B)  Liability insurance coverage. 
C)  Incidents of adverse quality of care. 
D)  Education and training. 
A)  Current health status. 
B)  Liability insurance coverage. 
C)  Incidents of adverse quality of care. 
D)  Education and training.

Question 2

The Plan-Do-Check-Act (PDCA) improvement model was created by

Accepted Answer

A)  Juran. 
B)  Motorola. 
C)  Ishikawa. 
D)  Shewhart. 
A)  Juran. 
B)  Motorola. 
C)  Ishikawa. 
D)  Shewhart.

Question 3

Which hospital department often is responsible for monitoring patient incident data?

Accepted Answer

A)  Social services 
B)  Patient accounting 
C)  Infection control 
D)  Risk management 
A)  Social services 
B)  Patient accounting 
C)  Infection control 
D)  Risk management

Question 4

The purpose of credentialing is to assign physicians to a unit of the medical staff organization.

Accepted Answer

A) True 
 B)False

Question 5

Which of the following is based on the Plan-Do-Check-Act (PDCA) model?

Accepted Answer

A)  Six sigma 
B)  Affinity modeling 
C)  Rapid cycle improvement 
D)  Nominal group technique 
A)  Six sigma 
B)  Affinity modeling 
C)  Rapid cycle improvement 
D)  Nominal group technique

Question 6

Which group sponsors the Healthcare Effectiveness Data and Information Set (HEDIS)?

Accepted Answer

A)  National Commission for Quality Assurance 
B)  The Joint Commission 
C)  Centers for Medicare and Medicaid Services 
D)  National Institutes of Health 
A)  National Commission for Quality Assurance 
B)  The Joint Commission 
C)  Centers for Medicare and Medicaid Services 
D)  National Institutes of Health

Question 7

The role of HIM professionals in performance management and patient safety improvement is crucial to collect and analyze performance data.

Accepted Answer

A) True 
 B)False

Question 8

Benchmarking is a performance improvement technique based on

Accepted Answer

A)  Comparison with other high performers. 
B)  Identification of key indicators. 
C)  Tracking of sentinel events. 
D)  Continuous incremental improvement. 
A)  Comparison with other high performers. 
B)  Identification of key indicators. 
C)  Tracking of sentinel events. 
D)  Continuous incremental improvement.

Question 9

Rapid cycle improvement often involves

Accepted Answer

A)  Incremental implementation rollout. 
B)  Pilot testing. 
C)  Redundant testing. 
D)  Large process changes. 
A)  Incremental implementation rollout. 
B)  Pilot testing. 
C)  Redundant testing. 
D)  Large process changes.

Question 10

Clinical practice guidelines are

Accepted Answer

A)  Statements of the "right" things to do for patients with a particular diagnosis. 
B)  Standards for accountable care organizations. 
C)  Billing regulations for Medicare and Medicaid services. 
D)  Recommendations for providers negotiating third-party contracts. 
A)  Statements of the "right" things to do for patients with a particular diagnosis. 
B)  Standards for accountable care organizations. 
C)  Billing regulations for Medicare and Medicaid services. 
D)  Recommendations for providers negotiating third-party contracts.

Question 11

Lean thinking is more about cost containment than about customer focus.

Accepted Answer

A) True 
 B)False

Question 12

A decision matrix is a useful tool for

Accepted Answer

A)  Generating support for ideas. 
B)  Collecting data. 
C)  Setting priorities. 
D)  Quickly seeing data relationships. 
A)  Generating support for ideas. 
B)  Collecting data. 
C)  Setting priorities. 
D)  Quickly seeing data relationships.

Question 13

When a physician reviews the health records of another physician, this is often called peer review.

Accepted Answer

A) True 
 B)False

Question 14

Which of the following is a technique used to investigate an adverse event to understand why it happened?

Accepted Answer

A)  Root cause analysis 
B)  Force field analysis 
C)  Rapid cycle analysis 
D)  Pareto analysis 
A)  Root cause analysis 
B)  Force field analysis 
C)  Rapid cycle analysis 
D)  Pareto analysis

Question 15

Organizations such as the National Quality Forum were established to

Accepted Answer

A)  Promote collaborative efforts to improve health care quality. 
B)  Decrease the cost of health care. 
C)  Provide oversight of health care facilities and individual providers. 
D)  Create a forum for health care consumers to interact with lawmakers. 
A)  Promote collaborative efforts to improve health care quality. 
B)  Decrease the cost of health care. 
C)  Provide oversight of health care facilities and individual providers. 
D)  Create a forum for health care consumers to interact with lawmakers.

Question 16

The purpose of using thresholds when applying performance measures is to

Accepted Answer

A)  Identify "best" outcomes. 
B)  Trigger focused reviews. 
C)  Establish provider accountability. 
D)  Evaluate relevance of the measure. 
A)  Identify "best" outcomes. 
B)  Trigger focused reviews. 
C)  Establish provider accountability. 
D)  Evaluate relevance of the measure.

Question 17

Structure measures of quality are dynamic indicators of organizational performance.

Accepted Answer

A) True 
 B)False

Question 18

Identifying potentially compensable events is one step in

Accepted Answer

A)  Establishing clinical practice guidelines. 
B)  Financial planning to meet legal obligations. 
C)  Managing patient length of stay. 
D)  Negotiating managed care contracts. 
A)  Establishing clinical practice guidelines. 
B)  Financial planning to meet legal obligations. 
C)  Managing patient length of stay. 
D)  Negotiating managed care contracts.

Question 19

What technique is used to maximize the number of ideas for problem analysis and resolution?

Accepted Answer

A)  Six sigma 
B)  Brainstorming 
C)  Flowcharting 
D)  Prioritization 
A)  Six sigma 
B)  Brainstorming 
C)  Flowcharting 
D)  Prioritization

Question 20

Utilization review can only be conducted by health plan employees.

Accepted Answer

A) True 
 B)False

The National Practitioner Data Bank contains information about a physician's

The Plan-Do-Check-Act (PDCA) improvement model was created by

Which hospital department often is responsible for monitoring patient incident data?

The purpose of credentialing is to assign physicians to a unit of the medical staff organization.

Which of the following is based on the Plan-Do-Check-Act (PDCA) model?

Which group sponsors the Healthcare Effectiveness Data and Information Set (HEDIS)?

The role of HIM professionals in performance management and patient safety improvement is crucial to collect and analyze performance data.

Benchmarking is a performance improvement technique based on

Rapid cycle improvement often involves

Clinical practice guidelines are

Lean thinking is more about cost containment than about customer focus.

A decision matrix is a useful tool for

When a physician reviews the health records of another physician, this is often called peer review.

Which of the following is a technique used to investigate an adverse event to understand why it happened?

Organizations such as the National Quality Forum were established to

The purpose of using thresholds when applying performance measures is to

Structure measures of quality are dynamic indicators of organizational performance.

Identifying potentially compensable events is one step in

What technique is used to maximize the number of ideas for problem analysis and resolution?

Utilization review can only be conducted by health plan employees.

Health Care Systems

The Health Informatics and Information Management Profession

Health Information Infrastructure and Systems

Health Data Concepts and Information Governance

Data Access and Retention

Electronic Health Record Systems

Classification Systems, Clinical Vocabularies and Terminology

Technology, Applications and Security

Health Information Systems: Collaboration, Analysis, Design, Implementation, and Operations

Statistics and Data Presentation

Research and Epidemiology

Data Analytics: Reporting, Interpretation, and Use

Public Health Informatics

Privacy and Health Law

Human Resource Management

Operational Management

Revenue Cycle and Financial Management

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Exam 12: Performance Management and Patient Safety

The National Practitioner Data Bank contains information about a physician's

The Plan-Do-Check-Act (PDCA) improvement model was created by

Which hospital department often is responsible for monitoring patient incident data?

The purpose of credentialing is to assign physicians to a unit of the medical staff organization.

Which of the following is based on the Plan-Do-Check-Act (PDCA) model?

Which group sponsors the Healthcare Effectiveness Data and Information Set (HEDIS)?

The role of HIM professionals in performance management and patient safety improvement is crucial to collect and analyze performance data.

Benchmarking is a performance improvement technique based on

Rapid cycle improvement often involves

Clinical practice guidelines are

Lean thinking is more about cost containment than about customer focus.

A decision matrix is a useful tool for

When a physician reviews the health records of another physician, this is often called peer review.

Which of the following is a technique used to investigate an adverse event to understand why it happened?

Organizations such as the National Quality Forum were established to

The purpose of using thresholds when applying performance measures is to

Structure measures of quality are dynamic indicators of organizational performance.

Identifying potentially compensable events is one step in

What technique is used to maximize the number of ideas for problem analysis and resolution?

Utilization review can only be conducted by health plan employees.

Health Care Systems

The Health Informatics and Information Management Profession

Health Information Infrastructure and Systems

Health Data Concepts and Information Governance

Data Access and Retention

Electronic Health Record Systems

Classification Systems, Clinical Vocabularies and Terminology

Technology, Applications and Security

Health Information Systems: Collaboration, Analysis, Design, Implementation, and Operations

Statistics and Data Presentation

Research and Epidemiology

Data Analytics: Reporting, Interpretation, and Use

Public Health Informatics

Privacy and Health Law

Human Resource Management

Operational Management

Revenue Cycle and Financial Management

Filters