Deck 4: Quality of Care

Question 1

Nosocomial conditions, also known as ________, are those illnesses and injuries that affect a patient as a direct result of the patient's stay in the hospital.

A) genetic anomalies
B) hospital-acquired conditions
C) staph infections
D) medical misadventures

Answer 1

hospital-acquired conditions

Question 2

Which of the following statements regarding the Patient Experience of Care survey is false?

A) A facility may add questions to the original questions.
B) The survey asks about communication with physicians.
C) There are 50 questions in the CMS survey.
D) Patients are asked about the cleanliness of the hospital.

Answer 2

There are 50 questions in the CMS survey.

Question 3

The ten categories of HACs for which Medicare will not reimburse include:

A) Non-catheter-associated UTI.
B) Diabetes mellitus.
C) Stage IV pressure ulcer.
D) Cerebrovascular accident (CVA).

Answer 3

Stage IV pressure ulcer.

Question 4

One of the first determinations required to support performing a test or procedure on a patient is called:

A) Medical necessity.
B) Cause and effect.
C) Probable cause.
D) Catalyst.

Question 5

The Patient Experience of Care domain accounts for ________ of the total performance score (TPS).

A) 30%
B) 50%
C) 65%
D) 85%

Question 6

Better, more effective care to patients can be supported by:

A) Proven quality indicators (QI).
B) Paying clinicians higher salaries.
C) Providing more benefits to staff.
D) Having staff work only 4 days a week.

Question 7

The terms of the Hospital Value-Based Purchasing program (HVBP) provide hospitals with incentive payments based on:

A) Severity of illness treated.
B) Level of performance.
C) Number of patients treated.
D) Credentials of physicians.

Question 8

Research studies provide statistical evidence as to which services, procedures, treatments, and policies work best. This is known as:

A) Quality Practices and Procedures (QPP).
B) Evidence-based medicine (EBM).
C) National Guideline Clearinghouse (NGC).
D) Interventions and Practices Considered (IPC).

Question 9

Since 2001, CMS has published quality initiatives with the intent of supporting quality health care through:

A) Claims denial.
B) Ancillary incentives.
C) Public disclosure.
D) Threat of imprisonment.

Question 10

State and national criminal background checks should be performed on:

A) All physician applicants.
B) All administrative applicants.
C) All clinical applicants.
D) All applicants.

Question 11

All applicant physicians should be checked on the ________ before hiring or granting privileges to treat patients in your facility.

A) medical school website
B) National Practitioner Data Bank (NPDB)
C) Physician Quality Reporting System (PQRS)
D) American Medical Association website

Question 12

As an administrator, you will need to assess the:

A) Cost of new technology.
B) True need for new equipment.
C) Both A and B
D) Neither A or B

Question 13

Quality improvement strategies, as listed by AHRQ, include:

A) Physician reminder systems.
B) Patient education services.
C) Internal audits.
D) All of the above.

Question 14

All clinicians are required by law to accurately document the complete details of every patient encounter and patient-related encounter, including:

A) Patient's education level.
B) Patient's salary.
C) Patient's reason for the encounter.
D) Patient's complete health history.

Question 15

A type of process that reduces the probability of adverse events is known as:

A) Evidenced-based quality.
B) Evidence-informed care management.
C) Do/Do Not Do/Don't Know
D) Patient safety practice.

Question 16

Internal audits can improve the quality of care provided in your facility by:

A) Finding reasons to fire employees.
B) Providing feedback, including physician performance evaluations.
C) Supporting implementation of salary reductions.
D) They do not improve the quality of care at all.

Question 17

All of the following are measured for quality of care by Hospital Compare, except:

A) Timely and effective care for patients with AMI.
B) Number of Medicaid patients.
C) Use of surgical techniques.
D) Spending per hospital patient with Medicaid.

Question 18

A physician's credential may be:

A) Ph.D.
B) RN.
C) M.D.
D) PT.

Question 19

CMS identifies one private organization in each state to review the provision of health care services and to respond to complaints. These organizations are called:

A) Quality Improvement Organizations (QIO).
B) Healthcare Quality Indicators (HQI).
C) Healthy People 2020.
D) Total Quality Management (TQM).

Question 20

As part of the Hospital Quality Initiative, CMS created:

A) A toll-free hotline.
B) EMTALA.
C) Hospital Compare.
D) HIPAA.

Question 21

The term used to identify those patients who must be returned to inpatient status in a hospital for the same reason as the previous admission is:

A) Secondary conditions.
B) Manifestations.
C) Readmissions.
D) Resubmissions.

Question 22

Inpatient quality indicators from AHRQ can be used by all of the following except a/n:

A) Acute care hospital.
B) Same-day surgery center.
C) Skilled nursing facility.
D) Long-term rehabilitation center.

Question 23

Case fatality percentage can be determined by dividing which of the following by the total number of patients who have been diagnosed with that same condition within a specific period of time?

A) The total number of patients who died due to a specific condition
B) The total number of patients who were treated for a specific condition
C) The total number of patients who have a family history of a specific condition
D) The total number of patients found to have a genetic potential for a specific condition

Question 24

The nine quality improvement strategies identified by AHRQ include:

A) Ignoring patient complaints.
B) Financial penalties for poor performance.
C) Mandating overtime to provide more patient hours.
D) Continuing education for clinicians.

Question 25

A claim that a physician is board-certified should be confirmed with the:

A) American Board of Medical Specialties.
B) National Medical Specialists Association.
C) American Medical Association.
D) National Quality Measures Clearinghouse.