Deck 7: Quality Health Care Management

Question 1

U.S. President George W. Bush hindered the progress of electronic health records when, in his 2004 State of the Union Address, he focused more on the challenges of implementation rather than the impact on improvement of patient care.

Answer 1

False

Question 2

Data is only gathered retrospectively.

Answer 2

False

Question 3

Brainstorming refers to an idea-generating tool in which ideas are offered on a particular topic.

Answer 3

True

Question 4

Quality health care means doing the right thing at the right time, in the right way, for the right person, and getting the best possible results.

Question 5

The Agency for Healthcare Research and Quality (AHRQ) has provided grants to increase the use of health information technology, including electronic health records.

Question 6

Accreditation by MCO (Managed Care Organization) of the NCQA (National Committee for Quality Assurance) is mandatory.

Question 7

Data quality is intertwined with the concept of quality patient care.

Question 8

The concept of studying the quality of patient care is a relatively recent trend within the last decade or two.

Question 9

Utilization review refers to a combination of planned functions directed to patients in a health care facility or setting that includes prudent use of resources.

Question 10

Facilities are required to report sentinel events to the JC within 45 days of the event.

Question 11

Concurrent review, or continued-stay review, is the opposite of the preadmission and admission reviews.

Question 12

Gantt Charts show a bar graph and are used to identify and separate major and minor problems.

Question 13

Case managers are also known as utilization coordinators.

Question 14

It is sometimes a difficult challenge to maintain the best quality health care while maintaining cost controls.

Question 15

The main purpose of assessment models is to provide groups with guidance on how to organize the process.

Question 16

Achieving quality in health care management is primarily the responsibility of management.

Question 17

Risk managers often act as liaison to a health care organization's attorneys.

Question 18

Utilization management first became mandatory in 1965 with the passage of the federal law establishing the Medicare program.

Question 19

Benchmarking has often been used in conjunction with the quality improvement model in the health care context.

Question 20

Decision making is evidence based.

Question 21

Nosocomial infections are frequently seen in which of the following?

A) surgical site infections
B) central-line bloodstream infections
C) ventilator-associated pneumonia
D) all of the above

Question 22

The report, Crossing the Quality Chasm: A New Health System for the 21st Century, reported which of the following findings?

A) Current health care systems are more devoted to dealing with acute, episodic conditions.
B) Current health care systems are poorly organized to meet the challenges of continuity of care.
C) There is a shift from care of acute illnesses to care of chronic illnesses.
D) All of the above.

Question 23

The Security Rule (HIPAA) standards require the documents related to risk analysis be kept for how many years?

A) 2 years
B) 3 years
C) 6 years
D) 7 years

Question 24

Which is the best definition of quality circles?

A) A recognition program for the highest performers in the organization. This group then meets on a regular basis to analyze and solve work-related problems and to recommend solutions to other departments.
B) A group of high performers with recognized skills in quality management who meet to analyze and solve work-related problems and to recommend solutions to other departments.
C) A small group of workers who perform similar work and who meet regularly to analyze and solve work-related problems and to recommend solutions to management.
D) A small group of workers from various departments who meet monthly to analyze and solve work-related problems and to recommend solutions to management.

Question 25

The process of comparing outcomes with those of an acknowledged superior performer is called what?

A) core measurements
B) benchmarking
C) a quality improvement model
D) none of the above

Question 26

An employee who focuses on how to reduce medical, financial, and legal risk to an organization would probably be from what department?

A) accounting
B) risk management
C) coding
D) administration management

Question 27

Which of the following refers to the high grade, superiority, or excellence of data?

A) data control
B) data quality
C) data quantity
D) none of the above

Question 28

An additional measure recommended by HQA (Hospital Quality Alliance) for a patient with the diagnosis of pneumonia would be

A) thrombolytic agent received within 30 minutes of hospital arrival
B) smoking cessation advice/counseling
C) blood culture performed prior to first antibiotic received in the hospital
D) prophylactic antibiotic received within 1 hour prior to surgical incision

Question 29

Under what initiative by JCAHO is performance data used to examine a health care organization's internal performance over time and to compare a health care organization's performance with that of others?

A) ORYX Initiative
B) MEDPAR Initiative
C) CATCH Initiative
D) HQA Initiative

Question 30

Control charts are graphic representations that show the time relationships in a project.

Question 31

A patient is given the wrong blood transfusion, resulting in a severe reaction from which the patient nearly died. This is an example of which of the following?

A) root-cause analysis
B) enterprise risk management
C) sentinel event
D) serious incident

Question 32

OSCAR (Online Survey, Certification and Reporting) reports would be seen in which type of facility?

A) home health
B) nursing home
C) hospitals
D) all of the above

Question 33

The main mission of the Agency for Healthcare Research and Quality (AHRQ) is what?

A) to serve on a consulting basis to health care facilities to assist in improving the quality of care
B) to accredit health care facilities that meet very stringent criteria that demonstrate they are meeting or exceeding the standards of care
C) The AHRQ was a forerunner for quality improvement, but it is no longer functioning in that capacity.
D) to develop scientific evidence that enables health care decision makers to reach more informed health care choices

Question 34

Which of the following has been identified as the leading cause for hospitalization or extending the length of stay?

A) acute accidents
B) pregnancy and delivery
C) heart attacks
D) chronic alcoholism

Question 35

Outcomes are a way to improve patient care and safety.

Question 36

Which of the following are tools used to address an issue or problem?

A) brainstorming
B) benchmarking
C) both a and b
D) neither a nor b

Question 37

A cause and effect diagram identifies major categories of factors that influence an effect and the subfactors within each of those categories.

Question 38

Two areas that relate to data quality and quality patient care are performance improvement and risk management.

Question 39

A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury.

Question 40

OASIS reports would be seen in which type of facility?

A) home health
B) nursing home
C) hospitals
D) all of the above

Question 41

What surgeon pioneered the practice of monitoring surgical outcomes in patients and documenting physician errors concerning specific patients?

A) Philip Crosby
B) W. Edwards Deming
C) A. E. Codman

Question 42

A patient who will be discharged from the hospital soon is going to require some additional planning for the transition to home. Which department is most likely to be involved in this process?

A) concurrent review
B) admission review
C) discharge planning
D) risk management

Question 43

Match the term with its definition.
when data is retrieved from the record

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 44

Match the term with its definition.
when data is entered into the record

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 45

Match the term with its definition.
when data is used

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 46

_______________ charts focus attention on a variation in the process and help a team determine whether a variation is normal or the result of special circumstances.

A) Pareto
B) Gantt
C) Pie
D) Control

Question 47

Match the term with its definition.
when every aspect of health care quality may be subject to managerial oversight

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 48

Match the term with its definition.
improvement of performance as it relates to patient care

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 49

Which of the following is the clinical review of the appropriateness of admission and planned use of resources?

A) utilization review
B) utilization management
C) PSROs (Professional Standards Review Organizations)
D) SOW (Scope of Work)

Question 50

Which of the following refers to the ongoing review of patient care in various health care settings related to assuring the medical necessity of the encounter and appropriateness of clinical services provided?

A) utilization coordinators
B) case management
C) preadmission reviewers

Question 51

Match the term with its definition.
when data is manipulated

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 52

Since one error can be of catastrophic consequence if it involves a sentinel event or even death, the concept of near perfection present in the ____________________ ____________________ standards poses a real attraction for all applications of health care delivery.

Question 53

The term for a diagram that organizes information into a visual pattern to show the relationship between factors in a problem.

A) Cause and effect diagram
B) Ishikawa diagram
C) Scatter diagram
D) Affinity diagram

Question 54

The National Committee for Quality Assurance was established in what year?

A) 1989
B) 1990
C) 1991
D) 1993

Question 55

Match the term with its definition.
when data is processed

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 56

Within how many days of a sentinel event should facilities report to JC?

A) 15
B) 30
C) 45
D) 60

Question 57

______________is a tool used by many health plans to measure performance of care and service.

A) HEDIS
B) OASIS
C) NCQA
D) ORYX

Question 58

The term for measurement of quality to a level of near perfection or without defects.

A) PDSA
B) FOCUS PDCA
C) Six Sigma

Question 59

This chart orders categories according to frequency in descending order from left to right and is used to determine priorities in problem solving.

A) Pareto Chart
B) Gantt Chart
C) Pie Chart
D) Control Chart

Question 60

Match the term with its definition.
improvement of the processes involved in the delivery of health care

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 61

Match the organization/analysis tool with its description.
identifies major categories of factors which influence an effect and the subfactors within each major category; also called the fishbone or Ishikawa diagram

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 62

Match the organization/analysis tool with its description.
bar graph used to identify and separate major and minor problems

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 63

Match the organization/analysis tool with its description.
contains both x and y axes and can display data proportionally

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 64

Match the steps a group may follow when using the FOCUS PDCA. Organize them in chronological order.
Step One

A)organize a team that knows the process
B)understand the causes of special variation
C)find a process to improve
D)select the process improvement
E)clarify the current knowledge of the process

Question 65

Match the organization/analysis tool with its description.
uses a line to represent data in numerical form

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 66

FOCUS PDCA is a how many step process? Explain one of the steps.

Question 67

Match the organization/analysis tool with its description.
demonstrates the frequency of data through the use of horizontal and vertical axes

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 68

Match the organization/analysis tool with its description.
diagram that organizes information into a visual pattern to show the relationship between factors in a problem

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 69

Match the organization/analysis tool with its description.
graph which shows the relationship between two variables and is often used as the first step in regression analysis

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 70

Match the organization/analysis tool with its description.
graphic representations which show the time relationships in a project

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 71

Match the organization/analysis tool with its description.
tool used to track activities according to a time sequence, showing the interdependence of activities

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 72

Match the organization/analysis tool with its description.
graph used to show relations to the whole

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 73

Match the steps a group may follow when using the FOCUS PDCA. Organize them in chronological order.
Step Three

A)organize a team that knows the process
B)understand the causes of special variation
C)find a process to improve
D)select the process improvement
E)clarify the current knowledge of the process

Question 74

Match the steps a group may follow when using the FOCUS PDCA. Organize them in chronological order.
Step Five

A)organize a team that knows the process
B)understand the causes of special variation
C)find a process to improve
D)select the process improvement
E)clarify the current knowledge of the process

Question 75

Match the organization/analysis tool with its description.
organizes ideas wherein a list of ideas are labeled alphabetically and then prioritized

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram

Question 76

Match the term with its definition.
actions taken to establish, protect, promote, and improve the quality of health care

A)documentation process
B)abstracting process
C)coding process
D)indexing and registry processes
E)interpreting process
F)quality management
G)process improvement
H)performance improvement
I)quality assurance

Question 77

Data quality is more than just the correctness of data. What else is inherent in the concept of quality data? List three of the eight other qualities.

Question 78

Match the steps a group may follow when using the FOCUS PDCA. Organize them in chronological order.
Step Four

A)organize a team that knows the process
B)understand the causes of special variation
C)find a process to improve
D)select the process improvement
E)clarify the current knowledge of the process

Question 79

Match the steps a group may follow when using the FOCUS PDCA. Organize them in chronological order.
Step Two

A)organize a team that knows the process
B)understand the causes of special variation
C)find a process to improve
D)select the process improvement
E)clarify the current knowledge of the process

Question 80

Match the organization/analysis tool with its description.
graph with statistically generated upper and lower control limits used to measure key processes over time

A)affinity diagram
B)nominal group technique
C)gantt charts
D)Pert (Program Evaluation and Review Technique)
E)cause-and-effect diagram
F)pareto chart
G)bar graph
H)histogram
I)pie chart
J)line graph
K)control chart
L)scatter diagram