4.2 Environment Of Care

Question 1

IOM 6 aims of healthcare delivery

Answer 1

Safe, timely, effective, efficient, equitable, patient-centered

Question 2

National Quality Forum 3 aims

Answer 2

Better care
Healthy people/communities
Affordable care

Question 3

The CARE Tool

Answer 3

Standardizes assessment of medical, functional, cognitive, and social support status across acute and PAC

Question 4

Affordable Care Act: Section 3004

Answer 4

Requires CMS to establish quality reporting programs for PAC

Question 5

PAC Value-Based Purchasing Program

Answer 5

Incentive payments based on quality of care

CMS withholds some reimbursement which hospitals can recoup by performing well on quality measures

Question 6

Structure measures

Answer 6

Monitor if specified mechanism or system is in place

Question 7

Process measures

Answer 7

Track performance of a particular action

Question 8

Outcome measures

Answer 8

The end result of care

Question 9

SMART goals

Answer 9

Specific
Measurable
Attainable
Relevant
Time limited

Question 10

Failure Mode Effects Analysis 4 steps

Answer 10

1. Identify steps in process
2. Identify when/how steps might fail
3. Assess impact of potential failures
4. Identify steps in need of change

Question 11

Lean Approach 4 components

Answer 11

Structure every activity
Clearly connect everyone involved
Specify every flow path
Improve through experimentation

Question 12

Medicare Recovery Audit Program

Answer 12

Established Recovery Auditors to identify and prevent improper Medicare payments

Question 13

Utilization management

Answer 13

Set of techniques to manage healthcare costs on a case-by-case basis