Chapter 1-5 Quality Exam

Question 1

Donabedian is known for:

Answer 1

His seven pillars of quality and it’s close relationship to healthcare

Question 2

Donald Berwick is known for:

Answer 2

Most respected practicing healthcare guru; President of Institute of Healthcare Improvement(IHI); in 2010 became in charge of CMS.

Question 3

100,000 Lives Campaign =

Answer 3

Initiated by IHI in 2004; has 3000 hospitals enrolled committed to implementing some or all of the six quality improvement changes

Question 4

What are the 6 pillars of QUALITY ( 100,000 lives)

Answer 4

1.Activate a Rapid Response Team 2.Prevent heart attacks 3.Prevent Medication Errors 4. Preventing Central Line infections 5. Prevent Post-surgical infections 6. Prevent Infections on Vent Assisted patients

Question 5

Which Master of Quality uses Objective data? You manage what you measure?

Answer 5

Dr Brent James

Question 6

The focus of performance improvement should be on:

Answer 6

Customers

Question 7

What does the The National Committee on Quality Assurance (NCQA) do?1965, Darling vs.

Answer 7

It is an external review organization for managed care organizations (MCOs). NCQA’s increasingly rigorous standards for accreditation has become increasingly important to managed care organizations as a means to provide more objective proof that a health care delivery system delivers high quality care that is accessible and affordable

Question 8

What did the court decision find in this case?

In 1973, Gonzales vs. Nork and Mercy Hospital

Answer 8

Found the hospital negligent if it knew or had reason to know or should have known of the surgeon’s incompetence. The peer review system at Mercy Hospital was infrequently performed, random and not critical.

Question 9

In 1981, Sayleson vs. Misericordia Hospital

Answer 9

Found that the hospital had written requirements for checking the credentials of the medical staff members but they did not verify the information on the applicants. The court found that the hospital owes a duty to its patients in selecting medical staff members and granting privileges

Question 10

The adoption of minimum standards marked the beginning of what modern practice in healthcare organization?

Answer 10

Accreditation

Question 11

The adoption of minimum standards marked the beginning of what modern practice in healthcare organization?

Answer 11

Accreditation

Question 12

Which piece of legislation explains why Medicare remiburses thru PPS?

Answer 12

Tax Equity and Fiscal Responsibility Act of 1982

Question 13

What are COP’s?

Answer 13

The Conditions of Participation (COPs) are federal regulations that health care facilities must follow to receive Medicare reimbursement

Question 14

What are three types of Quality Indicators?

Answer 14

1. Structure 2. Process 3. Outcome

Question 15

All systems demonstrate variation? T/F

Answer 15

True

Question 16

What is an Element of Performance?

Answer 16

According to the Joint Commission an action or activity than an organization must do to meet a specific standard.

Question 17

What are Quality Indicators?

Answer 17

Specific measures that are believed to reflect the quality of care.

Question 18

What is a Quality Assessment?

Answer 18

Measuring the level at which the system currently performs.

Question 19

According to Medicare COP’s, verbal orders must be authenticated within 24 hrs. T/F

Answer 19

True

Question 20

What is AHRQ?

Answer 20

A major source of funding and technical assistance for health services research” and “a science partner, working with the public and private sectors to build the knowledge base for what works—and does not work—in health and health care and to translate this knowledge into everyday practice and policymaking.”

Question 21

Quality Improvement Organizations

Answer 21

Contract with the CMS to carry out the HCQIP

Question 22

To determine an FTE– you need

Answer 22

–Know how many discharges are expected
–Know the performance standard
–Figure in PF&D