DOMAIN 3 QUIZ: Quality & Outcomes Evaluation & Measurements

Question 1

Improving providers accountable are primary purposes of:

a. electronic health records
b. quality measures
c. support organizations
d. affordable care

Answer 1

b. quality measures

Question 2

Clinical status, functional status, and patient satisfaction are measures of:

a. case mix
b. performance
c. demographics
d. outcomes

Answer 2

d. outcomes

Question 3

A standardized program that evaluates a specific level of quality as defined by national industry standards is known as:

a. quality assurance protocols
b. certification
c. accredidation
d. cost benefit analysis

Answer 3

c. accreditation

Question 4

Improving accuracy of patient identification is an example of which type of quality measure:

a. performance
b. safety
c. operational
d. outcomes

Answer 4

b. safety

Question 5

When assigned large caseloads, case managers are:

a. expected to provide concise documentation
b. providing timely telephonic client support
c. doing little more than reacting to crises
d. experiencing greater job satisfaction

Answer 5

c. doing little more than reacting to crises

Question 6

A set of tools used to stratify a population according to risk, in order to identify opportunities for intervention and prevention of adverse results which may result in increased medical costs, is called:

a. stratification
b. risk identification
c. risk assessment
d. predictive modeling

Answer 6

d. predictive modeling

Question 7

The fundamental purpose of examining information about potentially avoidable hospital days is to:

a. comply with reporting requirement for the joint commission
b. identify ways to improve the quality of service delivery
c. decrease the cost of healthcare delivery
d. meet center for medicare and medicaid services benchmarks

Answer 7

b. identify ways to improve the quality of service delivery

Question 8

An attribute of health care quality is:

a. patient monitoring
b. enhanced technology
c. organizational structure
d. responsiveness to patient preferences

Answer 8

d. responsiveness to patient preferences

Question 9

The case management outcomes report for a health care organization may include the following:

a. revenue per case
b. out of pocket costs
c. rate of reimbursement denials
d. average number of admissions

Answer 9

a. revenue per case

Question 10

The primary goal of predictive modeling is:

a. classifying the need for types of providers
b. predicting future medical costs
c. recognizing highest risk individuals
d. identifying recipients of case management

Answer 10

c. recognizing highest risk individuals

Question 11

A quality improvement method that uses information collection from clients regarding their opinions, behaviors or knowledge is a:

a. database
b. survey
c. checklist
d. concept map

Answer 11

b. survey

Question 12

Stratifying risk is:

a. compartmentalizes clients
b. a final step in the case management process
c. most effective at the start of a case
d. busy work and not effective

Answer 12

c. most effective at the start of a case

Question 13

When risk stratifying a population of clients, the risk category should be determined:

a. proactively
b. retrospectively
c. concurrently
d. consecutively

Answer 13

a. proactively